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HomeMy WebLinkAboutSUB2015-00011 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: DBC#1 LLC %BRIAN/CAIRNS DEMPSEY 1301 SPRING ST APT 29J SEATTLE WA 98104-1354 DATE ISSUED: December 11, 2015 DATE EXPIRES: December 11, 2016 MLA NUMBER: MLA15-00040 PROJECT PLANNER: Michelle Farfan PROJECT DESCRIPTION: BOUNDARY LINE ADJUSTMENT to attach that portion lying north of Thomdyke Road to Tax 4 PROJECT LOCATION: Parcel Numbers: 721174024 & 721174007; 2251 Thorndyke Road, Port Ludlow, WA within Section 17, Township 27 North, Range 1 East, WM CONDITIONS: 1.) CONSISTENT WITH RCW 84.56.345, CURRENT YEAR AND ALL DELINQUENT PROPERTY TAXES INCLUDING COMPENSATING TAX FROM OPEN SPACE PROGRAM SHALL BE PAID IN FULL PRIOR TO RECORDING THE STATEMENT OF INTENT. 2.) The Statement of Intent recording fee is$78 payable to the Jefferson County Auditor and shall be submitted to the Department of Community Development. (A Real Estate Excise Tax Affidavit will need to be signed and dated for the Statement of Intent, see attached form). A$10 Excise Tax fee (payable to the Jefferson County Treasurer) shall also be submitted with the signed and dated Real Estate Excise Tax Affidavit and the $78 Auditor's recording fee. 3.) This approval is for a Boundary Line Adjustment only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 4.) Approval of this Boundary Line Adjustment does not guarantee the approval of any future county permits and/or approvals. 5.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500)feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) The proposal complies with JCC Title 18.35.060.1(a) in that the proposal is to enlarge Tax 4 with that portion of Tax 9 lying north of Thorndyke Road right-of-way. Consistent with JCC Title 18.35.060.2(a), the proposal will not create an additional lot, tract, or parcel. Consistent with JCC Title 18.35.060.2(b), the proposal is not within a binding site plan. Consistent with JCC Title 18.35.060.2(c), the proposal will not relocate an entire lot, tract, or parcel from one parent parcel into another parent parcel. Consistent with JCC Title 18.35.060.2(d), the proposal does not cross zoning district boundaries. Each parcel is zoned RR 1:5. Consistent with JCC Title 18.35.060.2 (e), the proposal is not inconsistent with any restrictions or conditions of approval for a recorded short plat or long plat. The proposal will not circumvent the short subdivision or long subdivision procedures. Consistent with JCC Title 18.35.060.2 (f), the proposal will not separate an Accessory Dwelling Unit from the primary use of the property. 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(2)(j). 4.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 5.) The application was reviewed by the Jefferson County Department of Community Development staff on July 7, 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: conservancy shoreline designation; intermediate/unstable shoreline slope stability; moderate landslide hazard area, SUSC aquifer recharge area; coastal SIPZ. 6.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 7.) 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. 8.) Consistent with JCC 18.35.080(1), Sherrie Shold and Charlotte Stockard from the Assessors Office have reviewed and commented on the proposal. 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.UDC Administrato MLA15-00040 \\tidemark\data\forms\F_MLT_IssuePermit_U.rpt 12/11/2015 Page 3 of 3 596184 PGS : 5 BLA 12/1512015 03.05 PM $77.00 JEFFERSON COUNTY CCD Jefferson County quditor WA Auditor's Office Rose Pnn Carroll, 1111kilidP10141111101111N NNw'TKIMi1igY1i111III AFTER RECORDING MAIL TO: Name: DBC #1 LLC C/O Brian Dempsey Address: 1301 Spring Street, Unit 29-J city/state: Seattle, WA 98104 Boundary Line Adjustment MLA15-00040/SUB15-00011 Grantor(s): 1. DBC#1 LLC 2. Andrew R. Dempsey Grantee(s): t. DBC#1 LLC 2. Andrew R. Dempsey Legal Description:Parcels involved in the adjustment are currently legally described as follows(include Assessor's Property Tax Parcel Account Numbers): Parcel A: APN 721-174-024; Tax 9 within Section 17,Township 27 North,Range 1 East,WM Parcel B: APN 721-174-007; Tax 4 within Section 17,Township 27 North,Range 1 East,WM SEE EXHIBIT A Boundary line subject to adjustment described as follows(new legal description): SEE EXHIBIT B The nature of the adjustment is described as follows: Attach that portion of Tax 9 lying north of Thorndyke Road right-of-way to all of Tax 4. STATEMENT OF INTENT: Your request for a Boundary Line Adjustment(BLA) has been approved. Since no survey was submitted as part of your BLA application, the County accepts no liability for what facts a survey might have revealed. A survey might have revealed that a structure or improvement believed to be on the applicant's property is, in fact, located wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey, the applicant bears sole responsibility if such a problem arises. This recording is for the purpose of assisting with a boundary line adjustment pursuant to RCW 58.17.040(6). It does not create any additional lots, tracts, parcels, or division as the land described herein shall merge or be integrated into abutting property presently owned by the proponent. Nor does the boundary line adjustment result in any lots, tracts, parcels, or division which contain insufficient area and dimension to meet minimum County and sanitation requirements for width and ar-`or a building site. (Proponents' signature) aged t?- 44evirAirGL Cepiieet.0`-Z =rL STATE OF WASHINGTON �` COUNTY OF-JEFF On OJJ OL k ) , 20LS personally appeared I/FiJ Peg4 ' e - ,gr1O GfneAsS ? , iPreY and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that she executed it. WITNESS my hand and official seal this allay of (JJ-) , 20 I S `',sspeOeae9aso°°,6 Notaryc:\r..Dfl_ c in and for the Stat f ashington, •.••�J:' OM►�' * Ift, �' % Residing at NOTARY cps 1`J I 'oU6LIG (5Z1 °°°j°e�WA lii 0,0 This boundary line adjustment has been reviewed and approved by the Jefferson County Development Review Division. 01 6 Associate/Assist. s ' . er Date STATEMENT OF INTENT: Your request for a Boundary Line Adjustment(BLA) has been approved. Since no survey was submitted as part of your BLA application, the County accepts no liability for what facts a survey might have revealed. A survey might have revealed that a structure or improvement believed to be on the applicant's property is, in fact, located wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey, the applicant bears sole responsibility if such a problem arises. This recording is for the purpose of assisting with a boundary line adjustment pursuant to RCW 58.17.040(6). It does not create any additional lots, tracts, parcels, or division as the land described herein shall merge or be integrated into abutting property presently owned by the proponent. Nor does the boundary line adjustment result in any lots, tracts, parcels, or division which contain insufficient area and dimension to meet minimum County and sanitation requirements for width and area for a buildin• site. (Proponents' signature) /4�l.e.)/( D`.0 f0.s V. STATE OF WASHINGTON COUNTY ''OF JEFFERSON � `V V On aft)lo'-'i , 20 1 personally appeared pro - - /�it/,�„4� iQ. ,l�in?�' and ved to me on_ the basis of- satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that she executed it. WITNESS my hand and official seal this flay of ak)(61 ,20_5 •67..n. 'La .+csso Notary P blit in and .Qr the Sat of ashington, •'`�, 0 co: i•�'.. ''•y Residing at Q � D m ��9� :Gtr . tri S 1 Is-) 1 S so-4szic . •/„hS`wix.``0 This bonn.ary line adjustment has been reviewed and approved by the Jefferson County Development Review Division. Associate/Assis.. ' anner Date Exhibit B New Parcel A: That portion of Government Lot 2, Section 17,Township 27 North,Range 1 E. W.M. in Jefferson County Washington described as follows: Beginning at the East Quarter Corner of said Section 17,thence along the East West Centerline thereof South 89 degrees 47' 42"W 2,173.33 feet,then S 0 degrees 42' 21"W 823.55 feet to the County Road Right-of-Way,then S 0 degrees 42' 21"W 72.54 feet to the Southerly County Road Right-of-Way to the True Point of Beginning,then S 0 degrees 42' 21"W 1,190.55 feet to the Balanced Government Meander Line,then S 72 degrees 36' 11"W 28.62 feet along said Meander Line,then S 51 degrees 40' 22"W 97.47 feet continuing on said Meander Line,then N 0 degrees 42' 21"E 1,190.93 feet to the County Road Right of Way,then N 56 degrees 31' 25"E 124.42 feet to the True Point of Beginning. New Parcel B: That portion of Government Lot 2, Section 17,Township 27 North,Range I E. W.M. in Jefferson County Washington described as follows: Beginning at the East Quarter Corner of Said Section 17,thence along the East West Centerline thereof South 89 degrees 47' 42"W 2,173.33 feet to the True Point of Beginning,then S 0 degrees 42' 21"W 823.55 feet to the county road Right of Way, then S 56 degrees 31' 25"W 124.42 feet along said Right of Way,then N 0 degrees 42' 21"E 128.94 feet,then S 89 degrees 47' 42" W 285.32 feet,then N 0 degrees 42' 21"E 763.41 feet,then N 89 degrees 47' 42"E 388.34 feet to the True Point of Beginning. EXi. N 181 r A -1-r-ic a x ST) 7 Foe\gc Ls q ' D : 1'.111"1111'111:•:-.• 5 b THIS IS A PREL'MINARY MAP, DRAWN USING THE THEORETICAL .a J... >.F.:::?> .:.....9..-.:,. PERFECT SECTION DIMENSIONS. VERY UTILE RESEARCH HAS BEEN PERFORMED IN THE MAPPING OF THIS SECTION. O /I (NE 1/4 17-27N-IE) o / k O yN a O N O C ^ a x; h N 6 x P r 1 O N h \ ry� \ ►11721174007 o d d 3 x TAX 4 o m m TM 7 TAX 6 rp r 4'92 a- - - 1.58 a. 1.46 0. x -J - WTM(9 U 1.9Y NN 14 X x QA ro c X / •' (TAX 4) tl /1 4 / , 721174005 , �OR�1Oa a / 2 m TAX 3 (N OF CO 40) d0 1.45 0. \ 0 1. a '7 2 o N ',',1 N r.{ 3 v • 5" Y10O i N to 0! O a x x n n- vl r ' a on - fx,� V F, O (T nYn N f_O n = {� 721174008 V T1 n TAX 15& r TAX 9 TL 8 I . 721174006 2.64 o. 5.63 0. \ TAX 3 o e (S OF CO RD) $ o c 01 3 7.43 o. - N n 4 Ti( x e r 6 naIn Y F /' ''oIt.Ng^ o4 as :r � nF MAP SCALE GIVEN UNDER THE NORTH ARROW IS 1 FOR THE ORIGINAL DRAWING ONLY. 1 1 1 8 THIS COPY MAY BEA REDUCED OR ENLARGED1 1 1 N ry 1 <7A3 DO REPRODUCTION. -1; 1 PLEASE REFER TO THE SCALE BELOW. 1 } 72117402111 , 1 1 1 -f.,,, f;.1, 1 A8 CREW 1 1 1 1 1 �1 TA 1 1 yi '• 1 C.1„, 1 0 100X 200X 400% 600X 800X ; ( 1 9011 ,, 11 1 ! 1Ili I1l1i1 + ISI + ISI CA 1 G1o1 1 FOR ORIGINAL MAP SCALE: 1" = 100 X = 1/2 FOOT 1 ,Da 1 $ 1 2 1 HOOD -4 1 , 1 r' 1" = 200' X e 1 F007 I- = 400- X = 2 FOOT 11 20 ry 11 721174020 c:: A7 (4,43 CH I 1 THE ASSESSOR DOES NOT IN ANY WAY GUARANTEE THE ACCURACY OF THE ACREAGE AND PARCEL BOUNDARIES DEPICTED ON THESE MAPS. PARCEL SIZE AND LOCATION IS RASED ON INFORMATION AVNLABLE, INCLUDING RECORDED SURVEYS, LEGAL DESCRIPTIONS, AERIAL PHOTOGRAPHS. AND VARIOUS GOVERNMENT SOURCES. WHERE THIS INFORMATION IS 1404 INSUFFICIENT. PARCEL BOUNDARY LOCATIONS (NE 74 20-27N-1E) ARE ESTIMATED. PARCEL MAPS ARE UPDATED FREQUENTLY. PLEASE , gKNi,3i1-- -5 rje Rest) }T4,sr -Fgs2ceus i.ioiimtviv.ii,mii,,iii ,;,i,Hi: :ms! !,-; ,.:ii:,m,m-,:m.-,i!];m1!..;i: a : < F I.. : o < - n > 1O i> > � THIS IS A PRELIMINARY MAP, DRAWN USING THE THEORETICAL :iI' gx.. '.... � . . :' .. : 3i •✓. •'^> :. PERFECT SECTION DIMENSIONS. VERY LITTLE RESEARCH HAS BEEN PERFORMED IN THE MAPPING OF THIS SECTION. (NE 1/4 17-27N-1E) Q, crWO/ITil / - d y O h\ O ,c,', h m '4f3 O O ti m I O • J 0 721174007 yNi / 66 4i m - TAX 4 4V / O '� m TAX 7 TAX 6 m 4D2 0. / 1.58 a. 1.48 a. W t TAX/ Q1.87 u / / `� (TAX 4) � � .. �pPO ....."1<\\1 Ye 4� / e 6 721174005 pElo mn m TAX 3 q (N OF CO RD) / c P ^ c 1.45 0. a ` \ ,/ ✓ C 3 \ n 77% , W Z: a " m m 90 h n w 'a' ''%-c X NNQ 8 L a i ,—, - F nhi- Op3 Pin F.--,1, z , Y 1 ,z O `I. hrM N ` GO n n 721174008 h TAX 15 8 gAX9 TLB X 721174006 112.64 RI 5.63 o. \ TAX 3 4 / 6 6 3 7.4,3 OFa CO RD) l i . m C'` \ a' V ,. e n t U` a a o VA g g 0(An43nb .= \ 5ro^on 1.1.v ///^' atl A h.- 1 1 MAP SCALE GIVEN UNDER THE NORTH ARROW IS l 3A 1 1 1 B FOR THE ORIGINAL DRAWING ONLY. THIS COPY MAY BE A REDUCED OR ENLARGED k Ikp 1 1 (7.23 Ch) REPRODUCTION. l tO*. 1 ( "151 1 PLEASE REFER TO THE SCALE BELOW, l • \ 1 ( a - 1 \ 721174021 ( 'J N \ l \ D N AB (REV) 1 •• `1 l\ \ v \ > j\\\^f 11(2.72Cn) 11 3 I 1 \ : \ 5 s.. c 1 0 100X 200)( 400X 600X 800X \ y"\ .- \ c11.11\ �� IIIIIIIIIIIIIIIIIII 1 1 aP \ a \02 \ ni 1 FOR ORIGINAL MAP SCALE: IT = 100' X = 1/2 FOOT i m 1 i'). 11 i 1 HOOC) 1' = 200' X = 1 FOOT r . 400' X = 2 FOOT: Intl1 m 63 721174020 .__. ___ _,.... .... A7 (4.43 CH) 1 s THE ASSESSOR DOES NOT IN ANY WAY GUARANTEE THE ACCURACY OF THE ACREAGE AND PARCEL BOUNDARIES DEPICTED ON THESE MAPS. PARCEL SIZE AND LOCATION IS BASED ON INFORMATION AVAILABLE. INCLUDING RECORDED SURVEYS. LEGAL DESCRIPTIONS, AERIAL PHOTOGRAPHS. AND VARIOUS GOVERNMENT SOURCES. WHERE THIS INFORMATION IS INSUFFICIENT. PARCEL BOUNDARY LOCATIONS (NE '/4 20-27N-1E) ARE ESTIMATED. PARCEL MAPS ARE UPDATED FREQUENTLY. PLEASE Department of rek Revenue Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.15 RCW—CHAPTER 458-61A WAC when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED (See back of last page for instructions) ❑ Check box if partial sale of property If multiple owners,list percentage of ownership next to name. SName DBC#1 I I C El Name Andrew R.Dempsey oro 10 Mailing Address 1301 SDrina St.Unit 295 Mailing Address 169 Aloha St. v, City/State/Zip Seattle.WA 98104 m u City/State/Zip Seattle.WA 96109 Phone No.(including area code)(706)324-6915 Phone No.(including area code),(206)389-4414 ® Send all property tax correspondence to:QSame as Buyer/Grantee List all real and personal property tax parcel account List assessed value(s) numbers—check box if personal property Name 721174007 rl 835.680 Mailing Address 771174074 n $138,610 City/State/Zip n Phone No.(including area code) n oStreet address of property: 2251 Thomdyke Road,Port Ludlow,WA 98365 This property is located in Jefferson County ❑Check box if any of the listed parcels are being segregated from another parcel,arc part of a boundary line adjustment or parcels being merged. Legal description of property(if more space is needed,you may attach a separate sheet to each page of the affidavit) See Attached Statement of Intent USelect Land Use Code(s): IIII List all personal property(tangible and intangible)included in selling 91-Undeveloped land(land only) price. enter any additional codes: (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption ordefenal under 0 0 chapters 84.36,84.37,or 84.38 RCW(nonprofit orgamzation,senior citizen,ordisabled person,homeowner with limited income)? ® YES NO If claiming an exemption,list WAC number and reason for exemption: Is this property designated as forest land per chapter 84.33 RCW? WAC No.(Section/Subsection) 458-61A-109 Is this property classified as surreal use(open space,farm and ❑ CI agiodltunl,or timber)land per chapter 84 34 RCW? Reason for exemption BLA Is this property receiving special valuation as historical pope ty 0 0 per chapter 84.26 RCW? If any answers are yes,complete asmshmcted below. Type of Document BLA (I)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document 8/27/15 classification as current use(open space,farm and agriculture,or timber)land, you must sign on(3)below.The courtlythen assessor must determine if the Gross Selling Price $ land transferred continues to qualify and will indicate by signing below.If the "Personal Property(deduct) $ land no longer qualifies or you do not wish to continue the designation or Exemption Claimed(deduct) $ classification,it will be removed and the compensating or additional taxes will • be due and payable by the seller for transferor at the time of sale.(RCW Taxable Selling Price S 0.00 84 33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax:State $ 0.00 your local county assessor for more information. 