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Home My WebLink AboutSDP2019-00001 - 01 APPLICATIONi DEPARTMENT OF COMMLINITY DEVELOPMENT 621 Slrcddan Strcct, Port'lirwnscr:d, W,\ 98368 'l'cl 360.3 -9.4450 | I;ax: 360.179.4451 \* cb: rrurv. co.ic ifcrson.wa. us /comrnunin'dcvclonmcnt F,-mail: dcdfJco.icffcrson.wa.us PERMIT APPLICATION Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting a -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 350-379-4450. -This is not a standalone application; it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additionalfees may apply after review and payment is required before permit is issued. For Department Use Only Related Application #s: Building Permit # MLA# Site lnformation AssessorTaxParcelNumber: 721031008 Site Address andlor Directions to Property: 1090 Shine Road, Shine, Washington. Access (name of street(s)) from which access will be gained Access is via Shine Road, to W.R. Hicks Park Road. Park is open to the public at all times. Present use of property:Jefferson County Public Park Description of Work (include proposed uses):Repair undercut boat ramp. Remove debris and fill with concrete. The undercut area is approximately 7' x 16'. The boat ramp is approximately 14' wide by 60' long JAN 2 2 2019 Wastewater - Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? lf not served by sewer identified above, identify type of septic system below NOYES Community Septic Name of System: Vault toilet is on-site Additions or repairs to sewage system: ls it a complete or partial system installation: Has a reserve drainfield been designated? Date of Last Operations & Maintenance check: Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: Attach last report to application Not Applicable Case #: Are other residences connected to the septic system?Not Applicable Partial No Complete Yes Type of Sewage System Serving Property: Septic Septic Permit #: Appl icant/Property Owner I nformation { Please contact Authorized Agent/Representative with project info. (select only one). 360-385-91 29 Date:Property Owner Signature: 1 820 Jefferson St., Port Townsend, WA 98368, Managed by Jefferson County Public Works, Parks and Recreation E-mail Address: mtyler@co.jefferson.wa.us Property Owner: Name: JeffersonCounlr,Washington Address: Phone #: Note: For projects with multiple owners, attach a separate sheet with each owner(s) information and signatures. Applicant: Authorized Agent/Representative (tf otherthan owner) Name: Address: Phone #: Professional:ls this an Authorized Agent/Representative for this project?NO YES Engineer Name: Address: Phone #: Surveyor ConsultantArchitect E-mail Address Contractor License # Professional:ls this an Authorized Agent/Representative for this project?NO YES Engineer Name: Address: Phone #: Consu ltant E-mail Address: Architect Surveyor Contractor License # Professional:ls this an Authorized Agent/Representative for this project?NO YES Engineer Name: Address: Phone #: ConsultantSurveyor E-mailAddress: Architect Contractor License # 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. lt is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email (i.e., Cou email is not blocked or sent to "mail" 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. lfurther agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Applicant may request notice of the County's intent to enter upon the property for visits related to this application and subsequent permit issuance. Date JAN 2 2 2019 Signature: Print Name E-mailAddress: DEPARTMENT OF COMMUNITY DEVELO 621 Sheridan Street, Port Townsend, WA 98368 Tel: 360.379.4450 | Fax: 360.379.4451 Web: www.co.jefferson.wa.us /communitydevelopment E-mail : ded@cqjef fs.ros.luaus SUPPIJMENTAL APPLI CATION SHORELINE DEVELOPMENT A com form is a uirement of submittal. lnclude "N/A" in that do not By signing a 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. Owner Signatu Print Name:tt\"* f.,, la.( ,". ftYq1l-1-ttr,) | 1-qb re Supplemental Shorel-rne .