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ZON2017-00010 BACKGROUND INFO
LAR ANN N all its : : m : : a : o W 0 0_ W U)� o' IVr .5 m " M Z W CD N Wo N. Ct O W Q N NS - NLZ -OZ b/lMN) Ili ,LS'B,zl ,j Lf.a O` b II (0f XVI 5531)0LOOlXVL U ti o ^ o v gam_ C o �' O m) W tr ,,f/ S w 'o LBV / c� F 15 NOSdWVS OVA 11V;Ol XVI g - ,98'l8f I VflOIfZZOL I Q W m N 00089 0,'Z9L 311 ~ $ k.. 1 N m N F ti • ] a n N S W g 10 .... N V nO s <g $ Q aF a ``\ F. a = ~ ~ to N98 Li g t :Lind 62 W s 0 z x w 6. n gfrm, 00'081 r n 5pB.90 7 ....„1lt[M[ A-m w.. I. n O ^O, I I ,98'X4 _ $ }an N ,OfZ 'r, I IR m s z w 9. - x 7 g s F"'1 I 6 Y 13 w 0. m n'- .e. 8nd I 1 NAS gl° (2 i Ng .� m ��8 II . < n.n o aw ~ n z 1 n� a n . . 0 001)6, 1101 n N U —.0 000_ .)9 ofZ m ('1S 30N3i•1013) M/y A1N(100 ,ts-to> 1'011 0. (Nava me 3N3O11 0) 8 s < j s V (,)as 5531)Z Xi nn� � n • - iv 600lcZZOL am om .0(3.--- 006 nom. (MZ - NLZ .0000 -fZ b/CMN) srot¢ .............. ............... ............... .............. ............... ............... >.:9;z.::.. O § 1 g U a $i r bl w g k'm m❑ o .... oio m 88$ %i,ALA < a� a <J�o1-;5. Ag w — n 3i��< x io o ga 4 g • • zam o — —066)iA %g • � �a ' w z q''s �� o w 8 NPs.i' _ W14 o 0 i 2 NARRATIVE6" D. SCH£D 40 Sn. BOLLARD, SEE A2 SERIES „ L = 99.3 DWGS NARRATIVE FOR REVISION TO BLDG PERMIT 2017BLD17-00193 THE REVISION TO THE ENVIRONMENTAL CENTER (ENV crR) PLANS WARP CONC SOG TO DRAIN TOWARD (A2 SERIES) IS SHOWN ON THIS SHEET. THIS ADDED WORK IS CENTER (NORTH) PORTION OF SOG, RECCOMENDED BY THE AQUIFER REPORT (BY GEO ENGINEERS), FIELD VERIFY CONDITIONS, BROOM FIN TO PROVIDE AN ADDITIONAL LAYER OF CONTAINMENT TO SOG IN N-S DIRECTION HOUSEHOLD HAZARDOUS WASTE TO BE COLLECTED IN THE ENV CTR. THERE ARE NO OTHER CHANGES TO THE ENV CTR PLANS THAT HAVE BEEN SUBMITTED FOR PERMIT REVIEW. THE AREA BELOW THE ENV CENTER WILL BE EXCAVATED AND LINED WITH A CAPABLE MEMBRANCE FOR CONTAINMENT OF 250 GALLONS, IN THE EVENT OF A SPILL. ACCESS IS PROVIDED CHECK THE STATE OF THE CONTAINMENT SUMP. EL = 99.8 GENERAL NOTES: 011 1, SEE PERMIT SET DATED MAY 1, 2017, A2 SERIES SHEETS, FOR SOUTH EDGE OF SOG AND ADDITIONAL INFORMATION. VERTICAL WALL 2. REVISIONS SHOWN HERE ARE TO PROVIDE SECONDARY SEE FOOTING DET SHT CONTAINMENT AT THE ENVIRONMENTAL CENTER. n'`, A2•3 3. WORK SHOWN HERE IS TO BE ADDED TO THE CONTRACT FOR CONSTRUCTION FOLLOWING PERMITTING REVIEW. o SPECIFICATION NOTES: 1. CONTAINMENT SUMP: FOLLOWING LINE WITH HDPE LINER (12 MIL) IN THICKNESS AND SMOOTH IN TEXTURE. TO BE ULTRA VIOLET RESISTANT AS MANUFACTURED BY GLOBAL PLASTIC SHEETING, OF VISTA, CA, 92154 (888) 597-9298 1A. SIZE THE HDPE LINER MEMBRANCE TO FIT THE CONTAINMENT \ FO LINDA TIO EXCAVATION AS SHOWN ON THE PLANS WITHOUT SEAMS. 2A. POSITION THE LINER MEMBRANE TO AVOID WRINKLES AND THE LIKE. TRIM AROUND EDGES, TYPICALLY AT THE LINE OF THE SCALE: 1/ 4"= 1'-0" SCREENING AT GRADE. IIIIMNIMENIMMINIE i SHIPPING CONTAINER/ENV 12 MILL HOPE CTR A2 SERIES SHEETS CONTAINMENT SHEETING - 8'-O" FIT TO CONCAVE SHAPE FIELD VERIFY OF CONTAINMENT BASIN — 4X6X1 6" SOLID CONC RN FLR EL£V BLOCK LAID 32" O.C. TO SHIPPING CONTAINER RETAIN CONTAINMENT SHTG ALL AROUND FOUR EDGES CONC APRON W/SMOOTH TRIM CONTAINMENT TRANSITION TO SHIPPING SHEETING TO LINE OF CONTAINER FLOOR LINE SCREEENING ALL AROUND FOUR SIDES (OR WALL AT 8•_0.• GRADE NORTHSIDE) f FIN FLR. - -- II M ELEVATION 99.8' FIN FLR. GRADE �� __ f- ELEVATION 99.8' 7 LOW POINT OF — o _ CONTAINMENT SUMP r I J. — UNDERSIDE OF SHIPPING r 1 L J CONTAINER CONTAINMENT BASIN (SUMP) L _ _ — J CROSS SECTION LOOKING EAST LONG SEC • SCALE 1/ 4" = 1'-O" Y % �: - SCALE: 1/ 4" = 1'-0" i... r.,I BLDG C)JUN I `sj 2017 I PERMIT QUID SET ENVI ,icTi,!]:L.,,iN couvri 1,c1) -‘,_ _,_________.7_,�.�_ 295312 May 1, , - biZO MLA17-00 BUILDING PERMIT APPLICATIONo Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD17-00194 Received Date: 5/5/2017 SITE ADDRESS: 295312 HWY 101 QUILCENE, 98376 OWNER: JEFFERSON COUNTY PHONE: PO BOX 1220 PORT TOWNSEND WA 98368-0920 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702231010 Section: 23 Township: 27 N Range: 2V1 CONTRACTOR: TBD PHONE: REPRESENTATIVE: GORDON RAMSTROMPHONE: 360-385-9380 623 SHERDIAN ST PORT TOWNSEND WA 98311161rir PROJECT DESCRIPTION: NEW MANUFACTURE PORTABLE BUILDING - NEW ATTENDANT OFFICE WITH FOUNDATION PLAN TO COME AS DEFERRED SUBMITTAL SEP16-00198 TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: 288 TYPE OF IMP NEWMAIN: 0 INDUSTRIAL: VALUATION 62,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2015 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Type Amount Paid By: Date: Receipt Exist: Manufactured Homes $0.00 SRE 05/05/17 Prop: 1 Total: 1 Consistency Review $0.00 SRE 05/05/17 State Building Code $0.00 SRE 05/05/17 Approved/Date Scanning Fee $0.00 SRE 05/05/17 EH SEP/Commercial Rev $0.00 SRE 05/05/17 Total: $0.00 ' ‘1\7 hubl' u_d SiS/11-- • 1517-€A-7 -0 prc-ecy CU Pop KIEL 0---) \\firlomarL\r nfn\fnrmc\F RI fl Ann Rlri rnf Ffc/9f117 k- w SON �oG DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port1'owncnd,W,A 98368 ti 1 cl:360 379-4450 1'ax 360.379.4451 ,___, Webw uw co lctferson.wa us/communitvdevclopment D 1 p ft, -mail dcd(xlco.jcffcrson.wa.usits:' �.€ , r 9�NING„ Q� 9 A k LIP PERMIT APPLICATION ``” ,iPo Steps in the Permit Process: JEFFERSON -Review application checklist to ensure all information is completed prior to submitting application. CON-r. DCD -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: 702231010 Site Address and/or Directions to Property: 295312 Highway 101, Quilcene, WA 98376 Access (name of street(s)) from which access will be gained: US Highway 101 Present use of property: Jefferson County use as a Solid Waste Drop Box Site, Gravel pit to the north of the solid waste site. Description of Work(include proposed uses): septic utility work, new attendant office, new household hazardous waste collection unit, new site lighting and surveillance. Wastewater-Sewage Disposal 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#: Existing system = 13-121 Community Septic Name of System: Quilcene Solid Waste Drop Box Site Case#: SEP16-00198 Are other residences connected to the septic system? NO Additions or repairs to sewage system: Addition to the existing septic system at the adjacent County Road Shop. Is it a complete or partial system installation: Complete Partial ✓ Has a reserve drainfield been designated? Yes i No Date of Last Operations& Maintenance check: August 11, 2016 Attach last report to application Describe or attach any drainfield easements, covenants or notices on title,which may impact the property: None known of. We shall execute a restrictive covenant to link this site to the adjacent County Parcel as required for the septic permit. BoCC date is April 10, 2017 • 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: Jefferson County Public Works Address: 623 Sheridan St. Port Townsend,WA 98368 Phone#: 360-385-9380 E-mail Address: gramstrom@co.jefferson.wa.us Please contact Authorized Agent/Representative with project info. (select only one). Property Owner Signature: Date: Note: For projects with multiple owners,attach a separate sheet with each owner(s)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: 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 of e County's i t torenter upon the property for visits related to this application and subsequent permit issuance. Signature: I' z/� , Print Name:Gordon D. Ramstrom Date: May 3, 2017 SON co DEPARTMENT OF COMMUNITY DEVELOPMENT _ 621 Sheridan Street,Port Townsend,WA 98368 W Tel:360.379.4450 Fax:360.379.4451 ti �C Web:www.co.jefferson.wa.us/communitydevelopment