0.0050 Local S 0.00 This land ❑does ❑does not qualify for continuance. "Delinquent Interest:State S Local $ DEPUTY ASSESSOR DATE *Delinquent Penalty $ (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) Subtotal $ 0.00 NEW OWNER(S):To continue special valuation as historic property, sign(3)below.If the new owner(s)does not wish to continue,all *State Technology Fee $ 5.00 additional tax calculated pursuant to chapter 8126 RCW,shall be due and payable by the seller or transferor at the time of sale. "Affidavit Processing Fee $ (3) OWNER(S)SIGNATURE Total Due $ 10.00 PRINT NAME A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX "SEE INSTRUCTIONS I CERTIFY UNDE P ,, TY OF PERJURY THAT THE FOREGOING IS TRUE RECT. rntore ofSit �/ _, rture of Grantor or Grantor's��npAgent, r"'c"�' Grantee or Gr ntee's Ag t j Name(print) •Mli47J 44Pse7-- #4(7p Arfi� Name(print) �t1 Fy, � -17t Date&city of signing:/.7.. v 7 Date&city of signing:1.741_04_2 _,'a Perjury:Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years,or by a fine in an amount fixed by the court of not more than five thousand dollars($5,000.00),or by both imprisonment and fine(RCW 9A10.020(IC)). REV S4 0001 a(09/22/15) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER Colleen Zmolek From: Colleen Zmolek Sent: Thursday, December 03, 2015 1:23 PM To: 'bp.dempsey@att.net' Subject: MLA15-00040 BLA final steps Attachments: Real EstExTxAffid M LA15-00011_E.pdf December 3, 2015 Brian Dempsey 1301 Spring Street Unit 295 Seattle, WA 98104 RE: MLA15-00040/SUB 15-0011 Dear Mr. Dempsey, This is regarding boundary line adjustment for parcels 721174024 and 721174007. Prior to issuing the permit: Submit to Jefferson County Department of Community Development: • $79 check made out to the Jefferson County Auditor's office for recording the statement of intent. ($73 for the first page and $1 for each additional page.) • $10 check made out to the Jefferson County Treasurer's office for filing the Real Estate Tax Affidavit (REET) • A REET has been attached for your review and signatures. Below are the final steps that I will complete: • Issue the permit. • File the REET at Treasurer's office. • Record the statement of intent at the Auditor's office. • I will mail you a copy of recorded statement of intent (SOI). Forward a copy of the SOI to Assessor. I look forward to meeting with you next week. Please let me know what time you will be stopping by and I will make sure I am available to meet with you. Sincerely, Correen Zmolek Associate Planner Department of Community Development Jefferson County 360.379.4462 1 12/3/2015 CCciGig Conditions Associated With 10:36:24AM Case#: SUB15-00011 Condition Status Updated Code Title Hold Status Changed By Tag Date By 2001 C-TAXES PAID None NOT MET 11/2/2015 MKF3 CONSISTENT WITH RCW 84.56.345,CURRENT YEAR AND ALL DELINQUENT PROPERTY TAXES INCLUDING COMPENSATING TAX FROM OPEN SPACE PROGRAM SHALL BE PAID IN FULL PRIOR TO RECORDING THE STATEMENT OF INTENT. 2001 C-RECORDING None NOT MET 11/2/2015 MKF3 The Statement of Intent recording fee is$78 payable to the Jefferson County Auditor and shall be submitted to the Department of Community Development. (A Real Estate Excise Tax Affidavit will need to be signed and dated for the Statement of Intent, see attached form). A$10 Excise Tax fee(payable to the Jefferson County Treasurer)shall also be submitted with the signed and dated Real Estate Excise Tax Affidavit and the$78 Auditor's recording fee. 2001 C-APPROVAL FOR None NOT MET 11/2/2015 MKF3 This approval is for a Boundary Line Adjustment only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 2001 C-APPROVAL NOT A GUARANTEE None NOT MET 11/2/2015 MKF3 Approval of this Boundary Line Adjustment does not guarantee the approval of any future county permits and/or approvals. 2001 C-FOREST LAND DISCLOSURE None NOT MET 11/2/2015 MKF3 Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local,state,and federal laws. If your real property includes or is within five hundred(500)feet of real property designated as Rural Residential 1:10 or 1:20,Rural Industrial,Rural Commercial,Agriculture,or Forestry,you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise,tree removal,odors,flies,fumes,dust,smoke,the operation of farm and forestry machinery during any 24-hour period,the storage and disposal or manure,and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 7001 F-CONSISTENT WITH None NOT MET 11/2/2015 MKF3 The proposal complies with JCC Title 18.35.060.1(a)in that the proposal is to enlarge Tax 4 with that portion of Tax 9 lying north of Thorndyke Road right-of-way. Consistent with JCC Title 18.35.060.2(a),the proposal will not create an additional lot,tract,or parcel. Consistent with JCC Title 18.35.060.2(b),the proposal is not within a binding site plan. Consistent with JCC Title 18.35.060.2(c),the proposal will not relocate an entire lot,tract,or parcel from one parent parcel into another parent parcel. Consistent with JCC Title 18.35.060.2(d),the proposal does not cross zoning district boundaries. Each parcel is zoned RR 1:5. Consistent with JCC Title 18.35.060.2(e),the proposal is not inconsistent with any restrictions or conditions of approval for a recorded short plat or long plat. The proposal will not circumvent the short subdivision or long subdivisionprocedures. Consistent with JCC Title 18.35.060.2(f),the proposal will not separate an Accessory Dwelling Unit from the primary use of the property. 7001 F-SEPA EXEMPT None NOT MET 11/2/2015 MKF3 Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA)pursuant to WAC 197-11-800(2)(j). 7202 F-Confirmed ESAs None NOT MET 11/2/2015 MKF3 The application was reviewed by the Jefferson County Department of Community Development staff on July 7,2015 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:conservancy shoreline designation;intermediate/unstable shoreline slope stability;moderate landslide hazard area,SUSC aquifer recharge area;coastal SIPZ. Page 1 of 2 CaseConditions_`pt 12/3/2015 CGEL, Conditions Associated With 10:36:24AM Case#: SUB15-00011 Condition Status Updated Code Title Hold Status Changed By Tag Date By 7208 F-Geohazard Area None NO I' ME'I" 11/2/2015 MKF3 Geologically Hazardous Areas in Jefferson County are characterized by slope,soil type,geologic material,and groundwater that may combine to create problems with slope stability,erosion,and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 7754 ZONING None NOT MET 11/2/2015 MKF3 The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 7760 F-General PMT Notice None NOT MET 11/2/2015 MKF3 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. Page 2 of 2 CaseConditions..rpt Jefferson County Assessor & Treasurer - Property Details - 70 A... Page 1 of 2 Jefferson County Assessor & Treasurer 19170 ANDREW R DEMPSEY for Year 2014- 2015 Property Account Property ID: 19170 Legal Description: S17 T27 R1E TAX WITH EASEMENT Parcel Number: 721174007 Agent Code: Type: Real Tax Area: 0231-1-49F3E3H2L1 Land Use Code 91 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: 27N Section: 17 Range: 1E Location Address: Mapsco: Neighborhood: S17-S20 T27N R1E&THORNDYKE BAY SHORT PLATS 1-4 Map ID: Neighborhood CD: 3440 Owner Name: ANDREW R DEMPSEY Owner ID: 14404 Mailing Address: 169 ALOHA ST %Ownership: 100.00000000003 SEATTLE,WA 98109-3716 Exemptions: Taxes and Assessment Details Property Tax Information as of 12/03/2015 Amount Due if Paid on: NOTE:If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. Year ,Statement ID • First Half Second Hair' Penalty Interest Base Paid Amount Due Base Amt. ; Base Amt. {►Statement Details 2015 8999 $214.99 $214.41 $0.00 $0.00 $429.40 $0.00 I Statement Details 2014 9068 $209.79 $209.22 $0.00 $0.00 $419.01 $0.00 Values (+)Improvement Homesite Value: + $0 (+)Improvement Non-Homesite Value: + $0 (+)Land Homesite Value: + $0 (+)Land Non-Homesite Value: + $35,680 (+)Curr Use(HS): + $0 $0 (+)Curr Use(NHS): + $0 $0 (_)Market Value: _ $35,680 (—)Productivity Loss: — $0 (=)Subtotal: _ $35,680 (+)Senior Appraised Value: + $0 (+)Non-Senior Appraised Value: + $35,680 http://trueweb jeffcowa.us/propertyaccess/Property.aspx?cid=0&y... 12/3/2015 Jefferson County Assessor & Treasurer - Property Details - 83 D... Page 1 of 2 Jefferson County Assessor & Treasurer 19183 DBC#1 LLC for Year 2014- 2015 Property Account Property ID: 19183 Legal Description: S17 T27 R1E TAX Parcel Number: 721174024 Agent Code: Type: Real Tax Area: 0231-1-49F3E3H2L1 Land Use Code 91 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: 27N Section: 17 Range: 1E Location Address: Mapsco: Neighborhood: S17-S20 727N R1E&THORNDYKE BAY SHORT PLATS 1-4 Map ID: Neighborhood CD: 3440 Owner Name: DBC#1 LLC Owner ID: 14261 Mailing Address: %BRIAN/CAIRNSDEMPSEY %Ownership: 100.00000000009 1301 SPRING ST APT 29J SEATTLE,WA 98104-1354 Exemptions: Taxes and Assessment Details Property Tax Information as of 12/03/2015 Amount Due if Paid on: NOTE:If you plan to submit payment on a future date, make sure you enter the date and dick RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid ! Amount Due Statement Details 2015 9012 $770.50 $770.39 $0.00 $0.00 $1540.89 $0.00 :►Statement Details 014 9081 $771.97 $771.91 $0.00 $0.00 $1543.88 $0.00 Values (+)Improvement Homesite Value: + $0 (+)Improvement Non-Homesite Value: + $0 (+) Land Homesite Value: + $0 (+) Land Non-Homesite Value: + $138,610 (+)Curr Use(HS): + $0 $0 (+)Curr Use(NHS): + $0 $0 (=)Market Value: _ $138,610 (—)Productivity Loss: — $0 (=)Subtotal: _ $138,610 (+)Senior Appraised Value: + $0 (+)Non-Senior Appraised Value: + $138,610 http://trueweb.j effcowa.us/propertyaccess/Property.aspx?cid=0&y... 12/3/2015 g0N c, Jefferson County `1.! ��- Assessor's Office THE HEART OF THE . + OLYMPIC PENINSULA www.cojefferson.wa.us ' !!t N6C° Jeff Chapman, Assessor MEMO from the Office of JEFFERSON COUNTY ASSESSOR TO: Colleen Zmo'eh, DCD FROM: She-r i,e,Sho ', Property Opeeat on DATE: December 3, 2015 RE: MLA15-40 DBC#1 LLC (Dempsey) MESSAGE: Colleen, All of my concerns have been addressed. Ready for recording on our side. I figured out why I could not locate the packet, we had it filed by the LLC name, and I thought Dempsey was another review.-Yikes! P.O.Box 1220,Port Townsend,WA 98368 - Phone(360) 385-9105 - Fax(360) 385-9197 Colleen Zmolek From: Colleen Zmolek Sent: Thursday, December 03, 2015 7:55 AM To: Sherrie Shold Subject: MLA15-00040 DB1 Dempsey Attachments: mla15-00040 DB1 Dempsey_001.pdf Hi Sherrie, Attached revised legal descriptions for Michelle's case. She must have sent them on one of the days our servers were down. Please let me know if you need anything else. Thank you, C'o((een Zmo(ek Associate Planner Department of Community Development Jefferson County 360.379.4462 Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.-4:3o p.m.Monday to Thursday,closed Fridays. 1 Colleen Zmolek From: Colleen Zmolek Sent: Thursday, November 19, 2015 11:21 AM To: Sherrie Shold;Charlotte Stockard Subject: DB1 BLA MLA15-00040 Hi Charlotte and Sherrie, Michelle will be out of the office and is expected to return on December 14. Michelle has asked me to follow upon any comments on the following application. Could you forward me any comments on MLA15-00040 that Michelle sent you. (BLA, Applicant DB1, parcel 72117024, site address 2251 Thorndyke Road.) I will be out of the office starting tomorrow and the week of Thanksgiving and return on Monday, November 30. Hope to issue some permits before my last day at DCD on December 20! Have wonderful Thanksgiving! Thank you, Co((een Zmo(ek Associate Planner Department of Community Development Jefferson County 360.379.4462 Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.-4:3o p.m. Monday to Thursday,closed Fridays. 1 Michelle Farfan From: Sherrie Shold Sent: Monday, October 19, 2015 12:26 PM To: Michelle Farfan Subject: RE: DBH1, LLC Boundary Line Adjustment ; MLA15-00040/SUB15-00011 Attachments: DBC.pdf Michelle, I have completed my review and the following are my comments. I'm sure you have already marked this for correction but here are my comments. SOI-page 1, perhaps the applicant misunderstood my previous comment when I said the Grantor and Grantee should be the same, I intended for that to indicate both DBC#1 and Andrew R. Dempsey must be listed, as they each own a parcel. Another correction I noted was the parcel numbers need to be listed under Legal descriptions involved in Adjustment, then "See Exhibit A" for description. Resultant Descriptions— It seems a little funky to describe the resultant parcels two different ways; if they choose to leave both methods on the page, the following corrections should be made for Parcel B. Remove 1 &2 at the beginning of each description and remove and, and replace it with TOGETHER WITH. This concludes my review, please contact me with any questions you may have. .sherrie Sherrie Skold Propertu� operatiows jeffersow aouwtu Assessor's o f frce 360-385,1°105 sshoLol® ojeffersow.wa.us From: Michelle Farfan Sent: Monday, October 19, 2015 10:46 AM To:Sherrie Shold<SShold@co.jefferson.wa.us> Subject: DBH1, LLC Boundary Line Adjustment; MLA15-00040/SUB15-00011 Morning Sherrie: I was wondering if you had any additional comments regarding this BLA? I received an email from Charlotte this morning that said she was good with the 2nd revision. Please let me know at your earliest convenience. Thanks much Sherrie! Michelle Farfan Consultant DCD 1 New Parcel B: To include two legally described parcels: )<That portion of the East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 E.W.M., in Jefferson County, Washington lying North of the county road. — - ETHE2 W -( The Northern 5 acres of the West 15 acres of Government lot 2, Section 17, Township 27 North, Range 1 E.W.M., in Jefferson County, Washington. With a metes and bounds description as follows: That portion of Government Lot 2, Section 17, Township 27 North Range 1 E.W.M. in Jefferson County Washington described as follows: Beginning at the East Quarter Corner of said Section 17, thence along the East West Centerline thereof South 89 degrees 47' 42" W 2,173.33 feet to the True Point of Beginning,then S 0 degrees 42' 21"W 823.55 feet to the County Road Right of Way,then S 56 degrees 31' 25"W 124.42 feet along said Right of Way,then N 0 degrees 42' 21" E 128.94 feet,then S 89 degrees 47' 42"W 285.32 feet, then N 0 degrees 42' 21"E 763.41 feet,then N 89 degrees 47' 42"E 388.34 feet to the True Point of Beginning. Legal descriptions for Exhibit B the resultant parcels New Parcel A: Legally described as: That portion of the East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 E.W.M., in Jefferson County, Washington lying South of the county road. With a metes and bounds description as follows: That portion of Government Lot 2, Section 17,Township 27 North Range 1 E.W.M. in Jefferson County Washington described as follows: Beginning at the East Quarter Corner of said Section 17,thence along the East West Centerline thereof South 89 degrees 47' 42" W 2,173.33 feet , then S 0 degrees 42' 21"W 823.55 feet to the County Road Right of Way, then S 0 degrees 42' 21" W 72.54 feet to the Southerly County Road Right of Way to the True Point of Beginnings then S 0 degrees 42' 21" W 1,190.55 feet to the Balanced Government Meander Line, then S 72 degrees 36' 11" W 28.62 feet along said Meander Line,then S 51 degrees 40' 22"W 97.47 feet continuing on said Meander Line,then N 0 degrees 42' 21" E 1,190.93 feet to the County Road Right of Way,then N 56 degrees 31' 25" E 124.42 feet to the True Point of Beginning. AFTER RECORDING MAIL TO: Name: DBC #1, LLC C/O Brian Dempsey Address: 1301 Spring Street,Unit 29-J city/state:Seattle,WA 98104 Boundary Line Adjustment MLA15-00040/SUB15-00011 Grantor(s): 1. 4C#1 L. Grantee(s): 1. DBC#1 - 4444414) Legal Description:Parcels involved in the adjustment are currently legally described as follows(include Assessor's Property Tax Parcel Account Numbers): Parcel A: APN 721174024; Tax 9 within Section 17,Township 27 North,Range 1 East,WM ; Parcel B: APN 721174007,Tax 4 within Section 17,Township 27 North,Range 1 East,WM (See Exhibit A) Boundary line subject to adjustment described as follows(new legal description): (See Exhibit B) The nature of the adjustment is described as follows: Attach that portion of Tax 9 lying north of Thorndyke Road right-of-way to all of Tax 4. AFTER RECORDING MAIL TO: la' s-f/ 44 Name: �r141v,/ �fe/Y)vs`eyy/ Address: 4fe/ 5/4 Sr may/ /r .21 City/State: 152.19-file _.._e(„).4- 9 /Q1- Boundary Line Adjustment—Lot Consolidation Grantor(s): 1. Dee- j 2. Grantee(s): 1.z).,tre 2. Legal Description:Parcels involved in the adjustment are currently legally described as follows(include Assessor's Property Tax Parcel Account Numbers): Parcel A: See. 477-11-c,d1e0 4C1eXtie,e 4. Parcel B: See Sf- (i -c,re 7 .X/ir3,' A Parcel C: Parcel D: Boundary line subject to adjustment described as follows(new legal description): Attrot c ep i7— 5 The nature of the adjustment is described as follows: WO ' JEFFERSON COUNTY 4; � 1' "�a DEPARTMENT OF COMMUNITY DEVELOPMENT .,.f;,N,, ". 621 Sheridan Street, Port Townsend,WA 983681 Web:www.co.Jefferson.wa.uslcommunitvdevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd anco.jefferson.wa.us SquargONE Resource C nterjBuilding Permits&Inspections I Development Review I Long Range Planning s� c- .6/,',5 .Sprtpmber R 221115 Dear Re aler, C l a rL (9)41e..