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ZON2015-00031
JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: ELLEN & PHILLIP JOHNSON 831 OLELE POINT RD PORT LUDLOW WA 98365-9413 DATE ISSUED: October 02, 2015 DATE EXPIRES: October 02, 2016 MLA NUMBER: MLA15-00055 PROJECT PLANNER: David Wayne Johnson PROJECT DESCRIPTION: REMOVAL OF FOUR HAZARD TREES IN SHORELINE PROJECT LOCATION: CONDITIONS: 1.) Per JCC 18.25.310(2)(d)(vii) the downed trees shall be retained on site to provide wildlife habitat and enhance in-stream or marine habitat if present. Trees#3  shall be retained on the shoreline/beach per this code section. Trees removed shall be replaced with suitable native vegetation. 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 proposed hazard tree removals comply with JCC 18.25.310(2)(d)(vii) of the Shoreline Master Program. 3.) An Arborist's report prepared by Richard Walsh dated September 29, 2015 has been review and accepted as part of this review process approval. 4.) The site plan as submitted with the Vegetation Removal Request application on August 11, 2015 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated October 2, 2015 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 5.) This approval is for removal of four(4) hazard trees in the shoreline as depicted on the approved site plan 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. 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. • istr.for 5-00055 a V Pc vii do st.yiti. \\tidemark\data\fo rms\F_MLT_IssuePerm it_U.rpt 10/2/2015 Page 1 of 1 P:\PROJECTS\JONES(00201)\CADD\SHEET FILES\BJDESIGN.DWG ` / / m o p °° D SCALE: 1'' s 20' / / Q z p. P v P p `)c °0 `�41 7 Jb 022 // Z�,1,'/ ° '-,o zo A] m om $zi co- / Z °- � g cmi� zz / m ` o "jc m 6 � ° rm / \ s w z � z� x o // ` z o m Am o m / k ( / r \ © w rn zQ / 0 \ W " " o mmmm / '{ \ 'c' rn 'm m ° („ c� 2 A ice/ O\` \\ O G' w D �� O = _j 2 " ) C) r<v I O SA F A m Q 1 ` F \ ) \ -z. .0 1.1.. \ 6(.4.' Sus.0 S° I O w m n - rn, 0 2 C) ■ al CS 1 v F' \ I?AA k ^ \ N\ \�m � ` / \ \ mZ° `J ` z .-:\ L A m V I-- -+ Tllvz y) ' \m ' o s n ° I // \ On 0 03 A m / ° w cn zAm rn o R A o mo° ti Q C ; � -CI 11 Z t o Q m �-. • ` t�O ., o rA''v czi \° f+ C7 a m c g 13 ' y�•t p mc) cn tA '' I O Q m •' sr l C' O i -c 1 'I �� W --< N ��t' x d DEPT. OF�COMMU � �VELOPMENT i I1' 1 " REVISIONS M7E 9Y 1 aCHARLES "BUD" JONES TILL R N TREE LOCATIONS 9-4 EMP a N SEPTIC SYSTEM DESIGN SITE PLAN ENGINEERING, INC. PARCEL NO. 977-400-014 �R"N i 1(1.--r-....4.--. ..—. pAppEg EzirEt6c:D ty :`� ,1 Tree & Lawn Service 1/' ' ; (360)692 6117 (206)842-6094 m�; Fax:(360)692-8405 ' ,•.- 09/29/2015 Post office Box 765 =a ;' . Silverdale,WA 98383 . 4 - Phil Johnson J 831 Olele Point Road ` ` OCT - 2 2015 r ' t , Port Ludlow,WA 98365 0 I JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT ) '' Dear Phil, k 4 i. ` Per your request I made a site visit to 831 Olele Point Road to evaluate 4 r,. , t.; .,04 trees of concern on your property. Recent installation of a septic system and other construction activities has caused root zone disturbance and .44...., '''''''' ..- �° grade change within the root zone and drip line of all 4 trees. Here is my F `'`4 • ,�,,l'a summation after inspection: Please also find my Tree Hazard Evaluation Forms and pictures for each tree of concern. `' A , - Tree#1-Mature Douglas Fir (Psuedotsuga menziesii)Approximate .n diameter at breast height is 36".This tree has had the soil around the drip l line disturbed by recent site work.The grade has been lowered by 10-25% r and underground utilities are in the area.This tree is in close proximity to °` ' F- ��' the house,parking area and pedestrian traffic. Because it has received ���, moderate root undermining and disturbance,in addition to its proximity • to persons and property, I recommend this tree be removed. J ' Tree #2-Mature Western Red Cedar(Thuja plicata)Approximate §? diameter at breast height is 42".This tree has had recent soil disturbance 3 from construction and site clearing.Visible distress is already present.The °�'` foliage is chlorotic sparse and annual shoot growth is poor.The drip line _ _ b grade was lowered by 50-75%and the tree was root pruned at to out from '-- ` ° the trunk.There is a moderate amount of decay in the trunk also. I :: �; recommend this tree be removed to mitigate risk to persons and property � nearby. • Tree #3 - Semi-mature Western Hemlock(Tsuga heterophylla) 1.1. / Approximate diameter at breast her t is height 24 . This tree has had recent soil disturbance with the drip line grade being lowered by 50-75%. The is on a slope with drainage issues and wind exposure.Though this t particular tree is displaying average vigor, normal foliage color and ,,�` density,the amount of soil disturbance and exposed roots raise the - �". likelihood that the root system will fail.The proximity of this hemlock to M% Working to improve our environment! - r 1.7 ,..3 ii......, .. ... .. .,,......... - ...1, . ...:. ripARREgEEE&J . I ..y Tree &Lawn Service (360)692-6117 '` (206)842-6094 1 Fax:(360)692-8405 I Post Office Box 765 Silverdale,WA 98383 0 1'` ' the house is of concern and I recommend this tree be removed. II I R . Tree #4-Young Western Red Cedar(Thuja plicata)Approximate diameter t ` ., at breast height 20". This tree has been impacted by recent soil' disturbance,with the drip line grade lowered by 50-75%. It grown on a ' slope above the beach. The foliage color and density are normal and the ' annual shoot growth and vigor are average.The main concerns with this )- �' 4. I i are the exposed roots,the lean of the tree toward the beach and its proximity to pedestrian traffic.The root system is at an increased risk for failure and there is virtually no shelter from the wind affordedto this tree.•F I recommend it be removed to mitigate risk to pedestrian traffic on the a�° . . -4 41 beach. 4.4 '-,,... lease do not hesitate to contact me with any questions or concerns you ,..."