E-mail:dcd(a,co.jefferson.wa.us '1 N o�o� SUPPLEMENTAL APPLICATION MOBILE OR MANUFACTURED HOME For Department Use Only Receipt# Dater Related Application#s: Payment#: Required Submittal Documents Permit Application,Supplemental Applications and Fees; 3 copies Completed and signed. Each building permit requires a separate application,signed and dated by property owner. Water Completed and signed permit application. Please submit 2 copies. You must provide all information necessary to prove potable water prior to submitting your bldg permit. Well-must include well logs and lab analysis at the time of application. Public Water-have a completed&signed Water Availability Notification from water purveyor. Septic Septic Permit Number - l �ij — O , / A septic permit application must be on file prior to submitting your building application. O&M Form First page of Current O&M Inspection paperwork. Please submit 2 copies. Site Plan We cannot accept a site plan larger than 11"x 17". Please submit 5 copies. See Site Plan checklist to ensure your site plan is complete at time of application. Floor Plan We cannot accept a floor plan larger than 11"x 17". Please submit 3 copies. All rooms to be labeled on the site plan,show any, including garage,that are unheated. If this is a remodel provide a before and after floor plan with all rooms labeled. Stormwater 2 copies of the stormwater calculation worksheet is required for all building applications. All stormwater plans must comply with the current Stormwater Management Manual for Western Washington: http://www.ecy.wa.gov/programs/wq/stormwater/manual.html Access Road Approach Permit Application. An approved access is required for all County roads if approach has not been previously approved. r rte' D)"2"-/(, Existing Permit Number: RAP OR -' Private Road(no permit required);OR State Road (permit from WSDOT) -v m Address Address Application required for all construction projects, if no address is currently assigned. 'n.. / L. Existing Address& \ Red fire sign showing your current address on site. —i 4t Manufactured Homes-require no plans at time of submittal. However at time of all inspections,the required set up manual must be on site with permit or no inspection will be performed,and a re-inspection fee assessed. List existing buildings on property (i.e. house, garage, accessory dwelling unit, shed, barn, mobile home, other): All Existing Buildings on Property Use Supplcmcnta1 A,Iint afacturcd I Ionic 1 Assessor Information Home Data: Make: Model: Year: (`: t'' / f'.2.P 1-7) Length a Width: / ' Serial #: Your Purchase Price (Don't include sales tax): $ Purchase Date: Previous Owner/Location of Home (if new move to question next question): From whom did you purchase your manufactured home: Address Was manufactured home assessed in Jefferson County last year: YES NO If yes, Previous address of manufactured home: If no,what County was M/H assessed in last year: Where is the manufactured home to be located: Will the home be in a mobile home park? YES NO If located in a mobile home park: Name and address of park: If not located in a mobile home park: Name of land owner: coup-ry Location address: t2c7 6.-P‘NAY Assessor tax parcel#: "' 0 7,..2.‹,..)/ Building Information � - r 12_; ( .. �` � / Assessor Tax Parcel#: 0 ' -'2 /`al 0 Property Owner Name: � Type of Manufactured Home: Check One: New Replacement Moved Demolition Check One: Park On a Lot \ Temporary Construction Living Quarters Proposed Building/Project: Square Footage: Number of Bedrooms: Type of Heating: ' . '' 6>± 6 Number of Bathrooms: Deck: Sq/Ft: Garage: Sq/Ft: Installer: -u /) Address, City, State, Zip: Phone: Installer Email: Contractors License#: By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and correct to the best of his, her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in 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 d subsequent permit issuance. Signature: h /,// 4144/(.1 Print Name: �Z-C�O!" (' ,54 Date: cal( Li[k ; wry `_''''1.,,,,,,,,,,t,„,, ,..,, �� N 'o6, DEPARTMENT OF COMMUNITY DEVELOPMENT il ' �� W621 Sheridan Street,Port Townsend,WA 98368 x j � i Tel:360.379.4450 Fax:360.379.4451 -, Web:www.co.Jefferson.wa.us/communitydevelopment <'O�C " E-mail:dcd(a,,co.jefferson.wa.us �t6'!!Y, STORMWATER CALCULATION WOE"V HEET <ji° MLA# PROJECT/APPLICANT NAME: / L /e S IN L7g 'A? JX c riq DETERMINING STORM WATER MANAGEMENT REQUIREMENTS:This stormwaterwcalculation worksheet should be completed first to classify the proposal as "small," "medium," or "large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E.,SITE) Size of parcel 15.22 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 662,983.2 sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative)and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing,grading,filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds, that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir, western hemlock, western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry,and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: 1000 Does the project convert 3/4 acres or more of Construction site for structures , sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank, etc. 600 sq/ft Circle: Yes No Well, utilities,etc. 400 sq/ft Does the project convert 2'/2 acres or more of 551 native vegetation to pasture? Driveway, parking, roads, etc. sq/ft 0 Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface,etc. 0 sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 2,551 sq/ft Cut 15.3 Fill 15.3 (cu/yd) Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at a n increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops,walkways, patios, driveways, parking lots or storage areas,concrete or asphalt paving,gravel roads, packed earthen materials,and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. stormwater calc worksheet-REV.10/20/2014 1 STORMWATER CALULATIONS—IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) 1,000 sq/ft Structures(all roof area) 74 sq/ft 00 Sidewalks sq/ft Sidewalks sq/ft Patios 0 sq/ft Patios sq/ft Solid Decks 0 sq/ft Solid Decks 0 sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc 969 sq/ft Driveway, parking, roads, etc 12,664 sq/ft Other sq/ft Other sq/ft Total New 1,969 sq/ft Total Existing 12,738 sq/ft TOTAL NEW+TOTAL EXISTING* 14,707 sq/ft *This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: 1'9 Does the site have 35%or more of existing impervious surface? Circle: Yes No A( FURTHER INSTRUCTIONS: If the answer is yes,the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of "medium" projects—those that must meet only Minimum Requirements#1 through#5—and for"large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Storm water Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet,I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected propert 12, 0 ( DOWNER OR AUT ORIZED REPRESENTATIVE SIGNATURE)(7 72A1V 71 A �� j r,p4xt (DATE) FOR OFFICE USE ONLY ! J f/ SMALL MEDIUM LARGE REDEVELOPMENT StormwaterSitePtatr. Yes_ No 2 stormwater calc worksheet—REV.10/20/2014 CO p T � rnZO • o � xo � "'�coX � e 0�Dbotibo��M 1, a �' S4-0 y � la. 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Z o�a � c o rr�nI rrl ),—.4M 1 - z 4 d 0 ti t�-4 Z Z rn0 4a ^ 1 O � lJ Z M y -2- BUILDING BUILDING PERMIT QUILCENE SW DROP BOX SITE - IMPROVEMENTS Jefferson County Public Works ATTENDANT OFFICE - ENLARGED PLAN 623 Sheridan St. SET Port Townsend, WA 98368 295312 Highway 101 Quilcene, WA 98376 Drawn by: GDR 1 May 1, 2017 PROJECT #401 594 1984 A 1 • 'ice I ,o _B• J'� �. A\,_ .. , I - - / o 0 I SiV,a: 11!mrfa /i 1 .7 c::, , _i_.1 c:,,,, ________ I ,...., 0 0 . 