—• RE: MLA15-00040 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may otherwise be affected by the following proposal: BOUNDARY LINE ADJUSTMENT to attach that portion lying north of Thorndyke Road to Tax 4 Location: Parcel Numbers: 721174024 &721174007; 2251 Thorndyke Road, Port Ludlow, WA within Section 17, Township 27 North, Range 1 East, WM Comments must be received within fourteen (14)calendar days or by September 22, 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, Michelle Farfan Michelle Farfan cc:, 11tidemark\data\forms\F_MLT_ReviewerLtr.rpt 9/8/2015 , 6n1uW- JEFFERSON COUNTY • i _ DEPARTMENT OF COMMUNITY y ^\� DEVELOPMENT 't'' 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitydevelopment Tel: 360.379.4450 I Fax: 360.379.4451 I Email:dcd@co.iefferson,wa.us QSggareONE Resource Center I Building Permits&Inspections I Development Review I Long Range Planning ::ar Q/.Rr, ___41..A.A,C(L) RE: MLA15-00040 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may otherwise be affected by the following proposal: BOUNDARY LINE ADJUSTMENT to attach that portion lying north of Thorndyke Road to Tax 4 Location: Parcel Numbers: 721174024 & 721174007; 2251 Thorndyke Road, Port Ludlow, WA within Section 17, Township 27 North, Range 1 East, WM Comments must be received within fourteen (14) calendar days or by September 22, 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, Michelle Farfan Michelle Farfan cc:, 11tidemark\data\forms\F_MLT_ReviewerLtr.rpt 9/8/2015 JEFFERSON COUNTY _r'( DEPARTMENT OF COMMUNITY -- DEVELOPMENT 621 Sheridan Street, Port Townsend,WA 98368 I Web:ww\Ar.calefferson.wa.us/communitydevelopment Tel: 360.379.4450 I Fax:360.379.4451 I Email:dcdco.lefferson.waus SquareONE Resource Center I Building Permits&Inspections I Development Review I Long Range Planning September 8, 2015 Dear Reviewer, RE: MLA15-00040 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may otherwise be affected by the following proposal: BOUNDARY LINE ADJUSTMENT to attach that portion lying north of Thorndyke Road to Tax 4 Location: Parcel Numbers: 721174024 & 721174007; 2251 Thorndyke Road, Port Ludlow, WA within Section 17, Township 27 North, Range 1 East, WM Comments must be received within fourteen (14) calendar days or by September 22, 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, Michelle Farfan Michelle Farfan cc:, 11tidemark\data\forms\F_MLT_ReviewerLtr.rpt 9/8/2015 JEFFERSON COUNTY T4s °° ='0.; DEPARTMENT OF COMMUNITY DEVELOPMENT � 'e,;' 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment • ,i N:1' Tel:360.379.4450 I Fax: 360.379.4451 I Email:dcde.co.iefferson.wa.us SquareoNE Resource Center I Building Permits&Inspections I Development Review i Long Range Planning September 28, 2015 DBC#1 LLC %BRIAN/CAIRNS DEMPSEY 1301 SPRING ST APT 29J SEATTLE WA 98104-1354 RE: SITE ADDRESS: 2251 THORNDYKE RD CASE#: MLA15-00040 Dear DBC#1 LLC: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. III I have received the following comments from the Assessor's Office regarding this boundary line adjustment: 1. The Grantor and Grantee should read the same. 2. The resultant description for Parcel B was not included. 3. The legal descriptions need to be split into two exhibits: Exhibit A should be the existing parcels, and Exhibit B should be the resultant parcels. 4. The description for revised Parcel A has a type-the first bearing call should be "South 89 degrees 47'42" W—not E. Please make the above corrections and re-submit for re-review. Please submit the above information to the Department of Community Development within 90 days of the date of this letter which would be 12/27/2015. As required by Jefferson County Code, JCC 18.40.110(3)and (6), if the information is not submitted or additional time to submit the required information within the ninety (90) calendar day period is not requested, the application would be considered abandoned and therefore withdrawn and application fees will be forfeited. Jefferson County Code provides that the Department of Community Development shall not be responsible for notifying the applicant of an impending expiration, thus any further notification would not be forthcoming. Sincerely, dile telie 7a Department of Community Development Staff , OFFICE OF THE JEFFERSON COUNTY ASSESSOR Jeff Chapman, Assessor September 15, 2015 RE: MLA15-00040- Dempsey Michelle, After reviewing the proposed action, I have the following comments: 1. The legal descriptions need to be split into two exhibits: Exhibit A should be the existing parcels, and Exhibit B should be the resultant parcels. (See attached for formatting.) 2. The revised (resultant) legal description only describes revised Parcel A.The resultant legal description for revised Parcel B is not listed. 3. The description for revised Parcel A has a typo—the first bearing call should be "South 89 degrees 47'42"W"—not E. SURVEYORS PLEASE NOTE: This office tries to catch all errors and inconsistencies in the survey and legal descriptions submitted for our review but do not always find every issue. Please be sure to re-review you work so that we all have less frustration in trying to get these projects through to completion. Please let me know if you have any questions or comments. Thank you, Charlotte Stockard GIS Analyst cstockard@co.jefferson.wa.us Jefferson County Assessor's Office THE HEART OF THE y - OLYMPIC PENINSULA w�vw.co.jefferson.wa.us 9sx11 NGKQ Jeff Chapman, Assessor MEMO from the Office of JEFFERSON COUNTY ASSESSOR TO: Michelle Farfan, DCD FROM: ST ef-rC.e'Shotdi, property Ope,rct.tIo+ DATE: September 19, 2015 RE: DBC#1 LLC/DEMPSEY MLA15-00040 MESSAGE: Michelle, I have completed my review of the above MLA and the following are my comments. 1). The Grantor and Grantee should read the same 2). The resultant description for Parcel B was not included. 3). I assume because this began as a possible road division, and now a road division/consolidation there will be no survey? 4). Please remind the applicants once approved, DBC#1,LLC will need to deed that portion lying N'ly of Thorndyke Road to Andrew Dempsey to complete the consolidation. Please contact me if you should have any questions on my comments. P.O.Box 1220,Port Townsend,WA 98368 - Phone(360)385-9105 - Fax(360) 385-9197 -iresON co JEFFERSON COUNTY h ,�� DEPARTMENT OF COMMUNITY DEVELOPMENT ��1'* 621 Sheridan Street • Port Townsend • Washington 98368 gSNG'S 360/379-4450 360/379-4451 Fax Boundary Line Adjustment (BLA) Supplemental Application MLA# 1 5 L O PROJECT/APPLICANT NAME: , -AA] A Submittal Requirements A completed Master Permit Application. Representative authorization is required if application is not signed by owner. Boundary Line Adjustment application fee, as set forth in the Jefferson County Fee Ordinance,as amended. Va. A single application may be submitted for multiple BLAs for adjacent parcels, lots,tracts or sites within a binding site plan. However, standard application fee(s) shall apply to each BLA after the first two per additional parcel, lot,tract or site 1 b. In instances of lot consolidation, standard application fee(s)shall apply based on the number of resulting parcels or lots. VThree(3)copies of a clean and legible drawing suitable for recording showing the following: a. The proposed lines for all affected lots, tracts or parcels, indicated by bold solid lines; b. The existing lot,tract or parcel lines proposed to be changed, indicated by light broken lines; c. The location and dimensions of all structures/improvements existing upon the affected lots, tracts or parcels and the distance between each such structure/improvement and the proposed boundary lines, with structures proposed to be removed from the site depicted with broken lines and structures to remain on the site depicted with solid lines; d. A north arrow indication and scale; e. All assessor's tax parcel numbers for the affected lots,tracts or parcels; f. The location of the property as to quarter/quarter section; g. The location and dimensions of any easements within or adjacent to any affected lots,tracts or parcels; h. The location, right-of-way widths, pavement widths and names of all existing or platted streets or roads,whether public or private, and other public ways within or adjacent to the affected lots,tracts or parcels; i. The area and dimensions of each lot prior to and following the proposed adjustment; j. The existing onsite sewage system components and reserve areas and the proposed location for onsite sewage systems and soil test pits for all affected lots that are not currently served by an onsite sewage system or other approved wastewater treatment system; k. The location of all existing and proposed water and storm drainage facilities; and I. The approximate location and extent of any environmentally sensitive areas designated under Article VI-D of Chapter 18.15 JCC, including any flood hazard areas lying within the existing or revised parcel boundaries. The following notice will be recorded on the drawing when the parcels that are part of the Boundary Line Adjustment include, or are adjacent to, Environmentally Sensitive Areas (ESA): Notice to Public: Current Jefferson County geographic information systems (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA) such as stream, wetland, flood, landslide hazard, erosion, aquifer recharge area, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County department of community development regarding compliance for such ESA's. Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements; m. In cases where the requirement to provide written verification that the resultant lots can accommodate on-site sewage system from the Jefferson County department of environmental health has been waived, the following notice shall be recorded on the drawing: Notice to Public: Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. G:\PermitCenterV#tFORMS###1DRD FORMS\BLA app form_07-2006.doc REV.9/18/2008 Page 1 A copy of any Covenants, Conditions and Restrictions (CC&Rs), deed restrictions, or planned rural residential development (PRRD)agreements pertaining to or affecting the property. If an individual septic system is proposed (i.e., as opposed to connection to either a community drainfield or municipal sewer system), the applicant shall provide written verification from the Jefferson County department of environmental health that the lots, tracts, parcels or sites, as each would exist after the boundary line adjustment, are adequate to accommodate an on-site sewage disposal system. The location of soil logs must be shown on the drawing to show land area sufficient to meet environmental health requirements for each resultant lot, tract, or parcel that does not contain a dwelling. An applicant may choose to apply for a Site Plan Approval Advance Determination (SPAAD)to fulfill this requirement. This requirement shall be waived for resultant parcels that: a. Are larger than 2.5 acres; b. Have existing residential structures;or c. Have limited the use of the resultant parcel to agriculture,forestry,or open space through conservation easements, restrictive covenant, or similar legal arrangement. The Open Space Tax program shall not be used to fulfill this requirement.� The application shall be accompanied by a current(i.e.,within 30 days)title company certification of the following: 1`2�-d • a. The legal description of the total parcels sought to be adjusted; b. Those individuals or corporations holding an ownership interest and any security interest (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; c. Any lands to be dedicated shall be confirmed as being owned in fee title by the owner(s)signing the dedication certificate; d. Any easements or restrictions affecting the properties to be adjusted with a description of purpose and referenced by the auditor's file number and/or recording number;and e. If lands are to be dedicated or conveyed to the county as part of the subdivision, an American Land Title Association (A.L.T.A.) policy may be required by the director of the department of public works. 1. Please provi a brief escription of the purpose of th proposed boundary line adjustment. �..fJ/l ) 2. IL) 2. Please provide Existing Legal Descriptions of all affected lots,tracts or parcels. (Attach additional sheets, if necessary.) Parcel A: -7-4, kik `7 /ky) S 117/ --/-61,7 k) / 2 I E. Parcel B: -7.(; V ( (A.)/vY� 6 / 7T 7AJ 1) le_ Pa C: P el D: G'\PermitCenlerVM#FORMS###\DRD FORMS1BLA app fam_07-2006.doc REV.9/18/2008 Page 2 • 3. Please provide Proposed Legal Descriptions of all affected lo s,tra is or parcels. (Attach additional sheets if necessary.) Parcel A: Parcel B: 4)1 raiCNd Parcel C: Parcel D: 4. All owners of the subject properties must sign the application below to signify agreement to the proposed boundary line adjustment. The applicants hereby certify that all of the above statements are true and the plot plan provides an accurate representation of the proposed boundary line adjustment, and the applicants hereby acknowledge that any permit issued on this a.. c ion may be revoked if any such statement is found to be false. a. 1= I1 ... / /i I Gyle sirs-Date: Date: g�27(.74)J 1111, b. Date: 51g. 2A, -0. c. Date: d. Date: G.1PermitCenter\###FORMS###\DRD FORMS\ELA app form_07-2006.doc REV.9/18/2008 Page 3 Form No. 14 Certificate No.:57527 Subdivision Certificate FIRST Al ERI TLE COMPANY Qfjef rson County PO Box 598 2424 South Park Avenue,Port Townsend,WA 98368 Phone:(360)385-1322 Fax:(360)385-1877 Subdivision Certificate Prepared For: Order No.: 57527 DBC# 1 LLC Charge: $ 300.00 Brian Dempsey Tax: $ 27.00 C/O Brian Dempsey Total: $ 327.00 Seattle,WA 98104-1354 In the matter of the Subdivision to be submitted for approval, this Company has examined the records of Jefferson County. This certificate is made for the purpose herein specified, and is not to be used as a basis for closing any transaction. Liability is limited to the charge made for this certificate. From such examination, the Company hereby certifies the title to the following described land, in said Jefferson County,to wit: Parcel A: East 5 acres of the West 20 acres of Government Lot 2, Section 17,Township 27 North,Range 1 East,W.M., in Jefferson County, Washington. Parcel B: The Northern 5 acres of the West 15 acres of Government Lot 2, Section 17, Township 27 North,Range 1 East, W.M., also known as Tax 4, according to the records of the Jefferson County Assessor's Office; TOGETHER WITH an easement for ingress,egress and utilities as delineated in instrument recorded December 13, 1994 under Recording No.377638,records of Jefferson County,Washington. All situate in the County of Jefferson, State of Washington. Is Vested in: DBC# 1 LLC,a Washington limited liability company,as to Parcel A and Andrew R. Dempsey,as his separate estate,as to Parcel B Subdivision Certificate Guarantee No.:57527 Page No.:2 Special Exceptions: 1. General taxes for the year 2015 which have been paid. Amount: $ 1,540.89 Tax Account No.: 721 174 024 Parcel ID No.: 19183 Assessed value: $ 138,610 Affects: Parcel A General taxes for the year 2015 which have been paid. Amount: $429.40 Tax Account No.: 721 174 007 Parcel ID No.: 19170 Assessed value: $35,680 Affects: Parcel B 2. Reservations contained in deed from the State of Washington recorded under Volume 79 of Deeds on pages 383 and 384,reserving all oil,gases,coal,ores,minerals,fossils,etc.,and the right for opening,developing and working the same,together with any right to acquire easements or rights of way;Providing that all such rights shall not be exercised until provision has been made to compensate for damage sustained by reason of the exercise of such rights. Affects: Parcel A This exception does not constitute a statement as to the ownership of this interest or right. There may be leases, grants,exceptions or reservations of such interests that are not listed. 3. Right to make necessary slopes for cuts or fills upon said premises for Thomdyke Road as granted by deed recorded under Recording No. 177015 4. The effect on the title and the description of the land due to the location of"the east 5 acres of the west 20 acres" and the"northern 5 acres of the west 15 acres"contained in the legal description in Schedule A 5. Reservations and Exceptions,including the Terms and Conditions thereof. Reserving: Minerals Reserved by: Art Halvorson Recorded: January 20, 1950 Recording No.: Volume 146 of Deeds,page 527 Affects: Parcel B This exception does not constitute a statement as to the ownership of this interest or right. There may be leases, grants,exceptions or reservations of such interests that are not listed. 