•:,.."i,;".::, may have. h .1 iri Thank you, , 4", V `'' Richard Walsh a . ISA Certified Arborist s,� (PN- .71IA) to o'! ~13: 360-649-5277 cell - Ilt...19911,- / - h - '. f Working to improve our environment! i..e,..:. .--ty4„.. ,.. Mi�'6731 _d" j .dam /'� . F.j%��i���' A _ RREg EkEg3�J, Tree & Lawn Service (360)692-61/7 P• ' (206)842 6094 t Fax:(360)692-8405 Post Office Box 765 Silverdale,WA 98383 It .7 ,,.; 0, :' .11 IF /:: Assumptions and Limiting Conditions ` ) 1. Any legal description provided to the consultant/appraiser is , assumed to be correct. Any titles and ownership to any property "si z are assumed to be good and marketable. No responsibility is assumed k �g " for matters legal in character. Any and all property is appraised or evaluated :r ,, _? as though free and clear, under responsible ownership and competent ft-i..13 . management. t ° 4,, ,.... , �e ••F 2. It is assumed that any property is not in violation of any applicable codes, 4'w,' " 35 '.�,_ ordinances, statutes, or other government regulations. . "'> 3. Care has been taken to obtain all information from reliable sources. All data r:^ '�'• has been verified insofar as possible; however,the consultant/appraiser can „, neither guarantee nor be responsible for the accuracy of information provided I w i f by others. 4. The consultant/appraiser shall not be required to give testimony or to attend `'..,„f court by reason of this report unless subsequent contractual arrangements " All {,,> l are made, including payment of an additional fee for such services as described in the fee schedule and contract engagement. •'` `'r 5. Loss or alteration of any part of this report invalidates the entire report. A<°� 6. Possession of this report or a copy thereof does not imply the right of " .: publication or use for any purpose by any other than the person to whom •�/0':' i; . it is addressed, without the prior expressed written or verbal consent of the consultant/appraiser. �Y.. .` F 4,". 7. Neither all nor any part of the contents of this report, nor copy thereof shall ' ; . be conveyed by anyone, including the client,to the public through advertising, , _ public relations, news, sales, or other media,without the prior expressed written or verbal consent of the consultant/appraiser-- particularly as to the value conclusions, identity of the consultant/appraiser, or any reference to any professional society or institute or to any initialed designation conferred ' upon the consultant/appraiser as stated in his qualifications. �L ` ! .-----' 8. This report and any values expressed herein represent the opinion of the consultant/appraiser, and the consultant/appraiser's fee is in no way • ;i contingent upon the reporting of a specific value, a stipulated result,the %4,. occurrence of a subsequent event, nor upon any finding to be reported- Working to improve our enviroment! f '• �' Tree & Lawn Service (360)692-6117 (206)842-6094 Fax:(360)692-8405 Post Office Box 765 Silverdale,WA 98383 ii: p.,., :4tYti ,; rf'- 9. Sketches, diagrams, graphs, and photograph in this report, being intended as visual aids, are not necessarily to scale and should not . be construed as engineering or architectural reports or surveys. . ' 10. Unless expressed otherwise: 1) information contained in this report covers only those items that were examined and reflects the condition `�s •,4�. of those items at the time of inspection; and 2)the inspection is limited x` to visual examinations of accessible items without dissection, excavation, 'r ;z s ? probing, or coring. There is no warranty or guarantee, express or implied, that problems or deficiencies of the plants or property in question A? „'" `' i/ . ,•..� may not arise in the future. ',•x.3'1, 1•Y,._;:(- s' \ ' - tlsols , X" Working to improve our environment! �i t Up Front Parcel Review Parcel 977400014 Printed: August 14, 2015 ELLEN C JOHNSON Site Address(es): 831 OLELE POINT RD 831 OLELE POINT RD PORT LUDLOW, WA 98365 PORT LUDLOW, WA 98365-9413 Parcel Number: 977400014 S-T-R: 28-29N-1E Total Acreage I Legal Description OLELE POINT 19,20 TL TAX M Land Use: 1100 Flood District: Fire District: 3 Planning Area: Flood Map(FIRM) Panel No: School District 49 Zoning: COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ ] Legal Access to Property YES NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES NO [ ] Shoreline Designation 401, NO t(,CLa [ ] Shoreline Slope Stabilitya NO AJO(-2_ Stream Type:YES NO FWHCA: YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: YES NO Landslide: YES NO Flood: YES NO Erosion: YES NO Aquifer Recharge Area:YES NO SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo [ ] Forest Lands: YES NO Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES NO [ ] Agricultural Lands: YES NO [ ] Archaeology: YES NO [ ] No Shooting Zone: YES NO [ ] Stormwater: New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport YES NO MRL YES NO Forest Lands YES NO [ ] Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other f 1 Building Height: 35' UBC Standard `qY}�9Nprr�� A Photographic Guide to the Evaluation of Hazard Trees in Urban Areas `qB a TREE HAZARD EVALUATION FORM 2nd Edition Site/Address: ,�/��)3/ 0C. -QL- 1 / 7 feCt HAZARD PLATING: g— Map/Location:_ /1/0.K,71" L u d('o&) ) Failure + Size + Target = Hazard Owner: public private / unknown ) / /other t Potential of part Rating Rating Date: 9/1b,/�pector. //C./i f/VGL.L `1- PIQI7/I4 VImmediate action needed Date of last inspection: Needs further inspection Dead tree TREE CHARACTERISTICS Tree#: -1- Species Pseud 6 f S �-QG(_ 11i�iYi OBH: .76 #oftrunks; ' Height /3a Spread: � Form: D generally symmetric C minor asymmetry C major asymmetry ❑stump sprout C stag-headed Crown class: aflaminant C co-dominant C intermediate C suppressed Live crown ratio: 9c% Age class 0 young G semi-mature I mature ❑over-mature/senescent Pruning history: 0 crown cleaned C excessively thinned C topped crown raised 0 pollarded 0 crown reduced C flush cuts C cabledibraced 0 none 0 multiple pruning events Approx.dates: — Special Value: C specimen C heritage/historic ❑wildlife ❑unusual C street tree ❑screen a ade C indigenous G protected by gay.agency TREE HEALTH Foliage color. gfo-rmal C chlorctic ❑necrotic Epicermirs? Y © Growth obstructions: Foliage density: C al C sparse Leaf size: QtraFinal C small ❑stakes C wireities 0 signs C=Pies Annual shoot growth: ❑excellent ❑average 0 poor Twig Dlebaek? Y N 121-6M/pavement ❑guards Weundwood development C excellent 0 average ❑poor ❑none C other Vigor ctass: C excellent average C fair ❑poor Malar pests/diseases: SITE CONDITIONS Site Character. residence ❑commercial 0 industrial ❑park 0 open space 0 natural ❑woodlandiforest Landscape type: 0 parkway raised bed C container 0 mound ❑lawn 0 shrub border ❑wind break Irrigation: one ❑adequate 0 inadequate C excessive ❑trunk wetted Recent site disturbance?