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HomeMy WebLinkAboutSUB2015-00005 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: BRUCE CARVER PO BOX 1058 PORT ANGELES WA 98362 DATE ISSUED:August 06, 2015 DATE EXPIRES: February 06, 2016 MLA NUMBER: MLA15-00011 PROJECT PLANNER:Anna Bausher PROJECT DESCRIPTION: ROAD SEGREGATION TO CREATE TWO PARCELS LOT CERTIFICATION -SUBDIVISION EXEMPTION 18.35.040(4) PROJECT LOCATION: Parcel Number: 901 341 005; Section: 34 - Township: 29N - Range 1W; Site Address: located off of Center Road, Chimacum, WA. CONDITIONS: 1.) The six year moratorium on non-forestry permits, as a result of forest practice application, currently in place on this parcel shall remain on both parcels until the moratorium expires. 2.) 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 owner's responsibility to identify and rectify any security interest, conveyances, encumbrances, easements or restrictions affecting the subject properties involved in this county reviewed exemption. 3.) 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. 4.) Parcel numbers are assigned upon recording of Statement of Intent. 5.) The Lot Certification Statement of Intent shall be recorded with Jefferson County Auditor's Office. 6.) 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 May 12 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 streams, fish and wildlife habitat conservation area, wetlands, FEMA flood area, susceptible aquifer recharge area. 3.) 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). 4.) This approval is for a lot certification for a road segregation of one parcel to two parcels only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 5.) The parcel has been designated as Prime Agricultural Land (AP-20) under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 6.) Based on the findings, parcel number 901341005 can be considered two (2) separate parcel as described in the legal descriptions submitted with the application. This approval is for a lot certification/road segregation 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.) RCW 58.17 requires regulation of the division of land and was passed in 1969. 8.) The proposal is found to be an exemption under Jefferson County Code (JCC) Section 18.35.040(4): (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. 9.) Contact the Jefferson county Environmental Health Department at(360) 379-9444 to determine potential limitations with regard to wells and on-site sewage requirements. 10.) On April 16, 2015 Mara Dotson from Public Works commented as follows: After a review of the Department of Public Works records, with regards to the above request, our records indicate the following: "This section of Center Road was established on December 6th 1922 by Permanent Highway 4D Extension Project. This portion was deeded by Thos &Josephine Yarr of Chimacum, WA. On January 3rd 1923 by Quite Claim Deed recorded in Volume 1 of Waivers Page 237, AFN49781. The old alignment and current alignment of the road are both shown on the 1915 Road Log Map. The right of way is 60 feet. The County Road Log indicateds that this road is 15.01 miles long." 11.) It was determined by the administrator that this lot certification/road segregation could be processed with the existing FPA moratorium on the parcel as approval of this lot certification/road segregation will not change the use of the land to a non-forestry use and the proposal is exempt from the subdivision code per JCC 18.35.040(4). 12.) 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 marine environments are included as "critical habitat"for listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile)of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take"and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service(http://www.fws.gov/pacific/eagle/)to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. APPEALS: Pursuant to RCW 36.70C,the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one(21)calendar days of the date of issuance of this land use decision. For more information related to judical appeals see JCC 18.40.340. � I f 0/20/S`_ UDC Ai ministrator MLA15-00011 \\tidemark\data\forms\F_MLT_IssuePermit_U.rpt 8/8/2015 Page 2 of 2 593438 PG S : CERT M R MERRIL & o ! F 1 fc 1111 hP ,I1 �I MJO R I Ii III AFTER RECORDING MAIL TO: NO REAL ESTATE Name: Jefferson County DCD, DRD EXCISE TAX REQUIRED JEFFERSON COUNTY TREASURER Address: 621 Sheridan BY: City/State: Port Townsend,WA 98368 All Situate in the County of Jefferson, State of Washington Lot Certification MLA Number: 15-00011 Parcel Number: 901 341 005 Section 34 Township 29N Range 1W Grantor(s): 1. Merrill &Ring Forest Products Grantee(s): 1. Merrill &Ring Forest Products • Legal Description: Parcel involved in the lot certification are currently legally described as follows (include Assessor's Property Tax Parcel Account Number): Parcel A: TPN: 901 341 005 Section 34,Township 29N,Range 1W; See attached Exhibit A Parcel B: Lot certification described as follows (new legal description in metes and bounds): Revised Parcel A: Section 34,Township 29N,Range 1W; See attached Exhibit B Revised Parcel B: Section 34,Township 29N, Range 1W; See attached Exhibit C 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 or segregated by a public road right- of-way or an existing le,al lot of record. • (Proponents' signature) STATE OF WASHINGTON COUNTY OF oi'a/S_ On P I ( 39er personally appeared 'Pic-4h d & and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that he executed it. WITNESS my hand and official seal this day of A oLz (S 1 , 2ito. . CHERYL MORETTI STALE OF WASHINGTON Notary Public in and for the State of Washington, NOTARY PUBLIC (V441/ //bbl MY COA�AAIS 2S-19EXPIRES Residing at This Lot Certification has been reviewed and approved by the Jefferson County Treasurer Office p eb Office and taxes have been paid in full for the year. reasurer Office This Lot Certification has been reviewed and approved by the Jefferson County Development Review Division. Associate/Assistant Planner Date LEGAL DESCRIPTION EXHIBIT A PARCEL A- EXISTING LEGAL DESCRIPTION THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 29 NORTH,RANGE I WEST, W.M. EXCEPT PORTION FOR ROAD PURPOSES AS CONVEYED TO JEFFERSON COUNTY BY DEED RECORDED UNDER AUDITOR'S FILE NO. 156966 AND BY DEED RECORDED IN VOLUME 1 OF ROAD WAIVERS, PAGE 237 RECORDS OF JEFFERSON COUNTY, WASHINGTON(MORE COMMONLY KNOWN AS CENTER ROAD). ALSO EXCEPT THE FOLLOWING DESCRIBED PROPERTY: THAT PORTION OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER AND THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 34,TOWNSHIP 29 NORTH, RANGE I WEST, W.M. AND A PORTION OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 35, TOWNSHIP 29 NORTH,RANGE I WEST, W.M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE SOUTH LINE OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34,TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., WHICH POINT BEARS SOUTH 89°41' WEST A DISTANCE OF 120.1 FEET FROM THE 1/4 SECTION CORNER COMMON TO SECTIONS 34 AND 35 OF TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M.; THENCE NORTH 60°59'30" EAST FOR A DISTANCE OF 76.75 FEET; THENCE NORTH 81°09'30" EAST FOR A DISTANCE OF 185.60 FEET; THENCE NORTH 57°22' WEST FOR A DISTANCE OF 179.00 FEET TO THE SOUTHEASTERLY BANK OF CHIMACUM CREEK; THENCE NORTH 75°15' WEST ALONG SAID BANK FOR A DISTANCE OF 315.6 FEET TO THE RIGHT OF WAY LINE OF THE EXISTING COUNTY ROAD; THENCE SOUTH 30°05' WEST ALONG SAID RIGHT OF WAY LINE FOR A DISTANCE OF 478.55 FEET; THENCE SOUTH 59°02' EAST FOR A DISTANCE OF 76.05 FEET; THENCE NORTH 60°59'30" EAST FOR A DISTANCE OF 434.65 FEET TO POINT OF BEGINNING AND CONTAINING 2.99 ACRES MORE OR LESS. SITUATE IN THE COUNTY OF JEFFERSON, STATE OF WASHINGTON. , 3 ,O + wASry��O i v °, olif II f f •r I Y T 4 ;!�o i 4�} 48767 O ,j0IVALL09 ,0 LEGAL DESCRIPTION (EXHIBIT B) REVISED PARCEL A THAT PORTION OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34,TOWNSHIP 29 NORTH, RANGE I WEST, W.M., LYING NORTHWESTERLY OF CENTER ROAD AS CONVEYED TO JEFFERSON COUNTY BY DEED RECORDED UNDER AUDITOR'S FILE NO. 156966 AND BY DEED RECORDED IN VOLUME 1 OF ROAD WAIVERS, PAGE 237, RECORDS OF JEFFERSON COUNTY, WASHINGTON. SITUATE IN THE COUNTY OF JEFFERSON, STATE OF WASHINGTON. y 0 WSyq / % N I ./ sr '`%41, 48'B7 I TER``v : 41 (3'141.LASS LEGAL DESCRIPTION (EXHIBIT C) PARCEL B THAT PORTION OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34,TOWNSHIP 29 NORTH, RANGE I WEST,W.M., LYING SOUTHEASTERLY OF CENTER ROAD AS CONVEYED TO JEFFERSON COUNTY BY DEED RECORDED UNDER AUDITOR'S FILE NO. 156966 AND BY DEED RECORDED IN VOLUME 1 OF ROAD WAIVERS, PAGE 237, RECORDS OF JEFFERSON COUNTY, WASHINGTON. EXCEPT THE FOLLOWING DESCRIBED PROPERTY: THAT PORTION OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER AND THE NORTHEAST QUARTER OF THE SOUTI LEAST QUARTER OF SECTION 34, TOWNSHIP 29 NORTH, RANGE I WEST, W.M. AND A PORTION OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 35, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE SOUTH LINE OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., WHICH POINT BEARS SOUTH 89°41' WEST A DISTANCE OF 120.1 FEET FROM THE 1/4 SECTION CORNER COMMON TO SECTIONS 34 AND 35 OF TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M.; THENCE NORTH 60°59'30" EAST FOR A DISTANCE OF 76,75 FEET; THENCE NORTH 81°09'30" EAST FOR A DISTANCE OF 185.60 FEET; THENCE NORTH 57°22' WEST FOR A DISTANCE OF 179.00 FEET TO THE SOUTHEASTERLY BANK OF CHIMACUM CREEK; THENCE NORTH 75°15' WEST ALONG SAID BANK FOR A DISTANCE OF 315.6 FEET TO THE RIGHT OF WAY LINE OF THE EXISTING COUNTY ROAD; THENCE SOUTH 30°05' WEST ALONG SAID RIGHT OF WAY LINE FOR A DISTANCE OF 478.55 FEET; THENCE SOUTH 59°02' EAST FOR A DISTANCE OF 76.05 FEET; THENCE NORTH 60°59'30" EAST FOR A DISTANCE OF 434.65 FEET TO POINT OF BEGINNING AND CONTAINING 2.99 ACRES MORE OR LESS. SITUATE IN THE COUNTY OF JEFFERSON, STATE OF WASHINGTON. c C .