1- , 1 1 s ___ __ I .c. r, ..1, i..,%,A . 1 ' 1: '. 0-4 i ca orn ---, rl I • ♦4 II ,,,, •\ fJ.! I^y •47 1 '. I !r ! 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' I q , I\ I r r \ q ' 1 \, ii t I Vr ry 1 • II Si^y 1('n� I -u II i i \ (nth 0 0 L:.t 1) 1. 77-�( w i i \ 1 °zr 1 \ F b a max '1 4 \ i 01 01li p2z� t ) ----___O O Z i I J , ,6 41 \ G i i - , , _i l IIz 1 i 1.1 A�'g y j � q , fl- ---_�'PF 017 oco BUILDING PERMIT QUILCENE SW DROP BOX SITE - IMPROVEMENTS Jefferson County Public Works' SET KEY SITE PLAN 623 Sheridan St. 295312 Highway 101 Port Townsend, WA 98368 g y Quilcene, WA 98376 Drawn b GDR • May 1, 2017 PROJECT # 401 594 1984 Y 1 ',...,..., -Yr:, \ . • 0 / (300t3 DODO • I I , ut o_42 7w iro n 11 IIi.:. m Q n1 Z r''Il i C r c� C) % to z a § t A; .,1 � _ � � / 1 Ri is A ! i A 1 '1:' 1 /' , 1 .\ ..., :, --- 11.A I J a b" ,i1 11 1 'r'i, O§ � 1 I Q.... , I . ,, „ r/ 6,", , , f V u1 1_..__ .;,1/, • 0001 . 2 II t . 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'ii 0C" BUILDING PERMIT QUILCENE SW DROP BOX SITE - IMPROVEMENTS Jefferson County Public Works 623 Sheridan St. SET STORMWATER SITE PLAN Port Townsend, WA 98368 295312 Highway 101 Quilcene, WA 98376 Drawn by: GDR • May 1, 2017 PROJECT # 401 594 1984 I / _A ..,-- c, . 1 1 ''''\, , , z, . , _v,th __ , ___7-'\ .. l:l / 0Y ' �- i • —. 0 \ . i /,' __ I a...1c2 . . _ „,..(x) r I 1 xw. Q }� r � Tç 4 ! "� \' S, ....� I • \. +eSYry rY or6-,,._. -°ro°l ) , t (. o � 171 • Lt 1 . '„ bt 1t • '' b��•i Ion,.• .. Z I �7`t i '04,111` 7C / - u I v7 4. r b " / J� i/ , I ) I .411_,L' !V) Milt!_ .c,c:, : ... __f.:„..-,:-"--7 o n ._ _Z I • ( , � . ,,,5, 1 ,,u,. ,, _ 0 ,: ,.,, , , , ,...... • „1 O c; fzig nrrl _ -g--c.% ---141.- I11111 ~ o�13" ax� 11 x � a� lwd • 1 I I -- _. e-.. o ito 11' ' • __urs UGG • I i v c �.' f r i Z4'1 b �� u� \ 11 , Vl tV u. UGC -----1N-- * 00 ti C,-} rn ) �� ,�, Y els \ :_uGc_ 1 I ��� ;iro ' P.`4,1__ q� � y ■ \ i F p n1�1 !�1 ■ S G�rl� Y' i V io ....., 41. ('yy}}.��� ry]� 40 o� �QI ,'i IA E \ 1 �ht QO �'o( -0 \ 1 A C' N Q I 1 \ i Plii I i•B z Q G tI .I r i �IC _ _ s \ 1r31 7 lit BUILDING �� 000 PERMIT QUILCENE SW DROP BOX SITE - IMPROVEMENTS Jefferson County Public Works SET UTILITIES SITE PLAN 623 Sheridan St. 295312 Highway 101 Port Townsend, WA 98368 S 0 e 3 g y Quilcene, WA 98376 Drawn b GDR May 1, 2017 PROJECT # 401 594 1984 y ❑ ❑ ///J ❑ ❑ ❑ ❑ D ❑ ❑ ❑ I E,..- r • cn / I. 0 0 Q 0 0 0 0 `i 1 i �i „ I I \�\ z O 4� J p ,/,/ 8U °d 8l7 QU ill II 1 IV f 1 l7 Q l7 C7 cv `✓ A I I 1 I I I c !1' pr°*r ) Q Q ` d Q ■ I r--x:',.. : ../L. . -+ I -. I(11 4 o ■_ C tr Ia c - • , •/• • 2 - I I I by Irh ■ mP -1 • 2 1,-,, �h I o _I rri ■ z O rO I__. _ I I_ _ I z- hoz rn I z% a 2 ii if I i i I 1 ko oz C/PyA °'t tIJ . ' , i i-it _ _ 1 1 1 0 ir;-1'c2i--3 El , .. _..... u 1 1 4.r • cnz ■ t`t cel ::7:*_,.._-__I. M o crt �' • r-� ,d 1141hh" C) KI ° 1 rri m ry oo Q C7 >y . _r1_ \ _ U V1 •■ >c cnm /MQ ► O1 • M4 y % tv) , r f'.. 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C`)e-S.-b 6 I) \ -}e P\4 \mi3d affirticcae bat -u ) f \\4irlcmar4\ri�1n\form c\F RI Il Ann Rlrl rnt c/c/71117 N �� , 1 e��r�ON co DEPARTMENT OF COMMUNITY DEVELOPMENT �� 621 Sheridan Street,Port Townsend,W,A 98368 W A "lel.360 379 4450 1 I xx:360.379.4451 ti Web:www co.jefferson.wa us/communm,development e I mail:dcd(�co.1cffcrson.wa.us -` €. 1, �s CO-() N1 N 11 PERMIT APPLICATIONi. I �. Fi Steps in the Permit Process: EF ON COUNTYDCD -Review application checklist to ensure all information is completed prior to submitting application. -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: 702231010 Site Address and/or Directions to Property: 295312 Highway 101, Quilcene,WA 98376 Access (name of street(s)) from which access will be gained: US Highway 101 Present use of property: Jefferson County use as a Solid Waste Drop Box Site, Gravel pit to the north of the solid waste site. Description of Work(include proposed uses): septic utility work, new attendant office, new household hazardous waste collection unit, new site lighting and surveillance. Wastewater-Sewage Disposal 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#: Existing system = 13-121 Community Septic Name of System: Quilcene Solid Waste Drop Box Site Case#: SEP16-00198 Are other residences connected to the septic system? NO Additions or repairs to sewage system: Addition to the existing septic system at the adjacent County Road Shop. Is it a complete or partial system installation: Complete Partial ✓ Has a reserve drainfield been designated? Yes ✓ No Date of Last Operations& Maintenance check: August 11,2016 Attach last report to application Describe or attach any drainfield easements, covenants or notices on title,which may impact the property: None known of. We shall execute a restrictive covenant to link this site to the adjacent County Parcel as required for the septic permit. BoCC date is April 10, 2017 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: Jefferson County Public Works Address: 623 Sheridan St. Port Townsend,WA 98368 Phone#: 360-385-9380 E-mail Address: gramstrom@co.jefferson.wa.us Please contact Authorized Agent/Representative with project info. (select only one). Property Owner Signature: Date: Note: For projects with multiple owners,attach a separate sheet with each owner(s)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: 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, s..te and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its employees, represe ,-.tives or agents for the sole purpose of application review and any required later inspections. Applicant may request notice oft Count 's i :n to e - eon the property for visits related to this application and subsequent permit issuance. Signature: Al / % M/ /VL, Print Name:Gordon D. Ramstrom Date: May 3, 2017 . SON e DEPARTMENT OF COMMUNITY DEVELOPMENT ��. 6. 621 Sheridan Street,Port Townsend,WA 98368 a Tel:360.379.4450 I Fax:360.379.4451 ti '< Web:www.co.jefferson.wa.us/communitydevelopment E-mail:dcd@co.jefferson.wa.us �SNI NO�O� SUPPLEMENTAL APPLICATION RESIDENTIAL OR COMMERCIAL BLDG PERMIT For Department Use Only Receipt#: Date: Related Application#s: Payment#: Site Information Owner Name: i,%1 " `'Z, ," J t/ ' Pkv/ Assessor Tax Parcel#: 3O149/ P 1 r Type of Building New X Replacement Relocated Addition Repair Demolition * ¢ *A separate permit is required Select One: (Pei/� r' c{3 C\ITAl /, ,,`f ,./u /�s?t. �' " 1) Pito Single Family Residence Modular Other 5 p E` P,/ s` list Proposed Building/Project Number of floors / # new bedrooms existing total bed # new bathrooms existing total bath Heat Source Select all that apply: ":, +r Electric Heating Oil Wood Propane Enter the square footage(sq/ft)that applies in each field: Structure Existing Sq/Ft Proposed Sq/Ft ICC Valuation(Office Use) Residential Commercial Main Floor ...— -,‘ S L''' ' •' Residential/ Commercial Second Floor 1 Additional Floors - heated/ unheated :`.!