( N aterrstruction ❑soil disturbance 0 grade change C line clearing 0 site Gearing • dripline paved: 10-25% 25-50% 50-75% 75-100% Pavement lifted? Y N • dripline wt fill soil: 10-25% 25-50% 50-75% 75-100% • dripline grade lowered: 0% 0-25e/ 25-50% 50-75% 75-100% Soil problems: 0 drainage 0 shallow ❑compacted ❑droughty C saline C alkaline C acidic ❑small volume C disease cerrer C history of fail 0 clay ❑expansive s ope ° aspect Obstructions: 0 lights 0 signage C line-of-sight G view C overhead lines C rground utilities C traffic 0 adjacent veg. C Exposure to wind: Ingle tree 0 below canopy ❑above canopy C recently exposed ❑windward,canopy edge 0 area prone to windthrow Prevailing wind direction: S iG Occurrence of snow/ice storms C never Odom IC regularly TARGET ,! Use Under Tree: uiiding C�par-king C traffic . trian C recreation 0landscape 0 hardscape C small features 0 utility lines Can target be moved? Y 3 Can use be restricted? Y O Occupancy: iC occasional use G intermittent use C frequent use constant use The International Society of Arboriculture assumes no responsibility for conclusions or recommendations derived from use of this form, TREE DEFECTS ROOT DEFECTS: Suspect root rot: Y Mushroom/conk/bracket present Y( ID: Exposed roots: ❑severe ❑moderate ow Undermined: ❑severe derate ❑low Root pruned: 4 distance from trunk Root area affected: 0 % Buttress wounded: Y( ) When: Restricted mat area: ❑severe C3-rt1 erate 0 low Potential for root failure: ❑severe ❑moderate ❑low LEAN: 0 deg.from vertical Dirac-gal ❑unnatural ❑self-corrected Soil heaving: Y N Decay In plane of lean: Y () Rants broken Y(T) Soil cracking: Y 0 Compounding factors: Lean severity: ❑severe ❑moderate ❑low CROWN DEFECTS: Indicate presence of individual defects and rate their severity(s=severe,m=moderate,I=low) DEFECT I ROOT CROWN I TRUNK SCAFFOLDS BRANCHES Poor taper Sow,sweep Codominants/forks Multiple attachments Included bark Excessive end weight 1 Cracks/selits Hangers Girdling Wounds/seam Decay Cavity Conks/mushrooms/bracket I Bleeding/sap flow Loose/cracked bark Nesting hoieitee hive - Deadwood/stubs Borers/termites/ants Cankers/galls/burls Previous failure HAZARD RATING Tree part most likely to fail: .6 re-a G'4. 4,_ Failure potential: 1 -low;2-medium;3-high;4-severe Inspection period: 'annual biannual other Size of part 1 -<6"(15 cm);2-6-18"(15-45 cm); 3-18-30"(45.75 cm);4->30"(75 cm) Failure Potential*Size of Part+Target Rating=Hazard Rating Target rating: 1 -occasional use;2 irrtermitterrt use; j + 1 + y = F 3-frequent use:4-constant use HAZARD ABATEMENT Prune: '_:remove defective part ❑reduce end weight ❑crown clean ❑thin ❑raise canopy ❑crown reduce ❑ restructure ❑shape Cable/Brace: Inspect further- ❑root crown 0 decay ❑aerial ❑monitor Remove tree:C) N Replace? Y 0 Move target Y Other- Effect on adjacent trees none ❑evaluate Notification: owner ❑manager ❑governing agency Date: COMMENTS . J it '4..m. '. s.s f ' n t P ■ J t6 k• • yy 4 - x 1; { 3• rs �. `. t .a,1:' ,. t +✓ s 4'..,1..,' } • �iY1 /"'IrF��#i 'tip 0" � „w ` Y ,, ': -0'/ . :0 . .((..FFFFsffff{ _b!-r. arm . . I ` #w y Li. ,.ice <i , "�.► itx m a. . ise - .-1 - s �F. .,;,:..1,, y s_ •. ,; $.{ . r• r ! ' 41 4F �� R ,, ' J Y R.,' f 4 ` w ,, ss Wi - ;i• . . , i_ i . . .. 41 II t:^$ '`: fi r.... f F ' ' . .a 6 ' I ;*,.. 60, r t x t b ' F s 7 F ' .. �y jg #.:.yam :. • +iiiiir, % Ait , ■ w i ,• , �iitrk'br f• .. P a S 1 } . ;.!ii ', { -h., .,- - {�... . ! t ' • 'fr y` , i � • • ���"= g A Photographic Guide to the Evaluation of Hazard Trees in Urban Areas _l''B q,�,,;" TREE HAZARD EVALUATION FORM 2nd Edition Site/Address: FS ) C' L - 1'C ,2- l C HAZARD RATING: Map/Location: /j0 Je--7L /GtC/tl0 kJ ( tZ. 2 + `f + q _ (0 Failure + Size + Target = Hazard Owner:public private rl unknown other Potential of part Rating Rating Date: 9/1(o I i�rspector. /�l c-het.n. a v)Ot,t S ' 9 N 17)1 A ✓ Immediate action needed Date of fast inspection: Needs further inspection Dead tree TREE CHARACTERISTICS / Tree#: rg Species - i 0 4/C4 GL. - GS {4 &.) it.0 d C..-(9ze ifUA- ya'` OBH: #of trunks / Height /g/ f Spread: ,30 Form: C generally symmetric ❑minor asymmetry 0 major asymmetry 0 stump sprout ❑stag-headed Crown class: 21 0dminant 0 co-dominant 0 intermediate ❑suppressed Live crown ratio: 7 6—% Age class: ❑young 0 semi-mature C3fiature ❑over-mature/senescent Pruning history: ❑crown cleaned 0 excessively thinned 0 topped 0 crown raised ❑pollarded 0 crown reduced 0 flush cuts 0 cabied/bracec Gone 0 multiple pruning events Approx.dates: Special Value: 0 specimen 0 heritage/historic 121<ilife 0 unusual 0 street tree 0 screen C shade C indigenous `protected by goy.agency TREE HEALTH Foliage color. 0 normal t rctic 0 necrotic Epicormics7 Y N Growth obstructions Foliage density: C normal g.rsarse Leaf size: 0 normal 0 stakes C wireities 0 signs ❑cables Annual shoot growth: C excellent ❑average oor Twig Dieback? all 0 curb/pavement CI guards Woundwood development C excellent C average C none 0 other Vigor class ❑excellent C average C fair oar Major pests/diseases•. SITE CONDITIONS Site Character. L'' ldence 0 commercial 0 industrial ❑park 0 open space C natural ❑wocdlandlfcrest Landscape type: ❑parkway 0 raised bed ❑container 0-nrcilind 0 lawn 0 shrub border ❑ wind break Irrigation: one 0 adequate ❑inadequate ❑excessive ❑trunk wettled Recent site disturbance?