- wASyk H ; 48787 i, � f$7EA`0� ' /qvAL LAS Jefferson County WA Jefferson County Auditor 1820 Jefferson St. Port Townsend, WA 98368 Receipt: 15-03850 Product Name CERT Certificate Extended Document# $76.00 # Pages 593438 $40 surcharge $ true Total $76.00 Tender(Check) Check# 306758 $76.00 PaidBy M & R SERVICES CO Thank You! 8113115 1:36 PM lorraina , E `w4so: coc{ JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 41.. .., 621 Sheridan Street I Port Townsend. V/A 98368 I Web:vmw.co.Jefferson.wa.uslcornmunitydevelopment 'rsyt NGo Tel 360.379.4450 I Fax:360.379.4451 I Email:dcd�c co.jefferson.wa.us Building Permits &Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: ( 'j - 01001,\ Project Description (includ separate sheets as necessary): Lo-� r�x-ri i -f-ic /1zOCcii e_0\ oMo Tax Parcel Number: q O i 3 14 1 6 S Property Size: (acres/square feet) Site Address and/or Directions to Properly: Property Owner(s) of Record: f—PAY II Q K-A Y1.1 P r'C 't f tOduCt'S Telephone: 'f542,- g3b7 Fax: q,S ? -.moo /S email: (0G4o/e, 'Qrivir;I14,-.49 - coy4- Mailing Address: PO B O X /63-9 Poll' tIN,S 1 c, W i4• 9 Applicant/Agent(if different from owner): J Ow (A1,94 Telephone: III? 05 O ( Fax: email: Mailing Address: What kind of Permit? (Check each box that applies $Lot or Road Segregation ❑Building ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family ❑ Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑ Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach ❑ Short Plat** ❑ Home Business ❑ Cottage Industry ❑ Binding Site Plan** ❑Propane ❑ Long Plat** ❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑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: DESIGNATION OF AGENT I hereby designate 2.517°WC-- /^--'"/_1✓4.G'/ to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 1�✓ Date: SIZi lts By signing this application form,the owner/agent attests that the information provided herein,and in any attachments, is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the a i lion that he or she w nts prior notice. / Signature: Date: 5/ 1/5 I The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: .-, Date: S/4231 f/5 (17/24/21)13 BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein.that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: , IT New Wood Existing: T. Sewer Addition - Steel Proposed: Bank _. Community System _: Alteration/Remodel = Concrete Total: Height: _ Individual System Repair = Masonry SEP Permit# : Demolition = Other: Bedrooms: Water Supply: Existing: Setback: = Private well = Two Party Type of Heat: Proposed:' = Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants (includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace .nsert rehtO I evotS telleP I knaT retaWtoH I Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size, distances from the propane tank to all property lines, buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2' Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee; • Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport. 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: (17/24/2013 FPA1N#: ���� 4 rpS;� kts OPt STATE DEPARTMENT 7F Received Date: 1 aS`� Natural Resources WDFW Concurrence Due Date: WDFW Concurrence Review -- Forest Practices Application/Notification Completed: `�_!� Office Checklist Page 1 Comments Due Date: - 1 Decision Due Date: ^�` 7�`— OLYMPIC REGION FP Forester: Shutdown Zone: RMAP#: FPA/N CLASSIFICATION: j l/II t)(] III [ ]IVG [[j]] IIVS RMAP Exempt [ ;80i20 [ I No Forest Roads [ I Ag [ ] LLO Landowner Name: ///t7 y,s/yat�rJ G/ Project Name: 4 For DNR Region Office Use Only WASHINGTON STATE DEPARTMENTOF Natural Resources FPANN #: 6,1 3110 Region: a eey���//l Forest Practices Application/Notification _ Received Date: - °?8' /5 Western Washington PLEASE USE THE INSTRUCTIONS TO COMPLETE THIS APPLICATION. TYPE OR PRINT IN INK. 1. Landowner,Timber Owner and Operator Legal Name of LANDOWNER Legal Name of TIMBER OWNER Legal Name of OPERATOR 11I (if different than Landowner) (if different than Landowner) 10 v71 a 5 &eWd ot-Yil^ ibsina.S /Vewdo k e r 511.144 Mailing Address: Mailing Address: Mailing Address: ao 5 gust 1/111-4- i reci an-1 A1115-- City, State,Zip City, State, Zip City, State, Zip 4 IQS w 7136 Phone(3b) y77_3 01 Phone( ) Phone( • Email: Email: Email: 2. Contact Person Contact Person: Phone((36,,D v) 33 Om V t jQ i-V er Email: 13 G7n42,0,4 t Ny .Cam NOTE: You are required to verify Type Np, and Ns water types within 200 feet of your proposed forest practices activities prior to submitting a Forest Practices Application/Notification. Use the Additional Information section, additional pages, the Water Type Classification Worksheet, and/or a Water Type Modification form to explain how you verified water types. See Water Typing Requirements in the instructions. 3. Landownership information: See instructions a. ❑No ®Yes Are you a small forest landowner per RCW 76.09.450? If Yes, go to b. b. ❑No Yes Is your entire proposed harvest area on a single contiguous ownership consisting of one or more parcel 4. If you are harvesting timber, enter the Forest Tax Reporting Account Number of the Timber Owner: moo - 07 $- 012 For tax reporting information or to receive a tax number, call the Department of Revenue at 1-800-54$--8829. 5. Are you substituting prescriptions from an approved state or federal conservation agreement or watershed analysis? ZNo DYes Write "HCP" or"Using Prescriptions" in tables that apply. Attach or reference on file prescriptions and/or crosswalks. 5/9/2014 Page 1 of 7 Western Washington 2613416 6. What is the legal description of your forest practice? Section Township Range EM/ Tax Parcel Number County ,?9 29N 1 iN 90 I •-31/3 - Te so 901 ... 3J/ ?01 — 3C -00`{ 901 — 31111 — A ° 1 7. When are you planning to begin work on the proposed activity? :41 / / Ste/ / 5 8. Is the taxpayer eligible for the EARR Tax Credit? ❑ No IZYes 9. Have you reviewed this forest practices activity area to determine whether it may involve historic sites and/or Native American cultural resources? Read the instructions before answering this question. I No ❑Yes 10. Do you have a DNR approved Road Maintenance and Abandonment Plan (RMAP)? a. 2 No ❑Yes List the RMAP number: If no, go to b. b. Z No ❑Yes Is a Checklist RMAP required?(see instructions) 11. Are there potentially unstable slopes or landforms within the boundaries of your forest practices activity area? No ❑Yes—attach geotechnical report and "Slope Stability Informational Form." If applicable, attach the SEPA checklist, HCP or Watershed Analysis prescriptions. 12. Are there potentially unstable slopes or landforms adjacent to your forest practices activity area? No ❑Yes—complete and attach the"Slope Stability Informational Form." If applicable, attach geotechnical report, HCP or Watershed Analysis prescriptions. 13. Is this forest practice application/notification: (Answer every question) a. ,© No ❑Yes Within city limits or inside an urban growth area? (IF YES SEE INSTRUCTIONS FOR ADDITIONAL REQUIRED DOCUMENTS.) b. VI No ❑Yes For road work that is included in an approved Road Maintenance and Abandonment Plan (RMAP)? c. No ❑Yes Within a public park? If Yes, include SEPA Environmental Checklist or SEPA Determination -except for harvesting/salvaging less than 5,000 board feet within a developed public park. d. ca No ❑Yes Within 500 feet of a public park? Park name: e. 111 No ❑Yes In an approved Conversion Option Harvest Plan (COHP)from the local government? If yes, include a copy. This only applies to proposals within urban growth areas. f. 14 No ❑ Yes Within 200' of the Ordinary High Water Mark(OHWM)or floodway of Type S water? If yes, check with the county or city to determine whether a substantial development permit is required under the local shorelines master plan. 5/9/2014 Page 2 of 7 Western Washington 2613418 g. V No ❑ Yes A request for a multi-year permit? If yes, length requested:❑4 years or❑ 5 years. Not everyone qualifies for a multi-year permit. See instructions for details. h. V No ❑Yes An Alternate Plan? If yes, include a copy. i. V No ❑Yes Within 50 miles of saltwater and do you own more than 500 acres of forest land in Washington State?If Yes-include the"Marbled Murrelet Form"or attach/reference HCP prescriptions. j. V No ❑Yes In or directly adjacent to a potential Channel Migration Zone(CMZ)? If Yes—include the "CMZ Assessment Form."Attach/reference applicable HCP and/or Watershed Analysis prescriptions. ***** If not working in or over typed waters, skip to number 18 ***** Prior to answering number 14-17 in this section please refer to the Forest Practices Application Instructions and Forest Practices Board Manual Section 5(BM 5). 14. Are you proposing any of the following projects NOT permitted by current HPAs from WORN? a. ❑ No ❑ Yes Installing, replacing or repairing a culvert at or below the bankfull width of Type S or F Water(s)that exceeds a five percent gradient? b. ❑ No ❑Yes Constructing, replacing, or repairing a bridge at or below the bankfull width of unconfined streams in Type S or F water(s)? c. ❑ No ❑Yes Placing fill material within the 100-year flood level of unconfined streams in Type S or F water(s)? 15. Have you consulted with DNR and/or WDFW about the proposed hydraulic project(s) in or over Type S or F water? ❑ No ❑ Yes 16. If installing, replacing, removing or maintaining structures in or over any typed water,complete the table below. Type S and F waters require detailed plan information. Provide plan details in number 31 or attach plan to the FPA/N. Provide crossing locations and identifiers on your Activity Map. (A detailed plan with profiles may also be required for more complex hydraulic projects in Type N Waters per WAC 222-24-042(2)). m a v o w 0 > _ _� E U C E R E ,, a,v 0 7 0 o y -7 f O J .c." N w N L T d C Z o. w U a in T 'W 8 T 0 d 36 O a = l E m V m N a m o E m e 'p O c F Q C m K@ a (0 CO 7 - O N ‘7", n-U (n y O. d • m , Z a W Q C o �' u t O d voi m d Z Oa. z • h N .d., u o_ o_ c o.c > V a > m lC d Q O : is K m a m m m E Ts O , r o .