6. Conditions,notes,easements,provisions contained and/or delineated on the face of the surveys recorded under Jefferson County Recording Nos. 383745 and 531827 LPB Commitment No. 57527 Page 3 of 3 7. Rights of the general public to the unrestricted use of all the waters of a navigable body of water not only for the primary purpose of navigation,but also for corollary purposes;including(but not limited to)fishing,boating, bathing,swimming,water skiing and other related recreational purposes,as those waters may affect the tidelands, shorelands or adjoining uplands and whether the level of the water has been raised naturally or artificially to a maintained or fluctuating level,all as further defined by the decisional law of the state.(Affects all of the premises subject to such submergence) 8. Any claim to(a)ownership of or rights to minerals and similar substances, including but not limited to ores, metals,coal,lignite,oil,gas, uranium,clay,rock,sand,and gravel located in,on,or under the Land or produced from the Land,whether such ownership or rights arise by lease, grant,exception,conveyance,reservation,or otherwise;and(b)any rights,privileges,immunities,rights of way,and easements associated therewith or appurtenant thereto,whether or not the interests or rights excepted in(a)or(b)appear in the Public Records. Dated: August 31,2015 at 8:00 a.m. Your title officer for this transaction is Rochelle Lewis. If you have any questions concerning this title commitment, please do not hesitate to call me at(360)385-1322 or e-mail rlewis@fatcojc.com By: Rochelle Lewis.Title Officer 3 111111111111110111plpts6,3,9.,445 12150(2002 04:67P Jefferson County, WA SMITH ALLING LANE PS SND 22.00 Name& Return Address Robert L. Michaels County Excise x Smith Ailing Lane, P.S. Aff # defferson 9 6 2 9j 1102 Broadway Plaza, #403 Date Tacoma, WA 98402 Tax $ Sales Amt $ lF' By au-Xkl Deputy Treasurer Please print legibly or type information Document Title(Or transaction contained therein) Statutory Warranty Deed Grantor(s)(Last name first,then first name,middle name) Dempsey, Brian P. and Cairns C. Additional Names on Page of Document Grantee(s)(Last name first,then first name,middle name) DBC #I, LLC Additional Names on Page of Document Legal Description(Abbreviated: i.e.,lot,block,plat or section,township, range) Government Lot 2, Section 17, Township 27 South, Range 1 East W.M. Complete Lepil Description on Page 1-2 of Document Auditor's Reference Number(s) Assessor's Property Tax ParceUAccount Number(s) 721174006, 721174020, 721174022,721174024 The Auditor/Recorder will rely on the information provided on this cover sheet. The staff will not read the document to verify the accuracy or completeness of the indexing information provided herein. 111111 1111111111111113111 I1I1III1I111113114„;°,6L3,2.29:2'4.464 .: 2/30!20022 4.464 Jolfereon County, MR SMITH RUING LANE PS SIA 22.00 After recording return to: Robert L.Michaels Smith Ailing Lane,P.S. 1102 Broadway Plaza,#403 Tacoma,Washington 98402 STATUTORY WARRANTY DEED GRANTORS: Brian P.Dempsey and Cairns C. Dempsey GRANTEE: DBC#I,LLC Legal Description: Parcel A: East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 South, Range 1 East W.M. in Jefferson County,Washington. Situate in the County of Jefferson, State of Washington. Parcel B: Tidelands of the second class, as conveyed by the State of Washington, extending to extreme low tide, situate in front of, adjacent to or abutting upon the East 5 acres of the West 20 acres of Government Lot 2 in Section 17, Township 27 North, Range 1 East, W.M. Situate in the County of Jefferson, State of Washington. Parcel C: The South 10 acres of the West 15 acres of Government Lot 2 in Section 17, Township 27 North, Range 1 East of the Willamette Meridian excepting therefrom that portion lying North of the county road as conveyed to Jefferson County by Deed recorded August 1, 1963 under Auditor's File No. 177021, records of Jefferson County, Washington: also excepting right of way for said county road; situate in the county of Jefferson, State of Washington. Together with tidelands of the second class, as conveyed by the State of Washington, extending to extreme low tide, situate in front of,adjacent to or abutting upon the South 10 acres of the West 15 acres of Government Lot 2 in Section 17,Township 27 North,Range 1 East, W.M., excepting therefrom that portion of said South 10 acres lying North of the said county road. 1 u I�III I1 III� I IIII(�II VIII VIII III I11I II46394fi I IMI12404: 3 of 4 12!30!2002 04:67P JsffsrsOM County, WO SMITH AWNS LANE P6 SYD 22.00 Subject to: Right to make necessary slopes under Auditor's File No. 177021; reservation contained in Deed under Recording No. 35544;question of location of lateral boundaries of second class tide lands; rights and easements of the public for commerce, navigation, recreation and fisheries. THE GRANTORS,Brian P. Dempsey and Cairns C. Dempsey,for and in consideration of transfer to family LLC pursuant to WAC 458-61-375,convey and warrant to DBC#1, LLC,a Washington Limited Liability Company, the following described real estate, sinister! in the County of Jefferson, State of Washington: Parcel A: East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 South, Range 1 East W.M. in Jefferson County,Washington. Situate in the County of Jefferson, State of Washington. Parcel B: Tidelands of the second class, as conveyed by the State of Washington, extending to extreme low tide, situate in front of, adjacent to or abutting upon the East 5 acres of the West 20 acres of Government Lot 2 in Section 17, Township 27 North, Range 1 East, W.M. Situate in the County of Jefferson, State of Washington. Parcel C: The South 10 acres of the West 15 acres of Government Lot 2 in Section 17,Township 27 North, Range 1 East of the Willamette Meridian excepting therefrom that portion lying North of the county road as conveyed to Jefferson County by Deed recorded August 1, 1963 under Auditor's File No. 177021, records of Jefferson County, Washington; also excepting right of way for said county road; situate in the county of Jefferson, State of Washington. Together with tidelands of the second class, as conveyed by the State of Washington, extending to extreme low tide,situate in front of,adjacent to or abutting upon the South 10 acres of the West 15 acres of Government Lot 2 in Section 17,Township 27 North, Range 1 East, W.M., excepting therefrom that portion of said South 10 acres lying North of the said county mad. Subject to: Right to make necessary slopes under Auditor's File No. 177021; reservation contained in Deed under Recording No. 35544;question of location of lateral boundaries of second class tide lands; rights and easements of the public for commerce, navigation, recreation and fisheries. WITNESS my hand this 23`'day of December 2002. APPROVED AND ACCEPTED: 7 ( \Ai s-agiiij Ae..:-L_ N P.DEMPSEY Brian P.Dempsey,Mem• ,D:C# ,LLC 4 ffWit I ��1 NI IlI 1111 110111 III`I�,iIi 4p „fiO3! 94066: i7P Jefferson Carty, WA SMITH ALLINS LANE PS SWO 22.00 CAIRNS DEMPSEY '7 Cairns C.Dempsey,Membe%CLLC STATE OF WASHINGTON ) COUNTY OF 1'e 1 YW On this day personally appeared before me BRIAN P.DEMPSEY and CAIRNS C DEMPSEY,to me known to be the individuals described in and who executed the within foregoing instrument,and acknowledged that they signed as their free and vohmtary act and deed for the uses and purposes therein mentioned GIVEN under my hand and o alseal,t4s"day of 1ICerr1 tc,2002. �v,`o�psBor, `n oO Pn>fd amt. !]rf ea !oJ a �rlfpr'M1 NOTARY e z= NOTARY PUBLIC in�nd fortate of "► • H = Z Washington,residing at \&QRS.-K., t Pr PUB LIC b • My commission expires: Olf[jti xr .3 ,'& STATE OF WASHINGTON ) SOF ,,,,, ''` COUNTY OF ) /' •0/01++0 On this 24day of ebei...grt f , 2002, before me, the undersigned Notary Public in and for the State of Washington,duly comnoissioned and sworn,personally appeared BRIAN P.DEMPSEY and CAIRNS C.DEMPSEY,to me known to be Members of DBC#I,LLC,the corporation that executed the foregoing instrument,and acknowledged the said instrument to be the free and voluntary act and deed of said corporation,for the uses and purposes therein mentioned,and on oath stated that they are authorized to execute the said instrument Witness my hand and official seal hereto o' ' affixed axed the day and n Iy fust above written_ es r''= NOTARY i= Printed • NOTARY PUBLIC in and for the*tate of A': PUBLIC , Z. Washington,residing at PIIJ,l r . d ��* My commission expires: krd 20 Zeo,c litamitik, , / • .�...s..�aaw�w���II�PI@�1'IR�"as�a�w/ "r3��s�w� • TRANSAMERICA .. ''Nm e « . TITLE INSURANCE COMPANY ,.,' i�T ; OWI 382510,1EFFERS9O v 20I. a 35 PANY sup we RECORD aT,1[000T Cl . 1: cc...:: EL,7R1oGE JEFFERSON TITLE COMPANY, INC. • liff(YSUNCUUNlT TOS . p 45709-RB/1559-PL r t i' WHIN,eCOIIOED RETIMae 1b Nome....... BRIAN..P.....DEMPSEY _.._._. _ CAIRNS C. DEMPSEY- ..w 35S W. .Kinniaz-Place • : icoy.Aa..zo-.-_-_..._..:Seattla....W .5119— , Statutory Warranty Deed THE GRANTOR MARY ELIZABETH SELDAL, as her separate estate, as to-Parcel-A and WALTER KENT SELDAL and MARY ELIZABETH SELDAL,, husband and wife, as to Parcel B for old in eonidential at TEN DOLLARS AND OTHER VALUABLE CONSIDERATION a Fn hand yaid conveyaindirons:fst* BRIAN P. DEMPSEY. and CAIRNS C. DEMPStY, husband i and wife the tollo.ina deeeribed,eel wish,eitu$ed is the Camey a Jefferson .State n4 Waehissum: I I SEE EXHIBIT "A" AS ATTACHED HERETO AND MADE A PART HEREOF. ISUBJECT TO: Rights of the United States and the State of Washington to' regulate the use or occupancy of-that portion of the land lying below the t_ line of the mean high tide: Rights and easements of the public for commerce, Ir..-,----- . nav_gation, recreation and fisheries: 'LocatLcn of the lateralboundariesof second class tidelands and shorelands; Rights and Reservations contained in deed recorded in Volume 79-of Deeds on pages 333 and 384; Right to make - necessary slopes for cuts or fills upon the land herein described as granted - ' / : :efferson County by deed recorded n,._.-: Recording No. 177015,- 1EFFFfiSfiY CGu, • Aft. iic. f Dated _ _ .J.pi1e 9.,. _. '...>ts./3 _ ..a P.Paid `—rlto Amt. t T WALTER KENT 6AL i I ' ' MARY ELIZABETH SELDAL STATE OF Si ASMI♦ TOS `l TE n W AAMINOT,.+' - COUNTY OF. /• co.:e nF } 'is I tend. inn 1 1m • Mt V1gI.OM) e..dewv au I.emy.,w ..Ea.e•wr.fawin;.dcae 1 „ / - r WALTER KEN1 SELDAL aft+ • V'. .. ..• a7RafN 't'..Ie nY.•,rV ,,..4 Mt...," �.T.. ... .n. 1`a'.h'r.. ..... n.`.... ..... .... ...n 1 a,.nr.k4t4 inn ow.M 1M.I..tml,kr. manorta and and..^•.'e'F^l n.. `. 1 a.inc.IedftJ it le M,A.her lona tier and...t.nI.v a,I,, ..r St n 11w Ir,i ova u4„/.a,..I 1 ow.u.int:h T'.e.menlnrrd`.1M.nwr.mCM ' l- t r..104,,.- ``� `s-,......,.,t cr+v 1`dE+ Oe .�C g� Sgw.rr ,SEAL Oe t.AAln S. 4 's fUSV Cr• f' �-'�-�.. sir S ••• ✓,•N/11Ilk:-:' 7'... c Tilt • 97 cH4 \ MI TP., ni ewes 'a "aspic. dN/IIyNWIN•� r ary. ill..w ! LPP1O form 3159E rum 44, v:: 530 q..‘132 1 it1149ut S • TRANSAMERIG MSSPACE.,a.®.OIk, ,sum TITLE INSURANCE COMPANY • FILED FOR RECORD AT 111133012113 OF . • JEFFERSON TITLE COMPANY, INC. ' i 45709-RD/1559-PL ' WEN RECORDED RETIaa1TD - a,a,.._............_ BRIAN_-P.._DEMPcPV - - -- - - ' • CAIRNS C. DEMPSEY - - :- • :._ 355_UI.-._Ainaiar.Place ---- --- - t,Ltacr* Seattle., -WA 98119------.-- . -- _.._— . .- - EXHIBI-f . THE GRANTOR MARY ELIZABETH SELDAL, as her separate estate, as to Parcel A and WALTER KENT £ELDA:. and MARY ELIZABETH SELDAL, husband and wife, as to Tarcel B - formal inaaaideatinad TEN DOLL.--2A AND OTHER VALUABLE CONSIDERATION btoad;alto:weysandwsre abto BRIAN P. DD PSEY and CAIRNS' C. DEMPSEY, husband _ and wife . the 1'dlna;nd dawnbed,;al stare,atmard;a t r c nag d Jefferson .staged War lea: SEE-EXHIBIT 'A' Ae ATTACHED HERETO ASD MADE A PART HEREOF. SUBJECT TO: Rights of the United States and the State of Washington to ' regulate the use or occupancy of that portion of the land lying below the - line of the mean high tide; Righss and easerents of the public for commerce, navigation, recreation and fisheries; Location of the lateral boundaries of second class tidelands and shorelands; Rights and Reservations contained in deed recorded in Volume 79 of Deeds on pages 383 and 384; Right to make necessary slopes for cuts or fills upon the land hereiai described as granted to Jefferson County by deed recorded under Recording No. 177015. 1 Data June9_ --- _ _b 45--- WALTER KENT SELDAL /(��•cj :A �' . -NARY E ZABETH LD ... lL STATE OF W'ASHR:GTON %TAIL.4*wws eneiu ' COUNTY OF } .n - - rag }. �" I trod. thy'I ka•r a ha.r rinla4,. ndeat dy• I.rm r b..a list.,.Ja..n ndrar ' WALTER KENT SELDAL and J MARY ELIZABETH SELDAL , I .a c-... .I.. :<.+�ay.And.ud rern,..1 a\s+l- du irr dr mn..p ' pr.a.� •A� yyw.+ Wore mag, and ..d tn.e. et hr.mer,vr+. .t�.i' .:N�..r.hr.M.. .Hamm./ vA.•tan,v ar mama a\a..IWlnl.hr Ole...he then 1 weed-D.marvr+.:. i wag..++cr:•s . atno.kd,rd,In he i hit he.thew!fret and.nlwtr•al*. ..hr the.Ire.nd.mita a{ de u.e.and W'P••t•,.mlw,wd IS the.aurnra r.+,.r.v ar ars!7•7"'a` .ted me r a.vtsa - i mots F►rz..rdl+-� L� , -- ,[1:4 Sl. . �ralMp ,rag ' 7, , Dow/ r ivwt rw a- !• :.y.:J: -sr.:CA r.kW/. ',owe T �I' a a ,S •g'tic r,..tag.,l . . ja1 A. "...".a. `�" t,�/ rat i Ga �i ' ",9 r CO a 9 Jr-1—F— r,.1•--,,,,,c.Form 3159-4 ..-IL'.' _ 1 I . . • • , . r . . .•. . . ----i . . . . • . • . . . . . . . . • . . . . . • . . • . . . . . . . . ., . . . • .. _ .. . . . . . • 1 .......mmemrsommesi . i • . • I- • 'a A. • EXHI8I? A - Parcel Az East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 E.W.M.; in Jefferson.County, Washington. - • Situate in the County of Jefferson, State of Washington. i k .Parcel Bi • Tidelands of the second class, as conveyed by the State of Washington, G_ extending to extreme low tide situate in front of, adjacent to or abutting r. eon the East 5 acres of the West 20 acres of Government Lot 2 in Section 17. V. :ow: .ship 27 North, Range East, W.M.; - Situate in the County of Jefferson, State of Washington. . • • • • • -t • • ! ' ; 530 .,1134 1 . 11111111111511111115Z777;f1g04. Ie.,s.D co... iOl FIRST AMERICAN TIRE SAD 24 04 WHEN RECORDED RETURN To EMPSEY Jefferson County Excise T ANDREW22 AVENU i41ti �ASIUNGTON96105 Sy . 044.t . ''•' Deputy Treasurer 15003 i ® CHICAGO TITLE INSURANCE COMPANY 1188227 STATUTORY WARRANTY DEED Dated: JUNE27,2005 THE GRANTOR JOHN DEXTER NIax.SENAND SHELLY NIELSEN,HUSBAND AND WIPE,AND STEPHEN JAMES NIP1SEN AND ELIZABETH NIELSEN,HUSBAND AND WIFE,AND MARY ELIZABETH SELDAL AND KENT SELDAL,WIFE AND HUSBAND for and in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION in hand paid,conveys and warrants to ANDREW R DEMPSEY.AN UNMARRIED INDIVIDUAL the following described real estate situated in the County of JEFFERSON State of Washington: Tax Account Number(s): 721-174-007 THE NORTHERN 5 ACRES OF THE WEST 15 ACRES OF GOVERNMENT LOT 2, SECTION 17, TOWNSHIP 27 NORTH, RANGE 1 EAST, W.M., ALSO KNOWN AS TAX LOT 4, ACCORDING TO THE RECORDS OF THE JEFFERSON COUNTY ASSESSOR'S OFFICE; TOGETHER WITH AN EASEMENT FOR EASEMENT FOR INGRESS, EGRESS AND tTTILITIES AS DELINEATED IN INSTRUMENT RECORDED DECEMBER 13, 1994 UNDER AUDITOR'S FILE NO. 377638, RECORDS OF JEFFERSON COUNTY, WASHINGTON. SITUATE IN THE COUNTY OF JEFFERSON, STATE OF WASHINGTON. SUBJECT TO: RESERVATIONS AND EXCEPTIONS, INCLUDING THE TERMS AND CONDITIONS THEREOF: RESERVING MINERALS, RESERVED BY: ART HALVORSON; RECORDED: JANUARY 20, 1950; RECORDING NO: VOLUME 146, PAGE 527. t x_e_4_.(. 