\pplicatir m Page 1 of 2 JCI||,ee2dille to access the Gtr[Vtr Case #MtA# Application Type (select one): Substantial Development*Variance* Conditiona I Use (discretionary)* Statement of Exemption- See Examples on back side of application Conditional Use (administrative)* Does your proposal require in water work and/or works below ordinary high water mark? yes |71 uo Does your proposal require 10,000 sq/ft or more of impervious surface and/or non-single family structures of 5,000 sq/ft or more? Yes [--_l ruo [E 1) 2l * lf either of the boxes for 1 or 2 above are checked yes or if the permit type above has an asterisk then a pre-application conference is reouired prior to submitting for a shoreline permit. Site lnformation Azl o3l o o.q Name of Body of Water:t +", I Ca r. ,"4,Assessor Tax Parcel #: Property Owner Name(s): Project Description sXe(ASan Lo..r J n \ s e. Describe the existing property use and condition: feetoProposed distance from ordinary high water mark to use/development: Describe the proposed work that requires a shoreline permit or permit exemption: ?v mp co n arte- ,l a Lra <ris{t nar lrnt rqfl\ P w 'Itnr grt v ,Io { ltl^?a,r i.X S o\t I rrn n e &\ aI- r< ralrt . \J Date: 'lrBlrr tr These activities require a forma! statement of Exemption issued bv Jefferson Countv. Check 'Statement of Exemption' box on the front of this form and submit with Permit Application to apply for your Exemption Approval. 18.25.570 Statement of Exemptions (1) The administrator is hereby authorized to grant or deny requests for statements of exemption from the shoreline substantial development permit requirement for uses and developments within shorelines that are specifically listed above. Such statements shall be applied for on forms provided by the administrator. The statement shall be in writing and shall indicate the specific exemption of this program that is being applied to the development, and shall provide a summary of the administrator's analysis of the consistency of the project with this program and the Act. As appropriate, such statements of exemptions shall contain conditions and/or mitigating measures of approval to achieve consistency and compliance with the provisions of this program and Act. A denial of an exemption shall be in writing and shall identify the reason(s) for the denial. The administrator's actions on the issuance of a statement of exemption or a denial are subject to appeal pursuant to the appeal provisions in Article X of this chapter. 18.25.560 Exemptions listed - This is a summary from JCCl8.25.560, please review the code section for detailed information regard i n g these exemptions. (1) Fair Market Value. (2) Maintenance and Repair. (3) Residential Bulkhead. (4) Emergency Construction. (5)Agriculture. (6)Drainage. (7) Navigation Aids. (8) Single-Family Residences. (9) ResidentialDocks. (10) lrrigation. (11) State Property. (12) Energy Facilities. (13) Site Exploration. (14) Noxious Weeds. r (1 5) Watershed Restoration. (1 6) "Watershed restoration project" (17) "Watershed restoration plan" (18) A public or private project, the primary purpose of which is to improve fish or wildlife habitat or fish passage. Supplemental Shoreline Application Page) of2 , /tt' !t It Legend ? w.R. Hcks County Park Hicks Park Parcel #721031008, Site Address: 1090 Shine Rd,, Port Ludlol, WA :5t I t 1lJr {r t t; ::=--rJ ,g'df,{fr ..fl -lr*,rl.tuvaul# f*,"- [*- -\ b.Hick s Boat Ramp ..t\,?+-. E- I =)! A NGoogle Earth 200 ft Hicks Park in Shine Boat Ramp Repair Schematic January 22,20L9 Matt Tyle6 Parks and Recreation Manager; 360-385-9729 Not to Scale oz lfJ G,UF = 6zulFoJ(,z =G, o- PLAN VIEW FROM ABOVE PLAN VIEW FROM THE SIDE Overall boat ramp dlmension: 90 feet long x 16 feet wide x 8 inches thick Area of repair is under the existing ramp: 7 feet wide by 16 feet long x 8 inches thick -Estimated volume of concrete: 2.73 cubic yards Scope: clean wood from under damaged area, place forms around the damaged area, pump concrete into the damaged area. Jefferson County Department of Public Works 623 Sheridan St. Poft Townsend, WA 98368 (360) 38s-s160 Monte Reinders, P.E. Public Work Diredor/County Engineer To: Date:January l8th, 2019 From:Matt Tyler Jefferson County Public Works Parks and Recreation Division Manager Hicks County Park Boat Ramp Emergency Repair 1090 Shine Road, Port Ludlow, Washington Shoreline Development Permit Exemption Jefferson County Public Works is requesting a Shorelines Development Permit Exemption for emergency repair of the boat ramp at Hicks County Park. The boat ramp is 90 feet long, by 16 feet wide by approximately 8" thick. It was undercut by a storm at high tide in December of 2018. The undercut area is 16 feet long by 7 feet wide, by approximately 8 to l2 inches high, and is located