/ " Basement- unfinished t j Basement-finished space or habitable Detached Garage - heated/ unheated Attached Garage - heated/ unheated Garage 2nd fl - unfinished storage Garage 2nd fl -finished space or habitable Carport- 2 walls or less Deck- uncovered Covered porch Other(shed, barn, pole bldg,etc.) Estimated Cost of Project (Required): $ $ Fair market value of project Supplemental SIR i List existing buildings on property (i.e. house_garage, accessory dwelling unit, shed, barn, mobile home, other): All Existing Buildings on Pro ert Use { 41, E11,F 4 ". �4, Cif b . i t ( ... ti. Builders Statement The signer of this statement certifies that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: 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 to this application packet may result in making any issued permit null and void. Signature:AJ? /2) e Print Name: te l? P 1- 74,,!S r-Nati Date: 5"' Building Permit Fees Building Base Plan Check Review Land Use Review $270.00 Septic Review $131.00 Potable Water $131.00 Technology/Scan $23.00 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning Other New Address Total Fees Receipt # Date: Cash/Check/CC: Supplemental SI'R 2 . ,� 9 � : 4� N �'o DEPARTMENT OF COMMUNITY DEVELOPMEN1% ' C ` } r .. , 4, 621 Sheridan Street,Port Townsend,WA 98368 e�' �, `� 'fel:360.379.4450 ( Fax 360.379.4451 ti � Web:www.co.Jefferson.wa.us/communitydevclopmcnt ��� / /'` E-mail:dcd@co.jefferson.wa.us a b. STORMWATER CALCULATION WORKSHEET MLA# PROJECT/APPLICANT NAME: DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as "small," "medium," or "large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application,or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E., SITE) Size of parcel 15.22 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 662,983.2 sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative)and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing,grading,filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir, western hemlock, western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry,and salal; herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: 1 000 Does the project convert 3/4 acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. 600 sq/ft Circle: Yes No Well, utilities,etc. 400 sq/ft Does the project convert 21/2 acres or more of native vegetation to pasture? Driveway, parking, roads, etc. 551 sq/ft Circle: Yes No Lawn, landscaping,etc. 0 sq/ft Other compacted surface, etc. O sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 2,551 sq/ft Cut 15.3 Fill 15.3 (cu/yd) Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at a n increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops,walkways, patios, driveways, parking lots or storage areas,concrete or asphalt paving,gravel roads, packed earthen materials,and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. stormwater calc worksheet—REV.10/20/2014 1 STORMWATER CALULATIONS—IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) 1,000 sq/ft Structures(all roof area) 74 sq/ft Sidewalks 0 sq/ft Sidewalks sq/ft Patios 0 sq/ft Patios 0 sq/ft Solid Decks 0 sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc 969 sq/ft Driveway, parking, roads, etc 12,664 sq/ft Other sq/ft Other sq/ft Total New 1,969 sq/ft Total Existing 12,738 sq/ft TOTAL NEW+TOTAL EXISTING* 14,707 sq/ft *This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: 1.9 Does the site have 35%or more of existing impervious surface? Circle: Yes No ✓ FURTHER INSTRUCTIONS: If the answer is yes,the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of "medium" projects—those that must meet only Minimum Requirements#1 through#5—and for"large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Storm water Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet,I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT_ Stormwater Site Plan: Yes No stormwater calc worksheet—REV.10/20/2014 2 m ..r,„.a,,,,..„,,,, .../..h,,,,,.\\ \\\.c., ",../ 70!-6' . • I • I !. I 1 1.71 i41 G� CO 1 I I o M , 1 0 d 50. _ 7.8 I 4 At 4 ,7 11 / —311 I :\ft 11 r 1 1 I I .. ll 1 lill ,.,,, ,.ao / �hO `` 1 b 4 1 %R >k r 2 T$ • '� ... / t z o 1 rh g �o ' of y r Il �q h#� • ='i N ^1_ 9 e/ 01 2 ii n "tgt'a *. 1 1 PIN / �O#a a Ottbd'�" :)'' . 1 0 / 0, ,.. c)„, 1 , 1 ...:i -- ----'--, 1 ‘ A • , PI Ov9 y I ., 1 ''- i H SO �� lil 1 Fry I }1? I • I i ,1 i _ I Ih•• co - `rn gpi.._., 1..2`Ma 1 I It I it o I 11 . 7':r / 7 G 1I \ 0 Li,._, SC C�1 1 1 _ 3Il 7i--.1c--sw.•_ Z O ._-hIn1�� yyL_J�'. I I - � a n a c� 5f:1. �h o 1 11Oul . O I 11 , v, o I +;I,1 h 82(i) zgai 1 ♦ 1 q On13 g° ,� I .1 — . 111' ,- u&-----+ °off° m o ! id,‘, ----- _____ .., \\ I \ 1030-, \ V A\ � 11\ Y \ aur ucc—__um —— _ n C1f' I O • `\ 1 I • n II \ \UGC UGC UGC ;h1 1 r I__.... 0 ■ \1 1 1----116.. it I �I I,Ilf \ (r(1)-e c) c) ) i F.., 0 1 n�2 n� r-- J ■ \ I2I M ➢ \ L-- \ \ k� acr I : \ rt — 1 IIIr , < \ �r \ \ i ' 'I 1 0Y1_ \ f 1 \ 6 1 --ilI— "" BUILDING �' "' PERMIT QUILCENE SW DROP BOX SITE - IMPROVEMENTS Jefferson Coity Public Ali s SET KEY SITE PLAN 623 Sheridan gi. 295312 Highway 101 Quilcene, WA 98376 Port Townsen W •► ' May 1, 2017 Drawn by: G3R PROJECT # 401 594 1984 ______ /I / Ii /�. o, O(n 0�1� r„,)3yc. N "�yl_F\-\\ /I // 1 . 1 �..... Q TC--1" r II a z ' maiv� a„ d t Ngo „ . ,O 1. ; t3 6 vl tt \ 8 z ,car 8 • c Z, I �Q ,�---- ,1; 4 n cq 4P N - / � i \ o< i o•oor,-- t � 1/0 \ 1 , r/ e,,- sk- - O IuI ' II 1 k Cip / 1 zE o . K � I ,, 1 'Ff---. .-_, 1 i d � IIII 11 oI . 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S U J14 pp 2U Qm m^ _oW 2 W1nQ O 2J Z W J J2W U hQmm2Li° ON Sz U OCUW 0. zQ m NO OZW e --x ¢0)0 mW2h220. J WhW �ZU2 2e gE�2LL ° U 32W�W�QOlu� aav �cj CC 0.25 W 2a^3p^�0.hL0.iZNNz OW d20 21--- 0,-) Qpm ku, QQU° 3� U �,W~J Q �WpOOQ 22j? 2� ^z z,,, z WQa a Oz0 ¢k>? O � k� Q2 1-0 Up W= W ~WQW 0 Q.:3No..01-.QUU NOo 0Z si1.0. m ...:0 OM WNm2¢ ¢ .;hJ 0.WW 1.WxNhW Mi .;g0. NJ%h �i0 Q .;3W.-..m 2 CD 2 pUo OOU OZ� hg voujzmkOz 03J� tNNWJ NUU.a NWO CD 1 r r.. h0) y:; z6 r„ U cl r,® 0 L .:.4_a� M1`l r 4.Iv ..�cSrILI 4 , L^ati.. i l Emma Bolin From: Gordon Ramstrom Sent: Friday, April 21, 2017 9:35 AM To: Emma Bolin Cc: Tom Boatman Subject: RE: SW Quilcene Drop Box Site: Improvements Attachments: SWF14-0007 020117.pdf Hi Emma, I will insert my comments in line in all caps. The updated permit (per item 2(d)) is attached for your reference. If you have further questions or comments please let me know. Best, Gordon D. Ramstrom Architectural Projects Planner Jefferson County Public Works 623 Sheridan St. Port Townsend, WA 98368 qramstrom@co.iefferson.wa.us T: 360-385-9380 F: 360-385-9234 From: Emma Bolin Sent: Friday, April 21, 2017 7:59 AM To: Gordon Ramstrom <GRamstrom@ 1 co.jefferson.wa.us> Subject: RE: SW Quilcene Drop Box Site: Improvements Dear Gordon, I'm reviewing the conditional use permit application for the attendant office and environmental waste center in Quilcene. Could you please respond to/address each of the following from Jefferson County Code 18.20.300 below? Also, I will be sending the application to Environmental Health to review with aquifer recharge report.They will invoice you separately for their fees. Finally, the access road behind the two parking spaces requires a 26' aisle width for two- way access or 23' for one-way access.This is for stalls with a 90 degree parking angle. If the road is intended for two-way access,then the aisle is too narrow. THIS ACCESS DRIVES SERVES THE ROAD SHOP, PIT AND SOLID WASTE DROP BOX. THE PARKING SPACES THAT ARE SHOWN CAN BE MOVED TO THE WEST, TO ACHIEVE CLEARANCE. THEY MAY ALSO BE ANGLED FOR EASIER IN AND OUT. WE CAN RESOLVE THIS POINT, TO COMPLY WITH THIS REQUIREMENT. 