1__. f4 ' 1•.EN SH LLY NIE al STEPHEN JAMES NIELSEN ELIZABETH NIELSEN MARY ELIZABETH SELDAL KENT SELDAL sWD/RIWOw 111111111111\111111110;6171/3.001 5iJ08�:21P J•f Person county, WR FIRST AMERICAN TITLE SND 24.00 WHEN RECORDED RETURN TO ANDREW R.DFn4PSEV 5520 29TH AVENUE NE SEATTLE,WASHINGTON 98105 (iii) CHICAGO TITLE INSURANCE COMPANY 1188227 STATUTORY WARRANTY DEED Dated: JUNE 27,2005 THE GRANTOR JOHN DEXTERNIPISENAND SHELLY NIELSEN,HUSBAND AND WIFE,AND STEPHEN JAMES NIELSEN AND ELIZABETH NIELSEN,HUSBAND AND WIFE,AND MARY ELIZABETH TH SELDALAND KENT SELDAL,WIFE AND HUSBAND for and in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION in band paid,conveys and Warrants to ANDREW R DEMPSEY,AN UNMARRIED INDIVIDUAL the following described real estate situated in the County of JEFFERSON State of Washington: Tax Account Number(s): 721-174007 THE NORTHERN 5 ACRES OF THE WEST 15 ACRES OF GOVERNMENT LOT 2, SECTION 17, TOWNSHIP 27 NORTH, RANGE 1 EAST, W.M., ALSO KNOWN AS TAX LOT 4, ACCORDING TO THE RECORDS OF THE JEFFERSON COUNTY ASSESSOR'S OFFICE; TOGETHER WITH AN EASEMENT FOR EASEMENT FOR INGRESS, EGRESS AND UTILITIES AS DELINEATED IN INSTRUMENT RECORDED DECEMBER 13, 1994 UNDER AUDITOR'S FILE NO. 377638, RECORDS OF JEFFERSON COUNTY, WASHINGTON. SITUATE IN THE COUNTY OF JEFFERSON, STATE OF WASHINGTON. SUBJECT TO: RESERVATIONS AND EXCEPTIONS, INCLUDING THE TERMS AND CONDITIONS THEREOF: RESERVING MINERALS, RESERVED BY: ART HALVORSON; RECORDED: JANUARY 20, 1950; RECORDING NO: VOLUME 146, PAGE 527. JOHN DEXTER NIELSEN SHELLY NIELSEN STEPHEN JAMES If ELIZAB NIELSEN MARY ELIZABETH SELDAL KENT SELDAL 9WD/RDA/0883 IIHIII1111111�1{��� �IIIINil 50,0348107/1 /2005 2 P Jefferson County. WA FIRST AMERICAN TITLE SWD 24.00 WHEN RECORDED RETURN TO ANDREW R.DEMPSEY 5520 29THAVENUE NE SEATTLE,WASHINGTON 98105 ® CHICAGO I TILE INSURANCE COMPANY 1188227 STATUTORY WARRANTY DEED Dated: JUNE27,2005 THE GRANTOR JOHN DEXTER NIE SSEVAND SHELLY NIELSEN,HUSBAND AM)WIFE,AND STEPHEN JAMES NIELSEN AND ELIZABETH NIELSEN,HUSBAND AND WIFE,AND MARY ELIZABETH SELDAL AND KENT SELDAL,WIFE AND HUSBAND for and in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION in hand paid,conveys and warrants to ANDREW R.DEMPSEY,AN UNMARRIED INDIVIDUAL the following desm'bed real estate situated in the County of JE}O'LRSON State of Washington: Tax Account Number(,): 721-174-007 THE NORTHERN 5 ACRES OF THE WEST 15 ACRES OF GOVERNMENT LOT 2, SECTION 17, TOWNSHIP 27 NORTH, RANGE 1 EAST, W.M., ALSO KNOWN AS TAX LOT 4, ACCORDING TO THE RECORDS OF THE JEFFERSON COUNTY ASSESSOR'S OFFICE; TOGETHER WITH AN EASEMENT FOR EASEMENT FOR INGRESS, EGRESS AND UTILITIES AS DELINEATED IN INSTRUMENT RECORDED DECEMBER 13, 1999 UNDER AUDITOR'S FILE NO. 377638, RECORDS OF JEFFERSON COUNTY, WASHINGTON. SITUATE IN THE COUNTY OF JEFFERSON, STATE OF WASHINGTON. SUBJECT TO: RESERVATIONS AND EXCEPTIONS, INCLUDING THE TERMS AND CONDITIONS THEREOF: RESERVING MINERALS, RESERVED EY: ART HALVORSON; RECORDED: JANUARY 20, 1950; RECORDING NO: VOLUME 146, PAGE 527. JOHN DEXTERAIELSEN SHELLY NIELSEN STEPHEN JAMES NIELSEN ELIZABETH NIELSEN '/ /,i//.NDg/ MARY EUZA4SETH 8-!IAL K SELtAL C, swD/RDw/oms 1111111I111111111li1 iI1111111111t111115 00 X8121 P J.lf.r.un Countv. WR FIRST RPERICRN TITLE WO 24.00 STATE OF ALASKA 6 SS COUNTY OF I Li[i� ' U ON THIS /— -.Nay/-54— DAY OF .3ERtir, 2005 BEFORE ME, THE UNDERSIGNED, A NOTARY PUBLIC IN AND FOR THE STATE OF ALASKA, DULY COMMISSIONED AND SWORN, PERSONALLY APPEARED JOHN DEXTER NIELSEN AND SHELLY NIELSEN KNOWN TO ME TO BE THE INDIVIDUALS) DESCRIBED IN AND WHO EXECUTED THE WITHIN INSTRUMENT AND ACKNOWLEDGED THAT THEY SIGNED AND SEALED THE SAME AS THEIR FREE AND VOLUNTARY ACT AND DEED, FOR THE USES AND PURPOSES HEREIN MENTIONNIED..e yL/11I V(�''e✓—fif3 OfficW Seel NOTARY SIGNATURE BWM WAtesfte • a Notary PDN W ] AMene$,p� ic PRINTED NAME: ff M,T NOTARY PUBLIC I AND FOR THE STATE OP ALASKA RESIDING AT MY COMMISSION EXPIRES ON //017 STATE OF WASHINGTON SS COUNTY OF KING ON THIS DAY OF JUNE, 2005 BEFORE ME, THE UNDERS :., A NOTARY PUBLIC IN AND FOR THE STATE OF WASHINGTON, DULY s'i ISSIONED AND SWORN, PERSONALLY APPEARED STEPHEN JAMES NIELSEN LIZABETH NIELSEN KNOWN TO ME TO BE THE INDIVIDUAL(S) DESCRIBED . AND WHO EXECUTED THE WITHIN INSTRUMENT AND ACKNOWLEDGED THAT . SIGNED AND SEALED THE SAME AS THEIR FREE AND VOLUNTARY ACT AND D'. ., FOR THE USES AND PURPOSES HEREIN MENTIONED. NOTARY SIGNATURE PRINTED NAM: NOTARY P r IC IN AND FOR THE STATE OF WASHINGTON RESID • AT MY i 1 ISSION EXPIRES ON STATE OF WISCONSIN SS COUNTY OF ON THIS DAY OF JUNE, 2005 BEFORE ME, THE •'.ERSIGNED, A NOTARY PUBLIC IN AND FOR THE STATE OF WISCONSIN :ILY COMMISSIONED AND SWORN, PERSONALLY APPEARED MARY ELIZABETH S: . AND KENT SELDAL KNOWN TO ME TO BE THE INDIVIDUAL(S) DESCRIBED 0. AND WHO EXECUTED THE WITHIN INSTRUMENT AND ACKNOWLEDGED THAT TH' IGNED AND SEALED THE SAME AS THEIR FREE AND VOLUNTARY ACT AND s ED, FOR THE USES AND PURPOSES HEREIN MENTIONED. NOTARY SIGNATURE PRINTED N NOTARY '.:LIC IN AND FOR THE STATE OF WISCONSIN Er .ING AT MY COMMISSION EXPIRES ON NOTARY/R➢A/:P2IV. 11111111111I111111111111111111111N11111111111111501t04 2E05 21A Jefferson County, WA FIRST AMERICAN TITLE SWO 24.00 STATE OF ALASKA S5 COUNTY OF ON THIS DAY OF JUNE, 2005 BEFORE ME, THE UNDERSIGNED, A NOTARY PUBLIC IN AND FOR THE STATE OF ALASKA, DULY COMMISSIONED AND SWORN, PERSONALLY APPEARED JOHN DEXTER NIELSEN AND SHELLY NIELSEN KNOWN TO ME TO BE THE INDIVIDUAL(S) DESCRIBED IN AND WHO EXECUTED THE WITHIN INSTRUMENT AND ACKNOWLEDGED THAT THEY SIGNED AND SEALED THE SAME AS THEIR FREE AND VOLUNTARY ACT AND DEED, FOR THE USES AND PURPOSES HEREIN '• MENTIONED. NOTARY SIGNATURE PRINTED NAME: NOTARY PUBLIC IN AND FOR THE STATE OF ALASKA RESIDING AT . MY COMMISSION EXPIRES ON . STATE OF WASHINGTON Re/ SS COUNTY OF KING Re/ ON THIS DAY OF JUNE, 2005 BEFORE ME, THE UNDERSIGNED, A NOTARY PUBLIC IN AND FOR THE STATE OF WASHINGTON, DULY COMMISSIONED AND SWORN, PERSONALLY APPEARED STEPHEN JAMES NIELSEN AND ELIZABETH NIELSEN KNOWN TO ME TO BE THE INDIVIDUAL(S) DESCRIBED IN AND WHO EXECUTED THE WITHIN INSTRUMENT AND ACKNOWLEDGED THAT THEY SIGNED AND SEALED THE SAME AS THEIR FREE AND VOLUNTARY ACT AND DEED, FOR THE USES AND PURPOSES HEREIN MENTIONED 4. �'I,pprrnyr,�,,,, ... NOTARY sr" t PRINTEDARUBLI: N,MJ OR •HE �Ori4C. NOTARY PUBLIC aid? 1TH,6 STATE OF WASHINGTON �, '. .� RESIDING AT /h ®GI77y �1' l/'4' $ MY COMMISSION EMS ON ///^^/^O.5 OF w,,e rrr,rlg11rp11i.0 STATE OF WISCONSIN SS COUNTY OP ON THIS DAY OF JUNE, 2005 BEFORE ME, THE UNDERSIGNED, A NOTARY PUBLIC IN AND FOR THE STATE OF WISCONSIN, DULY COMMISSIONED AND SWORN, PERSONALLY APPEARED MARY ELIZABETH SELDAL AND KENT SELDAL KNOWN TO ME TO BE THE INDIVIDUALS) DESCRIBED IN AND WHO EXECUTED THE WITHIN INSTRUMENT AND ACKNOWLEDGED THAT THEY SIGNED AND SEALED THE SAME AS THEIR FREE AND VOLUNTARY ACT AND DEED, FOR THE USES AND PURPOSES HEREIN MENTIONED. NOTARY SIGNATURE PRINTED NAME: NOTARY PUBLIC IN AND FOR THE STATE OF WISCONSIN RESIDING AT . MY COMMISSION EXPIRES ON . NOTARY/ADA/MM �500481 11111111111111111111111 .z P Jefferson County, NR FIRST RRERICMI TITLE SIC STATE OF ALASKA SS COUNTY OF ON THIS DAY OF JUNE, 2005 BEFORE ME, THE UNDE:: NED, A NOTARY PUBLIC IN AND FOR THE STATE OF ALASKA, DULY C. SSIONED AND SWORN, PERSONALLY APPEARED JOHN DEXTER NIELSEN AN. ELLY NIELSEN KNOWN TO ME TO BE THE INDIVIDUAL(S) DESCRIBED IN AN. 0 EXECUTED THE WITHIN INSTRUMENT AND ACKNOWLEDGED THAT THEY SIc 7'% AND SEALED THE SAME AS THEIR FREE AND VOLUNTARY ACT AND DEED, '•R THE USES AND PURPOSES HEREIN MENTIONED. NOTARY SIGNATURE PRINTED NAME: NOTARY PUBLIC N AND FOR THE STATE OF ALASKA RESIDING A MY COMM : ION EXPIRES ON STATE OF WASHINGTON 5S COUNTY OF KING ON THIS DAY OF JUNE, 2005 BEFO•= ME, THE UNDERSIGNED, A NOTARY PUBLIC IN AND FOR THE STATE OF Wa: INGTON, DULY COMMISSIONED AND SWORN, PERSONALLY APPEARED STEPHEN J: :S NIELSEN AND ELIZABETH NIELSEN KNOWN TO ME TO BE THE INDIVIDUAL( DESCRIBED IN AND WHO EXECUTED THE WITHIN INSTRUMENT AND ACKNOWLE.=.D THAT THEY SIGNED AND SEALED THE SAME AS THEIR FREE AND VOLUNTARY • AND DEED, FOR THE USES AND PURPOSES HEREIN MENTIONED. NOTARY SIGNA -. PRINTED . _, E: NOTARY •UBLIC IN AND FOR THE STATE OF WASHINGTON RES NG AT COMMISSION EXPIRES ON STATE OF WISCONSIN SS COUNTY OF kmantt ON THIS 30 DAY OF JUNE, 2005 BEFORE ME, THE UNDERSIGNED, A NOTARY PUBLIC IN AND FOR THE STATE OF WISCONSIN, DULY COMMISSIONED AND SWORN, PERSONALLY APPEARED MARY ELIZABETH SELDAL AND KENT SELDAL KNOWN TO ME TO BE THE INDIVIDUALS) DESCRIBED IN AND WHO EX ED THE`WITHIN INSTRUMENT AND ACKNOWLEDGED THAT THEY SIGNED AND SEAL _.THE SAME/AS THEIR FREE AND VOLUNTARY ACT AND DEED, FOR THE USES PURPOSES HEREIN MENTIONED. _ NOTARY IGNATURE 9 f p,y/ PRINTED NAME: 314 e A- h rt.• a NOTARY PUBLIC IN AND FOR THE STATE OF WISCONSIN i . gg�" RESIDING AT Aidand (CHtnf .Lfll r • .,.,le'. '- �`' MY COMMISSION EXPIRES ON 9- 7±' O5 tt u • no AM6.muo»aa 79-383 and 384 DEEDS 35544 Filed Sept. 24, 1912. The State of Washington, to Puget :dill Company, a corporation. DEED. Dated June 6th, 1911. Cone . $645.38. In consideration of $645.38, the receipt of which is hereby acknowledged, the State of Washington does hereby grant , bargain, sell and convey unto Puget Mill Company, a corporation, iti successors and assigns , the following describ- ed tide and sb ,re land of the second class , situate in Jeffer- eon County, Washington, to-wit: All tide lands of the second class , owned by the State of Washington, lying between the line of mean low tide and the ✓ line of extreme low tide and in front of Lots 1, 2 and 3, Section 17, Township 27 North, Range 1 East , W. M. , with a frontage of 51.62 lineal chains , also In front of Lot 5, Section 4, Lot 1, Section 9, the John Thorndyke donation claim in Sections 9 and 16, the NE of the NE4 and Late 1, 2, 3, 4, 5 and 6, Section 17, Lots 3, 4 and 5, Section 16, and ✓ Lots 1 and 2, Section 15, Township 28 North, Range 1 East, W. M. with a frontage of 476.98 lineal chains, more or less . ✓ A1eo, in front of Lots 1 and 2, Section 24, Town- ship 27 North, Range 1 West, W. M. with a frontage of 33.33 lineal chains ; also ,// In front of those parte of Lots 3, 4 and 5, Section 9 , Township 2.7 North, Range 1 East, W. M. measured along the meander line as follows : Beginning at the meander corner to fractional Sections 9 and 16, Township 27 North, Range 1 East, W. N. and running thence North 20° East 3.60 chains ; North 8° East 22.00 chains ; North 19° East 16.00 chains; North 10° West 12.00 chains; North 11i° East 6.00 chains ; North 241° West 3.20 chains and North 72° West 3.10 chains to the terminal point of this description, with a frontage of 67.90 lineal chains ; also In front of Lot 1, Section 5, Township 27 North, V Range 1 East, W. M. and Lot 1, Section 32, Township 28 North , Range 1 East, W. M. , said tide lands being more particularly described as lying in front of that certain tract deeded to Puget Mill Company, March 8, 1893, under Applications 647 and 648 and described by metes and bounds as follows : Beginning at the meander corner to fractional Sections 32 and 33, Township 28 North, Range 1 East , W. M. and running thence with the government meanders in said Section 32, South 53i° West, 3.35 chains and South 6° Fest 3.00 chains ; thence with the government meanders in 79-383 Deeds - page 2. Section 5 , Township 27 North, Range 1 East, W. M. , South 10 -° East 9.20 chains , thence South 87 East 17.03 chains to the low tide line • thence with the meanderinga of said low tide line North 204 East 2.84 chains ; thence North 53° 40 ' West 20.65 chains to the point of beginning, with a frontage of 15.55 lineal chins ; The several descriptions together having a total frontage of 645. 38 lineal chains , more or lees , measured along the meander line, according to a certified copy of the government field notes of the survey thereof, on file in the office of the commissioner of Public Lands at Olympia, Washington. k-. . `. .... �.a.,. SUM!N, IUMNt , . e c:,i % , , .+_. S • } ,• = ; '. al, :. t• . r• Y.• .. .. � ' id,nr flY' y . 'Statutory,Warranty Deed '''• , ` ' •� :. ' :.'• , ;, card 'In-E GRk''.TORa;';city A,•Patere-ard: Gortrudc n.. P@taro, cud•itito,now and .0,4 c11 tirta•Firce, ottatnirrt title to this v; WreudGiceosideranonel.' tl0.Ci0•and otYxr'vEYua' ac• go_rcideretiol: { •h in 10e 4 pavd,.cor%eys and rartants in '+art.-Halva r4on, the fdiewing descnhed.teal estate,situated in the Ceunty el ± Washington: - Vortii, RPna»E 1 Eeipt or '"._1. (:' Tax J14,S9etiar 17. TP. 27 ra..L`Gpv•t .. ,ra..•torr-Rererte- :tt:to tY c:d:elvet a.1 Coa ., • :i.. . .Oil d .anera�'titiac• of cvor.j deecrt-pt.cr., .+:St i y :1 iJahr;t'P,ant Por• Did 1r_rd 'eor'oxatorit:i;.in. PC.. Ms-. t. " anr,�or'rewuvia„ trra' t '-s.z., t1se, ;r tf r p )ins a. 5 '...'_roaeoratle•.ec,oart•or..sor 1 'Cl!'iar.J. Ir:oyr,F ... .. ani,;st '' Lc'dime••`to-t a nurf«ca 'ot,t:•e irnd: • • • fi+q�L ,... .E QIP ,,(�11f ;'''',..t''. ay. 7i41; Tom] •.:"I7'.3.7:::::;;77.'::.1 , e? 2, '' i „ a R. •04-....;'W... T�. �.G 1.;x' • .` i \itasiov ,,1r ,.5.t1 1V fps Jr• � . 14t , .Wy ul Janur.r ti• moo"' . 43`,1 ✓ i c- + I r. �f •-7 .f.J . ?THF OF•WASHINGT(1N; , "so... .1.. —A.• 49 ' end.aertiudeR. Pet • a -«' 1 e roe ''Jerry A Pet•era . • �Qn Ihi1��X M}S°°slly.a{�flrereil be a. , • . .. 11124:14. .4.41• tJd'eQ M�f'e knew�a.•�}�by 1 c fnalvlanaie,dcscriluyl..in•aud wlio csca.uied thslree end�4�`�reYsac�al'ul itc'xl - `.It yesailtal A :Z`hey slimd site same as' their..,:-... — - , . Ns ;44.4riP r n menttunW. .`, ' . . -' • • I ` �%' 16Th• d.ty of Jenuery. . %+ • , �n tf My hand arra uftal+l•seal s s -�•s ,• I 7, FY'f.5 V ,as 1 '.w�. -- • - • ;Vet .IIbfu •in end)a!At$lere'oJ N fret 1 i _ • • • 're Nee of ehalid QUITCLAIM DEED Phe grantor......... herein. OTTO f+,, 5 ltrl TH f fur the consideration of.... _..._. .. _ .. . ._. ..........Collars and also of benefits to accrue to .h 1 m .. ..hy reason of laying out and eatahlishing a public Y TWA through . ..N.6_... .. _ property,and which is hereafter described.convey. ..,releases and quit- claim to nit County of Jefferson,State of Washington. for use of the Public forever, as a public road and highway, all interest in the following described real estate, vie: All than non ion of the following described tract of land lying within the limits of a strip of land 60 .............. .crt wvk.hent; 30 feel in width on each side of the caner lint of the Thorn dyke ,., _._ c0.nay Ro:ala,-nnryr,i^ lhra(eelorrrAIM arrn . Tax No. 6, 7 ani n, See. I7, T. 77 N.r R I E„ i W. M. eccorcto survey . !id plena on f71e in Mie ^.r^f ce of Jef'f'erson %.1. County En sir r, Port Town•et.a, Wasnington, and centerline being more s. specifically .. erlbod es ! Mows; r Rep-Inning at a onlnt on the east boundary line of Tax No. 6 six hundred fifteen 1615.n) feet more c ' 'I s' south and savan- t in hundred sixty (T760.0) ft. more or . ,1ss west of the quarter r-trner between Sec. 16 end 17. '. 77 N. . R. 1 E. , W. M. ; thence S 55`-•'0 '-f0" W, a distance of two hundred sixty five (265.0) feet more or less to the west boundary of lei Tax No. 7, S,ec. 17, T. 27 N. , R. 1 E. , W. M. Also bepinninp on the eeat boundary of Tax Ne). 9 at a point twenty ;.wo hundred (2200.0) feet more or less west and nine hundred fifteen (915.0) feet more or less south of the quertor cot-:ter between Sec. 16 and 17, T 27 N, R 1 e , W. M. ; thence S 55°-2° 1-01" W a distance of one hundred to my five (1?1,;.0) feet more or less to the west boundary of T c, :tot. 17, T 27 N. , R t k. , W. M. ti i s./,. tra RIAL £STAITIS SALIiG TAY RFQ COUNTY TREASl1RIu /) �' ' C€4,01Lt t,..-ssers:"'rs said SU'il,n"rta,ing Qe rs.9" ... . acres more or less.Siutatrd in the County of Jefferson.State of Wash- inst.., '11,c t,rantor also grants to lefferS011 County the right to construct and maintain necessary cm and fill slopes,culverts. special ditches,and appurtenances where the same may extend beyond the limits of the land hereby sed. fr Dated this / ... ...day of... Y y - .... . A. D. 1:1.6,+ NI► WlT›,9 :F4: v ... ...... ....v . .. ... ... .� 'J !� "l2Z!1 �.... . (V 1 l 46— 'F^ 37 nifU•N!MG NUMBER 1 DRAWING NUMBER L i I Vol n Pt No r,.., 111>( 'illio I 1 r A°: veE m a D g• m a�ri n o. 4°t°M 3ay£ u 'o z S LOCATION , ' 5 a Q I o N� � ;e..13 ' ,7'Q'^ {_rE�a ix-•----ar{{ —_.— � se����z•e z�i.sT' _ �•IlI6 oER>.z ii e m Z Z •A d0u ®,, ies.3z .oz.ez• Ce-Wsccicy✓ o 5 '" 8 mop. \ Nv_Ill �NAI 152 if ,t1 II 4 1 �Y vay3 u! ill 0 CP 411 P,• 11)sdl) 8 11,1$6;®u 0 m el , it �a Yc��� v,s'8 1 pwI! zrn •11�j 00N 7" n I + N 4 e ,•4 p / Js w +yWaI I m Zz .6.,, OZ 4mw U Ii.- d J n i+', E W !y.pep �A I.0 0 Ste- > 0 N i S m g DGO r E. 0 v W N r 4 OC - r' m .D rn tl . m o $ $ v p.4e m3 m >_ �1 W(p P T -1 Villi NOW N Y •YO 0 .:1/ q1 ?co 1 oiA rii O.ow O N., •U 0 0 I— N a Ng t�64 6 r P ya AN .< . N Alm m P O n vC v • P S nrrt tric ii ii • o s (1 6 C �@ An o �a TH A m i o u N•I Z -< I z ? _ 0 D RI J °f b4 �; q l� 9 I j jJ mQ °m Z M ..Ai 'I. of 0 lJII V, .o^?� 1 r"*:Is a P \ �� Alf J ms- de CV.. 5GC.17 .441 c ti R 40 Y • I ��I : ' ob` • • • 0 v LI o a a Aw T.1 w a > • tr • x vi ce N V •N Z o mc.j W ti N N 21 FS X Nvi JQ a I. N 4 �1.38 X 0 0 160 2i0 ^ s SH I 7 •"m a IY P ii4o° v L- o SCALEt 1'= 80' z » '• w WO N • g S ••NN p 1, yWNRSHED v < a. 0 0 = u w i L a o v •. I¢ o ➢ a d o ; P w YELL 0 NN C. _ a P ^ w N n to.D 2 > I s d G❑V' T LOT 2, SEC, 17 CU 2 Od O a. 6 -, N [ EY o WELL ylm NPl. rm.QAN DK ce VI u \p N W s.v Li - U a J N g 84. n U i ^ g >p W_ 1 v W ^ F W '6 VEGETATION LIRE Z W z Jdg 0 6. J aW S q 5LteL I e.