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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:_________________________________________
[ ] Sepcial 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 _____________________________________________________________
938100433, BLD2022-00340
09/29/2022
BRUCE & LYN ZOELLICK
330 S PALMER DR
PORT TOWNSEND, WA 98368
938100433, BLD2022-00340 0.32 Acres
CAPE GEORGE COLONY DIV 2 BLK 4 LOT 33
N/A N/A
N/A N/A RR-5 - Rural Residential
4 RR-5 - Rural Residential
4
4
N/A N/A N/A N/A
N/A N/A
N/A
N/A N/A N/A
No No
4 Yes S PALMER DR
4 No
4 Yes Stormwater Management Plan (Parcel 938100435), Geotechnical Report (Parcel 938100430)
4 No None
4
4
No
Unstable Slope None No No
None
No
No
none
Yes SUSC
Coastal See "Additional Notes"
No
4 No No No
No Yes
4 No No Archaeological Hit Observed (A.H, 09/01/2022)
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:
4,277 sq/ft
4
4
Yes
Yes
No
4 Medium Stormwater Packet
30.9%, RR-25%
5,350 square feet
4
4 N/A
N/A
N/A
4 Exempt
4 No
4 2
4
4 No
4
4
4
Private - 148
Not REQ'D
No
4 No No N/A
N/A4
Yes, Cape George Subdivision 2- See notes below
N/A
Amanda Hunt
HISTORY: Proposed NSFR w/ attached garage. Located in a No Shooting Area. Vacant property. Septic
approved under SEP2020-00222.
PLAT CONDITIONS: 25 foot road right of way setback. Proposed NSFR meets 25 foot setback. No further
action required.
GEOHAZARD AREA: Shoreline Slope Stability Area - Unstable Slope. Special Report Waiver Required. Notice
to Title recorded under AFN# 656288.
CARA: Susceptible CARA. No special report required.
SIPZ: Coastal SIPZ. Public Water source. No special conditions required.
STORMWATER: Engineered Stormwater Plan submitted. The AFFIDAVIT to relinquish rights to the drywell by
the owners of Parcel #938100432 has also been signed by all parties, notarized and recorded at the Jefferson
County Auditor's office. Recorded under AFN#656289.
IMPERVIOUS SURFACE: The applicant is proposing more than 31% new impervious surface in RR-5 zoning
(30.9%). A Impervious Surface Memo is required.
AIR SENT (09/01/2022):
(1) GARAGE (COMPLETED,09/01/2022)
Applicant 09/01/2022: "Cape George requires that all structures are set back 25 feet from the front property line.
The garage is an additional 7.1' from the Cape George 25' setback, therefore the garage is 32.1 feet from the
property line. So, yes, it does comply with the 25' required setback".
(2) GEOHAZARD AREA (09/01/2022)- COMPLETED, (3) STORMWATER- COMPLETED
AIR SENT (09/08/2022):
(1). NOTICE TO TITLE: COMPLETED, 9/12/2022
(2). STORMWATER: COMPLETED