18.20.300 Recycling collection facilities and recycling centers.0 SHARE 1 (1) Recycling Collection Facilities. Recycling collection facilities provide a neighborhood drop-off point for temporary storage of recyclables but without processing thereof. The following standards apply to all recycling collection facilities: (a)Weather protection of recyclable items shall be ensured by using weatherproof containers or by providing a roof over the storage area,where necessary to avoid adverse impacts; RECYCLING BINS ARE WEATHER PROTECTED CONTAINERS WITH TOPS. (b)Only recyclable materials shall be collected and stored at such collection points. Except for initial sorting and bundling, all other processing of such materials shall be conducted off-site; and RECYCLING BINS ARE HAULED OFF SITE TO THE JC TRANSFER STATION ON COUNTY LANDFILL ROAD FOR SORTING PRIOR TO SHIPPING (c)All deposited material shall be contained wholly within the recycling box or facility. No litter shall be allowed to accumulate outside the recycling box or facility. The recycling box or facility shall be kept clean and free of odors or pests. THIS REQUIREMENT IS PART OF DAY TO DAY MAINTENACE AT THIS ATTENDED COLLECTION SITE. (2)Recycling Centers.An area, with or without buildings, upon which used materials and recyclables are separated and processed for shipment. The following standards apply to all recycling centers: (a) Processing operations shall be conducted within a building; RECYCLING BINS ARE HAULED OFF SITE TO THE JC TRANSFER STATION (RECYCLE FACILTY) ON COUNTY LANDFILL ROAD FOR SORTING PRIOR TO SHIPPING (b)The operation shall be effectively screened from view from neighboring properties and rights-of-way; THIS FACILITY IS SCREENED ON ALL SIDES BY WOODED BUFFERS. (c)The operation shall meet all federal, state and local requirements for noise and air quality control; and THIS FACILITY IS IN COMLAINCE WITH APPLICABLE REQUIREMENTS. (d)The operation shall obtain, comply with and maintain a solid waste handling permit from the Jefferson County department of health. [Ord. 8-06§ 1] A COPY OF THE CURRENT PERMIT IS ATTACHED. 2 I am about to leave for vacation. I'd like to have this noticed before my last day on Thursday April 27. Please send me the requested response as soon as possible so I can complete the noticing before I leave. GREAT, WE WILL POST THE NOTICE BOARD AS SOON AS POSSIBLE. • The notice board will be available for you to pick up with our receptionist Monday, May 1st. • The board needs to be installed in a visible location at the site by May 3rd and remain in place through May 17th. • I will also leave instruction materials and information for your records with the notice board. • After posting, please sign the posting affidavit in front of a notary and return to my attention. Donna will be your contact while you are gone if you have questions during my absence (I will return May 10th, mid-way through the comment period). Thank you kindly, Emma Bolin Assistant Planner Jefferson County Department of Community Development 621 Sheridan Street Port Townsend,WA 98368 Phone 360-379-4484 Fax 360-379-4451 ebolin@co.jefferson.wa.us All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56. Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection)of this e-mail unless it is also exempt from production to the requester according to state law,including RCW 42.56 and other state laws. From: David Greetham Sent:Tuesday, April 18, 2017 10:44 AM To: Emma Bolin<EBolin@co.jefferson.wa.us> Subject: FW: SW Quilcene Drop Box Site: Improvements FYI only...keeping you in the loop on communication. From: Gordon Ramstrom Sent:Tuesday, April 18, 2017 10:36 AM To: David Greetham <DGreetham@co.jefferson.wa.us> Subject: RE: SW Quilcene Drop Box Site: Improvements Ok, will do. TY-Gordon From: David Greetham Sent: Monday, April 17, 2017 10:51 AM 3 To: Gordon Ramstrom <GRamstrom@co.jefferson.wa.us> Subject: RE: SW Quilcene Drop Box Site: Improvements Hi Gordon, Yes, thanks for checking back. Emma Bolin has been assigned the project. Although she does have some vacation coming up in a week or so, Donna has agreed to assist with procedural in her absence. Stay tuned! David Greetham Planning Manager Jefferson County Department of Community Development 621 Sheridan St., Port Townsend, WA 93868 (360) 379-4488 / dgreetham@co.jefferson.wa.us From: Gordon Ramstrom Sent: Monday, April 17, 2017 10:11 AM To: David Greetham <DGreetham@co.jefferson.wa.us> Subject:SW Quilcene Drop Box Site: Improvements Hi David, Thanks for the call last week. I am writing back to see if a planner has been assigned to our project at the Quilcene SW site? Best, Gordon D. Ramstrom Architectural Projects Planner Jefferson County Public Works 623 Sheridan St. Port Townsend,WA 98368 qramstrom@co.jefferson.wa.us T: 360-385-9380 F: 360-385-9234 4 4//—N- 615 Sheridan Street elrsan Port Townsend, WA 98368 www.JeffersonCountyPublicHealth.org Public Healt Solid Waste Facility Permit#SWF14-00007 Effective: February 1, 2017 Expires: January 31, 2018 Permit type: Intermediate Solid Waste Handling Facility—Drop Box Facility Name: Jefferson County Public Works,Solid Waste Drop Box Quilcene Facility Location: 295316 Hwy 101, Quilcene,WA 98376 Mailing address: 623 Sheridan Street, Port Townsend, WA 98368 Facility Contact: Tom Boatman,Solid Waste Manager Phone: (360) 385-9213 Facility Operator: Dennis Bates,Solid Waste Operations Coordinator Phone: (360) 385-9243 Annual Fee: $205.00 This permit is issued in accordance with the provisions of Chapter 173-350 of the Washington Administrative Code (WAC) under the authority of Chapter 70.95 of the Revised Code of Washington and Jefferson County Code 8.10.310. This permit is the property of Jefferson County Public Health and may be suspended or revoked for violations by the holder of any of the ordinances and regulations applicable. This permit is non- transferable and must be renewed annually. This facility shall operate in accordance with an approved plan of operation. The facility shall not operate without a current approved plan of operation. Deviations from or changes to the plan must be submitted in writing and approved by the health department prior to implementation. Further conditions of this permit are contained on the following pages. Thomas Locke M.D. Roger Parker Jefferson County Health Officer Environmental Health Specialist Community Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360-385-9444 360-385-9401 (f) Always working for a safer and healthier community (f)360-379-4487 Section 1. General Permit Conditions A. The holder of this permit shall comply with WAC 173-350-310 for Intermediate Solid Waste Handling Facilities and Jefferson County Code 8.10.310 for Intermediate Solid Waste Handling, as well as all applicable local, state and federal regulations. Where any conflicts between any regulations exist, the more stringent shall apply. It is the responsibility of the permittee to remain informed of these regulations. B. All conditions of this permit shall be binding in order for the permit to remain valid. The permittee shall bear responsibility for the actions and omissions of all facility agents and contractors. This condition shall remain in effect for the life of the facility, including closure activities. C. The permittee shall allow authorized representatives of Jefferson County Public Health or the State Department of Ecology to inspect the facility, equipment and records at any reasonable times, regardless of prior knowledge of the inspection. D. The permittee shall notify Jefferson County Public Health's Solid Waste office immediately of any spills, releases, contaminations, or threats to human health or the environment, while taking all necessary measures to protect the same. E. The Health Department may suspend or revoke this permit if the permittee: • fails to adhere to the terms of this permit and the approved plan of operation, • fails to meet all applicable regulations, or • fails to provide all information that could be deemed pertinent to the issuance of the permit in an accurate, complete form. F. If Jefferson County Public Health determines