-F5 E 5 o 7,L .c m " m 2 0 it o *Existing HPAs issued by WDFW will be complied and enforced by WDFW until expiration. Plan details are not required for hydraulic projects permitted with an existing HPA(see instructions). *" Fords and equipment crossings on Type S and F Waters may result in an unauthorized incidental take of certain endangered or threatened fish species. For more information, see"Background for the state's Incidental Take Permits for certain endangered and threatened fish species"following number 24 of the FPA/N Instructions. 5/9/2014 Page 3 of 7 Western Washington 2613416 17. If conducting any of the following activities in or over typed water, complete the table below. Some activities will require identifiers on your Activity map and/or more information in number 31, Additional Information. See instructions. • *Activity Type S Water Type F Water Type Np Water Type Ns Water Equipment Crossing** Suspending Cables Cable Yarding LWD Placement/Removal Beaver Dam Removal Felling and Bucking Other(describe in number 31) *Existing HPAs issued by WDFW will be complied and enforced by WDFW until expiration. Plan details are not required for hydraulic projects permitted with an existing HPA(see instructions). **Fords and equipment crossings on Type S and F Waters may result in an unauthorized incidental take of certain endangered or threatened fish species. For more information, see"Background for the state's Incidental Take Permits for certain endangered and threatened fish species"following number 24 of the FPA/N Instructions. 18. If constructing or abandoning forest roads complete the table below. Show the road locations and identifiers on your Activity Map. Include abandonment plans for temporary roads and abandonment projects. Road Construction Road Abandonment Road Identifier (name,number) Length(feet) Steepesto Length (feet) Abandonment Date Side-slope(/o) /V4 19. If depositing spoils and/or expanding or developing a rock pit for forestry use, complete the table below. Show locations and identifiers on your Activity Map. Spoil Area Identifier Amount of Spoils Rock Pit Identifier Acres of New Rock Acres of Existing (letter,number) Deposited (name,number or Pit Developed Rock Pit Expanded • (cubic yards) letter) AA 20. If operating in or within 200 feet of a wetland, complete the table below. Show the boundaries of each wetland, along with its identifier, and WMZ on your Activity Map. See instructions for information. Wetland Planned Wetland Type Planned Total Wetland How many How many Identifier Activities in (number, (A, B, or Activities in Maximum Area acres are you acres are you letter) Forested) Wetland Width WMZ (acres) draining? filling? * '*** If not harvesting or salvaging timber, skip to number 29 * ** 5/9/2014 Page 4 of 7 Western Washington 2613 416 21. If harvesting or salvaging timber, complete the table below. Show all harvest areas and unit numbers on your Activity Map. For even-aged harvest units also show surrounding stand information on your Activity Map. Harvest Method e (Rubber Tired Skidder, ro .o Harvest Type Tracked Skidder,Dozer, E , c .n e o = .0 (Even-aged, x Shovel,Full Suspension a -o. o -0 o v ° o -o 3 Uneven-aged,Salvage, rn Cable,Lead-end Suspension ,9 N e y e e e y d H Z Right-of-Way) m Cable, Helicopter,Animal, in w E e E e g E e 0. 0 oz Chipper-forwarder,Slash o o o +a n o E>- Bundler) .- < X > X > X — > x trim I A 0 1Cit =I{s R , n k ldsv,g -5 4900 QO% 30% 2 3 wet - aged Q1aer Sktef. 1 4 Qwdkr 241 SW 9o% 30% C uneven -c5ed lbw(,Shr t/ei Rrr states ig•(0 50D 9Q% 10% 22. Reforestation. Check the appropriate box(es). 111 Planting. Tree Species: Dr. 57-4 (l Natural. Include a Natural Regeneration Plan ❑ Not required because of one or more of the following: ❑ I am converting some or all of this land to non-forest land in the next 3 years or lands are exempted under WAG 222-34-050. ❑ Individual dead, dying, down, or wind-thrown trees will be salvaged. ❑Trees are removed under a thinning program reasonably expected to maximize the long-term productivity of commercial timber. ❑ I am leaving at least 100 vigorous, undamaged, and well-distributed saplings or merchantable trees per acre. ❑An average of 190 tree seedlings per acre are established on the harvest area and my harvest will not damage it. ❑ Road right-of-way or rock pit development harvest only. **** If you own MORE than 80 forested acres in Washington, skip to number 27 **** 23. Are you using the exempt 20-acre parcel riparian management zone (RMZ) rule on type S,F,or Np waters? Qi No If no,continue to number 27. - ❑ Yes If yes,continue to number 24. See instructions for qualifications and information. 24. Choose the answer below that best fits your situation. Show all RMZs on your Activity Map. ❑ a. ALL of the following apply to me and my land: (If no, answer b.) - Between June 5,2006 and today's date I have always owned less than 80 acres of forestland in Washington. - Between June 5, 2006 and today's date this parcel has always been 20 acres or less of contiguous ownership. - Between June 5, 2006 and today's date this parcel has always been owned by me or someone else that has owned less than 80 acres of forestland in Washington_ 5/9/2014 Page 5 of 7 Western Washington • [. 2 6 13416 ._ b. ONE OR MORE of,the following apply to me and/or my land (check all that apply): 0 I currently own more than 80 acres of forestland in Washington. ❑ Between June 5, 2006 and today's date I have owned more than 80 acres of forestland in Washington. ❑ Between June 5, 2006 and today's date this parcel has been more than 20 acres of contiguous ownership. ❑ Between June 5, 2006 and today's date this parcel has been owned by someone that has owned more than 80 forested acres in Washington. 25. If harvesting within 115 feet of a Type S or F water on an exempt 20-acre parcel, complete the table below. Show RMZs and stream segment identifiers on your Activity Map. (Include stream shade assessment methodology if you are harvesting within 75 feet, or the maximum RMZ, whichever is LESS. If using BM1 to evaluate shade, you may use the"Stream Shade Assessment Worksheet"). Are you Stream Segment -, Maximum RMZ harvesting within Identifier Water Type Segment Length...-- ength Bankfull Width Width the maximum (letter) (S, F) ______--(feet) (feet) (feet) RMZ? °'�" (Y or N) -'--F - J3 ,------- - Af 26. Are you harvesting within 29 feet of a Type Np water on a 20-acre exempt parcel? ❑No Continue to number 29. 0 Yes See instructions and describe leave tree strategy in number 31. Then continue to number 29. 27. If harvesting within 200 feet of any of Type S or F waters, complete the table below. Include DFC for all inner zone harvests unless you have an HCP prescription. Show RMZs, CMZs, and stream segment identifiers on your Activity Map. (Include stream shade assessment methodology if you are harvesting within 75 feet of S or F waters. If using BM1 to evaluate shade, you may use the"Stream Shade Assessment Worksheet"). Stream RMZ Segment Water Type Site Class Stream Is there a Harvest DFC Run Total width Identifier (S or F Width CMZ? Code(s) of RMZ (letter) (I �) (feet) (YIN) (see Number (feet) instructions) I F 12 AJ `3, L. c' I `i® ' -z F j '. lot • NI ' . {�3, t- 1 MI6 28. If harvesting within 50 feet of Type Np water, complete the table(s) below. Show RMZs and stream segment identifiers on your Activity Map. Total Stream Stream Length of No-Harvest, Stream rf To Length of No-Harvest, Segment Length in 50-foot Buffers in Segment Length in 50-foot Buffers in Identifier Harvest Unit Harvest Unit Identifier Harvest Unit Harvest Unit (letter) (feet) (feet) (letter) (feet) (feet) 5/9/2014 Page 6 of 7 Western Washington 1 -a8-)S 29. How are the following marked on the ground? (Flagging, paint, road, fence, etc.) 2 6 1 3 4 1 6 Harvest Boundaries: P i , k mid c (HO C'Q WI y� 1, 7 c�r'") Clumped Wildlife Reserve Trees/Green Recruitment Trees: ,4/�t Right-of-way limits/road centerlines: \/t) VI I l '.� (( b L2(?n Stream Crossing Work: Riparian Management Zone Boundaries and Leave/Take Trees: Channel Migration Zone: Wetland Management Zone Boundaries and Leave/Take Trees: 30. Are you converting the land to non-forestry use within 3 years of harvest? 'No ❑Yes If yes, include your SEPA Determination and/or SEPA checklist. 31. Additional Information (attach additional pages If necessary): For hydraulic projects in or over S or F water(s)see instructions for required plan information. A .w hden coock apfraac h . 120(-k- Ra'c4{ . $ . vJiden Woad a f1acich . Lay damn rei t , Plac.e ot1-e 12X 2ef t wit/eel i✓! Lowest s1t in -Pieta . Cover v�i1h r7c.k c, Re-eu'tr sex t ci-firci roac( , Rct'Ise ect st stci-e +0 - leve j of wec fistcte, (xnci road "to -the end or the ecl-i-m_r,e 32. We acknowledge the following: - The information on this application/notification is true. • We understand this proposed forest practice is subject to: o The Forest Practices Act and Rules AND o All other federal, state or local regulations. • Compliance with the Forest Practices Act and Rules does not ensure compliance with the Endangered Species Act or other federal, state or local laws. • If we said that we would not convert the land to non-forestry use, the county or city may deny development permits on this parcel for the next 6 years. - The following may result in an unauthorized incidental take of certain endangered or threatened fish species: o Conversion of land to non-forestry use. o Harvesting within the maximum RMZ on a 20-acre exempt parcel that was acquired after June 5, 2006. o Equipment Crossings/Fords in or over Type S and F Waters. Signature of LANDOWNER Signature of TIMBER OWNER* Signature of OPERATOR 7/10hAs— (If Iferent than landowner (If T=rent than landowner, t Name: i f . u 4 e rant Name: Print Name: Date: //a( ) / 5 Date: /fit (/5 Date: /1 zI if 5 *NOTE: If you are a "Perpetual Timber Rights Owner,"and are submitting this without the Landowner's Signature, provide written evidence the landowner has been notified. Please make a copy of this FPA/N for your records. If this FPA/N contains a hydraulic project requiring WDFW concurrence review, it will not be available online for public review until after the WDFW concurrence review period. 5/9/2014 Page 7 of 7 Western Washington , Map Output Page 1 of 1 FOREST PRACTICE ACTIVITY MAP 1-2.5_15- TOWNSHIP 29 NORTH HALF 0, RANGE 1 WEST(W.M.) HALF 0, SECTION 34 Application#: 2 613 416 - J ( -t,,_e-28 ( i9o7:.) �iao7800 1 8. 