°. V'''.1 FIELD PROCEDURES. IN1 W1/2W1/2SE1/4, SECTION 17, T. 27 N. , R. 1 E. , W. M. RECORD OF SURVEY OFI THIS RRVEY DAS PEREI CD Dr ma TRAVERSE FOR SECTIONAL SUBDIVISION SI€VOL. 17 OF SURVEYS THE EAST 2.932 ACRES OF THE WEST 2g.932 ACRES OF USING A SOOIA SETIE 3 SECOND ELECTRONIC TOTAL PAGE 40 BY ADA ENGINEERING. GOV'T LOT 2 SECTION 17, T.27 N. R. 1 E MOWN LYING STATIN. ®a THITE AON NESTS SOUTH OF THE STEEL TAPE. PRECISION THORNDIKE COUNTY ROAD. ALSO WK. AS P EXCEEDS TIOSE REQUIRED DY YAC 302-I33-090. APN 721-174-031 S. OF RD., RECORDS OF JEFF. CO, WA. • FOR. ANDREW R. DEMPSEY W JDa NO. K40 AUDITOR'S CERTIFICATE SURVEYOR'S CERTIFICATE 0y➢cM, WOOD SURVEYING INC, W �I����I�I II�IN���Itl��ll�s31827 THIS MAP CCRECTLY REPRESENTS A SURVEY ,yI. 2155 DISCOVERY RD. PORT TOWNSEND, WA. 98369 ISI IIII Ia: _ YI nApE DmER Nr SUPEFnsIR IN bNFWMANCE PHONE 360-385-5968 FAX 360-379-5659 q WITH THE REWIREMEHTS➢F 111E SURVEY E. ,s° NAV 0� RECORDING ACT AT 1W REQUEST OFA L °'° ANDREW DEMPSEY . LEGEND 0 SET 5/B' REBAR AND CAP 'A.WOOD PLS 23911' ON FEB. 06, 2008 // '4A..;r,, ••FOUND NTS AS DESCRIBED j{ _ j____ _.1 E01141. //= 0. /, _ •SET 5 FOOT STEEL FENCE POST ON PROPERTY LINE PUT I(JEFFERSON C - �[�Mi 8 ■FOUND 3/4' IRON PIPE WITH RUG 'ABA LS 6694' DEPUTY JEFFERSON COUNTY AUDITOR 3/83/06 ' FOUND GEORGE ROATS I' IRON PIPE SET FOR R➢➢IN SEPT. 1965. A SET 3/B' REBAR OR PK NAIL FOR SURVEY CONTROL POINTS O (NE 1/4 17-27N-1E) O Lo..... O co 10 — x3 r N. O x D 1_ 1 0 O 1- O N W // 721174007 O O O 31:0 TA4 0 0 .- TAX 7 TAX 6 x F / 4.92 o. —• � � 1.58 a. 1,46 0, x a TAX 9 1.97 O. N4 M / This sketch is not based on a survey of the property.It is furnished without x x charge courtesy of First American Title < TQ Company solely for the purpose of x assisting in locating the said premises. (TAX 4) 1- It does not purport to show all roads or Q easements.The company assumes no �.0 C' liability for any inaccuracies therein. 721174005 / �'CO OO 01 TAX 3 " ‘(\e' le) 00 (N OF CO RD) O O d 1,45 a. ^ v / co co 0 \ rl N Mv / M O N 0.- 00 a N 6 Q x �n� N N O — N —Fl Q — x ~ lN.n. O\ 7 N ~ n I- Op 3 O W r` Lo 0 — O Z ^ �� O a (1 1N.i-Ki V' V N I .474.4<a. N n r lJN. TAX 9 721174006 2.64 a. \ TAX 3 O O (5 OF CO RD) 0 co6 -- 7.43 0, O N M a a v 1- 1 a MCS MC{ 1- C N a M MCS n— n^ 0 NQ NQ 1.-. v '- 1- n I- x N Q n 11.) 1 721174021 ip s r A8 CREV) n �n (2.72Ch) N Z O ya 4 0 1c ° yW i 6 .:.-1, o i AFTER RECORDING MAIL TO: Name: DBC #1 C/O Brian Dempsey Address: 1301 Spring Street, #29J coy/state: Seattle, WA 98104 Boundary Line Adjustment MLA15-00040/SUB15-00011 Grantor(s): i. DBC #1 LLC Grantee(s): 1. Andrew R. Dempsey Legal Description: Parcels involved in the adjustment are currently legally described as follows (include Assessor's Property Tax Parcel Account Numbers): Parcel A: APN 721-174-024; Tax 9 within Section 17, Township 27 North, Range 1 East, WM Parcel B: APN 721-174-007; Tax 4 within Section 17, Township 27 North, Range 1 East, WM Boundary line subject to adjustment described as follows (new legal description): See Attached The nature of the adjustment is described as follows: Attach that portion of Tax 9 lying north of Thomdyke Road right-of-way to Tax 4. I Existing Parcel's: East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 E.W.M., in Jefferson County, Washington. (Assessor's parcel #721174024) And, The Northern 5 acres of the West 15 acres of Government Lot 2, Section 17, Township 27 North, Range 1 E.W.M. in Jefferson County, Washington. (Assessor's parcel #721174007) Revised Parcel A: That portion of the East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 E.W.M., in Jefferson County, Washington lying South of the county road. With a metes and bounds description as follows: That portion of Government Lot 2, Section 17, Township 27 North Range 1 E.W.M. in Jefferson County Washington described as follows: Beginning at the East Quarter Corner of said Section 17,thence along the East West Centerline thereof South 89 degrees 47' 42"F 2,173.33 feet , then S 0 degrees 42' 21"W 823.55 feet to the County Road Right of Way, then S 0 degrees 42' 21" W 72.54 feet to the Southerly County Road Right of Way to the True Point of Beginning,then S 0 degrees 42' 21" W 1,190.55 feet to the Balanced Government Meander Line,then S 72 degrees 36' 11"W 28.62 feet along said Meander Line, then S 51 degrees 40' 22"W 97.47 feet continuing on said Meander Line, then N 0 degrees 42' 21"E 1,190.93 feet to the County Road Right of Way,then N 56 degrees 31' 25" E 124.42 feet to the True Point of Beginning. Revised Parcel B: To be include the two following legally described parcels: That portion of the East 5 acres of the West 20 acres of Government Lot 2, Section 17,Township 27 North, Range 1 E.W.M.,in Jefferson County, Washington lying North of the county road. And, The Northern 5 acres of the West 15 acres of Government lot 2, Section 17,Township 27 North, Range 1 E.W.M., in Jefferson County, Washington. With a metes and bounds description as follows: That portion of Government Lot 2, Section 17, Township 27 North Range 1 E.W.M. in Jefferson County Washington described as follows: Beginning at the East Quarter Corner of said Section 17,thence along the East West Centerline thereof South 89 degrees 47' 42"E 2,173.33 feet to the True Point of Beginning,then S 0 degrees 42' 21" W 823.55 feet to the County Road Right of Way,then S 56 degrees 31' 25" W 124.42 feet along said Right of Way,then N 0 degrees 42' 21"E 128.94 feet, then S 89 degrees 47' 42" W 285.32 feet, then N 0 degrees 42' 21"E 763.41 feet, then N 89 degrees 47' 42" W 388.34 feet to the True Point of Beginning. • $ • NRRm�AvEqy3y.. mptn '2>ji No h:d Q'F.w' • , _ Ag-12il 1.: nn$ _ n F e mo5�n g 5 Y Az>nA ? KZ v 'L — O mgz .P. o 1 1^o"z n n'' m ,-F,4.§ • - ,ie -r° p_gCYnor • — om • 90 S? 1w§^ClbE `�,$ 1m^ arA _ o4,1 m o i 1 iii —§ l \--j (SW 1/4 I7-27N-IE) I® 7'1. O 5A Ay 1 ll4 G0:1 7g-: '°�� c� nu, PSµ§ a a : fots• atl 9A 'A> a T�ARccG-� r— Rp 1e ____ / VKt9 PhitcC L A- 221174024 .i W]180 6YP u 2440 P•a"L.'2EG_ _- ttp24031 '...P .60 nen TAX 13 1.10 8. 98 $ • -- y TAX Iz k IL Alz ]06478 -•' 121174032i TAX 13M II.913 1,630. Q TAXIS 1,�a '1011'd 721174033 !A%l♦ 108 a. ;1tN9 TAX 14 27L A14 Lfla 0 i n 114]20}2 , 0�,.. 72117401. E. i LAX 7 Zee a q 034 _- 731174012 P > ':::C2 yLau n - a A A27 �O\ ox 6 3.07 a !1 a w n1174030 rax 8(81/2) 1.83 a TAx 8('81/2) *78* m 2SY 03.1'1114.- _ -- 721114011 140 8(E1/2) 1.89 0. res 8(E1/22 0.69 a. a 'la,a ? 121114003 TAX I • 221174010 N _ LA%I 33.a 0.960 O "_.- - __ 721174009 TAY 5 _ m 1ay411 3.5 5(81/2) -81/2 386^. 032 a t .... Q 4t071.02L _ 0.52 a 03 0 N 7�y mR 2:- Z ,01.zmaN )=. _ m +V 0 O 4-, n -TI rn r ^ m .. VVV ` I * 0100,4 4\ * 9. ?,S C a Z 230 O N -< / �/ 4!. ttw401 \ m-70. 0 TAX veno m (n y Oa L015)-ID 4 MAC Ov? N ROAD IN LtS D M e P L aoD a Iola l < " (SW I/4 16-27N-IE) G O No A _ l• 7. = H m 6,CI 'n M -u n 0 ZS/ ilk. lkvi "1 0 >KJ riparaliiiiiii"""-- orn N � E z & Sf ' i V J c•• Z 1 �� �i'n -.wear. um spa¢wronm v evvn n"p E17 a illa yy s ;i TRANSMITTAL REPORT 0 a r- VCO ¢ al k y a s J Oz � R g o") b rtragi IliaJ OI— Q \ 4\ .1 Z a \ Io R O h I a CO w I— it Cr' ; U Y fi Y ❑ 1 ¢ U L N 1 D V f � 6 1 Cs U t — ty L......7: 'i 5. ...g 1- .▪. jg 0▪ 11 N ❑ 1 u Z it"- •:•'Z J � V." ,, It l-3 �t ^_i ,1 — —<— ° .. — z W `�� ^J �� �� a S - 0 - ri-p ' ' 1 _ = V) � CO cc 0 w O W W o — —� W ,� L a = s 0 RI ri iw( \st, m i3 d�CC CC 0 O V9 un a awN ryivp® c1.0005c1.0005®NYlatltlflO'J Michelle Farfan From: Michelle Farfan Sent: Monday, August 17, 2015 11:46 AM To: 'bp.dempsey@att.net Subject: Proposed Boundary Line Adjustment Hi Brian: As we discussed,the county would allow a boundary line adjustment between your parcel and your sons(APN 721174007). This would allow your son's parcel to become approximately 7-acres and you will retain the portion located south of Thorndyke Road which is approximately 3 acres. I am sending you the boundary line adjustment form of which you will need to complete and return originals to me with the new metes and bounds legal description for each resulting parcel. You may do the legal descriptions yourself or have a title company (Rochelle Lewis at First American Title may be able to help) do them for you. We will review with the Assessor's Office to make sure the legals are correct before the Statement of Intent document gets recorded with them. You are due a refund of$234.00 which will be applied to the BLA fee of$702." Please submit a check in the amount of $468, payable to Jefferson County along with the application forms. Please let me know if you have any further questions regarding this matter. Regards, Michelle Farfan Consultant, DCD 621 Sheridan St. Port Townsend WA 98358 360-379-4463 1 Map Output Page 1 of 1 ArcIMS HTML Viewer Map riiI I r 721174Ls. i c 1 7211740111 721174009 f l• °, 1 721174003 jj • i, -4- 401174030 Int721174033721174012 1117461414 721174007721174881 " 1746 721174024 I 1 f 'F `�{II 72117403.2 I I/ r '�' 72117400 721172001 i�I -' Legend Selected Features i �. ice,,. J nn 74004 /, JC_Roads C_RoPa rce ad SIPZ �" l Al R. 3PZ / f `�/� - 721174009 ''\, 11.1nigh Rist SPZ rf 721174003 71 0ammmissonod SIM. . 721174011 Z./--f 721174000 El Coastal SPM ..- 721174012 721174014 // 721174033 721174008 1721174032 / 721174024 I I 721173001% J ,721174031! 721174008 721173008 i Moss?cndad 0r:t043301Co*.cams Sesx2 GIS �. 0 Zl911 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Tue Jul 07 09:29:19 I 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0... 7/7/2015 O � ON cow DEPARTMENT OF COMMUNITY DEVELOPMENT • 621 Sheridan Street,Port Townsend,WA 98368 W I ,C Tel:360.379.4450 I Fax:360.379.4451 *-7. Web:www.co.icffcrson.wa.us/communitydcvelopmcnt _ 1;mail dcd@co.ietterson.wa.us C? QA4WV"k PERMIT APPLICATION ' `x Steps in the Permit Process: `12, -Review application checklist to ensure all information is completed prior to submitting application. �1 -Make sure septic has been applied for and water availability has been proven. -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 before permit is issued. For Department Use Only I Building Perm # , h I ; �. Related Application#s: , MLA#,.; ;I Site Information q u . . Assessor Tax Parcel Number: 794 - 17 --© L'/- - 72/ — I7 Li —DD 7 Site Address and/or Directions to Property: Act Ate."1 r T ZZSt T(-ioAnJDrKe Re Feel- 1.44(0u.) c{$'36 s Access (name of street(s)) from which access will be gained: '-re, p rge, Pel Present use of property: ¢Alptde/oped Description of Work(include proposed uses): f 's r Wastewater-Sewage Disposal ,'`I, This property is served by Port Townsend or Port Ludlow sewer system? YES NO If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: Septic Septic Permit#: Community Septic Name of System: kCase#: Are other residences connected to the septic system? Additions or repairs to sewage system: 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: SU iI5 - Pcril111 Applicautru 1'1g 1 2 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: )13e%* I 131-lr}is) Veil Ser AIa4 A7WL Ghat3s hikes- YL1.9nJilaa- Address: 1301 6PJen1c sr f1i'►r z4� S irk bt), 41MM-- Phone#: ZUL 3z.4 CEJ s S E-mail Address: Please con ct Auth i d Agent/Representative with project info. (select only one). Property Owner Signature: / Date: 1�/Zir Note: For projects with multiple owners,attach a separate sh et ith ach ownerls)information and signatures. Applicant: Authorized Agent/Representative (If other than owner) Name: 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# Address: Phone#: E-mail Address: -p:..ru,rr _ „w,; -fx.=nal:. Is this an Authorized Agent/Repres #int r: e--....,..7-,, . YES Engineer Architect Surveyor Contractor Consultant Name: License# 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 t permitrissuance. e\,' / Signature: I4 Print Name: At'f•t.J Z,'sep / W,Date: 1744/t C'u'z,,4 ' a n, / ,e.As Pmt//ser- /1(447 ` Permit .Application i' 2 of 2 • 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: ktJ Lf�I� 14.A2��'s? • Address: 1(,9 A1o‘,tA 3. r`)C-'kik kfC 03t/� \ 9'81 01 Phone#: 2 ' 3.9 .4 E-mail Address: Please co• -- Authori ,:d A:ent/Representative with project info. (select only one). Property Owner Signature: Date: f(z.i..I f i S Note: For projects with multiple owners,attach a separate sheet w' each ner(s)information and signatures. Applicant: Authorized Agent/Representative(n other than owner) Name: 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: Professionals 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# 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 iii• t County's i -nt t. - - •on the property for visits related to this application and subsequent permit i uanc[t5 . A.._ Signator / ,,, 'L, ••rint Name: Ab (aJ�,ii1ii $ q // lkrmit Application Pagt••2of2 Michelle Farfan From: Brian Dempsey <bp.dempsey@att.net> Sent: Monday, August 10, 2015 8:27 AM To: Michelle Farfan Subject: RE: MLA15-00040; Lot Certification for APN 721-174-029 Hi Michelle, I would like to have a conversation with you about what options are open to me for accomplishing the same result as the proposed lot certification. I am having difficulty understanding the reasoning behind the counties objection to my proposal. The boundary line adjustment occurred over 20 years ago. I have owned the property for twenty years, and the counties position seems to require that the property remain in its present status in perpetuity. Please call me at (206) 972-0238. Thank you for your consideration. From: Michelle Farfan [mailto:MFarfan@co.jefferson.wa.us] Sent: Tuesday, August 04, 2015 10:18 AM To: bp.dempsey©att.net Subject: MLA15-00040; Lot Certification for APN 721-174-029 Hi Brian: Your application for the proposed lot certification has been reviewed by the county agencies. The county cannot approve it based on the following: • The parcel was created in its current configuration through a boundary line adjustment in 1990(case#SE56- 90). #SE56-90 took several pieces owned by a single owner and combined them together then divided the property into three equal parts. The properties were re-configured to run N-S spanning the South Point/Thorndyke Road. If you would like to withdraw the application I can refund $234.00 to you. Regards, Michelle Farfan Consultant, DCD 621 Sheridan St. Port Townsend WA 98358 360-379-4463 1 Michelle Farfan From: Michelle Farfan Sent: Tuesday, August 04, 2015 10:19 AM To: 'bp.dempsey@att.net' Subject: MLA15-00040; Lot Certification for APN 721-174-029 Hi Brian: Your application for the proposed lot certification has been reviewed by the county agencies. The county cannot approve it based on the following: • The parcel was created in its current configuration through a boundary line adjustment in 1990 (case#SE56- 90). #SE56-90 took several pieces owned by a single owner and combined them together then divided the property into three equal parts. The properties were re-configured to run N-S spanning the South Point/Thorndyke Road. If you would like to withdraw the application I can ref nd $234.00 to you. Regards, Michelle Farfan Consultant, DCD 621 Sheridan St. Port Townsend WA 98358 360-379-4463 1 , Michelle Farfan From: Mara Dotson Sent: Wednesday,July 08, 2015 2:33 PM To: Michelle Farfan Subject: RE: Attachments: ThorndykeMay2014.pdf Hello Michelle, Please see attached PDF response from to 2014 that I put together for David Johnson for the same parcel. Please let me know if you need further information. Thanks, Mara :) Mara Dotson Engineering Technician Ill Jefferson County-Dept of Public Works 623 Sheridan St. Port Townsend, WA. 98368 360-385-9234 Fax 360-385-9218 Original Message From: Michelle Farfan Sent:Tuesday,July 07, 2015 10:57 AM To: Mara Dotson Subject: FW: Hey Mara: Attached is a lot certification application for your review. Comments are due 7/21/15. Thanks. Original Message From: DCD Copier- Front [mailto:hpcopier@co.jefferson.wa.us] Sent:Tuesday,July 07, 2015 10:51 AM To: Michelle Farfan Subject: 1 Jefferson County '7\ •, ` Department of Public Works ° vri � 623 Sheridan St. rJ, Port Townsend, WA 98368 I ,r � ' � (360) 385-9160 Monte Reinders, P.E. Public Works Director/County Engineer MEMORANDUM To: David Wayne Johnson, D.C.D. From: Mara Dotson, Eng. Tech. II, Dept. of Public Works Date: May 20, 2014 RE: Date of Road Establishment Thorndyke Rd &Parcel #721174031 & #721174024 After a review of the Department of Public Works records, with regards to the above request, the following conclusion has been reached: This portion of Thorndyke Road was newly constructed in 1966 through County Road Project#277. Quit Claim Deeds were acquired in 1963 for this portion of road to accommodate construction.The quit claim deeds for the parcels in question are from Otto F. Smith to Jefferson County in 1963 (Vol.162 PG 95)for Tax No.6, 7, & 9, tax 9 is today's parcel #721174024 and quit claim deed to the county from Ernest Schmidt in 1963 (Vol. 162 PG97) for Tax No. 10 & 11, part of Tax 10 is today's parcel #721174031. Should you require further information, please feel free to contact me at extension 218. . - -MAP -Parcel Mao Viewer \/ , 7.2117,m2 / 721171002 ) / i 721174001 I 721174p11 721174009 / rii ": "m3 - , , 124033 721,740,2 , / \ 721174014 721174007 72117403/ 7211/4024 t 72 ! 