Jefferson County Public Works has violated or is violating a term of this permit, notification of the violation and an opportunity for voluntary correction will be provided. G. Any Jefferson County Public Health action to enforce this permit shall be subject to the notice and hearing provisions of Jefferson County Ordinance Chapter 8.10.950. H. Jefferson County Public Works shall file an application for renewal of this permit no later than 30 days prior to the expiration of the permit. All terms and conditions of this permit shall continue in force and effect until Jefferson County Public Health issues the renewal permit, formally denies the permit, or issues a new permit for the facility under WAC 173-350-310. I. Should either party wish to amend this permit, it shall give notice to the other of the requested changes. The parties shall work together toward an agreement on permit revisions. If they do not reach agreement, and Jefferson County Public Health unilaterally changes the permit, the change will be subject to the appeal procedure outlined in Jefferson County Code 8.10.950(7). Community Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360-385-9444 360 385-9401 (f) Always working for a safer and healthier community f)360 379-448/ Section 2. Specific Permit Conditions A. The permittee is authorized to operate an Intermediate Solid Waste Handling facility following the plan of operations approved 2010 and amendments. Only activities detailed in this plan are approved. B. The plan of operations is to be posted in the work place where personnel can readily refer to it and shall be provided upon request to Jefferson County Public Health. C. The permittee is charged with informing all agents and contractors of the conditions of the plan of operations. D. This permit or a valid copy shall be displayed in a manner which allows easy access by facility personnel. Section 3. Minimum Performance Standards A. Per WAC 173-350-040, the permittee and all agents or contractors shall: 1) Design, construct, operate, and close the facility in a manner that does not pose a threat to human health or the environment; 2) Comply with chapter 90.48 RCW, Water Pollution Control and implementing regulations, including chapter 173-200 WAC, Water Quality Standards for Ground Waters of the State of Washington; 3) Conform to the approved local comprehensive solid waste management plan prepared in accordance with Chapter 70.95 RCW, Solid Waste Management— Reduction and Recycling; and 4) Not cause any violation of emission standards or ambient air quality standards at the property boundary of the facility and comply with Chapter 70.94 RCW, Washington Clean Air Act. 5) Comply with all other applicable local, state and federal laws and regulations. B. Per WAC 173-350-360, the permittee and all agents or contractors shall: 1) Notify the department and the jurisdictional health department within thirty days prior to operation of the intent to operate a limited MRW facility with a description of the type and quantity of MRW to be handled; 2) Ensure waste at a limited MRW facility or product take-back center is handled in a manner that: Community Health r=nvironrnental Heai'h Developmental Disabilities Wa*er Quality 360-385-9400 360-385 9444 360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4,48/ i. Prevents a spill or release of hazardous substances to the environment; ii. Prevents exposure of the public to hazardous substances; and iii. Results in delivery to a facility that meets the performance standards of WAC 173-350-040; iv. Ensure that containers and tanks holding MRW are maintained in good condition(e.g., no severe rusting or apparent structural defects); v. Provide secondary containment for containers and tanks capable of storing fifty-five gallons or more of liquid MRW; vi. Ensure the facility meets the performance standards of WAC 173-350- 040; vii. Notify the department and the jurisdictional health department of any failure to comply with the terms and conditions of this subsection within twenty-four hours of knowledge of an incident; viii. Allow inspections by the department and jurisdictional health department at reasonable times; ix. Maintain records of the amount and type of MRW received, and the final disposition of the MRW by amount and type; and x. Prepare and submit a copy of an annual report to the jurisdictional health department and the department by April 1st on forms supplied by the department. The annual report shall cover the facility's activities during the previous calendar year. C. The permittee and all agents or contractors shall meet the operating standards of WAC 173-350-310(5)to control dust, nuisance odors and attraction of vectors. Section 4. Reporting A. Jefferson County Public Works shall maintain daily operating records on the weights and types of wastes received or removed from the facility. Facility inspection reports shall be maintained in the operating record. Significant deviations from the plan of operation shall be noted in the operating record. Records shall be kept for a minimum of five years and shall be available upon request by the jurisdictional health department for inspection purposes. B. Jefferson County Public Works shall submit an annual report for the preceding year to Jefferson County Public Health and to the Washington Department of Ecology during the Community Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360 385 9444 360-385-9401 (f) Always working for a safer and healthier community tl 360-3/9-448' first calendar quarter of each year,by April 1. This report shall, at a minimum,include the annual quantity of solid waste handled and the type of waste recycled, stored or transferred at this facility. Community Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360-385-9444 360-385-9401 (f) Always working for a safer and healthier community (f)360-379-4487 1 first calendar quarter of each year, by April 1. This report shall, at a minimum, include the annual quantity of solid waste handled and the type of waste recycled, stored or transferred at this facility. Community Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360-385-9444 360-385-9401 (1) Always working for a safer and healthier community (f) 360-379-4487 1 • • c ON �, ;��� Q�2 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.379.4451 Web:www.co.Jefferson.wa.us/communitydevelopment lG E-mail:dcd@co.jefferson.wa.us �sH r N.... 6vo SUPPLEMENTAL APPLICATION CONDITIONAL USE MLA# PROJECT/APPLICANT NAME: Quilcene Solid Waste Drop Box Site The purpose of the conditional use permit process is to provide flexibility in the application of the use regulations contained in the Jefferson County Code (JCC). No conditional use permit can be granted unless consistency with the performance standards of JCC 18.20, the development standards of JCC 18.30, the procedural requirements of JCC 18.40.280, and the approval criteria of JCC 18.40.530, and other applicable requirements of the UDC have been satisfied. Approval of the conditional use is effective for three(3) years from the date of original approval. If a building permit has not been issued within the three(3) year period, the conditional use approval will expire. The following questions will assist in the evaluation of the conditional use request: 1. Describe the requested conditional use. The installation of a 275 S.F. Attendant Office. Also, upgrades to an existing shipping container to serve as a Household Hazardous Waste collection station. Utility improvements such as a septic tank and a transport line to the existing septic system location onsite on the adjacent county parcel to the east. 2. Explain how the conditional use is harmonious and appropriate in design, character and appearance with the existing or intended character and quality of development in the vicinity and with the physical characteristics of the subject property. This drop box site has been in service for several decades to serve the Quilcene area. This County parcel is 15.22 acres and includes a gravel pit. The adjacent County Parcel which serves as Road Shop and Fueling Station, is 9.65 acres in area and together form a contiguous County site. The site is buffered on all sides by wooded areas. 