2a _____. t ----- r N I ) 11111 D r ,��� • .SI' -1 4 is.c'88 ..•..880 'i :1!' 4 I. ' 882 - a ,t Ai ...AA'' ' , r�9d0n r . 4 i \4:411Aor, �� � �? 34 4 yv.'W� 35 1 ^ — . • co 1 .- F . Ir -z -- f �8 1,f.„)......7 ..08768 �.-� J. {9r.860 u Is0,=B2 GHQ. r i di4, 4/ g +906748 3 900. 0 14408 . 5 N 0 DIDDf► I Please use the legend from the FPA Instruction or provide a list of symbols used. - Ntj R7 WeeddnBe3day,January 14,2015 2:55:15 PM Contour Interval:4D Feet n' 1'-,_'U 11 ARJ65 i �vtxr-)AAi-1,1 C>L1Sl1N6) (?.:Cip 1P' .6'1 i tti' l ( /0- S http://fortress.wa.gov/servlet/com.esri.esrimap.Esrimap?ServiceName=fparsactbw&Client... 1/14/2015 2613416 Western Washington Water Type Classification Worksheet Stream/Segment ID: S u3 Stream/Segment ID: Stream/Segment ID: Date Observed: "J,Pr r-5 -401.E Date Observed: Date Observed: [ 1. Do you have a protocol survey? (See the Board Manual Section 13) Or,does the stream have waiver characteristics? (See WAC 222-16-031(3)(b)(ii)) No. Continue. [ ] No. Continue. [ ]No. Continue. s. [ ]Yes.Attach documentation or [ ]Yes.Attach documentation or [ ]Yes.Attach documentation or approved WTMF number: approved WTMF number: approved WTMF number: [ ] Fish found. Stop. [ ]Fish found.Stop. [ ] Fish found.Stop. [ ] No fish found.Go to 6. [ ]No fish found.Go to 6. [ ] No fish found. Go to 6. 2. Were fish observed or are fish known to use the stream any time of the year? [ ]Yes. Type F water. Stop. [ ]Yes.Type F water.Stop. [ ]Yes.Type F water.Stop. )4No. Continue. [ ] No.Continue. [ ] No. Continue. 3. Is there an impoundment(ponded water)upstream of the assessed segment,that is greater than.5 acres? [ ]Yes.Type F water. Stop. [ ]Yes.Type F water. Stop. [ ]Yes.Type F water. Stop. No.Continue. [ ]No. Continue. [ ] No.Continue. 4. Are there segments within or above the assessed portion of the stream where the average BFW is two feet or greater? AND the average stream gradient is less than or equal to 16%? [ ]Yes.Type F water. Stop. [ ]Yes.Type F water. Stop. [ ]Yes.Type F water.Stop. No.Continue. [ ] No.Continue. [ ] No. Continue. 5. Are there segments within or above the assessed portion of the stream where the average BFW is two feet or greater? AND the average stream gradient is between 16%and 20%? AND,the contributing basin to the stream is greater than 50 acres? [ ]Yes.Type F water. Stop. [ ]Yes.Type F water.Stop. [ ]Yes.Type F water.Stop. xNo. Continue. [ ]No.Continue. [ ]No.Continue. 6. Does the stream segment contain water at all times during a normal rainfall year? )Yes.Type Np water. Go to 9. [ ]Yes.Type Np water. Go to 9. [ ]Yes.Type Np water. Go to 9. [ ]No.Continue. [ ]No. Continue. [ ] No. Continue. 7. Is the stream segment downstream of a perennial source of water? )Yes. Type Np water. Go to 9. [ ]Yes.Type Np water. Go to 9. [ ]Yes.Type Np water. Go to 9. [ ]No.Continue. [ ]No.Continue. [ ]No.Continue. • 8. Is the stream physically connected by an above-ground channel to Type S, F,or Np water? [ ]Yes,Type Ns water, Stop. [ ]Yes,Type Ns water.Stop. [ ]Yes,Type Ns water. Stop. [ ] No,non-typed water. [ ] No,non-typed water. [ ]No,non-typed water. 9. Describe how you determined the uppermost point of perennial flow, Include a description of its location and show the point on a map(Use a separate piece of paper if necessary). Qeir Dc7 Stream/Segment ID Description: U E Washington Department of Natural Resources • Water Classification Worksheet • August 15,2013 Au 1p FPA/N No: 2613416 WASHINGTON STATE DEPARTMENT OF Effective Date: 2/18/2015 ,, Natural Resources 2,18/2018 Peter Goldmark-Commissioner of Public Lands Expiration Date: Shut Down Zone: 653S Forest Practices Application/Notification EARR Tax Credit: [x] Eligible [ ] Non-eligible Notice of Decision Reference: Thomas Neudorfer Decision [ ] Notification Operations shall not begin before the effective date. [k]Approved This Forest Practices Application is subject to the conditions listed below. [ ] Disapproved This Forest Practices Application is disapproved for the reasons listed below. [ ] Closed Applicant has withdrawn FPA/N. FPA/N Classification Number of Years Granted on Multi-Year Request [ ] Class II [x] Class III [ ] Class IVG [ ] Class IVS [ ]4 years [ ] 5 years Conditions on Approval/ Reasons for Disapproval Keep ground equipment of areas of hydric soil. Issued By: Ross Goodwin Region: Olympic Title: Forest Practice Forester Date: 2/18/2015 Copies to: [X] Landowner,Timber Owner and Operator. Issued in person: [ ]Landowner[ ]Timber Owner[ ]Operator By: Washington State Department of Natural Resources•Notice of Decision•August 5,2013 Page 1 Appeal Information You have thirty(30)days to appeal this Decision and any related State Environmental Policy Act determinations to the Pollution Control Hearings Board in writing at the following addresses: Physical address: 1111 Israel Rd. SW,Ste 301,Tumwater,WA 98501 Mailing address: P.O.BOX 40903,OLYMPIA,WA 98504-0903 Information regarding the Pollution Control Hearings Board can be found at: http://www.eho.wa.gov/ At the same time you file an appeal with the Pollution Control Hearings Board, also send a copy of the appeal to the Department of Natural Resources' region office and the Office of the Attorney General at the following addresses: Office of the Attorney General Department Of Natural Resources Natural Resources Division Olympic Region 1125 Washington Street SE And 411 Tillicum Lane Olympia,,W WA 98504-0100 PO Box Forks,WA 98331 WA Other Applicable Laws Operating as described in this application/notification does not ensure compliance with the Endangered Species Act,or other federal, state, or local laws.. Transfer of Forest Practices Application/Notification MAC 222-20-010► Use the"Notice of Transfer of Approved Forest Practices Application/Notification"form.This form is available at region offices and on the Forest Practices website: http:/f www.dnr.wa.clov/businesspermits/forestpractices. Notify DNR of new Operators within 48 hours. Continuing Forest Land Obligations(RCW 76.09.060, RCW 76.09.070, RCW 76.09.390,and WAC 222-20-0551 Obligations include reforestation, road maintenance and abandonment plans,conversions of forest land to non- forestry use and/or harvest strategies on perennial non-fish habitat(Type Np)waters in Eastern Washington. Before the sale or transfer of land or perpetual timber rights subject to continuing forest land obligations,the seller must notify the buyer of such an obligation on a form titled"Notice of Continuing Forest Land Obligation".The seller and buyer must both sign the"Notice of Continuing Forest Land Obligation"form and send it to the DNR Region Office for retention.This form is available at DNR region offices. If the seller fails to notify the buyer about the continuing forest land obligation,the seller must pay the buyer's costs related to continuing forest land obligations, including all legal costs and reasonable attorneys'fees incurred by the buyer in enforcing the continuing forest land obligation against the seller. Failure by the seller to send the required notice to the DNR at the time of sale will be prima facie evidence in an action by the buyer against the seller for costs related to the continuing forest land obligation prior to sale. DNR affidavit of mailing: On this day 2/19/2015 , I placed in the United States mail at Forks ,WA, (date) (post office location) postage paid, a true and accurate copy of this documell Notice of Decisi/F'A#,. 2613416 Connie L Sallee - � ..4fJ_ (Printed name) (Signature) Washington State Department of Natural Resources•Notice of Decision•August 5,2013 Page 2 9 P Revisions to FPA/N 2613416 DATE DOCUMENT DESCRIPTION Change of Operator/TimberOwner/Landowner • . , , lop WASHINGTON STATE DEPARTIVI€NT OF Natural Resources voter Forest Practices Application/Notification NOTICE OF TRANSFER I/we transfer my/our rights, privileges, and obligations under this approved Forest Practices Application or Notification. I/we affirm that the information contained below is true and agree to comply with the rules authorized by the Forest Practices Act and to be bound by all conditions on the approved application or I notification. I FPA/N Number: 026(3 'I/7 Section(s): 3 Y Township: of`l Range: / k) Original Landowner(Signature): vz (.1-01-1.4.1._ 1 )-- ' ! Original Landowner(Printed): ill On)"IS 4&U LDILFEIL Date: 'a-"a 1. — (or New Operator—Fill out this section only if you are changing or adding an operator Legal Name of New Operator: (Print) Mailing Address: 0.06d7 .5DAJ to %;70,!:\ CLC 3C33o ()o5E-kmth'/us As!) Phone: 36Q - 765 ,. ti-s3 812iNNON, Wig. 7(2.20 Email: New Operator Signature:ii/e/ Date: l-2 /—/S New Landowner—Fill out this section only if you are transferring your FPA to a new landowner Legal Name of New Landowner: (Print) Mailing Address: X8,i/i,/, 4- RNs FP,u). P o egox rose) � W19 Phone: (36 0) Lisa _ a36'y po(Lj cad Email: C&vye.re—MQ/Y'it/eY;vs -cosy r �/ Date: a/ 1z5 New Landowner Signature: New Timber Owner—Fill out this section only if you are transferring your timber rights Legal Name of Timber Owner: (Print) Mailing Address: 5,q 7 /4-C et b O V 6s— Phone: Email: Forest Tax Reporting Account Number: (Contact Dept. of Revenue to get this number: 1-800-548-8829) New Timber Owner Signature: 6:1_,Ati+"- Date: a1a3//S [\'J Received by: l if, t if/l Date: 1�� l 15(DNR F. est Practices Staff Signature) Form QQ50(11-08-2005) Date: 5/27/2015 . Time: 10:11 AM Receipt Date: 5/27/20 15 JEFFERSON COUNTY TREASURER P.O. BOX 571 1820 JEFFERSON ST. PORT TOWNSEND, WA 98368 Receipt #: 707118 Received From: MERRILL & RING FOREST PRODU CTS Payment Code: Full Payment PROPERTY TAXES, SPECIAL ASSESSMENTS & FEES PROPERTY ID TAX YR PAID 22274 2015 50.19 Base: 50.19 P&I: 0.00 Total: 50.19 TENDERS Cash 50.19 '='8M11$ 4 Piti fgm£2N g 48 A mX; i o 0 8' = z€°°.8' : -- A 4'=' 8 o i V:6 —o a 9s o • X c � � c so 6 -'a R no ° 0 4 gN A' 8K'- fin �. $ m ?0 CI — A 3off 99`g a> • 8'' m8 5§. P, —8' A 0 f N - F .i --§ • 8 - O 261A41 (NW I/4 34-29N-1W) e*n..0 ,_fo w>°yza P30 mnm_ ifs N 9 8 ai B wow x °fo mo 4 o USo ° a mA o * 901341008 TAX 8 IN/EASE 5.00 C. 901341003 a NW NE (E 10AC) 10.00 0. p A b . N Z f 2 N f \ L \ <0>00 I \\\0 1N^Nt0 °100. C nV m° 0T p I� Is 11 autma I ,c;.j. CI °'0 ° NN I 9- O a I 0' n�rn ' x 1 Ce.