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Home My WebLink AboutPRE2022-00044Scan the QR code to access the digital form. DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend, WA 98368 Tel: 360.379.4450 | Fax: 360.379.4451 Web: www.co.jefferson.wa.us/communitydevelopment E-mail: dcd@co.jefferson.wa.us PRE-APPLICATION CONFERENCE Purpose The purpose of the pre-application process is to ensure consistency with the applicable sections of JCC Title 18. Process 1. Submit an application for a pre-application conference with the required items below. 2. Once submitted, staff will be assigned to the case, and they will coordinate with you on potential meeting dates. 3. Discuss project at meeting with all required departments. If necessary meeting will be held on site. 4. Receive written report from Jefferson County on process to move forward with project. 5. Submit all required applications for project; once approvals are issued, start project! The Jefferson County Code (JCC) 18.40.090 & 18.25.640: When Required. Pre-application conferences are required for all Type II, Type III, Type IV and Type V project applications and Type I project applications proposing impervious surfaces of 10,000 square feet or more and/or non-single-family structures of 5,000 square feet or more. Additionally, pre-application conferences are required for industrial, commercial, and critical area stewardship plan applications. The administrator may exercise discretion not to require a pre-application conference if the administrator determines that the conference information is self-evident, already transmitted, or would not add value to the subsequent application. Pre-application conferences for all other types of applications are optional, and requests for conferences will be considered by the administrator on a time-available basis. The consultation includes preliminary review and administrative assistance. This service does not include extensive field inspection or correspondence. Pre-application consultation does not limit subsequent administrative review. At the conference, Department of Community Development personnel shall provide the applicant with: 1. A list of the requirements for a completed application; 2. A general summary of the procedures to be used to process the application; 3. The references to relevant code provisions or development standards that may apply to the approval of the application; and 4. A list of any applicable hourly review fees that may be charged by one or more County agencies upon the filing of a project permit application with the County. Discussions at the conference or the information provided by the staff shall not bind or prohibit the County’s future application or enforcement of all applicable laws and regulations. No statements or assurances made by County representatives shall in any way relieve the applicant of their duty to submit an application consistent with all relevant requirements of County, state and federal codes, laws, regulations and land use plans. Required Submittal Items Pre-Application Conference Application Conceptual Design plan – see pg. 2 Permit Fees based on departments requested/required to attend for project type List of everybody who will be involved in the meeting and/or project Attach any special reports already completed for the project/parcel G:\PermitCenter\%%%FORMS%%%\Land Use\Pre-App\pre-app conference form QR code.docx REV. 2/20/2020 Page 2 Application Directions 1. Please answer all questions on this form completely. 2. Attach one sketch of the Conceptual Design plan for the proposed use or activity, showing the following information: a. Vicinity sketch; b. North arrow and scale; c. Property boundaries and identification of land uses on adjacent properties; d. Means of ingress and egress; e. Property/lot drainage; f. Possible locations of sewage disposal and water supply systems; g. Location of utility easements; and h. Proposed location of buildings, including setbacks to property boundaries. 