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HomeMy WebLinkAbout003 Critical Areas Variance ApplicationPermit Application Page 1 of 2 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 PERMIT APPLICATION Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application; it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit # Related Application #s: MLA # Site Information Assessor Tax Parcel Number: Site Address and/or Directions to Property: Access (name of street(s)) from which access will be gained: Present use of property: Description of Work (include proposed uses): Wastewater - Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? YES NO If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: Septic Septic Permit #: Community Septic Name of System: Case #: Are other residences connected to the septic system? Additions or repairs to sewage system: Is it a complete or partial system installation: Complete Partial Has a reserve drainfield been designated? Yes No Date of Last Operations & Maintenance check: Attach last report to application Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: DCD RECEIVED 5/12/2022 Permit Application Page 2 of 2 The authorized agent/representative is the primary contact for all project-related questions and correspondence. The County will mail / e-mail requests and information about the application to the authorized agent/representative and will copy (cc) the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email (i.e., County email is not blocked or sent to “junk mail”). Applicant/Property Owner Information Property Owner: Name: Address: Phone #: E-mail Address: Please contact Authorized Agent/Representative with project info. (select only one). Property Owner Signature: Date: Note: For projects with multiple owners, attach a separate sheet with each owner(s) information and signatures. Applicant: Authorized Agent/Representative (If other than owner) Name: Address: Phone #: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License # Address: Phone #: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License # Address: Phone #: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License # Address: Phone #: E-mail Address: By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and correct to the best of his or her knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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. Applicant may request notice of the County’s intent to enter upon the property for visits related to this application and subsequent permit issuance. Signature: Print Name: Date: ______________ DCD RECEIVED 5/12/2022 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 VARIANCE Purpose The purpose of allowing variances from the standards of the Jefferson County Code (JCC) is to ensure that all persons and their property are guaranteed equal rights and opportunities under similar circumstances. Variances from the standards of the JCC shall only be granted where there are extraordinary or unique circumstances relating to the property such that the strict implementation of the JCC would impose unnecessary hardships on the applicant or thwart the purpose and goals of the Jefferson County Comprehensive Plan or JCC. Variances may only be granted for dimensional, area and bulk requirements (e.g., height, setbacks, yard size, lot coverage, frontage, floor area and the like) specified by the JCC. JCC 18.40 outlines the provisions for variance procedures and criteria allowed under the Code, except for reasonable economic use variances and environmentally sensitive area buffer width reductions, which are governed by the provisions of JCC 18.22 Critical Areas. In addition to the supplemental Variance Application Form in this packet, you must also complete the Master Permit Application Form for all variance applications. Variance approval may involve either a Type II or Type III review process under the JCC, depending on the specific type of variance requested. Types of Variances There are three broad types of variances identified in the JCC. Reasonable Economic Use Variance: A Reasonable Economic Use variance may be applied for if the application of Environmentally Sensitive Area buffers (i.e. wetland, streams, geohazards, etc) identified in JCC 18.15.185 deny all reasonable economic use of a property. Applicants may apply for a reasonable economic use variance only upon denial of a permit due to the requirements of the JCC 18.22 – Critical Areas. Minor Variance: Minor variances include variances that would permit expansion of an existing building which would extend no more than ten (10) percent beyond the dimensional, area and bulk requirements specified by the JCC. Minor variances also include variances to allow expansion of an existing building that is nonconforming as to setback or lot coverage requirements as long as the proposed expansion would not: x Increase the nonconformity of the building; and x Result in any portion of the building or expansion being located closer to an abutting property line than does the existing building at its nearest point to the property line. Applications for minor variances are processed according to the procedures for Type II land use decisions established in JCC 18.40.270. Major Variance: Major variances include all other variances not classified as minor. Applications for major variances are processed according to the procedures for Type III land use decisions established in Article IV of Chapter 18.40. Process Step 1 – Pre-Application Conference: A pre-application conference is required for all Variances. Conceptual plans, county requirements, future permit requirements, etc., and answers to related questions are discussed at the conference. Information provided by Department of Community Development staff helps the applicant to prepare a better application and potentially decreases code- related questions and time required for formal review. Step 2 – Determination of Completeness: Following submittal of your application, county staff will make a determination within 28 days as to whether your application is complete. Step 3 – Formal Application Review