-,,, ; v &iY 4''4,k4. Qp 1. c M RO,o 622.5, 0 e Cr) °� 8 >Aftm rrl o Cr) f i 0 (NW 1/4 35-29N-IW) 3689'°2 e a a p (n z 'n * m m W e u a m to M -0 l J ° ° n u v ? II > N w 1 n3 n m a A, : E 8 0 071 1 M . gRS ,L� p 4 g t ixi§g r“ € i again ' g� �t °g�m 0 m�z m � AgRx° E_ B ..� °aid Qua �a 4N �gSE kr8 o S'2 0 i �VE :4 "g gm — p o f . E . -.< o r 2 2, 888 _ r m fi tor (NE 1/4 3a-29N-tN� ' .: N 1` NN I VAN W N 'olds \ i.P42 i "ills��A� N P y qq X y __. °moo x DU N Cfh� N n R mx ',"3; ;11 Ro or.'R p�fN AQ N9 00. S X D N X 01 I N S n A D*9 I v O Z W Fu p N -5 CN O Z 0,0 8m 'D o ti f W NCO . puN P NN p SV n N 0. *0 N m ti p-0.,Y P 1j O N K X 0 W X W 8 082 G%°N o0 ..lz- P C• v it 1TT mmo p Z W fN N T{y p p r x CO-4 Z ti rh Ch U (NE 1/4 35-29N-1'N) ;■ (O —1 U) z ° u 3 i s ,I, ?,5 Nr- , N ` (,,i \ a a ' � Z � �; Ht � s • • • LEGAL DESCRIPTION EXHIBIT A THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M. EXCEPT PORTION FOR ROAD PURPOSES AS CONVEYED TO JEFFERSON COUNTY BY DEED RECORDED UNDER AUDITOR'S FILE NO. 156966 AND BY DEED RECORDED IN VOLUME 1 OF ROAD WAIVERS, PAGE 237 RECORDS OF JEFFERSON COUNTY, WASHINGTON. ALSO EXCEPT THE FOLLOWING DESCRIBED PROPERTY: THAT PORTION OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER AND THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 34, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M. AND A PORTION OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 35, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE SOUTH LINE OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., WHICH POINT BEARS SOUTH 89°41' WEST A DISTANCE OF 120.1 FEET FROM THE 1/4 SECTION CORNER COMMON TO SECTIONS 34 AND 35 OF TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M.; THENCE NORTH 60°59'30" EAST FOR A DISTANCE OF 76.75 FEET; THENCE NORTH 81°09'30" EAST FOR A DISTANCE OF 185.60 FEET; THENCE NORTH 57°22' WEST FOR A DISTANCE OF 179.00 FEET TO THE SOUTH EASTERLY BANK OF CHIMACUM CREEK; THENCE NORTH 75°15' WEST ALONG SAID BANK FOR A DISTANCE OF 315.6 FEET TO THE RIGHT OF WAY LINE OF THE EXISTING COUNTY ROAD; THENCE SOUTH 30°05' WEST ALONG SAID RIGHT OF WAY LINE FOR A DISTANCE OF 478.55 FEET; THENCE SOUTH 59°02' EAST FOR A DISTANCE OF 76.05 FEET; THENCE NORTH 60°59'30" EAST FOR A DISTANCE OF 434.65 FEET TO POINT OF BEGINNING AND CONTAINING 2.99 ACRES MORE OR LESS. SITUATE IN THE COUNTY OF JEFFERSON, STATE OF WASHINGTON. ,1,1//J.✓//i/Ji/ii/: 1.1\1u.\\ate\l 11 pg,N C W'4 ' � of wnsy�� • �]..�]^I�y� ( 48767 (\k'()-:4. 0/1 ° ��S�'NALs 1495 N 1 LA 9tn • LEGAL DESCRIPTION EXHIBIT B THAT PORTION OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., LYING NORTHWESTERLY THAT PORTION FOR ROAD PURPOSES AS CONVEYED TO JEFFERSON COUNTY BY DEED RECORDED UNDER AUDITOR'S FILE NO. 156966 AND BY DEED RECORDED IN VOLUME 1 OF ROAD WAIVERS, PAGE 237, RECORDS OF JEFFERSON COUNTY, WASHINGTON. SITUATE IN THE COUNTY OF JEFFERSON, STATE OF WASHINGTON. jenezzammesscsaussssmpth OWN C WAsWA+QO of y,, IF 48767 obA L LAN�S� N • LEGAL DESCRIPTION EXHIBIT C THAT PORTION OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., LYING SOUTHEASTERLY OF THAT PORTION FOR ROAD PURPOSES AS CONVEYED TO JEFFERSON COUNTY BY DEED RECORDED UNDER AUDITOR'S FILE NO. 156966 AND BY DEED RECORDED IN VOLUME 1 OF ROAD WAIVERS, PAGE 237, RECORDS OF JEFFERSON COUNTY, WASHINGTON. EXCEPT THE FOLLOWING DESCRIBED PROPERTY: THAT PORTION OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER AND THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 34, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M. AND A PORTION OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 35, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE SOUTH LINE OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., WHICH POINT BEARS SOUTH 89°41' WEST A DISTANCE OF 120.1 FEET FROM THE 1/4 SECTION CORNER COMMON TO SECTIONS 34 AND 35 OF TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M.; THENCE NORTH 60°59'30" EAST FOR A DISTANCE OF 76.75 FEET; THENCE NORTH 81°09'30" EAST FOR A DISTANCE OF 185.60 FEET; THENCE NORTH 57°22' WEST FOR A DISTANCE OF 179.00 FEET TO THE SOUTH EASTERLY BANK OF CHIMACUM CREEK; THENCE NORTH 75°15' WEST ALONG SAID BANK FOR A DISTANCE OF 315.6 FEET TO THE RIGHT OF WAY LINE OF THE EXISTING COUNTY ROAD; THENCE SOUTH 30°05' WEST ALONG SAID RIGHT OF WAY LINE FOR A DISTANCE OF 478.55 FEET; THENCE SOUTH 59°02' EAST FOR A DISTANCE OF 76.05 FEET; THENCE NORTH 60°59'30" EAST FOR A DISTANCE OF 434.65 FEET TO POINT OF BEGINNING AND CONTAINING 2.99 ACRES MORE OR LESS. SITUATE IN THE COUNTY OF JEFFERSON, STATE OF WASHINGTON. o�-s w %to S DE ASy„. `V Vl ka O v i I l •a' / I of 6 48767 ' F dro Gi ASS APAL L cv • • AFTER RECORDING MAIL TO: Name: Jefferson County DCD. DRD Address: 621 Sheridan City/State: Port Townsend, WA 98368 All Situate in the County of Jefferson. State of Washington Lot Certification MLA Number: Parcel Number: 90! 3 'i oo5 Section 311 Township 29 t4 Range I W Grantor(s): Grantee(s): 1. Legal Description: Parcel involved in the lot certification are currently legally described as follows (include Assessor's Property Tax Parcel Account Number): Parcel A: SEE 6xri!Orr A Parcel B: • Lot certification described as follows (new legal description in metes and bounds): Revised Parcel A: 5�C ATTACHED =x1418, r' 8 33'q ^CAS'S Revised Parcel B: C SGE /3[TqC NED Ea- G 2� r'II 1fJ1'a,� This lot certification exemption complies with Jefferson County Code(JCC section 18.35.040(1)or(4) Map Output Page 1 of I ArcIMS HTML Viewer Ma. . r Qi 9°'252`x'7 ,P or fl .990134'008. t d. 013410(12 901341003 90134103f '1- ,« • �.r 90,3!i2003 4' ,4 ilr'd 1 it e w• '` 5o35nca4 � .. Legend 4 Selected Features JC_Roads .t� ISM`IF ""6' w -- - , :,0'",,iJ y�,.„ Parcels-H . �!' s `N 2013 Aerial Photos F l'i2_,4 90134•WS 7.„....,..1, Y }. , :+e a. 90134005. A- ,,.E a $ '.. 1 felA..uS i. mCuv.y CaYtl 6mxm G/S FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Tue May 12 10:32:55 2015 http://gisserver/servlet/com.e sri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 5/12/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map t • • Legend Selected Features JC_Roads ._ Parcels-H County Zoning - N PR SF T rams 9013/1008 Rural Resaantm 1:5 901341002 901341003 .901341001. `.. 135200.1 �3/. ■ Rol*Resgent si 1:10 Rural Ra.aantai 1:20 M PR Smo la Fmniry I` y0� MPR-Mull tfamrry CY I MPR-Resort Cornea. Parts and Remain on ■• 1352004 ■ MPR-Open Spare Ruth Feint ComugrcW Fora,: meotemg Forest i lo..y mduNr.4 A aoo t EPF 901341004 901341005. MPR-Vtgaga Cantor 3 AP 1:20 0i Rural VUlage Center #. X1341005, . Resuu roe Rased ind. Lgm Mdusl bib :.� NPRRxialwn .Neale Med/CPI j7 901341006 L t4.1 ! 901341005 Crossroado6C Croxroad -CC AB Crossroads NC 901344001 _ ■ 901344001 AL I:20 :.?b, CGS R risen COmmx[ui r.,...a CGA Crean Laget mduMrat Nefa Prade l W.lete rsa Canty Caine Ssaaes GLS 11 GA MDR USA 11LR USA Public VGA L➢R .. V GA Vassar Orented Coa.mc:rt. MPR SRN B r■non CF-80NRLO Commermi Faros Melerai Resource Overlay 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 May 12 10:32:16 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 5/12/2015 Map Output Page 1 of 1 AroU�� ���� Viewer Map l / 1 9012E3022 , 9312630'i 901293309 901273033 ?..,r, 901263017 ) ii-tolzracca 901274903 901274005 9012/4007 4p 901263012 I< 90126300B I/ 901263006 _.i‘ 1 9004i003 901341001 1 901352007 4 1 ) / 901352CO2 .2013s2,3,06/ 901342005 901342003 I 111 901352003 901352001 Legend i I I 77/7- 01 Selected Features , 'pi/ S01352010 Pa rce Is-H 90 i 34i004 9°13°10°5 901352004 Areas 901341005 901352011 WA SuliCeune 111 961111A•MAC 1111 SAM 6313530i2 II SAMPA•UM 90'343031 901344001 /i i 90134400t .. 901353003 , 90135300! W1343004 ; . 9013530051- FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attes to the accuracy of the data contained herein and makes no warranty with respec to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Tue May 12 09:55:05 2015 ` http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName—ovmap&ClientVersion=4.... 5/12/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map c:+1263022 . 901263017 s.901283005 901273009 j. 901263015 1 907273002 901274003 901274005 901263008 'f 901283028 G -'•127400 (_901263012 of / ( 901283006 11 $411 I 901341007 I l / " .. \ • I, �T� I 90134202117 / i /' 901352002 901352008 _"__ I 901341003 901341001 r .901342001 901341002 901341006 . 901342005 l 9D1 _ 901342003 1 I __ 901352001 ` 352003 Legend r �.__ �"`jl Selected Features 901342024 901 r� ~.Jii JC_Roads 901352010 Parcels-H FEMA FIRMS 901341004 90134•005 901342006 901152004 r— ■ a .∎1341005 901352011 AN `— III x500 /901 1...-. _ 901352008 I ■ Omer • 901353012 J 901343001 :::0"..M. ', I,+�' 901353015 / 901344001 —_._ 901353011 1- I 90135ann1 — 1 ___...._._� 901353010— A I 901353008 901344002 901344004 f 901353007 901 • .... — H 901353008 f-- Padsoro led er'4c m Cary Cent Somme GIS o��8030 I 901353014—',. 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 May 12 I 09:54:57 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 5/12/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma 4 . . 901263022 90'.263017_y'901283005 9012730030 •4 901263015 101273002 211274005 :9/ i r /90l920630 12201'2 901263008 1283008 y is — 901341001 ; _ E.'90,342027 J�'. 11552007 / c 1 r ' so, '-.,''f j 11 .1341 . �„ ' .s1 135201)5;,; I =901342001 1341' ' � 4 f ,3'r>t�. 90,342005 -.. 1 901342003 Lege nd Jr ' D Selected Features 901342024 '.:'''1 ..... J JC Roach 901152010 -- a; . Seismic Hazard 901342006 901311001 4E.:�tI! i:' 901 '''.,i'- ._ _ 901341005 901552011 r,. 001341006`> 901352006 / _ ' 901353012 901343001 ' r' ;x. 901313015 j 901344001 - .1 901353011 I 901 _ IIIIPP - l 901353010 00135.3006 '1344002 901344004 907363cc use pa-443w refolicaviy Capita Scrams 0t9 I 0 9013530'.16 �803fl 901363044 FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Tue May 12 99:54:47 2015 I http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 5/12/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma. 9o,273ao3 -� _ ,9012630c- .96127 ,1•. 