/Y }N struction C soil disturbance C grade change ❑fine Bearing 21-ire clearing %dripline paved: 0% 10-25% 25-50% 50-75% 75-100% Pavement sifted? Y °/9 dripline w/fill sail: 10-25% 25-50% 50.7 .°° 75-100% %dripline grade lowered: 0% 10-25% 25-50% ��r c'► 75-100% Soil problems: 0 drainage C shallow C compacted 0 droughty 0 .Innee ❑alkaline 0 acidic mail volume C disease center ❑history of fail ❑clay 0 expansive ❑slope ° aspect Obstructions: C lights 0 signage C line-of-sight C view ❑overhead lines Cf Gnderground utilities ❑traffic ❑adjacent veg. ❑ Exposure to wind: Ingle tree C below canopy 0 above canopy C recently exposed 0 windward,canopy edge C area prone to windthrow Prevailing wind direction: c F Occurrence of snow/ce storms 0 never ❑seldom ❑regularty TARGET Use Under Tree: gqIiigg G r!cing C traffic C edestaann C recreation 0 landscape ,r.1 hardscape 0 small features 0 utility lines Can target be moved? Y 1 1 Can use be restri red? Y/ N 1 Occupancy: 0 occasional!use 0 intermrttent use C frequent use onstant use The International Society of Arbonculture assumes no responsibility for conclusions or recommendations derived from use of this form. TREE DEFECTS_ — ROOT DEFECTS: �� Suspect root rot YON Mushroorn/conk/bracket present( ID: Exposed roots ❑severe ❑moderate fa ow Undermined: ❑severe 0 moderate ❑low r Root pruned: distance from trunk Root area affected: 3 % Buttress wounded: Y N When: Restricted root area: vere ❑moderate ❑low Potential far root failure: ever; ❑moderate ❑low LEAN: Ci deg.ffroomm vertical natural❑unnatural 0 self-corrected Sail heaving: YO Decay In plane of team Y ,N Roots broker° N Soil cracking: Y/ N 1 Compounding factor& ` Lean severity: ❑severe ❑moderate ❑low CROWN DEFECTS: Indicate presence of individual defects and rate their severity(s=severe,m=moderate,I=low) DEFECT I ROOT CROWN [ TRUNK SCAFFOLDS BRANCHES Poor per Bow,sweep Codominartts/forks Multiple attachments Included bark Excessive end weight Cracks/saiits Hangers Girdling I Wounds/seam Decay Cavity Conks/mushrooms/bracket Bleeding/sap flow Loose/cracked bark Nesting hole/bee hive Deadwoodlstubs _ Borers/termites/ants Cankers/galls/burls Previous failure HAZARD RATING Tree part most likely to fail: Failure potential: 1 -low;2-medium;3-high;4-severe Inspection period: 'annual biannual other Size of part 1 -<6"(15 cm);2-6-18"(15-45 cm); Failure Potential+Size of Part+Target Rating=Hazard Rating 3-1occas(45-75 cm);4->30"(75 em) Target rating: 1 -occasional use;2 intermittent use: + 7 + y = /(1 3-frequent use:4-constant use HAZARD ABATEMENT Prune: r remove defective part ❑reduce end weight ❑crown clean ❑thin ❑raise canopy ❑crown reduce ❑ restructure a shape Cable/Brace; Inspect further: ❑root crown i ❑aerial ❑monitor Remove tree:of N Replace? Y() Move target '1 'N ) Other Effect on adjacent trees none ❑evaluate �/ Notification: caner ❑manager ❑governing agency Date: COMMENTS /.11* ;'�^` a w. • kl! ., -1 k •,e, .i'�yi.:61 •tV 'S " .fr T �3 (' ` •' II zit`� ,, , • ' \` ;, ,. ` { . '*'" . 1 ffE ! g'iri4 \*III f g, { kx; ( � i � • f• ° y� " ' '",;(1;*, kl•. '. 4�10. • . t - , , • r a. Iii* §: 11*: 7'6''':�': .„ 1 en �"...�; P>. ys �✓�`,., war" ..+•�`. . `^ ..,r a r • 4 fAk.. r 3 r8 A`� ,r .-, 1.,..i' r n. - ., y .. NIR 's, . 1 �r .� - r +al y, ice. A , y'Y` x t i, Vz -r *. t Lt . i,; '' 'v.** " T O•• a' •. tt , tip,f -3 /T a c%� . ' r$• • w * +ti t y ,R+ ' t .. , 6 ,r ;pS 4. . T i' S . 1 • t OF f t Art F_ —,...., r 16,1- , ., ( i„,,, t � . r r�e ,. : a +r' � .4 ;t i �sA 7{ q:• A+r1 L \...,t 4 rLf..�k. ,..t. ,l �GY 4 h+. t '.' l' r y ".'":*1 y. r. ':n. } :. tv.., n . .+ i`r- t'f ,. €- - . t,y♦ ,. `4 ?f.. "•k _ •I�y a ."?"y fib. 1 S ' .:I' a „it Jf e1 ”" M M_iT $.. t` * „(A s x,_° ---„, "iii. - .. ,!-Ji t .,. _. n. 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'' I , A Photographic Guide to the Evaluation of Hazard Trees in Urban Areas '9 e TREE HAZARD EVALUATION FORM 2nd Edition 3 / O L e_ ,�� de cl HAZARD RATING: Site/Address: � 3 � = 7 L /� )a_ + Map/Location: o t.,-1- L t D `v J Failure + Size + Target = Hazard Owner public private V unknown other Potential of part Rating Rating Date: . q//4 /(Sinspector. ///Ce h a /�a-L-.s A 0 Mi /7/14 immediate action needed Needs further inspection Date of last inspection: Dead tree TREE CHARACTERISTICS / / " Tree#: .3 Species ■ /-''T.e • •vl. _ G� ti ��.N r.1,:1 b Z� DBH: " ' 1'#of trunks / Height 7S/ Spread: 3S- i Form: C generally symmetric ❑minor asymmetry ❑major asymmetry ❑stump sprout ❑stag-headed Crown class omiinnaant ❑ca-dominant ❑intermediate ❑suppressed Live crown ratio:__ t !u % Age class-: 0 young semi-mature ❑mature ❑over-mature/senescent Pruning history: ❑crown cleaned ❑excessively thinned ❑topped sown raised ❑pollarded 0 crown reduced ❑flush cuts ❑cabled/braced ❑none ❑multiple pruning events Approx.dates: Special Value: ❑specimen ❑heritage/historic ❑wildlife ❑unusual ❑street tree ❑screen ❑shade indigenous 0 protected by gov.agency TREE HEALTH • Foliage color. 21151inai ❑chlorotic ❑necrotic Epicormics? Y C Growth obstructions Foliage density normal ❑sparse Leaf size: ❑normal ❑small ❑stakes 0 wire/ties ❑signs ❑cables Annual shoot grawttr. ❑excellent C3 mirage ❑poor Twig Dieback? Y N ❑curt/pavement ❑guards Woundweed development ❑excellent age ❑poor CI none ❑other . Vigor class; ❑excellent average ❑fair ❑poor Major pests/diseases: SITE CONDITIONS_ . Site Character. sidence ❑commercial ❑industrial ❑park ❑open space ❑natural ❑woodlanddforest Landscape type: 0 parkway ❑raised bed ❑container 21fieiund ❑lawn ❑ shrub border G wind break Irrigation: _I�non��e ❑adequate ❑inadequate ❑excessive ❑trunk wetted Recent site disturbance? YON ❑construction oil disturbance ❑grade change ❑line clearing ❑site clearing %dripline paved: I% 10-25% 25-50% 50-75% 75-100% Pavement lifted? Y tt • dripline w/1111 soil: CP 10-25% 25-50% 50-75% 75-100% • dripline grade lowered: 07° 10-Z5% 25-50 • 50- % 75-100% Sail problems: drainage ❑shallow ❑compacted ❑droughty ❑saline ❑alkaline ❑acidic ❑small volume ❑disease center ❑history of fail ❑clay ❑expansive ❑slope L7/.5—° aspect Obstructions: ❑lights ❑signage ❑line-of-sight ❑view ❑overhead lines ❑underground utilities ❑traffic ❑adjacent veg. ❑ Exposure to wind: e tree ❑below canopy ❑above canopy ❑recently exposed ❑windward,canopy edge ❑area prone to windthrow Prevailing wind direction; S E Occurrence of snow/ice storms ❑never ❑seldom ❑regularly TARGET. Use Under Tree: a wilding ❑parking =traffic ❑pedestrian 01 recreation ❑landscape ❑handscape ❑small features ❑utility lines Can target be moved? Y() Can use be restricted? Y Occupancy: 0 occasional use ❑intermittent use ❑frequent use Q constant use The international Society at Arbonculture assumes no responsibility for conclusions or recommendations derived from use of this form. TREE DEFECTS_ ROOT DEFECTS: Suspect root rot: Y() Mushroom/conk/bracket present Y() ID: Exposed roots: even ❑moderate ❑low Undermined: ❑severe 0 moderate ❑low Root pruned: distance from trunk Root area affected: 3 Ye Buttress wounded: Y C) When: Restricted root area: severe ❑moderate ❑low Potential for root failure: ❑severe ❑moderate ❑low LEAN: c2 G _ deg.from vertical ❑natural unnatural ❑self-corrected Soil heaving: Y Decay In plane of lean: Y Oki Roots broken {/Y )N Soil cracking: Y� Compounding factors: v �/ Lean severity: ❑severe ❑moderate ❑low CROWN DEFECTS: Indicate presence of individual defects and rate their severity(s=severe,m=moderate, 1=low) DEFECT ROOT CROWN TRUNK f SCAFFOLDS BRANCHES Pact taper Bow,sweep r"N Codominants/?orks Multiple attachments Included hark Excessive end weight M Cracks/soiits 1 Hangers 1 Girdling Wounds/seam • Decay Cavity Conics/mushrooms/bracket 8leedinc/sap flow I Loose/cracked bark I Nesting hole/bee hive Deadwood/stubs Borers/termites/ants Cankers/galls/burls Previous failure HAZARD RATING Tree part most likely to fail: dLrz" ,{S � Failure potential: 1 -low;2-medium;3-high;4-severe Inspection period: t/annual biannual other Size of part 1 -<6"(15 cm);2-6-18"(15-45 cm); 3-18-30"(45-75 cm);4->30"(75 cm) Failure Potential+Size of Part+Target Rating=Hazard Rating Target rating: 1-occasional use:2 intermittent use; + 3 + = 7 3-frequent use;4-constant use HAZARD ABATEMENT Prune: ❑remove defective part ❑reduce end weight ❑crown clean ❑thin ❑raise canopy ❑crown reduce ❑ restructure ❑shape Cable/Brace: Inspect further: crown ❑decay ❑aerial ❑monitor Remove tree:0 N Replace? Y() Move target Y(9 Other: Effect on adjacent trees: none ❑evaluate Notification: at Winer ❑manager ❑governing agency Date: COMMENTS "4 .+, ' ' • - • •i• '' • '' • (sfo74"":-•g- .... • . , t ... -- . . .. _.• • Pit ;,.. .,,r till.:. 4•.;•,,.'?..-0,•4. ..:,.-•:,- ',_• ii,-.4'• ■ ..1:.. • te- ..7v , -- ' - ' •"..'..-, ,. -4-- W ,- ---- 6:WI' ----.: -- . . toe. r"gilen-07-' cr'"■,,, 1"..^ r i'A kW . ..../... ''...?;'.1' r.f 4r.•,,IL. _ . 'rli■ ---- ill, d -ware, s.s., - ' ". 4.• , ,...,',"41 - 4 _ ..--- .......... .." ., -- ....0.- ?I/ -ors 1i• •' 1 , it . . .. • AO .. . 4.0 i\ ' A'e. > 1 . . •':; ' "•••■ • ....Z. 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'.w .k � .t " S, d _ _ of 0 1. .. 4 t f 1- Sr' <s !'!t` 'a••^ .a f. a; 44 C , '.K.t"QS fra" `� " ',fit' a a j e "' :�►.:. j I, sit .f fmor •-' ✓ :r J f t r Y f fes y4 , ..b . `T f " . • ♦ d i * f ,. ' 7(`' r �f ¢ . ; - jf s - , sue k/ `� *4 « .'i` as, .�. •s - I X y i 1 Y r t e ,... ice. ' #, . • .. ... . . ,e y si { ,., ia i k y . ' i . .,. >/i 'Pty A ill*y Ny tY ) - Y ,.�• • y .• It . { J 4. l} • .h v y` ■ # bee- • �t • R,. 144 4.4 = ,. h • ti t °°Ut.c A Photographic Guide to the Evaluation of Hazard Trees in Urban Areas `9B ° TREE HAZARD EVALUATION FORM 2nd Edition 3 I /rr_(.-� r HAZARD RAT1NC: Site Address: + � + Map/Location:_ ltif Z4{ A-7 Failu e + Size + Target = Hazard Owner: public private unknown other Potential of part Rating Rating 9/�G/l5T ,/c4eckz � L i .4 A) 1 7(! � [/ Immediate action needed Date: Inspector: Needs further inspection Date of last inspection: Dead tree TREE CHARACTERISTICS Tree#: 47f Species / l GC `'1 G i GGL! LL- — DBH: ,D� #at trunks: I Height 6 O Spread: a O/ Form: L g nene eraily symmetric ❑minor asymmetry major asymmetry ❑stump sprout ❑stag-headed Crown class 0iminant 0 co-dominant 0 intermediate 0 suppressed Live crown ratio: % Age class: oung ❑semi-mature C mature ❑over mature/senescent Pruning history: ❑crown cleaned ❑excessively thinned C topped alriwn raised 0 pollarded 0 crown reduced 0 flush cuts G cabled/braced 0 none 0 multiple pruning events Approx.dates: Special Value: 0 specimen 0 heritage/historic 0 wildlife ❑unusual 0 street tree 0 screen 0 shade 2-indigenous 0 protected by gov.agency TREE HEALTH Foliage color. Firarnal ❑chlorotic ❑necrotic Epicarmics? Y N Growth obstructions Foliage density. tai ❑sparse Leaf size: ❑normal 0 small 0 stakes C wire/ties ❑signs 0 cables Annual shoot growth: ❑excellent average 0 poor Twig Dieback? Y N 0 curb/pavement ❑guards Waundwaod development 0 excellent average 0 poor ❑none ❑other ufgor class C excellent average ❑fair ❑poor Major pests/diseases: SITE CONDITIONS.Site Character. gergdence 0 commercial ❑industrial ❑park ❑open space 0 natural ❑woodlandiforest Landscape type: 0 parkway 0 raised bed ❑container Ciiound 0 lawn ❑shrub border C wind break Irrigation: none ❑adequate ❑inadequate 0 excessive ❑think wetted Recent site disturbance?