HomeMy WebLinkAboutBLD2022-00391-11- Consistency Review ChecklistUp Front Parcel
Review Parcel
Date Completed:
Owner Name:
Add. Name:
Mailing Address:
Site Address(es):
Parcel Number: S-T-R: --Total Acreage
Legal Description Land Use:
Flood District:Fire District:Planning Area:
Flood Map (FIRM) Panel No: School District Zoning:
[ ] Zoning ________________________________________________________________________________
[ ]Setbacks:Front:_______Left Side:__________Right Side: __________ Rear:_______________
Informed by JCC 18.30 or Title 17 for Master Planned Resorts:
Shoreline Setback:____________Critical Area Buffer__________________________________________
Building Setback: ______________________________________________________________________
Adjoining Forest Lands: Commercial/ ____________ Rural/______________Inholding_______________
[ ] Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO __________________
[ ] Legal Access to Property YES NO _____________________________________________________
[ ] Parcel Tags or Scanned Documents YES NO List:_________________________________________
[ ]Special Reports Nearby YES NO List:____________________________________________________
[ ] Shoreline Designation: YES NO _______________________________________________________
[ ] Critical Areas
Geologically Hazardous Areas YES NO
Shoreline Slope Stability:____________Landslide____________Erosion_____Seismic___________
CMZ: none High Risk Moderate Risk Disconnected CMZ__________________________
Report Submitted________________________________________________________________________
FWHCA: YES NO Stream type: __________________________ Pond or Lake < 20 acres________
Marbled murrelet/Spotted owl_____________ marine nearshore______________
Wetlands:YES NO ___________________________________________________________________
Flood:YES NO List FIRM map:_______________________________________________________
Flood Certificate: ______________________________________________________
Aquifer Recharge Area:YES NO___________________________________________________________
SIPZ: none At Risk High Risk Coastal ________________________________________[
] Site Visit conducted YES NO _____________________________________________________
[ ]Notice Provisions/Disclosure Forest Lands:YES NO Airport YES NO MRL YES NO
Agricultural Lands: YES NO No Shooting Zone:YES NO
[ ] Archaeology:YES NO _____________________________________________________________
N/A
4
N/A
No
4
No
No
Unstable Slope
No
Coastal
Slight
11
S8 T29 R1W
53031C0140C
None
N/A
53031C0140C
No
Yes
No
520
4
No
No
EJFR 1
N/A
PATRICIA FITZGERALD
N/A
5
5.45
N/A
JON VOELKER
5
430 SOUTHPORT LANE, PORT
TOWNSEND, WA, 98368
50
No
901081022
901081022
No
N/A
Neighboring parcel 901085001 has 2002 Geotech report and 1996 Stormwater plan
4
4
4
No
No
430 SOUTHPORT LANE, PORT TOWNSEND, WA 98368
No
4
No
No archaeological hits observed 7/28/20224
N/A
No
4
N/A
N/A
4
5
No
RR-5
RR-54
Yes
N/Z
Yes
S8 T29 R1W TX 26 1/18 INT IN TX 25 TL TAX N W/EASE
none
N/A
Land Use Requirements
[ ] SEPA Required:YES EXEMPT _________________________________________________
[ ] Landscaping Required: Yes No_______________________________________________________
[ ] Parking Spaces Required NO 2 Other_______________________________________________
[ ] Building Height: 35' UBC Standard __________________________________________________
[ ]Stormwater: New Impervious Surface_____________Land Disturbing Activity ________________
Min Req #1 thru #5Stormwater Req's: Min Req #2 Min Req #1 thru #9
Engineering ________________ Drainage District Review Required___________
[ ] Stormwater Pollution Prevention Plan Submitted: Yes No __________________________________
[ ] Impervious Surface coverage percentage: __________________________________________
Resource Lands & Public: 10%Rural Residential: 25%Rural Industrial: Per UDC Sec 6.7
Rural Commercial: 60%Area of Building Coverage: 60% in Rural Industrial Lands only
[ ] ADMIN: Setbacks entered in Permit Plan case N/A YES ________________________________
New Parcel Tags entered in Permit Plan N/A YES ____________________________________
Special Reports Scanned N/A YES _________________________________________________
[ ] ADU Proposed YES NO Square Footage: ______________________
[ ] Total Building (s) Size:____________________________________________________________
RVC: 20,000 SF CC: 5,000 SF NC: 7,500 SF GC: 10,000 SF All others: subject to septic & water constraints/None specified
[ ] Road Classification:_______________________________________________________________
Road Approach:EXISTING NOT REQ'D RAP__________________________________________
[ ] Require Final Zoning Approval/inspection YES NO __________________________________________
[ ] UGA No Protest Agreement YES NO, submitted: YES NO _____________
[ ] Recorded Date of Subdivision:_______________AFN____________________________Over 5yrs=UDC
Plat Conditions:_____________________________________<5yrs=Plat Conditions on plat or Old Ordinance
Reviewed By:
Additional Notes:
No
No
4
4
4
CONDITIONS (based on BLD2022-00143)
TF-Other Requirements: Construction of the wireless telecommunication facilities is
subject to the requirements of the County Building Code, Chapter 15.05 JCC, and all
Building Code (UBC), the Electrical Code (NEC), the requirements of the National
Electronics Industries Association/Telecommunications Industries Association (EIA/TIA)
222 Revision F Standard entitled "Structural Standards for Steel Antenna Supporting
Structures" and any additional applicable standards published by the Electronics
Industries Association, the Uniform Fire Code and the Jefferson County Critical Areas
Ordinance.
AIR SENT 7/29/2022
"STORMWATER: Please submit a Stormwater Calculation Worksheet. Based on a
premliminary review of your site plan, this project likely qualifies as a Small Stormwater
Project. If you project creates less than 2,000 square feet of new impervious surface,
please complete the Small Stormwater Packet, including the Stormwater Calculation
worksheet, available at the link below:
https://www.co.jefferson.wa.us/DocumentCenter/View/7382/Small-Stormwater-Packet_Co
mbined "
Requested Stormwater application received 8/1/2022
Wireless service facilities are categorically under WAC 197-11-800
N/A
4
Yes
Private
0.05%
H. Smith
Not REQ'D
4
No
4
No
Yes
0
N/A
4
No
4
N/A
0
4
4
4
4
151'
N/A
N/A
N/A
Screening
No
No
Exempt4
New structure 11 SF
4
Not subdivided
No
4