9012'I4003 90s27a0(n 9_-�,.liidTc`� , 20t2fi3006 L sl. 9ot2630„. < 'I i4 901341007 i ^ Ir— iT' . 901342027• .'1352007 / i i' '901 901352005 t _ n1341003. 90134 IN) 901342001 `11'~' ,1 1„ , 901342005 I 90.1342.003 ` . 735e''.. Legend if Selected Features 901342024 -..,1 ,.,, JC_Rwds 901352010 Parcels-H 901341004 . WeUa nds ' •'1342009 �' [-1 901 'x,1341005 901352011 901341006. 901352006 901353012 "3'13201 907344 0I 901353015 /';' 20 9013441 1 _ 901 it _. . __._.... _..... _ 901 10 . J i 9011- £:S�E :!.. �t� 907344604 L_-90195.1007_ 90 Hens Ra'�M fig'Carat'Ceerd Serncea QS J 0 :I. 9013530".4 FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection. Tue May 12 19:54:36 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 5/12/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map I t) p ` - 901283022-.901263017,i.9012630055 901273003 I / 901263015 90126302.6r__.: tfl 904333 901274401274007._..... `m 401341001 7 r -.-_- reA, 901342427 901352007 ','� Legend .'•90f �.. 991352005 Selected Features i 901341003 901341001 -.__-_ �;. JC_Roads 901342001 1002 901341006 r J, __. ,. - l _ Parcels-H 901362005 I 901362003/• OM FP Stream 901342003 LL 901352001 Classification _ 1_� 352003 t __-1-- 901392024 901352004 F-fish Nffia n ^/ N•.Nos-fn ilaurt 901352010 �/ Np•Nonfisu plapnaPoronnu, 901341004 n. Ns-Non-fsn rlaeaauSoosona 901341005 901342006 90t362o04 --__. ♦Af 3•imltors4 Soowine 901341005 901352011 MR Streams ` Tract —__ 9013411_ 901352006 iv/4/ Typo 901353012 /k/ Timm, 5 901343001 901344001 1344001 11_,_901353015 0533011 tType 2 /,/ T�1 1�1 a ONR Water Bodies 90t 35300.9 _ ■ F ^ ' — —901 - 110 N 901353006 ■ s 901344002 901344004 po1353007 - n No0®pnatan 901343004 I •11353006 /V LFA-Fish &laps tavdse by Joann=Cony Ca+s S,om GIS 0 80 901353014 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 I correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Tue May 12 09:54:19 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 5/12/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map v . , . . iT . Legend 4- r Selected Features —_ r+°� JC_Roads Parcelsii DNR FP Stream 901352004'x' Classification F.fon Natsr • ,,° N-Non-f hNawta /1f Ns•Non-.,Nalsqt-Perm Ns-NonisT Nap4at-Soeonal , 901341004 901341005 A s•b'� 3hOfo~• 901352004 O RO Streams ��f/ Trya9 901341005, !+ Type S ' Type 4 !„ Type 3 _ ,J Tryp2 f_ 901301009 vie Type 1 7- 90134100055. /� Other DNR Water Bodies f ■ F 9013440(^ r� ill N j 907353003 . .J: 901344001 s nNo Oenpnxton �/ LFAFish Moos ra+dadq.dbem Coady Cartel 9e,bwcs '�f 0� 01N 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 May 12 09:16:34 2015 http://gisserver!servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 5/12/2015 �fc�yox cOc( JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelooment `�-sshi NG, o� Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd(a�co.jefferson.wa.us SquareONE Resource Center I Building Permits & inspections I Development Review I Long Range Planning May 12, 2015 Thomas Neudorfer 1805 E 4th Street Port Angeles, WA 98362 Merrill and Ring Forest Products Attn: Bruce Carver P.O. Box 1058 Port Angeles,WA 98362 RE: Additional Information Request MLA1 5-000 1 0/SUB15-00004 and MLA15-00011/SUB15-00005 Dear Mr. Neudorfer and Mr. Carver, After reviewing the proposed Lot Certifications, the following comments have been received: Assessor's Office commented as follows: The following comments are applicable to both lot certification proposals: Pat Perryman commented as follows: The reference of the South easterly should actually read Southeasterly(one word) in the following portion of the legal description "to the South easterly bank of the Chimacum Creek." The following comments are applicable to both lot certification proposals: Sherrie Shold commented as follows: The description of Exhibit A should be identified as Parcel A-Existing Legal Description. Then the subsequent Exhibit B and C should be corrected to read Revised Parcel A(Exhibit B) and Parcel B (Exhibit C). I believe clarifying which road the parcel is lying NW'ly of is of beneficial significance. Therefore, I would like to see Center Road (not sure of its legally assigned name) insert and then followed by the Except before the description of the road on both the Revised and new Parcel B descriptions. With several years of research, every detail is of significance because locating a Road Log is not always an easy task. I have enclosed a copy of the description to clarify the placements. Department of Community Development commented as follows: For both lot certification proposals the following information is needed: Under the legal descriptions for the current parcel and revised parcels on the Statement of Intent, in addition to the see attached, the parcel number needs to be at the beginning of the description and a brief legal description (this could just be the Section, Township, and Range) is required to be recorded by the Auditor's Office. Also the Grantor and Grantee (need to be the same of the current property owners) is needed. Prior to the approval of this application all property taxes for the year must be paid in full. Records indicate that property taxes are still due on parcel number 901341005. I have received the signed permit application for SUB15-00004 (parcel number 901352004)from Mr. Neudorfer and the notarized statement of intent from Merrill and Ring. However, I still need a signed permit application for SUB15-00005 (parcel number 901341005) from Merrill and Ring Forest Products as they are the property owner. I have enclosed the permit application in this letter. Please have the appropriate person sign the permit application and return it to me. If Merrill and Ring Forest Products would like Mr. Neudorfer to remain the representative for this permit application, this can be authorized on the permit application under the designation of agent section. A check made out the Jefferson County Auditor's Office for the recording fees of the statement of intents will be needed prior being recorded. I will notify you of the recording costs once the review and revisions have been completed. Please revise the statement of intent as described in the information above. 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 Cc: File 2 p (00N COG2 Jefferson County Assessor's Office THE HEART OF THE OLYMPIC PENINSULA www.co.jefferson.wa.us 9541 N6�� Jeff Chapman, Assessor MEMO from the Office of JEFFERSON COUNTY ASSESSOR TO: s Anna Bausher, Assistant Planner, DCD FROM: Sherr(e.Sholdi Property Operation, DATE: March 26, 2015 RE: MLA15-00011 Neudorfer/M&R MESSAGE: Anna, I have completed my review of the. above Road Division and the following are my comments. The parcel of property described in this MLA is now owned by -Merrill & Ring Forest Products, LP so the Grantor/Grantee will need to be changed from the Neudorfer's as well as the signature page will need to be updated if you have not already been notified of the change. The following comments are the same as I had on MLA15-00010. The description on Exhibit A should be identified as Parcel A-Existing Legal Description. Then the subsequent Exhibits B and C should be corrected to read Revised Parcel A (Exhibit B) and Parcel B (Exhibit C). I believe clarifying which road the parcel is lying NW'ly of is of beneficial significance. Therefore, I would like to see Center Road (not sure of its P.O.Box 1220,Port Townsend,WA 98368 - Phone(360)385-9105 - Fax(360)385-9197 dA LEGAL DESCRIPT IO EX}IIBIT 2 THAT PORTION OF THE SOUTIlEAST QUARTER OF THE NORTHEAST , QUARTER OF SECTION 34,TOWNSHIP 29 NORTH, RANGE 1 WEST. W.M., LYING NORTH WESTERLY TI IAT PORTION FOR ROAD PURPOSES AS CONVEYED TO JEFFERS I COUNTY BY DEED RECORDED UNDER AUDITOR'S FILE NO. 15 6 AND BY DEED RECORDED IN VOLUME 1 OF ROAD WAIVERS, PAG 237. RECORDS OF JEFFERSON COUNTY, WASHINGTON. SITUATE IN THE, LINTY O(` JEFFERSON, STATE OF WASHINGTON. // ` / ■ • ONE C 14;1 '/ OF WAS# kQ ear.4 9r. ' < R 48767 /0A,'IANDSJ4 ra • v /l i . LEGAL DESCRIPTIO EXI lIB1T C THAT PORTION OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34,TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., , Ul LYING SOUTUEASTERLY OF,TIIAT PORTION FOR ROAD PURPOSES AS ✓w CONVEYED TO JEFFERSON/CO-ON$Y„BY DEED RECORDED UNDER ) AUDITOR'S FILE NO. 156966:AND BY DE/t9 RECORDED IN VOLUME I OF ROAD WAIVERS, PAGE 237, RECORDS OF J1TFERSON COUNTY, WASHINGTON. rr EXCEPT THE FOLLOWING DESCRIBED PROPERTY: THAT PORTION OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER AND THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 34, TOWNSHIP 29 NORTH. RANGE 1 WEST, W.M. AND A PORTION OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 35, TOWNSHIP 29 NORTH, RANGE I WEST. W.M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON TIIE SOUTH LINE OF THE SOUTHEAST QUARTER OF THE NORTI LEAST QUARTER OF SECTION 34,TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., WHICH POINT BEARS SOUTH 89°41' WEST A DISTANCE OF 120.1 FEET FROM THE 1/4 SECTION CORNER COMMON TO SECTIONS 34 AND 35 OF TOWNSHIP 29 NORTH, RANGE I WEST. W.M.; TI IENCE NORTH 60°59'30" EAST FOR A DISTANCE OF 76.75 FEET; THENCE NORTH 81°09'30" EAST FOR A DISTANCE OF 185.60 FEET; THENCE NORTH 57°22' WEST FOR A DISTANCE OF 179.00 FEET TO TIM y , i SOUTH EASTERLY BANK OF CHIMACUM CREEK: THENCE NORTH 75°15' WEST ALONG SAID BANK FOR A DISTANCE OF 315.6 FEET TO TI IE RIGHT OF WAY LINE OF THE EXISTING COUNTY ROAD: THENCE SOUTH 30°05' WEST ALONG SAID RIGHT OF WAY LINE FOR A DISTANCE OF 478.55 FEET; TI IENCE SOUTI 159°02' EAST FOR A DISTANCE OF 76.05 FEET: THENCE NORTH 60°59'30" EAST FOR A DISTANCE OF 434.65 FEET TO POINT OF BEGINNING AND CONTAINING 2.99 ACRES MORE OR LESS. SITUATE IN THE COUNTY OF JEFFERSON.STATE OF WASHING 1'ON. t, �0 OF WASij RO f / ♦f w 48767 /0 -Grs-rokF'� 'VAI.LArro � r Fw�sON JEFFERSON COUNTY coG �{ DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelopment 6'1-/ Novo$ 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 March 26, 2015 Thomas Neudorfer 1805E 4th Street Port Angeles, WA 98362 II I! APR 1 6 2'-!5 RE: Additional Information