HomeMy WebLinkAboutBLD2022-00574-11- 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
No
4
No
No
Unstable - Old Slide
No
None
High
91
S27 T30 R2W
53031C0110C
None
150
53031C0110C
No
No
Yes
16020
4
No
Yes
Sequim 8
ABRAHAM P & JACQUELINE BESTER
N/A
5
1.97
N/A
RAP needed
5
476 Daisy King Road
SEQUIM 98382
323
Yes
002273035
002273035
No
N/A
4
4
SUSC
4
No
10
No
PO BOX 620524
LITTLETON, CO 80162
No
4
No
No archaeological hits observed 11/07/20224
N/A
Conservancy
No
4
N/A
N/A
4
Discovery Bay 5
No
RR-5
RR-5
11/18/22
4
Yes
VE
No
CARLISI SHORT PLAT LOT 2
VE
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
BLD2022-00574
Site plan references a geotech report but none is provided. Need to request a copy for our records, and it needs to be
recorded with the Auditor. DWJ might have it??
Stormwater: Needs to be signed by owner.
ADDITIONAL INFO REQUEST 11/08/2022
GEOTECHNICAL REPORT: The site plan received by DCD on October 3, 2022 references a geotechnical report. The
report was not submitted with the other application documents, and our office does not have a copy of the report.
Please send us a copy of the geotechnical report for our review.
NOTICE TO TITLE FOR GEOTECHNICAL REPORT: Once the geotechnical report is reviewed by our office, a Notice
to Title must be placed on the parcel to record the report's findings. These are the steps for a Notice to Title for
Geotechnical Report
1. DCD will prepare the Notice to Title based on your geotechnical report, and send the Notice to you.
2. You will notarize the Notice to Title and return the notarized copy to our office at 621 Sheridan Street, Port
Townsend, WA 98368. Online notaries are accepted.
3. The notarized copy will be signed by the Jefferson County Unified Development Code Administrator.
4. The Notice to Title must be recorded with the Jefferson County Auditor's Office. If you are not able to visit the
Jefferson County Courthouse in person, you can record the document online, or pay Jefferson County DCD $102.00 to
go to the Courthouse on your behalf. The Auditor's Office charges $203.50 for the first page of a recorded document,
and $1.00 for each additional page, payable to Jefferson County Auditor.
11/8/22 Received geotech, prepared and sent Notice to Title
Geotechnical report prepared by Stratum Group dated March 21, 2022, received by DCD November 8, 2022.
GEOHAZARD RECOMENDATIONS: The home must be located at least 35 feet back from the top edge of the
shoreline bluff. Vegetation management between the home sites and the steep slope and on the steep slope for view
purposes is acceptable, but should be done consistent with shoreline habitat requirements. I recommend that no trees
larger than 30 inches in diameter should be cut. Limbing of larger trees is acceptable. No yard waste or debris should
be disposed of on or at the shoreline bluff slope. Adding significant soil or debris to the slope could form an unstable
mass on the slope. Stormwater should be managed per the Western Washington Stormwater Manual. Full dispersion
and infiltration can be accomplished if stormwater is spread out through multiple dispersion locations, properly sized
dispersion/infiltration trenches and French drains or the use of splash blocks from limited roof areas.
Residential
Yes
Yes
County Local Access
10%
H. Smith
RAP REQ'D
4
Yes
4
No
No
13,803 sq ft
Yes
4
2
4
9,253 sq ft
4
4
4
4
257827
257827
No conditions, see AFN 257827 for notices to potential purchasers
No vegetation disposal on slope.
No
No
Exempt4
3,016 sq ft
4
4
4
05/15/1979
Yes
4