HomeMy WebLinkAboutRelease & Waiver 601102015RELEASE AND WAIVER
Applicant: CHRISTOPHER B. WILSON FEB r
7 0 2020
Property: Assessor's property tax parcel no.: 601102015 r
Legal description: S 10 T26 R1 W TAX 22(ENLG BY 29) SUBJIEAS
Address: 793 Kens Way, Quilcene WA 98376
Please read this form carefully and be aware that, in applying for and receiving a permit
for development, you are knowingly and willfully seeking a waiver from the requirement of a
professional geotechnical report describing your Property, proposed development, and potential
risk of earth movement. Your Property contains a mapped Geologically Hazardous Area, a
Critical Area as defined by Chapter 18.22 of the Jefferson County Code. Mapped Geologically
Hazardous Areas may contain site features, such as soil, hydrology, or topography features that
increase the risk of earth movement, which may present a risk to life and property. In accordance
with permitting the construction of the items described and listed below within an
Environmentally Sensitive Area, Applicant(s) acknowledge and agree as follows:
1. Applicant(s) desire to install a septic system and permit a 320 square foot studio with
200 square foot deck on the subject property. The Property is located within a mapped
Geologically Hazardous. Applicant(s) agree that they are fully aware of the risks
inherent in development in a Geologically Hazardous Area.
2. Applicant(s), as their own free and voluntary act, accept, and assume all risks of loss or
damage arising out of the conditions described herein and further agree to relieve
Jefferson County, its agencies, divisions, officers, agents, and employees of any
liability, damages, claims, or other expenses arising as a result of or allegedly as the
result of the approval of the development and the approval of the Applicant(s)' proposed
development.
3. Applicant(s) agrees to and shall hold harmless and indemnify the Jefferson County, its
agencies, divisions, officers, agents, and employees from and against any and all
liability, loss, claims, suits, damages, costs, expenses (including attorney's fees) that
may arise at any time, occur or be generated as a result of any reduction in the fair
market value of the Applicant(s)' Property and/or any damage to personal property or
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personal injury by reason of the conditions existing now or any time hereafter on or
around the Applicant(s)' Property or due to any design, development, or construction
pursuant to the building permit, stormwater management system approval, septic permit,
or any other development permits issues thereunder by the Jefferson County, its
agencies, divisions, employees, agents, officers, or representatives pursuant to any then
applicable state statute, administrative code, regulation, or Jefferson County ordinance.
4. If any term of this Waiver is to any extent invalid, illegal, or incapable of being
enforced, such term shall be excluded to the extent of such invalidity, illegality, or
unenforceability; all other terms shall remain in full force and effect.
5. All associated permits must be obtained or development must be substantially started
within one-year from the effective date of this Waiver. If this condition is not met, the
Waiver shall be void.
6. Development and associated permits must substantially comply with the Exhibit "A"
Site or Development Plan.
This Wainer is nota Permit of any tvpc.
Applicant(s):
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