Request MLA15-00010/SUB15-00004 and MLA15-0009 J 1 -00005 4,!Y Dear Mr. Neudorfer, Enclosed is the permit application for the road segregation/lot certification (MLA15-00010/MLA15-00004) that you have applied for on parcel number 901352004. Please sign the application in the two signature locations at the bottom of the application form, I have highlighted these locations for you. Enclosed is new permit application for the road segregation/lot certification (MLA15-00011/SUB15-00005) that you have applied for on parcel number 901341005. Our records indicate that this property has been sold to Merrill and Ring Forest Products since the application for this lot certification/road segregation was submitted. The property owner, being Merrill and Ring Forest Products, will need to need to compete the permit application and sign it in the places which I have highlighted to authorize this permit application and the changes being made to their property. If Merrill and Ring Forest Products would like you to remain the representative for this permit application, they can authorize this on the permit application under the designation of agent section. In addition, the signature page of the Statement of Intent will be need a notarized signature by Merrill and Ring Forest Products. The same legal descriptions as submitted with the application may be used for the Statement of Intent. As the road segregation of these parcels is a County road, Jefferson County Department of Public Works (who has jurisdiction over County roads) will also be reviewing and commenting on the proposal. Because of this, there is a $48.00 fee for Public Works review. This fee should have been charged at the time of the submittal of the permit applications but was missed. Therefore, enclosed are two $48.00 invoices, one for each lot certification. The required information which I have requested above is needed to continue processing these permits. This information is not inclusive of additional information which may be requested further in the review process. 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 Cc: File Jefferson County Department of Public Works • ,lr, 623 Sheridan St. �.�^�. Port Townsend, WA 98368 r (360) 385-9160 Monte Reinders, P.E. Public Works Director/County Engineer MEMORANDUM To: Anna Bauscher, D.C.D. From: Mara Dotson, Engineering Tech III Date: April 16, 2015 RE: Date of Road Establishment Center Rd. # C931507 & Parcel APN 901352004 &901341005 After a review of the Department of Public Works records,with regards to the above request, our records indicate the following: This section of Center Road was established on December 6th 1922 by Permanent Highway 4D Extension Project. This portion was deeded by Thos &Josephine Yarr of Chimacum,WA. On January 3rd 1923 by Quit Claim Deed recorded in Volume 1 of Waivers Page 237, AFN49781.The old alignment and current alignment of the road are both shown on the 1915 Road Log Map. The right of way width is 60 feet. The County Road Log indicates that this road is 15.01 miles long. Should you require further information, please feel free to contact me at extension 218. Anna Bausher From: Pat Perryman Sent: Friday, March 13, 2015 8:13 AM To: Anna Bausher Subject: RE: MLA15-00011 Lot Certification March 13,2015 RE: MLA15-00011 Neudorfer Anna, After reviewing the revisions the documents submitted to us on March 11,I have no comments concerning this Lot Certification(except the one noted in my review of MLA15-00010—same typing error). However,the cover letter for MLA15-00011 refers to Parcel number 901352005—S36-T29-R1W NE NW(LESS S 500')which does not match the rest of the data sent to us. My guess is that the MLA number is correct,the Parcel number is not correct. If my guess is wrong,please let me know the correct MLA number. If you have any questions or comments,please do not hesitate to contact me. Thanks, Pat From:Anna Bausher Sent:Wednesday, March 11, 2015 3:03 PM To: Pat Perryman;Sherrie Shold Subject: MLA15-00011 Lot Certification Hello Pat and Sherrie, Attached is an application for a Lot Certification from a road segregation for your review. 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 abausherQco.i efferson.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 ws5°\ c0 JEFIKSON COUNTY DEPARTMENT OF DOMMUNIlk DEVELOPMENT 0 621 Sheridan Street I Port Townsend.WA 98368(Web vr,rv.cc.Jefferson.wa.usicommunitydevelopmenl yS�t`et Tel:3o0.379.4450 I Fax:360.379.4451 I Email:dca(a),co.jefferson.wa.us Building Permits &Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): 4oTCS4.7",'F%(r4-Tiok) / 'J Tax Parcel Number: golf 3c1/005 Property Size: (acres/square feet) • Site Address and/or Directions to Property: Property Owner(s) of Record: /.io0 ' s 1,3 It is Aiftu foli.e-Ecil Telephone: Fax: email: Mailing Address: /0Os n *7i; ST Aar- eWr),, 1 6a . Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies jB Lot or Road Segregation n ❑Building ❑ Critical Areas Stewardship Pla -$ ❑ Demolition Permit ❑Variance(Minor, Major or Re •nable Ecorronair e� ❑Single Family CI Garage Attached/Detached CI Conditional Use[C(a),C(d),, r C] ** ` [k;763 ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Claation ❑ Commercial* ❑Special Use(Essential Public'Facilities)4itie 7 1 ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach ❑ Short Plat** , ?�j5 ❑Propane usiness ❑ Cottage Industry p Binding on i Platte Plan** n�rpc p~F Sa,C�� 9 /4 � ❑Sign ❑ Planned Rural Residential Development( Andments ❑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: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE /i lei.: ' /f`,,/ i�t IAN Ad Date:Date: 1- "/-7r' By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice. Signature: Date: The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code,The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: 07/24/2013 co JEFFERSON COUNTY { DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.Jefferson.waus/communitydevelopment 6Ni vo‘o� Tel:360.379.4450 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 March 26, 2015 Thomas Neudorfer 1805 E 4'h Street Port Angeles, WA 98362 RE: Additional Information Request MLA15-00010/SUB15-00004 and MLA15-00011/SUBI5-00005 Dear Mr. Neudorfer, Enclosed is the permit application for the road segregation/lot certification (MLA15-00010/MLA15-00004) that you have applied for on parcel number 901352004. Please sign the application in the two signature locations at the bottom of the application form, I have highlighted these locations for you. Enclosed is new permit application for the road segregation/lot certification (MLA15-00011/SUB15-00005) that you have applied for on parcel number 901341005. Our records indicate that this property has been sold to Merrill and Ring Forest Products since the application for this lot certification/road segregation was submitted. The property owner, being Merrill and Ring Forest Products, will need to need to compete the permit application and sign it in the places which I have highlighted to authorize this permit application and the changes being made to their property. If Merrill and Ring Forest Products would like you to remain the representative for this permit application, they can authorize this on the permit application under the designation of agent section. In addition, the signature page of the Statement of Intent will be need a notarized signature by Merrill and Ring Forest Products. The same legal descriptions as submitted with the application may be used for the Statement of Intent. As the road segregation of these parcels is a County road, Jefferson County Department of Public Works (who has jurisdiction over County roads)will also be reviewing and commenting on the proposal. Because of this, there is a $48.00 fee for Public Works review. This fee should have been charged at the time of the submittal of the permit applications but was missed. Therefore, enclosed are two$48.00 invoices, one for each lot certification. The required information which I have requested above is needed to continue processing these permits. This information is not inclusive of additional information which may be requested further in the review process. 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 Cc: File • vii mp51 c ��a ��pm�Rn m A—c yANp9 : '2 RF? ';IE mo M g R Smm $ sisng? ga PNy,0&,,z 2 #:... o m�Z Y ao §;° , x23 R _ n a>o §e `is58,- Y - -- n ° g fg . . „ 1 � . — oz - m ig o D s Vag. 1 " _ 0 0 o f•T a N 888 C` 2s7591 (NW 1/4 34-29N-1W) - mato 0 D p m p tn O mn^JO 8f.'FO N Q oy uInt %.Z pf0 COO o,2a g m> 0 o n a A 901341008 TAX 8 W/EASE 5.00 a. m 901341003 s NW NE (E 10AC) m 10.00 a. \ 1 m , N a N■ f Z N N. N \ \ fl \ 'S 051ma 10 2 O D in 0K ca\� �((tt wmmo ammo 0 Tb 1 , PV�ImW 1 m0 -0 1 m o v o 1n N J ti Z I x -Z r. n I 0 ti 67154 rn 0\., S t;¢i�L"ymy m (f) . 666.71 a-,m4�Tx .. 1w N (NW 1/4 35-29N-1W) 2689.82 {T P O_ —I (n Z w 0 * Fri M A e. -, u a u m =A v(n m T n o a a a w N u u n N p • Nr r z °v a s s f al N S O m U JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT y�:ft,,,L0- 621 Sheridan Street, Port Townsend,WA 983681 Web:www.co.jefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 1 Email:dcd @co.jefferson.wa.us SquareONE Resource Center I Building Permits&inspections I Development Review(Long Range Planning March 16, 2015 Dear Reviewer, RE: MLA15-00011 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: LOT CERTIFICATION OF A ROAD SEGREGATION FROM ONE PARCEL TO CREATE TWO PARCELS Location: Parcel Number: 901 341 005; Section: 34, Township: 29N, Range 1W; located off of Center Road, Chimacum, WA. Comments must be received within fourteen (14)calendar days or by March 30, 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:, 11 tidemark\data\forms\F_MLT_ReviewerLtr.rpt 3/16/2015 Parcel Details Page 1 of 2 Jefferson County NASHINGTON Weather Station .