HomeMy WebLinkAboutJefferson County Consistency Review Form_signed'If Hcalth
Local Government Consistency Review Checklist
Water System Name: City of Port Townsend PWS ID: 69000R
JOIN-_ a o f
Planning/Engineering Document Title: Water System Plan Plan Date: AUAL'St-20-'I-8-
Local Government with Jurisdiction: Jefferson Co
WAC 246-290-108 Consistency with local plans and regulations:
Consistency with local plans and regulations applies to planning and engineering documents
under WAC 246-290-106, 246-290-107, and 246-290-110(4)(b (ii).
1) Municipal water suppliers must include a consistency review and supporting documentation in
its planning or engineering document describing how it has addressed consistency with local
plans and regulations. This review must include specific elements of local plans and
regulations, as they reasonably relate to water service as determined by Department of Health
(DOH). Complete the table below and see instructions on back.
Local Government Consistency Statement
a) The water system service area is consistent with the adopted land use
and zoning within the applicable service area.
Page(s) in
Yes — No —
Planning
Document
Not Applicable
1-5 and 1-6
ye,5
endix Q
b) The six -year rowth promection used to forecast water demand is
consistent with the adopted city/county's population growth projections. If Pgs 2-3 and
a different growth projection is used, provide an explanation of the 2-4�
alternative growth projection and methodology.
c) Applies to cities and towns that provide water service: All water
service area policies of the city or town are consistent with the utility Pgs 1-16 - 19, J E
service extension ordinances of the city or town. Appendix E
d) Service area policies for new service connections are consistent with
the adopted local plans and adopted development regulations of all
jurisdictions with authority over the service area [City(ies), County(ies)].
pgs-g44�6
Appendix E
y
e) Other relevant elements related to water supply are addressed in the
Chapter 5,
water system plan, if applicable; Coordinated Water System plans, Regional
Appendix C, ' v
Wastewater plans, Reclaimed Water plans, Groundwater Area
Appendix N
Management plans, and Capital Facilities Element of Comprehensive
plans.
I certify that the above statements are true to the best of my knowledge
and that these specific elements
are consistent with adopted local plans and development regulations.
Signature
��t/�ia �Ufiil
Printed Name, Title, & Jurisdiction
September 2009
Page 1 of 2
J
Date
32� dvoln
A UG 2 7 2018