and Decision: Following the determination of completeness, a final decision must be made by the county within 120 calendar days. The final decision may be made by either the Administrator (for all Minor Variances) or the Hearing Examiner (for all Reasonable Economic Use Variances and Major Variances). Public hearings before the Hearing Examiner are required for all Reasonable Economic Use Variances and Major Variances. In all variance cases the decision may be appealed. DCD RECEIVED 5/12/2022 Page 2 Approval Criteria Reasonable Economic Use Variances Your reasonable economic uses variance application [pursuant to JCC 18.22.090] will be evaluated on the basis of the criteria listed in the relevant section of the Jefferson County Code (see JCC 18.22.090), and in some instances, inspection of the property. A reasonable economic use variance may be granted only if the applicant demonstrates all of the following: No reasonable economic use with less impact on the ESA or its buffer is possible; There is no feasible on-site alternative to the proposed activities that would allow a reasonable economic use with less adverse impacts to ESA’s or ESA buffers; The proposed variance will result in the minimum feasible alteration or impairment of the ESA; Disturbance of ESA’s has been minimized by locating any necessary alteration in ESA buffers to the minimum extent possible; The proposed variance complies with applicable Federal, State, and local law; There will be no material damage to nearby public or private property and no material threat to the health or safety of people on or off the property; The inability to derive reasonable economic use of the property is not the result of actions by the applicant in segregating or dividing the property and creating the undevelopable condition after the effective date of this code. In instances where all of the above findings cannot be made, the application shall be denied. In granting any variance, the Administrator or Hearing Examiner (as applicable) may prescribe appropriate conditions and safeguards to assure that the purpose and intent of the JCC and the Jefferson County Comprehensive Plan will not be violated. Minor and Major Variances Your minor or major variance application will be evaluated on the basis of the criteria listed in the relevant section of the Jefferson County Code (see JCC 18.40.640), and in some instances, inspection of the property. A variance may be granted only if the applicant demonstrates all of the following: x The variance will not constitute a grant of special privilege inconsistent with the limitation upon uses of other properties in the vicinity and land use district in which the subject property is located; x The variance is necessary because of special circumstances relating to the size, shape, topography, location or surroundings of the subject property, to provide it with use rights and privileges permitted to other properties in the vicinity and in the land use district in which the subject property is located; x The granting of the variance will not be materially detrimental to the public welfare or injurious to the property or improvements in the vicinity and land use district in which the subject property is located; x The special circumstances of the subject property make the strict enforcement of the provisions of this Code an unnecessary hardship to the property owner; x The special circumstances are not the result of the actions of the applicant; and x The variance is consistent with the purposes and intent of the Code. In instances where all of the above findings cannot be made, the application shall be denied. In granting any variance, the Administrator or Hearing Examiner (as applicable) may prescribe appropriate conditions and safeguards to assure that the purpose and intent of the JCC and the Jefferson County Comprehensive Plan will not be violated. The Administrator or Hearing Examiner (as applicable) may not grant a variance for the following: x The provisions of the JCC establishing allowed, conditional, discretionary and prohibited uses within the various land use districts (i.e., Table 3-1 in JCC 18.15. 040); x The density provisions of this code; x The procedural or administrative provisions this code; or x Any provision of this code which, by its terms, is not subject to a variance. Approval of the variance is effective for three (3) years from the date of original approval. If a building permit has not been issued within the three (3) year period, the variance approval will expire. DCD RECEIVED 5/12/2022 Page 1 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 VARIANCE APPLICATION MLA # PROJECT/APPLICANT NAME: A variance is an exception from the general rule or standard and as such must be accompanied by sufficient reasoning to justify granting its approval. Granting a variance is based on a hardship presented by applying the standard to circumstances or conditions unique to the property rather than personal circumstances of the applicant and generally not experienced by other properties. A site plan must accompany the variance request. It needs to be no larger than 11 x 17 inches, suitable for copying, and graphically illustrate or identify the following features: x North arrow and engineer scale. x Development area (property boundary lines, section lines, etc.). x Property improvements (existing and proposed structures, utilities, septic tank and drainfield location, existing wells, etc.). x Property features (existing and proposed changes to topography and ground relief, vegetation, shoreline location, outstanding physical features, etc.) x Setbacks (required and proposed, if different). x Roads (State, County, and private) and easements (road, utility and others). x Other information that explains the variance request. The following questions will assist in the evaluation of the variance request: 1. From which standards are you requesting a variance? [Identify applicable Jefferson County Code section(s).] 2. Describe the requested variance. 3. Describe the proposed standard(s). 