� Database Tools ati Maps Webcam Home County Ilfo Deuu'M'e'ils Seim Parcel Number: 901341005 SEARCH Parcel Number: 901341005 Printer Friendly Owner Mailing Address: MERRILL & RING FOREST PRODUCTS PO BOX 1058 PORT ANGELES WA98362-0181 Site Address: Section: 34 School District: Chimacum (49) Qtr Section: NE1/4 Fire Dist: Chimacum (1) Township: 29N Tax Status: Taxable Range: 1W Tax Code: 0211 Planning area: South Chimacum/Inland Valleys/Center (6) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: Zoning 2: Zoning 3: Sub Division: Assessor's Land Use Code: 8300 - Open Space Agricultural (A) 9100 - Vacant Land Property Description: S34 T29 R1W SE NE (LESS PTTX#1) Tax, A/V, Sales, Photos, and Permit Data Bldg Data Mao Parcel Plats &Surveys Septic Monitoring Info l HOME I COUNTY INFO I DEPARTMENTS I SEARCH I Best viewed with Microsoft Internet Explorer 6.0 or later �/ al Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=901341005 3/12/2015 Jefferson County Assessor& Treasurer- Property Details - 74 MERRILL & RING FOR... Page 1 of 2 Jefferson County Assessor & Treasurer 22274 MERRILL&RING FOREST PRODUCTS for Year 2014- 2015 Property Account .. . .. _ _. Property ID: 22274 Legal Description: 534 T29 R1W SE NE(LESS PT TX#1) Parcel Number: 901341005 Agent Code: Type: Real Tax Area: 0211-1-49F1E1H2L1 Land Use Code 83 Open Space: Y DEL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: 29N Section: 34 Range: 1W Location Address: .._.. _.... Mapsco: .. . . ...... __.. Neighborhood: S28,S33,&534 T29N R1W;PUTAS,LOWELL DAY A&B,STIEVE SPLT Map ID: Neighborhood CD: 4285 Owner Name: MERRILL&RING FOREST PRODUCTS Owner ID: 65348 Mailing Address: PO BOX 1058 %Ownership: 100.0000000000% PORT ANGELES,WA 98 36 2-01 81 Exemptions: Taxes and Assessment Details Values Taxing Jurisdiction Improvement/Building Sketch No sketches available for this property. Property Image Land # Type Description Acres Sqft Eff Front Eff Depth Market Value Prod.Value 1 8102 OPEN SPACE AG 34.9200 1521115.20 0.00 0.00 $69,840 $7,857 Roll Value History Deed and Sales History # Deed Type Description Grantor Grantee Volume Page Sale Price Date 1 02/23/2015 SWD Statutory Warranty Deed THOMAS &JANICE L NEUDORFER MERRILL&RING FOREST PRODUCTS $1,225,000.00 22303 MERRILL&RING FOREST PRODUCTS 534 T29 R1W NE SW 22308 MERRILL&RING FOREST PRODUCTS 3610 CENTER RD CHIMACUM,WA 98325 534 T29 R1W N1/2 SE LS PTN TR 2 10/19/2013 QCD Qua Claim Deed 3 06/10/2013 QCD Quit Claim Deed THOMAS)NEUDORFER 4 06/10/2013 QCD Quit Claim Deed JOSEPHINE YARR UND INT THOMAS NEUDORFER 5 07/17/2012 QC Quit Claim Deed MC CLELLAN,DAVID MICHAEL NEUDORFER,THOMAS/JANICE 0 0 $0.00 6 07/17/2012 QC Quit Claim Deed MC CLELLAN,PATRICIA ANN NEUDORFER,THOMAS/JANICE 0 0 $0.00 7 06/23/2008 QC Quit Claim Deed NEUDORFER,THOMAS JOHN NEUDORFER,THOMAS/JANICE $0.00 8 06/23/2008 QC Quit Claim Deed NEUDORFER,THOMAS JOHN NEUDORFER,THOMAS&JOHN $0.00 9 01/28/2003 QC Quit Claim Deed YARR JOSEPHINE TRUST YARR JOSEPHINE 0 0 $0.00 10 11/21/2002 SWD Statutory Warranty Deed YARR,ROBERT PERS REP YARR,JOSEPHINE 0 0 $180,000.00 11 11/21/2002 SWD Statutory Warranty Deed YARR,ROBERT PERS REP NEUDORFER,THOMAS) 0 0 $90,000.00 12 05/10/2002 QC Quit Claim Deed EDWARD YARR ESTATE YARR,JOSEPHINE 0 0 $0.00 13 05/10/2002 QC Quit Claim Deed JOSEPHINE YARR REV TRUST YARR,JOSEPHINE 0 0 $0.00 http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&year=2014&prop_id=22274 3/13/2015 Jefferson County Assessor& Treasurer-Property Details - 74 MERRILL & RING FOR... Page 2 of 2 14 10/24/1996 QC Quit Claim Deed YARR,MARION YARR,MARION/TRUST 0 0 50.00 15 10/24/1996 QC Quit Claim Deed YARR,MARION YARR,MARION/TRUST 0 0 $0.00 16 10/24/1996 QC Quit Claim Deed YARR,JOSEPHINE YARR,JOSEPHINE/TRUST 0 0 $0.00 17 10/24/1996 QC Quit Claim Deed YARR,JOSEPHINE YARR,JOSEPHINE/TRUST 0 0 $0.00 Payout Agreement 4 " ' This website is under active development. Some functionality is not yet available and data is not f d guaranteed. �e. Assessor Home Page Treasurer Home Page County Maps Disclaimer Website version:9.032.2200 Database last updated an:3/13/2015 2:56 AM Cu 2015'rue Automation,Inc All Rights Reserved-PrNacv Notice http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&year=2014&prop_id=22274 3/13/2015 • 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 lan r larger or $e gatedy a public ro d right- of- y or an existin leg to f record. ;Nucv ( _/Di P eu o(o-rt e --Th,eyvvvots 01,(Proponents' signature) STATE OF WASHINGTON COUNTY OF --j-- . e rr c r On e .J. 0220/'— 7 ,2917 ,personally appeared-ITC-VAC'S a-Jew Ce ,L4'ado' (S e-r- 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 /71'4Clay of �/3— ,�`��``VXMI'SI�,'/'iii Fe . / � ,t`. ,...��_.o`er,, Not. • Public in and for the State of Washington, ti) Exa'°' Wzo„ .41• (7*Zi(.42 :. 7, ell } .._.;-- Residing at (i ���J1 jPn� ~,��''i44,,i4llllto ��`` This Lot Certification has been reviewed and approved by the Jefferson County Treasurer Office and taxes have been paid in full for the year. Treasurer Office This Lot Certification has been reviewed and approved by the Jefferson County Development Review ty p Division. Associate/Assistant Planner Date road Page 1 of 1 ROAD LOG INFORMATION FOR CENTER RD ROAD NUMBER:C931507 ROAD NAME:CENTER RD CROSSROAD NUMBER:C952007 CROSSROAD:RHODY DR. CROSSROAD MILE POST:1.57 CROSSROAD LEFT OR RIGHT:R ROAD LENGTH: 15.01 GRID ROAD STARTS:E-9-E MODIFY DELETE ADDRESS SEARCH ROAD SEARCH CREATION DATE SEARCH ROAD NUMBER:C931507 ROAD NAME:CENTER RD CROSSROAD NUMBER:C952007 CROSSROAD:RHODY DR. CROSSROAD MILE POST:1.57 CROSSROAD LEFT OR RIGHT:R ROAD LENGTH:15.01 GRID ROAD STARTS:E-9-E MODIFY DELETE ADDRESS SEARCH ROAD SEARCH CREATION DATE SEARCH http://isserver/Address/RoadDetail.asp?ROAD_NUMBER=C931507 3/12/2015 CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 901341005 Printed: March 12, 2015 Cases Name Review Status Planner Type CAM15-00019 NEUDORFER NA M Colleen Zmolek Application Received: 1/15/2015 Permit Issued/Case closed: 1/15/2015 Case Finaled: Interested in BLA No findings, conditions, or permissions found. CAM15-00047 WARD NA P Donna Frostholm Application Received: 2/2/2015 Permit Issued/Case closed: Case Finaled: Potential road segrega ioT n No findings, conditions, or permissions found. SUB15-00005 MLA15-00011 NEUDORFER P Anna Bausher Application Received: 2/19/2015 Permit Issued/Case closed: Case Finaled: LOT CERTIFICATION OF A ROAD SEGREGATION FROM ONE PARCEL TO CREATE TWO PARCELS No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 3/12/2015 Page 1 of 1 DEVIJPMENT REVIEW TIMESIEET THOMAS NEUDORFER MLA15-00011 Date Time Comments ?)/Ii /IS '. OYr st ,• 5e•r. ±es ii-S.5e-SScY y S 11 F/ ' c-�= S lall ?J.) tom-„lti Cam~ V t)-1) f r7 Its C_I&,-,r.,6,• 2-es-e_o►.r(__P■ ON-- f�P4 s ( ('s (i 3 Lejbmty. > cm c" ?A 16 r3Q m ii S6 c Y\S .`t r 7-V\ EN f 0 yr. cY\-- Cavr.3)..1\1 c.Y 11■. . 6 64--_ -- -S. 9-e.rw:-t, \\tidemark\data\forms\R_MLT_Case_CRMtA.rpt March 12,2015 JEFFERSON COUNTY °Wavy bct. NO. 154282 rn- DATE gig i /5 -41 RECEIVED FROM I "j J 4 C't" 0 �✓*Se'•r. DESCRIPTION BARS# AMOUNT CURRENCY <<--{ L.t " COIN Ll y SVS I c ,(4 sig. a -s o m xi 0 O RECEIVED BY ! r ' `� l......"1 TOTAL - 1 '" • 4111 CONSISTENCY REVII411 Project Planner: Master#MLA15-00011 Review Type Project Description aYIYVD. 'B etUr%-a-K SUBI5-00005 I ROAD SEGREGATION TO CREATE TWO PARCELS LOT CERTIFICATION-SUBDIVISION EXEMPTION 18.35.040(4) Primary: FER Site Address: WA' ( (- Project Locati n: Parcel r: 901 341 005; Section: 34-Township: 29N-Range 1W; Site Address: located off of Center Road,Chimacum,WA. Parcel Number: 901341005 S-T-R: 34-29N-1W Total Acreage 35 Legal Description S34 T29 R1W SE NE(LESS PT TX#1) Land Use: 8300 Flood District: Fire District: 1 Planning Area: 6 Flood Map(FIRM)Panel No: ,chool D 49 Zoning: /1 2J COMP PLAN DESIGNATION: ia. C) ' 'al t, _.•-i __‘ ;. t. _ _ i i t•t>` " 1"1 0\4_ COMMUNITY PLAN: UGA: UG' T 1 s 1 A [ ] 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 YES 1 [ ] ESA's: Special ' to kits Nearby YES [ ] Designated NO Ap ] 1 2O [ ] Shoreline Designation: YES W e [ ] Shoreline Slope Stability: YES • Stream Type-te)NO fl k ct . N cc - S", FWHCA: 42, NO ( ' ei^ ,p'of ,S+reay,.5 Wetlands:( NO lrno�t- v-c ?ctrc e-A Rare Plants:YES ca Seismic: CP N�'O.,p ci f Cr- ir re ) Landslide: YES Flood: © .0 Erosion: YES -0.4 Aquifer Rechar.e Are.40 NO `JL.,Y SL SIPZ: none At Ris High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo 1\3l A [ ] Forest Lands: YES o Adjoining Forest Lands: 6)0 Commercial/ Rural/ Inholding [ ] Mineral Lands: YES [ ] Agricultural Lands: ( NO [ ] Archaeology: YES Q ,� [ ] No Shooting Zone: YES ( t) [NIX Stormwater: New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering 4 Notice Provisions/Discl Ai ort YES No MRL YES Forest Lands vEs ei Landscaping Required: No [NN Parking Spaces Required NO 2 Other f\kyik Building Height: 35' UBC Standard 3fi Impervious Surface coverage percentage: Resource Lands&Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage: 60%in Rural Industrial Lands only [pig 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 [I �}, Setbacks: Front: Left Side: Right Side: Rear: f" Shoreline Setback: LSHA Setback: � `` [ Road Classification: GQ) .9-'1 C24 ,� 47 . Road Approach: EXISTING NOT�R ' RAP [ ] SEPA Required: YES EX EMPT a A'f— I, °1--7 — L ` — 6 O( (_a Y.c...) [4 Flood Certificate: [ 1 Existing Case(s)& Condition(s): y.e,g- cyjj Violations: Yes [4 Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [4, Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO [WA UGA No Protest Agreement YE;-,...NO, submitted: YES NO Site Visit conducted YES WO-) [ ] Require Final Zoning Approval YES NO [ ] ADMIN: Setbacks entered in Permit an ca N ES New Parcel Tags entered in Permit Plan N/A YESA Special Reports Scanned /A YES Title Not Updated Parcel tags found for parcel 901341005 1.) 6yr Mor. on FP 2613416 3/20/15 Non-Forest Permits Moratorium Effective: 02/18/2015 Moratorium Expiration: 02/18/2021 Associated CASES status issued finaled description 901341005 CAM15-00019 M 1/15/2015 Interested in BLA CAM15-00047 P Potential road segregation MLA15-00011 SUB15-00005 P ROAD SEGREGATION TO CREATE TWO PARCELS LOT CERTIFICATION-SUBDIVISION EXEMPTION 18.35.040(4) ` '/\ rnp fA_At(k A -1: v ON — r'--� w19S3 c -°t4 Vie, C -t- a-- Jilt 1, � c.�- ,�� I U J-�.Q--C r I --tzt,.p_, tac4, tb p,_ tol juLils- - ti•--Q- k--G -Q- °O, A ' ill-erYN —t-4-tta , , _Lt>, A...., cat_ P)"-- Ms . t z1-60-),