4O32 72117200/ 7: 721174001 7211/400S /21174000 . ! . 1 ,,,.." 721174003 7211/4011 721174030 , ,e/ 721174012 . 721/74014 1 / 1721174033 721174000 / 1# 721174001 721174o24 t 721174032' ! //1 721/74006 i 721173006 / " 41' • . / /4- I 721172002 en,*&rocs GIB 0 Pairuels-H zoom to Ione records Ree PIN PIN_STRING LAND_USE LU_DE SC SHAPE_LENG SHAPE_AREA 1 721174024 721174024 9100 9100-VACANT LAND 4363.68309669 200666.610987 2 721174031 721174031 9100 9100-VAC ANT LAND 4I00747701 117218 370846 r Zoom to Iese monis , , . I i 1 1 Michelle Farfan From: Michelle Farfan Sent: Tuesday, July 07, 2015 10:54 AM To: Sherrie Shold Subject: FW: Attachments: lot segregation for dempsey, mla15-40_07072015103553.pdf Hey Sherrie: Attached is a log segregation application for your review. Comments are due by 7/21/15. Thanks. Original Message From: DCD Copier- Front [mailto:hpcopier@co.jefferson.wa.usj Sent: Tuesday,July 07, 2015 10:51 AM To: Michelle Farfan Subject: Please open the attached document.This document was digitally sent to you using an HP Digital Sending device. 1 [ Michelle Farfan From: Michelle Farfan Sent: Tuesday, July 07, 2015 10:56 AM To: Mara Dotson Subject: FW: Attachments: lot segregation for dempsey, mIa15-40_07072015103553.pdf; pwd fees pd_ 07072015103638.pdf Hey Mara: Attached is a lot certification application for your review. Comments are due 7/21/15. Thanks. Original Message From: DCD Copier- Front [mailto:hpcopier@co.jefferson.wa.us] Sent: Tuesday,July 07, 2015 10:51 AM To: Michelle Farfan Subject: Please open the attached document.This document was digitally sent to you using an HP Digital Sending device. it 1 o JEFFERSON COUNTY .�L`' "' DEPARTMENT OF COMMUNITY 4 K DEVELOPMENT 1 " 621 Sheridan Street,Port Townsend,WA 98368 Web:www.co.Jefferson.wa.uslcommunitydevelopment IliN�� Tel: 360.379.4450 I Fax:360.379.4451 I Email:dcd• co.efferson.wa.us SquareONE Resource Center I Building Permits&Inspections I Development Review I Long Range Planning July 7, 2015 Dear Reviewer, RE: MLA15-00040 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 - ROAD SEGREGATION TO CREATE TWO PARCELS - SUBDIVISION EXEMPTION 18.35.040(1) Location: Parcel Number: 721174029; 2251 Thorndyke Road, Port Ludlow, WA within Section 17, Township 27 North, Range 1 East, WM Comments must be received within fourteen (14) calendar days or by July 21, 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, Michelle Farfan .- Michelle Farfan CC:, \\tidemark\data\forms\F_M LT_ReviewerLtr.rpt 7/7/2015 S17 141., -. 3 • .•. ��SON ca DEPARTMENT OF COMMUNITY DEVELOPMENT 6-21 ,1,c, u.u:luecr,Port Io« i.). V\.A 9H36A � ti �Gn_� 'l 5n 1'ii�' ,6i)_�'9. 451 M E C E I V E ra \t`cb �z cfett i), \!!.1 ,%um nn7nirrdevelf,mic t ,., i r ,•" I . �� 1:-m i! ukiltfi:c i�ttcr��m�� t h1N110JN0S2131j3( SN/NG��� r[ JUL - 6 2015 Il PERMIT APPLICATION �� lE FFERSON COUNTY Steps in the Permit Process: I V -Review application checklist to ensure all information is completed prior to submit I: a•• e .•• w -Make sure septic has been applied for and water availability has been proven. -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 before permit is issued. For Department Use Only Building Permit# Related Application#s: MLA# Site Information Assessor Tax Parcel Number: 72. 1 174 O2-4 Site Address and/or Directions to Property: 2257 177,'/ JZ Yke RoRd ?RT Clic//ou) i44 Access (name of street(s)) from which access will begained: ' �GOCRTeQ DA) ToQAJaY,rCG Present use of property: U)/ oece.)/7,CC/ Sled l,D 6QA667;,, Description of Work(include proposed uses): Noy G5".4-fih/ d /.1/ t/oe /A/Te.✓i,.r Wastewater-Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? YES NO If not served by er identified above, identify type of septic system belo- . Type of Sewage Syste -rving Property: Septic Septic Permit#: Community Septic Name of System: Case#: Are other residences connected to the se• system? Additions or repairs to sewage system: Is it a complete or partial system installati. : Complete Partial — Has a reserve drainfield been design. -d? Yes No Date of Last Operations& Mai nance check: Attach last report to application Describe or attach any dra' ield easements, covenants or notices on title, ••ch may impact the property: . M LA IS V0090 • • 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: PBC% I Address:, 1301 5Vei&C 5 [JAI i r y.1s- rt-tie &OA a8'10.1— Phonjt: 21,4 3z4 i'1i$ es Zp6 172 0z38 E-mail Address: be_cderyt f,r .,A-fr•n,L.-r- _ __ Please contact Author' e Agent/Representative with project info. (select only one). Property Owner Signature: � Cl. ate: 7/S/Za/5- // lff+4,i Y. £le0A,p, �,�wyh�iC Q.!S C.S M+pwr.rie,c. Note: For projects with multiple owners,atta a separate sheet with eac owrfer(s)information and signal s. Applicant: Authorized Agent/Representative(If other than owner) Name: 13/A Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: /VA License# Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: l'U/A- License# Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: N/A- License# 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"tenter upon the property for visits related to this application and subsequent permit issuance. Signature: Print Name: , 'I tA) !? AGit ser Date: T4-o�� 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: MLA15-00040/SUB15-00011 Parcel Number: 721-174-024 Section 17 Township 27 North Range 1 East, WM Grantor(s): 1. DBC #1, LLC Brian P. Dempsey, Manager and Cairns C. Dempsey, Manager Grantee(s): 1. DBC #1, LLC Brian P. Dempsey, Manager and Cairns C. Dempsey, Manager Legal Description: Parcel involved in the lot certification are currently legally described as follows (include Assessor's Property Tax Parcel Account Number): Parcel A: East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 East, WM, situated in Jefferson County Washington Lot certification described as follows (new legal description in metes and bounds): Revised Parcel A: That portion of the East 5 acre of the West 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 East,WM in Jefferson County Washington lying south of the county road. Revised Parcel B: That portion of the East 5 acres of the west 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 East,WM in Jefferson County Washington lying north of the county road. 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 existin: legal lot of record. F Alk roponents' signature) 7 / STATE OF WASHINGTON COUNTY OF,, On ) 1 \;,K�c�"X ,200'15,personally appeared &1 al l t' wtP S'e.+/ eCc c r v1 S 1 ps dnd proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that he executed it. WITNESS my hand and official seal this / day of �.� 200-6 . b40 \X,ANO 4 .• coti,�•. p'* Notary Public in and for the State of Washington, �` F• y • 14: NOT -" 4 .(ns O hilsg) o Residing at 6-al '•.s*• :cR 03 ?°.•0a 1•r ,"4„ SHIN. • "6beno..n.••� 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 Division. Associate/Assistant Planner Date `El / t Z '1 o. W / ; Zw mm V It . omr O0pP < ry�'G'/ \ Z W m00 ` ®®® W W •naNN 7` 41 QQZ�W r fP/I 0 lifiz r I 3 O lofi �`1`E Ir = Q Ina S� ? ?�aNE I g�zEo �ov°bbry� �I Z so l "m °i°J�> 0 N a oJ01 " "< X 0 W 3 o 0 N �� °o 0 0 h- CC 0 v°a,� N q<1b w o k W Z o�db o 0 E Z m LL 4 r Z NW I Q i W a H u py.�v,{ W zid W Oz.s O l �J 2,7 D.n �O ; s �. Wn;a1 VI `J IAN N Ark UI } '''u8UI�` In n n_.' i9 *.-90. S .. 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N N N I I IFJ ., WIcn • 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: 7.2//7-1- Section -¢Section / 7 Township 2,7 Range / E d.M, Grantor(s): 1. Pik: / y e8re. s PDQ sc' 44' 6144ALs C. r /l(,tyuo i 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: -646r 5 A tees ex" Tie WWsr-261.4-ce2es cam G'cr/ J.near ,Cor 2-, oCEcTi4-4.0� /7, "Toc&,t).s,i, i 27 Nc4CW R,"Miee / hZ, 141 T/G��F�+(Sf7.t) Ldlt9rl77,Y LIJ460,.41GTo,o, (ape,cei_.-ex 72 / 174-0z1) Parcel B: Lot certification described as follows(new legal description in metes and bounds): Revised Parcel A: x.#47- pemo7arJ e,= 7 S r-S•4cgeos dvc T. goes-/-zt, /fi,2P_S' or GoU .407- 2,SECT e.J / T7:ccl nL S'Nir' 2-7 nkairN k471M43 / 4d.01:7 rN VGA"- -ese2S'n•.1 tea'/ a.44-are,MG ronJ .GY,4 c •$m✓«fi OA Tire dm t'.cj - Reohc Revised Parcel B:7,,,.r r PO007770,..) er:t 'rrre• eofor S"ac-.e. o Tim cdesr- za Ar—Res' c4ode.,We rc.J.- star 2, 4k77-..cs I 7Toaws-..9,,r7 2 7 nro -n-v, 1-AF ca / E.'4M,/ ,nl t71%vte3e5a),15-,..,„16-776,4j /„Yi t16 n7n� Oi- rife This lot certification exemption complies with Jefferson County Code(JCC section 18.35.040(1)or(4) r Existing Parcel A: East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 E.W.M., in Jefferson County, Washington. (Assessor's parcel#721174024) Revised Parcel A: That portion of the East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 E.W.M., in Jefferson County, Washington lying South of the county road. Revised Parcel B: That portion of the East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 E.W.M., in Jefferson County, Washington lying North of the county road. Existing Parcel A: East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 E.W.M., in Jefferson County, Washington. (Assessor's parcel #721174024) Revised Parcel A: That portion of the East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 E.W.M., in Jefferson County, Washington lying South of the county road. Revised Parcel B: That portion of the East 5 acres of the West 20 acres of Government Lot 2, Section 17, Township 27 North, Range 1 E.W.M., in Jefferson County, Washington lying North of the county road. ill / r � z } Z z "'i //I 4 , 5 W , Or / t3 . Zw mm 0 en . oma �/ y zO ^^m ` w @gm 0 i 1� a �®. / W W ^QNt. 0 0 Q2m;w z r .cleii- t >28 2l ,-017:',..47. 1 i = ' Ina I > Z. /c oAU�P !I Z 0 Tlc�O N ipOO 0 h �> O N N 0„O�S` I ri ow3 a l o Q. r IXa 'b. N v9d6, R S I!. Z •3,4rd 1 Q W Z g �% 0 u E p' n " a u W Z NW p a a 1 > ui w Cr > _ Ili o 0 Z 0� IQ U wr 7 5 O d4z" In W 0 , W11) N s 2J }m :Lnwr vW n h 4 n_.,' S o 60 le IP om0 po w co k O k I o 'nw ,w Cl. - n 4 N � Rnm 7 N n 0_N . id W L (P A6 z9a-,... x Ili g $ 0J n W I. " Pk gaWd 1. �4�q 4O ti= O cN Q � W �Nrglg itu gd a Iv= R iP p o �l o 0 z "oa z 0 i -" u QRZ w co- ZiN y9 r l ni 4k;.47':44-44, N \ le wJby/Q-' // ylx ZW �j. `W z O E --- w oil* J Jai JI G gp 0 w .� h. . 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BOX 571 11lliliilu r' DAlt .4 1820 JEFFERSON ST. 7/6/2015 PORT TOWNSEND,WA 98368 o Phone: Fax (360)385-9149 � 1.11 NOLO WWWCO.JEFFERSON.WA.US Duplicate copy Paid By: DBC#1 LLC %BRIAN/CAIRNS DEMPSEY 1301 SPRING STAPT29J SEATTLE, WA 98104-1354 Property-1D '. qb�C ': ':11%4 nt Tow 19183 721174024 Property Taxes 2015 9012 760.39 0.00 760.39 19183 721174024 Special Assessments 2015 9012 10.00 0.00 10.00 Subtotal: 770.39 0.00 770.39 Total: 770.39 0.00 770.39 Payment Type: Payment Check 1075 770.39 Payment Code: Full Payment Total Paid: 770.39 «i -Batch MRY, '1 f ;;;;;I T.,411 �i w. ,- ...a. iN i{rii <TCASH> <3306>-TCASH 07/06/2015 For Property Tax Information,please visit our website at:WWW.CO.JEFFERSON.WA_US Payment Receipt Report Page 1 of 1 True Automation,Inc. JEFFERSON COUNTY DEPARTMENT OF COMMUNITY '4 DEVELOPMENT 621 Sheridan Street, Port Townsend, WA 98368 I Web: www.co.jefferson.wa.us/communitydevelopment Tel: 360.379.4450 I Fax: 360.379.4451 I Email:dcd(a?co.iefferson.wa.us Square ONE Resource Center I Building Permits&Inspections I Development Review I Long Range Planning July 7, 2015 DBC#1 LLC %BRIAN/CAIRNS DEMPSEY 1301 SPRING ST APT 29J SEATTLE WA 98104-1354 RE: SITE ADDRESS: 2251 THORNDYKE RD MLA#: MLA15-00040 Dear DBC#1 LLC: Jefferson County Department of Community Development staff has reviewed the application materials for the above project proposal and has determined that the application is substantially complete. Additional information needed for project review may be requested in writing by the Director or Project Planner. Please call the Department of Community Development if you have any questions. Sincerely, Michelle Farfan Department of Community Development Staff c: File Parcel Details Page 1 of 2 � ,i. Jefferson "iter Statin ��d " .. . Home - County Info Departments Search 1 I Parcel Number: 721174024 I SEARCH Parcel Number: 721174024 Printer Friendly Owner Mailing Address: DBC #1 LLC %BRIAN/CAIRNS DEMPSEY 1301 SPRING ST APT 29J SEATTLE WA98104-1354 Site Address: Section: 17 School District: Chimacum (49) Qtr Section: SE1/4 Fre Dist: Port Ludlow (3) Township: 27N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Paradise Bay (8) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: Assessor's Land Use Code: 9100 - Vacant Land Property Description: S17 T27 R1E TAX 9 Permit Data lax A V Sales Photos, and Bldg Data Map Parcel Plats &Survey Septic Monitoring Info 4'1'4 iN. Jefferson County a .:;, HOME I COUNTY INFO I DEPARTMENTS I SEARCH 00, Best viewed with Microsoft Internet Explorer 6.0 or later 0 Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=721174024 7/7/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma. Legend Selected Features JC Roads Parcels-H County Zoning MPR.SF Traps Rural Reaidentml 1:5 ■ R uralResidostial 1.10 Rural Remdem�1:20 4C1111111%\ MPR-Single FerrAy ■ MPR 'lamely !�"!•1: MPR Resort Camelot EEO ••:•1i:'_g "I4C!+'. ParNs and Ameatn0 1.1 Rural FeraM ■ Cemmorcul Forest In holding Forest `..1.1 heavy Industria A pert EPF : ••:av]2 ■ MPR-Vlaage Censer ;�,,r•h.'- ■ AP 1:20 ':.P-'d ■ R ural Village Canter !1+•!,lrre•l Resource Based red. .i•-r,1 rt_., Light 4nd eel nal 721113001 "` MPR-Recraalnn Wade Mgmt LPF fE LIM a` ~ ■ Let Crasaretds-GC ■ Crossroads-CC I. 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Tue Jul 07 09:25:35 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 7/7/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map 11, 721172001 +4...Y.0 72t174033 72- 721174011 Legend , 721174007 721174014 Selected Features 7211740241 72117144)31-1 721174031 , ( t721174032 L Parcels-H Land5 I ide Hazard 721174003..1 ISi dss „,„ 721174033 Modarale III I I U117401z Slog n1 721174014 // 72I474 ,0,2•+ 4, <" P4023 721174024 72117360,3 -7211 ma 721173001 _14.' • .CP 721 '.A2 954600117 034600120 95463°122 1000'Yowled by.1011Emant.culty Ca0t8S , 0 599ft FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Tue Jul 07 09:31:09 2015 http://gisserver/servlet/com.esri.esrirnap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 7/7/2015 Map Output Page 1 of 1 } ArcIMS HTML Viewer Ma' �I . r r � tJ Y` t "4 ((ff kw, � _ 5 �� , _ � :, ; J1 i), / arc ! , _ -r� -> 1 .f'r .. \,,7 ( 721171002,1 111111/11billar44 �'^:- -i1's ,�..7 (7 / { k } .' -{1q-2 1 + 721174011 .7,7`7 -tel r-F—' "Th I I I I `I '74,174009 .. c 1 rt�� r� � �5121174013 721174003/ -if f , ::'--•----,;--;-$1,C---:=. _ 4.' —-� r r>h fU 1 1721174012 I l' /rr! I a ` 721174002 Legend 7211740i4 I' / r r l, / i1 l 721174007 -4..-1._,721174030 31 f , ` f i a Selected Features .�" J _ i 721174070 fC�f i `: `� 1. / r... 72,174024 • ! 'iti ' ./ It � � �. .7t It � I'" JC Roads ! v n,tt4aa1 > > )j ti �A 1_� .......—_-7„-,,,,,,,V � [ ....,__./ • 7211L74032 9 p �S ^�.,,,0,, , �`„ 1 1 pat ..154i t v •,-..1,,,....„,,,,,,s � 1 y rl�r `� r ) ., r_ i ns. 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Data contained in this map is limited by the method and accuracy of its collection.Tue Jul 07 09:32:57 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 7/7/2015 �' N- W , Jp z i k E t 5 i i N o m o T- N U.It i 5 k t C m ' o W W C7 N 0 (n F- CC n O 1 (31-14CL-91 0/I M9) _ u ry )- 1 a00 v C°C __ ^ o W 2^ \` (ON3 Cl%!LL Ni 010E ry (� 2� OYAYOI-L 5101 nN11 nR ^ 011‘/I19.0 Q ' \ 000611111 01-2 I` ^oleo ny' Vl 1 l u /O V ve uA CO k F �o0 '84 _ am ° - Q x^ / �•ry Z Y Q V _ y% tl iM 9 W ZZI ..z-.„ n O ry 6 000 61114015 Q °019 '0 CCT0b1C01 O w 0/00- WAX 060 _ z 7 I KYl 600601011 -_ - _ 0 § p 6 1169 6 00'0 I KYI WK = I lvi 010611101 _ f006[II0[ w N z '0 61.0 (0/13)I 19Y1 '0 69'1 (1/13)0 KYI 110611101 - i °110 10/10)0 061 6 001 (0/00)1 PLL 6,0,1", 100/�p63 n5 V ntl Ob 6100 1801 � '012�v'. n OV, 01/611101 X1`131011 3 ° U10 <N 6990 1001 �- VF n6rulzl !' -0.11'010° '°10'1 6l KYl v1 O'� v CL'I r1Y 911 60 XVI H1 [1001010 6191101E '°10'1 PI KYI 0›, 601'1 01011[1011111 � -. 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Parcels+I 721174001 '1 1 ! i Ir SMP Shoreline 721174005 — 7271740,t --- ..,,<, Environmental 'Jf Designations f.. 721174003 .--',-"Y 721174033 ii I 721174012 ~1 Aquatic rnv4ou / 721174031 721174730 IIIConservancy 721174024 i ■ Hsgh lntansay y 111174008 II I I Natural 72/17300/ i 72,,73006 72117 i k,, _ ._.... -- NA .._ Priority Aquatic e ® Sho.oena RaHtlonlial ,. J 72117 rt..i . 