() N ❑construction oil disturbance 0 grade change 0 fine clearing 0 site clearing %driptine paved: it, 10-25% 25-50% 50-75% 75-100% Pavement lifted? Y N °/°driptine wi fill sail: 10-25% 25-50% 50-75% 75-100% %driptine grade lowered: 0% 10-25% 25-50Y. 50-75 • 75-100% Soil problems: C drainage ❑shallow ❑compacted ❑droughty ❑saline ❑alkaline C acidic 0 small volume 0 disease center 0 history of iaii C clay ❑expansive ore y5 aspect Obstructions: C lights 0 signage 0 line-af-sight ❑view ❑overhead lines ❑underground utilities 0 traffic ❑adjacent veg. 0 Exposure to wind: mgle tree 0 below canopy 0 above canopy ❑recently exposed 0 windward,canopy edge ❑area prone to windthrow Prevailing wind direction: S e Occurrence of snowfice storms 0 never s 1dom 0 regularly .TARGET Use Under Tree: C wilding C parking C traffic C edestnan 0 recreation ❑landscape 0 handscape C small features G utility lines Can target be moved? Y/N � Can use be restricted? YC) Occupancy: i ccasianal use ❑intermittent use C frequent use ❑constant use The International Society of Arboriculture assumes no responsibility for conclusions or recommendations derived from use of this form. TREE DEFECTS ROOT DEFECTS: Suspect mat rot: Y() Mushroom/conk/bracket present Y() ID: Exposed roots: argra ❑moderate 0 tow Undermined: 0 severe 0 moderate 0low Root pruned: distance from trunk Raot area affected: 7 % Buttress wounded: YC) When: Restricted root area: severe 0 moderate 0 low Potential far root failure: 0 severe 0 moderate 0 low LEAN: 0 0 deg.from vertical 0 natural 0 unnatural 0 self-corrected Soil heaving: Y) Decay In plane of lean: Yr) Roots broken YCD Soil cracking: Y() Lean severity: 0 severe Q moderate CI low Compounding factors: CROWN DEFECTS: Indicate presence of individual defects and rate their severity(s=severe,m=moderate,I=low) DEFECT ROOT CROWN TRUNK SCAFFOLDS BRANCHES Poor taper Bow,sweep Codominantslforks Multiple attachments Included bark Excessive end weight Cracks/solits Hangers Girdling • Wounds/seam Decay Cavity Conks/mushrooms/bracket Bleedina/sap flow Loose/cracked bark Nesting hole/bee hive I Deadwood/stubs Borers/termites/ants I Cankers/galls/burls Previous failure HAZARD RATING lure potential: 1 low,2•medium;3 high;4 severe Tree part most likely to fail: F S t15 �� — Size of part 1 -<6"(15 cm);2-6-18"(15-45 cm); Inspection period: /annual biannual other 3-18.30"(45-75 cm);4-,30"(75 cm) Failure Potential+Sae of Part+Target Rating=Hazard Rating Target rating: 1-occasional use;2 intermittent use; + + J_ = V 3-frequent use:4-constant use HAZARD ABATEMENT Prune: 0 remove detective part 0 reduce end weight 0 crown clean 0 thin raise canopy 0 crown reduce 0 restructure ❑shape Inspect further root crown 0 decay 0 aerial 0 monitor CahlelBrace: Remove tree:(9 N Replace? 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JEFFERSON COUNTY DEPARTMENT OF COMMUNITY k " DEVELOPMENT 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelopment Tel:360.379.4450 I Fax:360.379.4451 1 Email:dcda.co.jefferson.wa.us ..co.iefferson.wa.us SquareONE Resource Center I Building Permits&Inspections I Development Review I Long Range Planning August 14, 2015 ELLEN & PHILLIP JOHNSON 831 OLELE POINT RD PORT LUDLOW WA 98365-9413 RE: SITE ADDRESS: 831 OLELE POINT RD CASE#: MLA15-00055 Dear ELLEN & PHILLIP JOHNSON: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. In order to determine that the trees your are requesting to remove are hazards as defined below in JCC 18.25.100(8)(e): "Hazard tree" means any tree that presents a risk to persons or property due to a high probability of falling in the near future because of a debilitating disease, a structural defect, a root ball significantly exposed, or having been exposed to windthrow within the past 10 years. Hazardous trees include, but are not limited to, conditions where a permanent, primary structure or appurtenant or accessory structure is within one and one-half tree lengths of the base of the trunk. Where not immediately apparent to the administrator, the hazard tree determination shall be made after review of a report prepared by a certified arborist or forester. we require an Arborist's report to confirm these trees are hazards under this definition and may be removed under JCC 18.25.310(2)(d)(vii): (vii) Removal of a hazard tree, as defined in Article II of this chapter, where trimming is not sufficient to address the hazard. In such cases, the downed tree shall be retained on site to provide wildlife habitat and enhance in-stream or marine habitat if present. The location of retained materials placed on site shall reflect firewise program guidance for defensible space and fire safety. Where not immediately apparent to the administrator, the hazard tree determination shall be made after review of a report prepared by an arborist or forester. Please submit the above information to the Department of Community Development within 90 days of the date of this letter which would be 11/1212015. As required by Jefferson County Code, JCC 18.40.110(3) and (6), if the information is not submitted or additional time to submit the required information within the ninety (90) calendar day period is not requested, the application would be considered abandoned and therefore withdrawn and application fees will be forfeited. Jefferson County Code provides that the Department of Community Development shall not be responsible for notifying the applicant of an impending expiration, thus any further notification would not be forthcoming. 9 Sincerely, Amid Waytie ftocautia Department of Community Development Staff c: File \\tidemark\data\forms\F_MLT_Addlnfo_Requst.rpt 8/14/2015 [ ] Impervious Surface coverage percentage: Resource Lands&Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] Total Building(s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate: [ ] Existing Case(s)& Condition(s): Violations: Yes No [ ] Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO [ ] UGA No Protest Agreement YES NO, submitted: YES NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES NO [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned NIA YES No parcel tags found for parcel Cases Associated with APN 977400014 Review Cases Name Type Status Planner BLD08-00050 KREMER F Application Received: 2/7/2008 Permit Issued/Case closed: 2/7/2008 Case Finaled: 2/20/2008 2 x 7.5 GAL D.O.T. BO I I LES & UOOKSTOVE- NO MLA REQ'u BLD12-00415 JOHNSON F Application Received: 12/27/2012 Permit Issued/Case closed: 12/27/2012 Case Finaled: 1/7/2013 A/G 120 GAL PROP TANK, LINES & HEAT STOVE BLD82-00001 JONES F Application Received: 3/20/1991 Permit Issued/Case closed: 4/15/1982 Case Finaled: 7/12/2004 single family residence SEP82-00069 JONES N Application Received: 4/14/1982 