3. Attach payment of the applicable fee, as set forth in the Jefferson County Fee Ordinance. Applicant Name: Mailing address: Telephone: email: Representative: Mailing address: Telephone: email: representative: Telephone: email: Representative: Telephone: email: Representative: Telephone: email: Include additional names on a separate sheet. Property Description General Location: Legal Description (from Property Tax Statement): 9-Digit Parcel Number: Total Acreage: Zone: % Lot Coverage: This is the % of your property that is covered by impervious surface. Applicant:  Owner  Lessee  Contract Purchaser  Other ____________________________ G:\PermitCenter\%%%FORMS%%%\Land Use\Pre-App\pre-app conference form QR code.docx REV. 2/20/2020 Page 3 Project Description (attach additional pages if necessary) Standard Disclosure Information provided to a prospective applicant during the pre-application consultation is based on County regulations in effect at the time of the pre-application consultation. Revised or new County regulations could affect a future development application. A pre- application consultation does not vest a future development application. By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attorney’s fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further 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. This right of entry shall expire when the County (through the Administrator or the Administrator’s representatives) concludes the application has complied with all applicable laws and regulations. Access and right of entry to the applicant’s property shall be requested and shall occur only during regular business hours. (Applicant signature)(Date) I hereby designate ___________________________________________to act as my agent in matters related to this pre-application conference. ______________________________________________________________________________ ______________________________ (Landowner signature) (Date) OFFICE USE ONLY Pre-Application Conference Fees Land Use $510.00 Environmental Health – if requested/required to attend ($232.00) Building – if requested/required to attend ($102.00) Public Works – if requested/required to attend ($144.00) Fire Marshall – if requested/required to attend ($102.00) Scan Fee $25.50 Site Visit – optional ($204.00) Subtotal Technology Fee – 5% $ Total Fees $ Fees based on project and departments requested/required to attend. EH035 DCD010 DCD029 DCD020 DCD022 DCD018 DCD003 DCD018 G:\PermitCenter\%%%FORMS%%%\Land Use\Pre-App\pre-app conference form QR code.docx REV. 2/20/2020 Page 4 CONCEPTUAL DESIGN PLAN Please submit (or attach) a site map that graphically shows the required conceptual design items listed on page 2. #Ä #Ä August 22, 2022 421 MUMBY LLC 7200 W RIDGE RD MERCER ISLAND WA 98040-5565 RE: SITE ADDRESS: 421 MUMBY RD JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street | Port Townsend, WA 98368 360-379-4450 | email: dcd@co.jefferson.wa.us www.co.jefferson.wa.us/commdevelopment CASE #: SEP2022-00082 Dear 421 MUMBY LLC: The Department of Community Development (DCD) is in the process of reviewing your application. The following information is needed to continue review of your project. There is a 6-Year Moratorium on Non-Forest Permits on this parcel associated with Forest Practices Application (FPA) 2616970, completed by 421 Mumby LLC on 04/20/21 and approved on 4/25/2021 by the Washington Department of Natural Resources (DNR). Forest Practices Applications fall under the provisions of JCC 18.20.160(5)(b) "Mandatory six-year development moratorium. For six years after the date of the application the county shall deny any and all applications for permits and approvals, including building permits and subdivision approvals, relating to or for non-forestry uses of land subject to the application". No portion of the septic system, including the transport line, can be located in the FPA harvest area. The proposed location for the 2-Bedroom ADU septic system is within the harvest area mapped and accepted by the DNR in FPA 2616970. Based on the findings that the current property owner is the same as the applicant for FPA 2616970, and that the location of the proposed septic is within the accepted harvest area in the FPA, DCD will deny this application. The applicant will have to move the proposed septic components outside of the harvest area accepted in FPA 2616970, or wait for the Moratorium to be released after 6-years have elapsed from the approval date of the FPA. Please submit the above information to the Department of Community Development (DCD) within 90 days of the date of this letter which would be 11/20/2022. Please call 360-379-4463 to speak with the assigned planner if you have any questions. Sincerely, Emilie Uemura_____________________________________ Department of Community Development Staff 1 Helena Smith From:Drum, Chelsea (DNR) <Chelsea.Drum@dnr.wa.gov> Sent:Wednesday, September 21, 2022 3:47 PM To:Amanda Hunt Cc:Puksta, Levi (DNR); ALLISON, TED (DNR) Subject:FW: Notice of Conversion to a Nonforestry Use #110866 Attachments:OLY-NCNU-22-110866.pdf; NCNU 110866 Letter.pdf; fp2616970.pdf; RCW 76.09.460.pdf ALERT: BE CAUTIOUS This email originated outside the organization. Do not open attachments or click on links if you are not expecting them. Hello Amanda, Please see the attached information regarding a NCNU issued yesterday. Thank you, Chelsea Chelsea Drum Forest Practices Coordinator DNR Olympic Region Cell: (360) 640‐1578 chelsea.drum@dnr.wa.gov From: Drum, Chelsea (DNR) Sent: Tuesday, September 20, 2022 1:54 PM To: 'Planning' <planning@co.jefferson.wa.us> Cc: Puksta, Levi (DNR) <Levi.Puksta@dnr.wa.gov>; ALLISON, TED (DNR) <TED.ALLISON@dnr.wa.gov>; Kerschner, Kate (DNR) <Kate.Kerschner@dnr.wa.gov> Subject: Notice of Conversion to a Nonforestry Use #110866 Jefferson County Planning, Forest Practices issued the attached Notice of Conversion to a Nonforestry Use today. Materials are also being sent in the mail to you. Please reach out if you have any questions. Sincerely, Chelsea Drum Chelsea Drum Forest Practices Coordinator Olympic Region Washington State Department of Natural Resources Main Office: (360) 374‐2800 | Cell: (360) 640‐1578 chelsea.drum@dnr.wa.gov JUNE 2020 VERSION Forest Practices Application/Notification Office Checklist Page 1 FPA/N #:___________________ Received Date:___________________ Completed Date:___________________ WDFW Concurrence Due Date:___________________ WDFW Concurrence Review Completed:___________________ Comments Due Date: ___________________ Decision Due Date:___________________ FP Forester:___________________ Shutdown Zone:___________________ FPA/N CLASSIFICATION: II III IVG IVS Biomass Salvage FFFPP 20/ac Exempt Landowner Name: Project Name: ____________ WRIA:____________________________________________ WAU:____________________________________________ WRIA:____________________________________________ WAU:____________________________________________ Legal:____________________________________________ County:__________________________________________ Activity Type(s): Harvest ac Crossing(s) #Rock Pit ac Spoils cy Construction ft Abandonment ft ALTERNATIVE PRESCRIPTIONS Alternate Plan Fixed-Width Overstocked Urban Growth Area (Resource Review) Statement of Intent (UGA) Ten-Year Forest Management Plan App. Watershed Analysis:_______________________ Habitat Conservation Plan HCP Crosswalk(s) Landowner Option Plan for Northern Spotted Owl Cooperative Habitat Enhancement Agreement Columbia River Gorge National Scenic Area RESOURCE REVIEW Potentially Unstable Slopes Soils Map Highly Erodible Highly Unstable SLPSTAB Landslide Inventory Polygon Avalanche WSDOT FP Rain-on-Snow Outside Approved WA Hydric Soils Wetland Forested A B In WMZ of A B Wetland In RMZ/ELZ of Type S F N water Bald Eagle nest or roost within 660 feet Group A or B Water Supply Hatchery | Name:_____________________________ Even-Aged Harvest greater than 120 Acres Ground-based Equipment on Slopes at or greater than 40% Road Construction on Slopes at or greater than 65% Saltwater Islands (Marrowstone) Long Term Commitment Area In or Over Typed Water S F Np Ns Water Verification ASSOCIATED NON-SCANNED DOCUMENTS – On file with the FPA/N at the Region office. SEPA Checklist/Documents Large Forest LO RMAP #_____________ ASSOCIATED SCANNED DOCUMENTS COHP SEPA DNS/MDNS LGE Permit(s)/Info FPHP Plans & Specifications Qualified Expert Report | Type:____________________ Slope Stability Informational Form Shoreline Permit Natural Regeneration Plan Hardwood Conversion Form Marbled Murrelet Form SFLO RMAP Checklist # _______________FFFPP New Old | WTMF #_______________________________ Water Classification Worksheet Watershed Analysis Worksheet (Approved) DFC Printout CMZ Assessment Form Water Protocol Surveys Np RMZ Worksheet Shade Documentation Shade Worksheet Wetland Mitigation Plan ICN SWO NTC #_______________ WDFW BIOLOGIST:___________________________________ EARR Tax Credit Yes No Olympic Region Form completed by _______ 1$ 1$ .0 2616970 4/20/2021 4/20/2021 4/25/2021 4/25/2021 1621 653 S ✔ 421 Mumby LLC 421 Mumby Rd Quilcene-SnowWRIA: ________________________________ WAU:_Chimakum___________________________________________ 20(30-1E)Jefferson Siu KJ 6 2616970Olympic4/21/2021 2616970 2616970 2616970 2616970 2616970 2616970 2616970 2616970 2616970 #Ä