3. Describe the infrastructure including but not limited to roads, fire protection,water, wastewater disposal, and stormwater control which will serve the requested conditional use. These two County Parcels are served by an existing access drive from US Highway 101. The Solid Waste site (#702231010) has a 2"water service supplied by the JC PUD#1 Quilcene water system. Connection to this water source is subject to confirmation of potable water availability. A Restrictive Covenant shall be executed by the BoCC to provide for the septic transport line to the adjacent County parcel to the east(#70224205). 4. Describe the location,size, and height of buildings,structures,signage,walls and fences, and screening vegetation for the use. This site is fenced with a 6'-0"tall chain link fence and gate, which will remain in place. The proposed replacement of the Attendant Office is a 275 S.F. modular office, and 11'-6"tall. The Environmental Center, for the collection of household hazardous waste is 560 S.F. and is 9'-6"tall. 5. Describe any noise, smoke, dust, fumes, vibrations, odors, outdoor lights or other impacts will be generated by the conditional use. . This facility produces moderate impacts that are listed under item#5. The site is operated on a part time basis, three afternoons a week, plus all day on Saturday. Setbacks and the wooded buffer effectively block any disturbance generated from Solid Waste operations. 6. Describe the pedestrian and vehicular traffic and parking area associated with the conditional use. The site is operated the afternoons of Monday, Wednesday, and Friday, as well as all day on Saturday. Parking is provided onsite. The customers drive to the respective part of the site to unload solid waste, recyclables and household hazardous waste. Three new parking spaces are also provided Page 3 • • 7. Will the proposed conditional use result in the siting of an incompatible use adjacent of an airport or airfield? No. There is no airport in the area. 8. Are there any significant adverse impacts on the human and natural environments caused directly by the conditional use? If yes, can these impacts be mitigated? No. This is an attended site, and impacts are mitigated. All waste products are handled properly according to the Solid Waste operations plans. 9. Describe how granting the conditional use will not be materially detrimental to uses or property in the vicinity of the subject parcel. This is a continuation of an existing use. This site provides an essential public service. 10. Describe how granting the conditional use will not be substantially detrimental to the public interest. Granting conditional use will support the continuous operation of this service to the Quilcene area. 11. Does the conditional use have merit and value for the community as a whole? This site provides an essential public service to the southeast portion of Jefferson County.. 12. Describe how the conditional use complies with all other applicable criteria and standards of the Jefferson County Code(JCC) and any other applicable local, state or federal law; and more specifically, conforms to the standards contained in JCC 18.20 and JCC 18.30. This is a County Waste Management Facility as referenced in JCC 18.20. Parking,vegatative buffer, lighting and signage will be upgraded. 13. Describe how the conditional use is consistent with all relevant goals and policies of the Jefferson County Comprehensive Plan. This site has provided an essential public service for decades. This project will maintain and upgrade this use. The household hazardous waste Environmental Center is an upgraded service for the proper disposal of moderate risk household waste. ACKNOWLEDGEMENT By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of his/her knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with re,pect la, is applicatipn packet ma result i this permit bein null and void. ,/ `O d. , ,��. ()/Z,3 ' ��_,LL L=; I .1 I sol, '- f s 04.�,, e� dQ2/('C' Cl T-CZC.riftli--c CV � Cr cQ ?cE2 ` `r t t ce Pj cam` r C .. . _ 1144,4ev -5 0'654- 4104- _e. cdoilz*j/4,0 (ny,...-sle f roue ,'1 l' 6,,,,_ ev&asrtp6 4 - p 5/0'271 al_ (A_ e 5 . „. (95e (,) GilreaL, 'I \A-6(\e_1 did (1-,.Z-- do-e511-q { ` , - + ( y ..___.._ . 0-4N-i)01(i cr2, 4, c_6\:9 . , _..., ..___ 1 : . -) ir\uA___ efr5-e c\L .5Lfpievvvk. 4/ -* . . 0419? co, r or ( slip -ni. 61 ec(c4 • . . 4_ Ni--AA,e___ tv--fd-eA ct_ bk is`-ao .30 S6 . H c( nI;5 pro--us -md ie3 c e1,' d a-(d. 3- E i 'h .71,' ( 7 . ' f/I,`,„„ti L16,y - / eil.--3 • r, 3,1- 1 ` S, \.G 6tier v 7 '""_' V ° f _ QS0 (*lit led c) ef) d i..S q / Ole; I Q1)111CP f' - - - fey( , a ' ' ;.:L_____2________--occ(3e 6A07,,, .'- ( ' ei . )4a- ardoi25 cc t6 k0`E. Veyicti' \k r wv\ j CV\ (5 c /1ft\ A) ..c " � /Cies C (� � are. re v;t re 1(6 _ a 0 9 a.0 Vov•\61fto __ Viro I 57c{ C pt7 :/ -05(617/- uj . . -4(6-v 0,1 51-ti2riliaiii C 1\ / y 1 - 4)rovtA . rc, ,o-cl -)'.l • f G �� � | || ' . . � � ' i _r . |' ` , ' � ^ � ' ` _ - - _ _ � � � - . ----'---�� --�--- -----�� - - ' - | ` � __'_____--__'_'_- _________-_-__ � . ` �� ` _ _ __ ^ __ __ i - __'_-_-__-_____�_ _____ _ _ _ / r • • �soN �o DEPARTMENT OF COMMUNITY DEVELOPMENT �4 U� 621 Sheridan Street,Port Townsend,WA 98368 'fel:360.379.4450 I Fax:360.379.4451gg� Web:www.co.Jefferson.wa.us/communitydevelopment COUNTY,c00---1 F. I:.-mail:mail:dcd(a�co.jeffcrson.wa.us STORMWATER CALCULATION WORKSHEET ice 'W c?cv/ ' chI O� 0,0 S i77--- 144 Pp -5(1 � MLA# PROJECT/APPLICANT NAME: ' L (J =SOO I c}1e1 6 //1/0/5-14„.) DETERMINING STORM WATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as "small," "medium," or "large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E.,SITE) Size of parcel 15.22 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 662,983.2 sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative)and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing,grading,filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir, western hemlock, western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry,and salal; herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION, AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert'/acres or more of Construction site for structures 1'000 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank, etc. 600 sq/ft Circle: Yes No Well, utilities,etc. 400 sq/ft Does the project convert 21A acres or more of native vegetation to pasture? Driveway, parking, roads,etc. 551 sq/ft Circle: Yes No Lawn, landscaping,etc. 0 sq/ft Other compacted surface,etc. 0 sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 2,551 sq/ft Cut 15.3 Fill 15.3 (cu/yd) Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at a n increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops,walkways, patios, driveways, parking lots or storage areas,concrete or asphalt paving,gravel roads, packed earthen materials,and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. stormwater calc worksheet—REV.10/20/2014 1 • I 0 • STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) 1,000 sq/ft Structures(all roof area) 74 sq/ft Sidewalks 0 sq/ft Sidewalks 0 sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks 0 sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc 969 sq/ft Driveway, parking, roads, etc 12,664 sq/ft Other sq/ft Other sq/ft Total New 1,969 sq/ft Total Existing 12,738 sq/ft TOTAL NEW+TOTAL EXISTING* 14,707 sq/ft *This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v.REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: 1'9 Does the site have 35%or more of existing impervious surface? Circle: Yes No ✓ FURTHER INSTRUCTIONS: If the answer is yes,the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of "medium" projects—those that must meet only Minimum Requirements#1 through#5—and for"large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet,I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being.made with the full knowledge and consent of all owners of the affected pro4i.. erty. v` V ✓ [.,/'1//-i-t! Ji l ,11--C)— ,, b, V c_L L l y'/ j /7/ f7fl / Crotaxv P. /2(1-3 4/1.5 7p-aAA ,"`' /L. 7, '2 l ,/"1 (LAN DOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) LFOR OFFICE USE ONLY ;, tee. SMALL MEDIUM LARGE REDEVELOPMENT 1 ,� stormwater calc worksheet—REV.10/20/2014 2 • • �� ON ?-cG DEPARTMENT OF COMMUNITY DEVELOPMENT 1 -t 621 Sheridan Street,Port Townsend,W.\98368 °a: i ti Tel:360.379.4450 Fax:360.379.4451 I Web:www.co.jefferson.wa.us/communitvdevelopment ",^:g 0 1 Loi l?mail:dcd(a co.jeffcrson.wa.us -95H1 NC �� �a t C01,1Nr r)U 1 PERMIT APPLICATION Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -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: 702231010 Site Address and/or Directions to Property: 295312 Highway 101, Quilcene,WA 98376 Access (name of street(s)) from which access will be gained: US Highway 101 Present use of property: Jefferson County use as a Solid Waste Drop Box Site, Gravel pit to the north of the solid waste site. Description of Work(include proposed uses): septic utility work, new attendant office, new household hazardous waste collection unit, new site lighting and surveillance. oivielf_ _ _ ,t t_ ,Of ( r c. Wastewater-Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? YES NO V If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: ✓ Septic Septic Permit#: Existing system= 13-121 Community Septic Name of System: Quilcene Solid Waste Drop Box Site Case#: SEP16-00198 Are other residences connected to the septic system? NO Additions or repairs to sewage system: Addition to the existing septic system at the adjacent County Road Shop. Is it a complete or partial system installation: Complete Partial ✓ Has a reserve drainfield been designated? Yes 7 No Date of Last Operations&Maintenance check: August 11, 2016 Attach last report to application Describe or attach any drainfield easements, covenants or notices on title,which may impact the property: None known of. We shall execute a restrictive covenant to link this site to the adjacent County Parcel as required for the septic permit. BoCC date is April 10, 2017 • i • 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: Jefferson County Public Works Address: 623 Sheridan St. Port Townsend,WA 98368 Phone#: 360-385-9380 E-mail Address: gramstrom@co.jefferson.wa.us Please contact Authorized'Agent/Representative with project info. (select only one). Property Owner Signature: ./.7' rt ' t --7„7 (/; U Date: L71-- / -I -1 Note: For projects with multiple owners,attach a separate sheet with each owner(s)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: 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 of the County's inten enter upon the property for visits related to this application and subsequent permit issuance. Signature: : Gordon D. Ramstrom April 7, 2017 g / Print Name: r Date: p o� Jc �' SGrN L. ' LJ Permit-Application Page 2 of 2 PRE16-00040 Pre-application Conference Jefferson County Public Works MEETING INFORMATION Attendees: Gordon Ramstrom/Tom Boatman, Jefferson County Public Works; Donna Frostholm/Mary Blain, Jefferson County Department of Community Development; Susan Porto/Roger Parker, Jefferson County Environmental Health Meeting Date/Time/Location: January 24, 2016/3:00/DCD Office Applicant: Public Works, 623 Sheridan Street, Port Townsend, Washington 98368 Description of Proposal: The proposal is to replace an existing 80 square foot (sf)Attendant Office with one that is 240 sf and'to upgrade an existing shipping container to an approximately 560 sf Environmental Center, which would be used for the collection of household waste such as fluorescent lighting, oil and anti-freeze. No new clearing, grading, or other ground-disturbing activities are proposed. No processing of the hazardous materials is proposed. The Jefferson County Code is available on-line at http://www.codepublishinq.com/ DEVELOPMENT REVIEW DIVISION Land Use: • Zoning designations— Rural Residential 1:5. • Parcel is mapped as a mineral resource land overlay district. • SEPA (WAC 197-11)—The proposal would be exempt from SEPA review under WAC 197-11- 800(1)(iv). • Permitting process—Conditional use (administrative), per Table 3-1, Chapter 18.15 JCC. Apply for a Type II conditional use, which requires noticing of the application. • Proposal needs to comply with development standards in Chapter 18.30 JCC. Recycling Collection Facilities and Recycling Centers: • Proposal needs to comply with JCC 18.20.300. Stormwater: • Proposed residential development must comply with the Stormwater Management Manual for Western Washington (Washington Department of Ecology, 2012). Show proposed stormwater management on site plan. • Proposed project must comply with JCC 18.20.060 and 18.20.070. Critical Areas: • Proposal is outside of all critical areas, except critical aquifer recharge area (susceptible). The proposal involves hazardous materials so an aquifer recharge area report(JCC 18.22.120(1)) that complies with Articles Ill (Critical Aquifer Recharge Areas) and VIII (Special Reports) will be required at the time of application. A hazardous materials report must be submitted annually to comply with JCC 18.22.130(7). Land Use/Zoning Application and Fees: • Complete Zoning Conditional Use (Administrative)Application includes the following: o Permit Application o Supplemental Conditional Use Application o Site Plan o Detailed Plan Sheets o Stormwater Calculation Worksheet o Aquifer Recharge Area Report • Land use/zoning permitting fees due at the time of application: $1,172.00 ($990.00—conditional use; $159.00 notice of application and notice board; and $23.00 scanning fee). • Other permitting fees (such as building, environmental health) may apply to this application and would be in addition to the land use/zoning fees above. These fees would also be required at the time of application. • If you plan on walking in to submit the application, make an appointment to meet with the permit technician, Haylie, by calling 360-379-4450. OTHER REGULATORY/LAND USE CONSIDERATIONS • The proposal will be reviewed by Environmental Health for compliance with septic, potable water, and hazardous materials requirements. PRE-APPLICATION MEETING LIMITATIONS It is impossible for the conference to be an exhaustive review of all potential issues. The discussions at the conference or the information provided by the administrator shall not bind or prohibit the county's future application or enforcement of all applicable laws and regulations. No statement or assurance 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 and land use plans.