Permit Issued/Case closed: 4/16/1982 Case Finaled: 8/10/1982 info from this case filed with upgrade under SEP01-114 MLA15-00055 ZON15-00031 MLA15-00055 JOHNSON P Application Received: 8/11/2015 Permit Issued/Case closed: Case Finaled: REMOVAL OF FOUR 1 NEES! SEP01-00114 JONES F Application Received: 7/11/2001 Permit Issued/Case closed: 9/6/2001 Case Finaled: 6/29/2004 sep82-69 FILED HERE, a permit that was never finaled, see file. I his application is proposed to permit tinalling of the old permit by adding disinfection to 1 bedroom existing system due to inadequate setbacks from the well. see file SOM01-00114 KREMER II RCR Application Received: 6/29/2004 Permit Issued/Case closed: 2/23/2015 Case Finaled: USR02-00090 JONES F Application Received: 10/7/2002 Permit Issued/Case closed: 5/15/2003 Case Finaled: abandonment of existing well 11tidemark\data\forms\R Parcel_CRMLA.rpt 8/14/2015 Page 2 of 2 ! . MLA r S - 03077- v_soN e DEPARTMENT OF COMMUNITY DEVELOPMENT JW 621 Sheridan Street,Port Townsend,WA 98368 1 ,.< TeL 360379A450 I Fax:360.379.4451 IWeb:aww.co.jef feaon.wa.us/communitydevelopmen -}� E-mail:ded(a�co.jeffecson.wa.ns e. 1 9SkrNGO 15c� �- PERMIT APPLICATION C V n'4. c Steps in the Permit Process: SCC&1�i l � s- -Review application checklist to ensure all information is completed Pp p ed riortosubmittin application. i 1 prior submitting PP -Make sure septic has been applied for and water availability has been proven. Ck L}I -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application;it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required beforerpermit is issued. For Department Use Only Building Permit# Related Application#s: MLA# Site Information Assessor Tax Parcel Number: q')r- Lk 0 0 /711± Site Address and/or Directions to Property: g3\ E (ek PD i v11 9..t48 ?Prt Lrtc (A)) wA 4/365 Access(name of street(s)) from which access will be gained: qq le Bet U ( d —' Ode(e Present use of property: [ae5;de A-4 j q 1 Description of Work(include proposed uses): Zevv1 pop( pc -79 i (' tree5 Wastewater-Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? YES NO x If not served by sewer identified above,identify type of septic system below: Type of Sewage System Serving Property: x Septic Septic Permit#: 0 k- 00 \ t.k Community Septic Name of System: Case#: Are other residences connected to the septic system? 0\JD Additions or repairs to sewage system: #V C vtt' Is it a complete or partial system installation: Complete )( Partial Has a reserve drainfield been designated? Yes )( No Date of Last Operations&Maintenance check: Attach last report to application Describe or attach any drainfield easements,covenants or notices on title,which may impact the property: The authorized agent/representative is the primary contact for all project-related questions and correspondence. The County will mail . /e-mail requests and information about the application to the authorized agent/representative and will copy(cc)the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e., County email is not blocked or sent to"junk mail"). Applicant/Property Owner Information Property Owner: Name: F.\`eve- AVIV-01.A. Address: 83 Me ttAt R Phone#: (50 6 - gg E-mail Address: \\ey\'IV ct∎it Aou)Cpl vXki(, CD a" Please contact Authorized Agent/Representative with project info.(select only one). Property Owner Signature: Date: '`1\ Note: For projects with multiple owners,attach a separate sheet with each owneris)information and signatures. Applicant Authorized Agent/Representative(it other than owner) Name: Ql't``tc So 09-ov` Address: 83 Olele `QDtvt Raid Phone#: 5o g - E-mail Address: OA t.3�' j q ,Anla,w,CVO' Professional: Is this an Authorized Agent/Representative for this project? NO 04 YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License ft Address: Phone#: E-mail Address: 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 or her 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal,state and county laws and regulations and I 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. Applicant may request notice of the County's Intent to enter upon the property for visits related to this application and subsequent permit issuance. 101 `Signature: C ..AA a `� Print Name: ■\1t -if) n.S Date: g t l (5 ef .1024/ lb./th,d �..,� E\1ev\ TDfnn5A/� �_SoN et) JEFFERSON COUNTY w/'j DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street/Port Townsend,WA 983681 Web:www.co.iefferson.wa.uslcommunitvdevelopment . 1►�- Tel:360.379.4450 I Fax:360.379.4451 1 Email:dcdt co.iefferson.wa.us 9gryrNGtO Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center TreeNegetation Supplemental Application + , "al/it/spin MLA# PROJECT/APPLICANT NAME: G\`'CcA t r vi l l q Submittal Requirements Master land use application(MLA) Stormwater calculation sheet —Application fee fl8 b e tP 2 . C el Site plan Photographs of request(two sets) Special report submitted(i.e.geotechnical report,arborist report) Home Owners Association request packetlCC&Rs(if applicable) Nature/reason of request: We reQuast ate P0a.J2 to A,eM.0Ve -cvu( (45 lair trees : Aop QcvxliAng ell OD' lrtqk -E tree. 38" A;a vwete-r Pet4'01% CI ‘Of ■qk ce&tr AT-e-e. 34" dia 9 3 vxt M4k t O In he nntr - 1Yee. 2.