at the highest corner of the boat ramp (see photos). The repair is to remove wood debris from under the ramp, form along the edge of the void, and pump concrete into the void. SHORELINES Jefferson County Public Works recommends that the project be considered exempt from acquiring a Shoreline Development Permit, as it meets the following requirements: o wAC 173-27-040 (2)(b): (b) Normal maintenance or repair of existing structures or developments, including damage by accident, fire or elements. "Normal maintenance" includes those usual acts to prevent a decline, lapse, or cessation from a lawfully established condition. "Normal repair" me comparable to its original condition. including but not limited to its size. shaoe, configuration. location and external appearance. within a reasonable period after decqv or partial destruction. except where repair causes substantial adverse effects to shoreline resource or environment. Replacement of a be authorized as where such is the common method repair.for the t.vpe of structure or development and the replacement structure or development is comparable to the original structure or develonment including but not limited to its size, shape, Ms. Patty Chamas Jefferson County Department of Community Development D tr[Vtr JAN 2 2 2019 Re: configuration, location and externr)i ai,,pearance and the replacement does not cause substantial adverse effects to shoreline resources or enivironment; t Jefferson County Code, section 18.22.090 Permit Exemptions (Jefferson County Shoreline Management Master Program, section 3.402 Permit Exemptions): (6) Normal maintenance or repair of existing lawful structures or developments, including damage by accident, fire, or elements. Nonconforming uses and developments are regulated according to WAC 173- 27-080. Normal maintenance includes those usual acts to prevent a decline, lapse, or cessationfrom a lawfully established condition. Normal repair means to restore a development to a state comparable to its original condition within a reasonable period after decqv or partiol destruction. except where repair involves total replacement that is not common practice or causes substantial adverse effects to the shoreline resource or environment. "Common replacement of existing development that has been damaged by accident, fire, or the elements" 'means: (a) The new development is essentially the same at the original in location, size, configuration, and external appeorance; (b) The development was in existence and use at the time of adoption of the lltashington State Shoreline Management Act (June l97l); (c) The replacement is completed within two years afier damoge. Sincerely, Matt Tyler Project Manager 360-38s-9129 mty ler@co j efferson.wa. us Based on the analysis presented in this memo, the Department of Community Development concurs that the referenced project is exempt from obtaining a Shorelines Substantial Development Permit. For the Department of Community Development Date \-.- ti{F* *'' .r- \_- ,- 3- - a -r-at_ I (l , !L- I' L I : -li*.- - 7/ Ft-.--' 'f" V -.-! *' -{*'{r y't- K --t* { z \-d &,.1\r s \) Z\ 7 ,rt wl) - la'- - '*lrx. q.(, \7/u\ I i 'a fr at f{ i,I ,t ) ,,9 &, ,/l'-,),,, , ' ''i,t' fi t, I \tl uir I E.\* ,' Ia,F a I ,iF, /' !. \,,1 F t I a t! f II I t M G F,tt t Pr. rt \ t t tt! r- I n_/ II,.\ ,) ,\ rl,\ I I, I l \ tIf Et tII I I I I r a '; tl \ar& t t. \ f )a I ,li I f4 [' 4. \J}t" N, H ,ff .* I I 7 ,t 'I I I t,J ,I J Itl I DEVELOPMENT REVIEW TIME SHEET JEFFERSON COUNTY Date Time Comments 7-5-tq 61,?-bh e CO NNlnL, MLAl9-00004 rU!-{nkl ,JL \\tidema rk\data\f orm s\R_M LT_Case_C RM LA. rpt February 05, 2019 b-U.lq 0.>6 -lisbsy cKlrQ .}trMrY AY CEECX t r6r-il? cbeck# --'=s' s] Bank OOO]. 15T SECIIRIIY BANK Vendor* ,JCo6s Address# o Exad copv Accounts Payable I nquiries Check tnqulry Clear Date ozlL4lrg Chect Stalus Checfi Amount Name .TC COMMUNIIY DEVELoPMEIIT PasE DeleE Print Save Nedscreen f -* Restore 2,514.50 9{.00 716.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20198tD18{0{85 20$sm1940001 00 1063000. 55860,91,00 10 50 10000 10. 59448, r19,0000 17s0000 10, 5ft30. {8. 0000 041u1e 04Lytg azl7u19 04LuLe 04t!1s 02/1Vu 04lute 0z1ule o2ltuLe o41V19 o1f22lL9 ouz4lLe Vendor By Type lnvoice Activity lnvoice lnquiry lrwoices by PO Check Runs I Inwic Date 'Account {Ftrnrutce ll renrlor By lamel Cleared 3. 524 . 60+ GLOak'&Je DotP 'Dah Amount I s 7 $ I