95480012_: 9548001189546001•t.i7 Mare ovededey JabsanCork cera Solaces ORS 0599rt FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Tue Jul 07 09:24:06 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 7/7/2015 • • �gON c, DEPARTMENT OF COMMUNITY DEVELOPMENT <, 621 Sheridan Street,Port Townsend,WA 98368 11/4 A Tel:360tdc .379.4450 Fax:360.379.4451 j ;n ° "- i _. / C ti -< Web:ww.co.jefferson.wa.us/communitydevelopment r}—{ ` r V Mil E-mail:dcd@co.jefferson.wa.us I i«rlll JJJ l 4- .41._"!-T1121‘015 S �0 NI NGSUPPLEMENTAL APPLICATIO., 1 RESIDENTIAL OR COMMERCIAL BL b - ��,� iii= —'_■ For Department Use Only Receipt#: iate--- Related Application#s: Payment#: � �, Site Information Owner Name: ;25c.,- , I ; 1 - ♦ 4,4,_ • Assessor Tax Parcel#: '71 / 174-oZ4— Type of Building New Replacement Relocated dition Repair Demolition 'A separate permit is required Select One: Single Family Residence Modular Other list Proposed Building/Project Number of floors # new bedrooms existing total bed # new bathrooms existing total bath Heat Source Select all that apply: Electric Heat-g Oil Wood Propane 7 V Enter the square footage(sq/ft)that applies in each field: Structure Existing Sq/Ft Proposed Sq/Ft; ICC Valuation (office use) Res .- tial/Commercial Main Floor Residential . • ercial Second Floor Additional Floors- heate• . • eated Basement-unfinished Basement-finished space or habitable Detached Garage-heated/unheated Attached Garage-heated/unheated Garage 2nd fl-unfinished storag- Garage 2nd fl-finished spa or habitable Carport-2 walls or I 4 - Deck- uncov- . _ 4 Coy- •orch Other(shed, barn, pole bldg,etc.) Estimated Cost of Project (Required): $ _ Supplemental SFR 1 • • List existing buildings on property(i.e. house,garage, access.• dwelling unit, shed, barn, mobile home,other): All Existing Buildings onProperty , ' Use Builders Statement I', The signer of this statement c- ifies -at they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they w' be assume ; the responsibility of the General Contractor for the proposed project. Signature: Print Name: Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his or her knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect tot is application ...ck-t may result in making any issued permit null and void. Signature 11� ? P 7me: on.--tel) 1'P6a')" Date: /9' s For ep'� iy i `1 , j Ou tri,-. Building Permit Fees Building Base Plan Check Review Land Use Review $234.00 Septic Review $129.00 Potable Water $170.00 Technology/Scan $19.50 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning Other New Address Total Fees Receipt# Date: Cash/Check/CC: Supplcrneni I tilt R 2 110 Begin Time: ill End Time: SON kti °64 DEPARTMENT OF COMMUNITY DEVELOPMENT �a 621 Sheridan Street, Port Townsend, WA 98368 �C Tel:360.379.4450 I Fax:360.379.4451 t. Web: www.co.iefferson.wa.us/communitydevelopment mak E-mail:dcd@co.iefferson.wa.us .47:b Jo,irSWIG' O CustomerAssistance Intake Form Help us provide you the information you need by filling out this form. This is a public information form,the contents of this form is available to view by the public. • The first 15 minutes of staff time is free. Ofce.Use Only • After the first 15 minutes, a minimum of one hour will be charged at the rate of $78.00 a hour with additional time over Receipt#: one hour billed in 15 minute increments. Check/CC#: • Please complete form and submit to the address or email Date Paid: above and a staff member will contact you. • Our goal is to respond within 14 calendar days of the request. Received By: NAME: /� Oen/f Se ( . RC~'¢� ititeFATee-) DATE: 6/ZY/Zoi54 4 EMAIL ADDRESS: 4., e-m/ "J C`Q20, MAILING ADDRESS: 2Z1 f7141"--A"D 'Le ' ' �vcsl/ad] GSR 'YrrjT $r TELEPHONE: (HOME) Co *3 7 151Y (CELL) 26 6- 972 6Z3g PLEASE NOTE: Information and guidance provided through Customer Assistance is advisory only and is based on C� , information provided by the customer. This is not intended to be an exhaustive review of all potential issues.Any discussion or /" information provided shall not bind or prohibit the County's future implementation or enforcement of all applicable laws and regulations. No statements or assurances made by County representatives shall in any way relieve the applicant of his or her duty to submit an application consistent with all relevant requirements of County, state and federal codes; laws, regulations, land use plans; and other requirements. Your Signature: er 1111 Monday, September 29, 2014 • Begin Time: I End Time: • Customer Assistance Intake Form Page 2 of 2 Information Requested - List all questions and any information you need addressed. Attach additional sheets of paper if necessary. A-,/04/2v4�idevi g,6l/ e.c 7e Ai 70 15;147._ A,,R,oxe- s-) ` eefrp 2 fc.2 �Uo',CTrrTp .U�c?T<tle f7 of c-oc.) r ,P � / 7o rf'1 r o-2,-,,,%) Property Description 9-DIGIT PARCEL NUMBER(from Property Tax Statement): 77. /74-02.4 PROPERTY ADDRESS: ,42Q/".Kox 72 s— 7-ec tiJ f4c- c. Office Use Only a • r 4��,ON cOL JEFFERSON COUNTY �� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 983681 Web:www.co.iefferson.wa.usicommunitvdevelopment 4�sgj Nr,C�� TeL 360.379.4450 I Fax:360.379 4451 I Email:dcdt co.iefferson.wa.us SquareONE Resource Center I Budding Permits&Inspections I Development Consistency Review 1 tong Range Planning( Customer Assistance Meeting (CAM) Form Office Use Only Your Coach:Colleen Ph ne. Today's Date:06/29/2015 Email -W Ik•Jn:yes Parcel Number(s): 721174024 1nieTrad1ng; Zoning: Plat: Is Minutes Notes: Research Meeting Road segregation process is a lot certification. Review the road seg memo to see if this parcel meets the requirements. Start Time End Time A lot certification is the process for the segregation of the 1 parcel into two. Total Due Paid n a 3 ro F1 gt. xt PLEASE NOTE: Information and guidance provided through Customer Assistance is advisory only and is based on information provided by the customer. It is impossible for the meeting to be an exhaustive review of all potential issues.Any discussion or information provided shall not bind or prohibit the County's future implementation or enforcement of all applicable laws and regulations.No statements or assurances made by County representatives shall in any way relieve the applicant of his or her duty to submit an application consistent with all relevant requirements of County. state and federal codes,laws,regulations,land use plans, and other requirements. Wednesday,February 19,2014 JEFFERSON CO1NTY DEPARTMENT OF COMMUNITY DEVELOPMENT 4.7 1-4 621 Sheridan Street �SO Port Townsend, WA 98368 Al Scalf, Director MEMORANDUM TO: DCD Staff FROM: Michelle Farfan, Associate Planner, FHM Lead iiicr THROUGH: Stacie Hoskins, Planning Managergr DATE: July 15,2008 SUBJ: Establish what Properties Qualify for Road Exemption Subdivisions; JCC 18.35.040(4) Below is a brief history and explanation of how the road segregations came about. Under the.3rd Edition Subdivision Ordinance (Ordinance No. 04-0525-92), Section 3.30 "Applicability" specifically number(2)states "Parcels in common ownership separated by a public right-of-way should not be considered a single parcel." This above applicability section has two parts: First, the applicability section addressed those properties existing at the time of the subdivision act came into existence. RCW 58.17 requires regulation of the division of land. Upon its passage in 1968, all future land subdivision would be regulated. There existed numerous properties in the county that were functionally split by a public road. Road rights-of-way were common physical boundaries from which land descriptions were, for all intensive purposes, already subdivided and a requirement for a formal process would serve no public purpose. Particularly since the requirement for a formal subdivision occurred not be action of the property owner,but rather by application of the law. Those properties that are too small to meet minimum building standards could not be built upon, and would probably be combined with adjoining properties. Those large enough to serve as a building site could be developed. The applicability section was a practical means to deal with this class of properties without unduly burdening the property owner or thwarting the public interest in land subdivision. Second, there are circumstances where public entities are acquiring new rights-of-way for road purposes and these purchases pass through an existing parcel of property thereby severing the property into two pieces. The severed property may or may not become a building site depending on size, characteristics, topography, etc. The intent of the applicability section here is similar to that in the first instance. That is to say, the property is functionally subdivided by the public rights-of-way as the result of actions other than those of the property owner. JCC Section 18.35.040(4)reads: "Divisions of land relating to the acquisition of a fee simple interest inland by public agencies, including, but not limited to, divisions made for road or public Building Permits/ Inspections Development Review Division Long Range Planning (360) 379-4450 FAX: (360) 379-4451 4111 i Page 2 Memo,Road Divisions July 15,2008 right-of-way conveyance or widening purposes. This exemption shall not be construed to include acquisitions of easements." This section of the JCC is similar in the"applicability" section of the 3rd Edition Subdivision Ordinance as identified in the first and second parts. The key to JCC Section 18.35.040(4) is as mentioned above in both cases the result of the functional subdivision is the result of actions other than the property owner. If a property owner subdivided his/her property over a public road right-of-way the separation provisions do not apply. If the state or county decides to install a public right-of-way through a parcel of land,then it could be considered two separate parcels. The property may qualify for segregation if all of the following are met: 1. The road is a public right-of-way(county or state) and not a private easement or private road. 2. Parcel was in existence prior to 1968. 3. Road was installed through a parcel by the county or state after 1968. Here are a few examples of when the road segregation does not apply: 1. The road is private or is just an ingress/egress easement. 2. The parcel was platted or BLA'd over a public right-of-way after 1968. 3. Comp Plan NRP 3.3 states"Parcels designated as Forest Land in common ownership separated by a public right-of-way shall be considered as a single parcel." Parcel Details • • Page 1 of 2 a'� Jefferson County rte � . i � •.; � X11",#[___ �„ ��Weather�taUi9r>t e_a,, . ��aas }Tn.;ols tt[agk .. a o6cara�= a ._ . ; ' HomeCounty Info Dpenfs Sei. �r 1 , _ 0.._ ard _am Parcel Number: 721174024 SEARCH Parcel Number: 721174024 Printer Friendly Owner Mailing Address: DBC #1 LLC %BRIAN/CAIRNS DEMPSEY t 1 1301 SPRING ST APT 29J Y\ ' L \\CD.— L` 0 SEATTLE WA98104-1354 ���JJJ��I Site Address: Section: 17 School District: Chimacum (49) Qtr Section: SE1/4 FireDist: Port Ludlow (3) Township: 27N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Paradise Bay (8) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: Assessor's Land Use Code: 9100 - Vacant Land Property Description: S17 T27 R1E TAX 9 Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel tats&Surveys Seotic Monitoring Info °"*,. Jefferson,County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later esWindows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp 7/6/2015 13 . TRANS•AL REPORT lr 3 1,-, L La iov a �+N ` a , r _ f I'1 { -1 <p cse YJ 4 e-i i( 9- ,, 0 O H It v^ to Q r L { 4 2 i �,1 cf ._u i 1 w U Z Y o � Cr 2 7 5. 2 O \ V 111 .a �^ ‘ gTh g t.": 0 I— ° 0 z �' „,:i., Nv o '1 j '>.."-f r` D �.-^' A- z O ZO ,0 k` ;,, et I 1.-Jr ar¢ .' W 1^ `i -aW a ( 0 S -.,.�+� a.�. _ W _n J \.\ 0 W w ,, , W �i Eo CD Q o _... - , 4 e 0 F R �3 Y 11. C nC 0 Om w EC CO i L d�0 cr a-..,. U- be wx roarw,o f•.mom.._,)amus 0 rrviOinnS • • Sally Ellis Subject: bRIAN dEMPSEY Location: Permit Tech Desk Start: Mon 7/6/2015 9:00 AM End: Mon 7/6/2015 10:30 AM Recurrence: Weekly Recurrence Pattern: every Monday, Tuesday, and Wednesday from 9:00 AM to 10:30 AM Organizer: Jodi Adams Name of Appt person: BRIAN DEMPSEY Phone Number: 206-972-0238 Name of Property Owner: Parcel Number: 721-174-024 Address, if applicable: Lot Segrations Project: (NSFR,SPAAD etc?) Is there a pre-app? Case Number of Pre-app? SPAAD? Zoning case number of SPAAD? C/Am l S - a • &PD 310 `' & r'Pc i Sconr\, A4 I� 3i .0° C ' io5L CASES, FINDING, CONDITIONS, PERMISSIONS FOR • Parcel 721174024 • Printed: July 7, 2015 Cases Name Review Status Planner Type CAM14-00238 DEMPSEY NA M David Wayne Johnson Application Received: 4/17/2014 Permit Issued/Case closed: 4/17/2014 Case Finaled: Driveway, building site- Road Seg No findings, conditions, or permissions found. CAM15-00322 DEMPSEY NA M Colleen Zmolek Application Received: 6/29/2015 Permit Issued/Case closed: 6/30/2015 Case Finaled: Road segregation process No findings, conditions, or permissions found. SUB15-00011 MLA15-00040 DBC#1 LLC I P Michelle Fartan Application Received: 7/6/2015 Permit Issued/Case closed: Case Finaled: LOT CERTIFICATION - ROAD SEGREGATION TO CREATE TWO PARCELS- SUBDIVISION EXEMPTION 18.35.040(1) No findings, conditions, or permissions found. \\tidemark\data\torms\R_MLT Parcel_Cond.rpt 7/7/2015 Page 1 of 1 DEVE•PMENT REVIEW TIME OWEET DBC #1 LLC MLA15-00040 Date Time Comments 7/7/'3__ , 21-- i6vritgr-c, 1\tidemark\data\forms\R_MLT_Case_CRMLA.rpt July 07,2015 • • UDC CONSISTENCY REVIEW Project e 0 Master#MLA15-00040 Review Type Project Description SUM 5-00011 I LOT CERTIFICATION-ROAD SEGREGATION TO CREATE tit; it TWO PARCELS SUBDIVISION EXEMPTION 18.35.040(1) Primary: DBC#1 LLC Site Address: %BRIAN/CAIRNS DEMPSEY 1301 SPRING ST APT 29J WA, SEATTLE WA 98104-1354 Project Location: Parcel Number: 721174029; 2251 Thorndyke Road, Port Ludlow, WA within Section 17, Township 27 North, Range 1 East, WM Parcel Number: 721174024 S-T-R: 17-27N-1E Total Acreage Legal Description S17 T27 R1E TAX 9 Land Use: 9100 Flood District: Fire District: 3 Planning Area: Flood Map(FIRM)Panel No: •chool D 49 Zoning: COMP PLAN Oki DESIGNATION: (� CO ITY PLAN: UGA: UGA Trans %, Plot plan states "property line" 2111, Assessor's Map(Property lin • • ubmitted plot plan must match the pnperty lines as identified on theAssessor's 1/4 map) Legal Access to Property 0 NO dr Parcel Tags or Scanned I . 1 ents Y cNO� ESA's: Special Reports t: by YES NO [ Designated Ag YES NO op Shoreline Designatio "ii, NO aim, ' a Iv Shoreline Sl• tabih trO NO Cr-14. ' .' / , /'V11,500-Q-2-- Stream jn, SL,Stream Ty iip NO 'V FWHCA: - NO Wetlands: YES e Rare Plants:YES OM Seismic: YES Il1V Landslide: !`!� - N o# e...., Arca,A r tt,(.r." Flood: YES Erosion: YES / c, Aquifer Recharge Are. NO SQSC--- _ ' i. SIPZ: no•e At ' sk High Risk 11q111111110 CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater sit submitted: Ye 4 • firr Forest Lands: E NO .yy�� Adjoining Forest Lands: 1950' (A tntli ial/ Rural/ Inholding t Mineral Lands: YES 0 op Agricultural Lands: NO Archaeology: YES No Shooting Zone: YESN16 [1j]1-- 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 Engineerin_ [ A� Notice Provisions/Disclosure:Airport YES NO MRL ves 6o Forest Landes NO 111 .V Landscaping Required: Ye'illas) li 4P Parking Spaces Re• .ired CO 2 Other Building Height: 40 1 :C Standard Impervious Surfa•• • .verage percentage: � S---C? Resource Lands&Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% ea 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 r-- .4' Setbacks: Front: 7(XJeft Side: Right Side: ," Rear:�,� Shoreline Setback: N LSHASetback: NG � n �_ [ ] Road Classification: 01Alie ,t.J. Road Approach: EXISTINOT Q'D RAP SEPA Required: YES, EXEMP [ Flood Certificate: a Existing Case(s)&� ndition(s): 69_5_ ` Violations: Yes N Recorded Date of Subdivision: AFN Over 5yrs=UDC -Plat Conditions: <5yrs=Plat Cone' • s on plat or Old Ordinance tip< Lots/Require Declaration of Restric ' .-. ovenant YE' 0 su ' ed: YES UGA No Protest Agreement Y r--`ianbmitted: Y O yJ Site Visit conducted YES NO 'J Require Final Zoning Approval • S NO o . 1 MIN: Setbacks entered in Permit lan case CP YES New Parcel Tags enteredin it Plan ES Special Reports Scanne N/ YES No parcel tags found for parc Associated CASES status issued finaled description 721174024 CAM15-00322 M 6/30/2015 Road segregation process MLA15-00040 SUB15-00011 P LOT CERTIFICATION-ROAD SEGREGATION TO CREATE TWO PARCELS-SUBDIVISION EXEMPTION 18.35.040(1)