`k" diawlck-gr t AcQefPi'Iwiltti D lni9V4 cec r iiee, .2'4" (la 0WWe:kCr ® oonfl © aAee sliva d tr\ +lie ill) o f basAK. T-c e■11,vw Dr- 10-E-14- -S<\ it 1 ;V-e(ti t-oat ;c (+{ney WAi Id f a fte 4vvis- i ova me bav - vv■i lA k © .5 s,kvt.afecl r�� -t'D 52t5tic fiavtV-, i-F Vr"‹..2 41,1A i'" 7 wAtAl ;t Cats \ Fug -cse I zt a/50 ;4 wp(d l rPDt Bur- Sa pfi<<rtat4K-I sy‘fewu. © o (42.06 tb hau'e . PO SruwcQs etAa ('Dvts wPH (d `f.eMarw, NOAC_ ar,z_ 1)erI/% c.w.oued "i-ar ae5srVek c- J f.euj f 4t5tM40- , 'EV l a/Ze 1;,;,.e.lyy e-ewtoveA -F'vf' suety cea5cAs (e■nk :(4) SDGosin 831 ole(e Paiht .gad PPrt I_i4d(ow -ri; Parce( M Lj 977 411)o • y,,ta S�Q*4 +Q4' -r_aAV' W2sic6oce 0,131 _ c,4 cr,,a,AA.0052r oH-Fb►it 14 k (AD rr R lece P4I Vt R`' d a m 1.2015 O&M(Omits Monitoring& /nspoct one)LLC 232 Chambers Road (360)4579438 Port Angeles, WA 98362 Fax:John-OM/famsn.com PROPERTY INFORMATION JOHNSON Location:831 OLELE POINT ROAD PORT LUDLOW Tax ID:977400014 Mau To: ELLEN JOHNSON PO BOX 566 Use:Residential,Single Family PESHASTIN-WA System Design Flow:120 98847 GENERAL SYSTEM TYPE:WW/ATU/UV/GRAVITY 8J8 Owner.ELLEN JOHNSON ON ID:SOM01-00114 Fvld ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Fold Sete Inspected:07/23/2016 - Inspection Type:ROUTINE - Conectron Status:No conections needed nea Company: Work Performed By: Submitted 02/262015 by OMI(Onsite Monitoring&Inspections)LLC John Cerutti Jr. John Cerutti Jr. This report does not assure approvals by Jefferson County Public Health for ANY future building permits or development COMMENTS&GENERAL INSPECTION NOTES No Deficiencies Noted Riser lids were secure. Biological function was normal. No signs of abuse. System functioning properly at the time of inspection. No action is required. GENERAL SITE d SYSTEM CONDITIONS The General Site end System Conditions were: Fully Inspected All Components accessible for maintenance,sews and in good condition: YES Surfacing effluent horn any component(including mound seepage): NO Components appear to be watertight-no visual leaks: YES -- - ------ Improper encroachment(roads buildings,ems)onto component(s): NO Component settling problems observed: NO Abnormal pending present for one or more of the disposal components: ...... NO Subsurface components adequately covered --- '--- YES Owner compliance issues noted NO Site maintenance required(e.g-to :nora maintenance)If yes,describe in comments: NO Occupant compliance problem(occupant not operating the system properly). BYES,describe in rotes: NO If deficiencies were identified on last inspection were they corrected before or during thie inspection? N/A (If NO,describe in notes,NA=no deficiencies on last report): OSS Components,structures and appurtenances located per as-built/record drawing(If NO,describe YES In notes)_ If no as-built exists Of changes made,state NO and provide record to Health Dept Alterations made to the OSS(valves adjusted,timer settings modified,ports installed,etc.)(If YES. NO describe in notes): The housersbuctrre was vacant or used infrequently,assessment of the drainheld was not passible N/A Is the SEP case in a finaled/completed status?(If NO explain in comments) YES ONSITE SEWAGE SYSTEM INSPECTION DETAIL • ANA(. Septic T iru.-2 Conrp:?rtm :P:;,.. ,il.irrrdeearrrer•Concrete SEPTC TAN?,A T ManWactuar Local Manrfaitufer Modal:Concte6 This component was: Fun kid Component appears to be functioning as intended: Yes Effluent level within operational limits(if NO explain in comments): YES Al required baffles in place(N/A=No battles required): YES Effluent Filter Cleaned(NIA=Not Present): WA Compartment"!Scum accumulation(inches,if other specify): s Effluent fitter/screen needed cleaning on arrival WA Compartment 1 Sludge accumulation(Indies,if other specify): 6 Compartment 2 Sam accumulation(Inches,it other specify): tor Rowers compartment 2 Sludge accumulation(Inches,if other specify): 4 Pumping needed: NO Approximate Gallons to be pumped(if needed)by Certified Pumper. Repor110:424679 View inspection reports online at www.onlinecme.00m Page 1 of 2 • TANK.Pun7p Sash.Man ufacture,= i_.-e;flan utacturer-Cone;o:,-L:FT STATION AT THE Hv'U;F Manufacturer. Local Manuhcutnr Model:Co nc ete This component was: Fray Inspected - Component appears to be functioning as intended:: YES Compartment 1 Sam accumulation(Inches,if other speedy) o Compartment 1 Sludge accumulation(Inches,if other specify): 2 Pumping needed: NO Approximate Gallons to be pumped(if needed)by Certified Pumper. camp.Eftnrot Pump LIP T STA nON AT THE NOOSE This component was: Furey Mapedel Component appears to be functioning as intended: YES Controls functioning: YES Dose setting different than original(If YES,detail in nients) WA Dose setting adjusted to meet as-built/record drawing specifications(by the O&M Specialist) WA Tested gallons per minute flow: WA 'oqM Alarm-HiyT,LY:eer M1-0arula[7orer=Orearc-A Ser■es-!-T STAT,'CN AT rHE NOOSE Manutact ae.Oren°Model:A Series This component was Fully Inspected Component appears to be functioning as Intended: YES Alarm mechanism functioning as intended: YES Manuhdver.Delta Environmental Products.Inc. Moil:MIIIII ralw-CFao This component was. Fully Inspected Component appears to be functioning as intended: YES Effluent level within operational limits(if NO explain in comments): YES Effluent eitenscreen needed cleaning on arrival wA Aerobic Mechanism appears to be functioning per manufacturers specifications: r YES ATU serviced per manufacturers requirements including cleaning of applicable fitter(s): YES Trash Compartment solids accumn u atien within operational limits per manufacturer(r(a=no trash YES compartment): Aerobic Chamber solids accumulation within manufacturer operational limits(rife=no aerobic YES Chamber): Clarifying Chamber solids accumulation within manufacturer operational limits(Na=no clarifying YES chamber): Pumping needed; NO Approximate Gallons to be pumped(if needed)by Certified Pumper: isirrrcctiun:Ultra Violet InantdavArer.The Drsinfectot-Oisinfec for Manufacturer:The Dlairdector Modal:disinfactor This component was: Fully Inspected Component appears to be functioning as intended: YES Alarm mechanism functioning as intended: YES UV bulb cleaned! YES Disinfection unit light on: YES D:sV ljutf:,n ?.F.:'. tl,rrrrtnc:ur or_ crdr!Gfanu!acrurer•Concrete Manufacturer: Local Manufacturer Model:Concrete This component was. Fray Impacted D-Box in good condition: YES D-Box outlets set to allow equal effluent distribution: YES .ratritrelu:Gt a rap 3-35'Later 3/s This component was. Fit y Inspected Component appears to be functioning as intended: YES Ponding present?If YES explain in corrnnents: NO • • • Tee Wait hrRetesiedw,tlrrarJVWks of the mile sewage system at the time ce mot maptwistNareiAdaiMMANI etopVnWr or totem Iarvaoorna ReportlD:424679 View inspection reports online at www.onlinerme.corn Page 2 of 2