4. Describe the extraordinary conditions or unusual circumstances which exist on your property that would justify deviation from the standard (such as topographic features, parcel size and shape, drainage, etc.). Attach topographic photographs or topographic map showing unique features, etc. DCD RECEIVED 5/12/2022 Page 2 5. Are these conditions unique to your property and not experienced by other properties in the area? (If yes, please explain.) 6. Were any of these conditions or circumstances caused directly by you? (If yes, please explain.) 7. Describe the hardship the standard places on the use of your property. 8. Is the deviation you request the minimum necessary to accomplish your project or is there another reasonable way to accomplish your project that would not require a variance? (Please explain.) 9. Describe how granting the variance will not be materially detrimental to the public health, safety, welfare, use, or interest, or injurious to property or improvements in the vicinity. 10. Is there anything else you would add which supports your request? ACKNOWLEDGEMENT By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. 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. (APPLICANT OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) [NOTE: Representative authorization is required if application is not signed by the Owner.] DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 1 of 17 SEPA ENVIRONMENTAL CHECKLIST Purpose of checklist: Governmental agencies use this checklist to help determine whether the environmental impacts of your proposal are significant. This information is also helpful to determine if available avoidance, minimization or compensatory mitigation measures will address the probable significant impacts or if an environmental impact statement will be prepared to further analyze the proposal. Instructions for applicants: This environmental checklist asks you to describe some basic information about your proposal. Please answer each question accurately and carefully, to the best of your knowledge. You may need to consult with an agency specialist or private consultant for some questions. You may use “not applicable” or "does not apply" only when you can explain why it does not apply and not when the answer is unknown. You may also attach or incorporate by reference additional studies reports. Complete and accurate answers to these questions often avoid delays with the SEPA process as well as later in the decision- making process. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Instructions for Lead Agencies: Please adjust the format of this template as needed. Additional information may be necessary to evaluate the existing environment, all interrelated aspects of the proposal and an analysis of adverse impacts. The checklist is considered the first but not necessarily the only source of information needed to make an adequate threshold determination. Once a threshold determination is made, the lead agency is responsible for the completeness and accuracy of the checklist and other supporting documents. Use of checklist for nonproject proposals: For nonproject proposals (such as ordinances, regulations, plans and programs), complete the applicable parts of sections A and B plus the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). Please completely answer all questions that apply and note that the words "project," "applicant," and "property or site" should be read as "proposal," "proponent," and "affected geographic area," respectively. The lead agency may exclude (for non-projects) questions in Part B - Environmental Elements –that do not contribute meaningfully to the analysis of the proposal. A. Background [HELP] 1. Name of proposed project, if applicable: 413 Gybe Ho Road - Robert Brown III Trustee 2. Name of applicant: DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 2 of 17 Robert M. Brown, III Trustee (land owner) Josiah Brown Lauren Brown Sally Ellis (consultant) 3. Address and phone number of applicant and contact person: Robert M. Brown, III Trustee (land owner) 206 Garden Club Rd. Nordland, WA 98358 Ph. 360-301-4777 bob@bb-plumbing.com Josiah and Lauren Brown 206 Garden Club Rd. Nordland, WA 98358 Ph. 360-301-5024 Brown.josiah.d@gmail.com Sally Ellis (consultant) 241 Flamingo Road Port Townsend, WA 98368 Ph. 360-531-3374 salanjake@hotmail.com Joanne Bartlett, SPWS Professional Biologist 8900 State Highway 3, Suite 201 Bremerton, WA 98312-4982 Ph. 360-674-7186, ext. 1201 joanne@eco-land.com 4. Date checklist prepared: This form was prepared on 4/20/2022. The existing parcel remains undeveloped as of 4/20/2022. There are no plans for driveway development until permits/approvals have been issued. 5. Agency requesting checklist: WA State Department of Ecology Jefferson County Department of Community Development 6. Proposed timing or schedule (including phasing, if applicable): Once driveway permits have been issued, we plan to put in a driveway (during the dry season) to gain access to our future building site for a single family home. The future building site for the single family home and septic will be outside of the wetland and buffer and are not in the scope of this proposal. 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 3 of 17 While we do have future hopes to eventually build a single family home, the future build site is not located in a critical area. This proposal is specifically related to the impact of putting a driveway through a category III wetland and its associated buffer. 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. Joanne Bartlett, SPWS Professional Biologist of Ecological Land Services, Inc. prepared a “Wetland Delineation Report” dated April 18, 2021 and a “Wetland Mitigation Plan” dated March 17, 2022. We were provided with an “Approved Jurisdictional Determination Form” by the U.S. Army Corps of Engineers on August 11, 2021, stating that the wetland is not a jurisdictional water of the U.S. 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. No other proposals are pending. We do have a pending septic system permit with Jefferson County. That permit is pending approved access to the property. 10. List any government approvals or permits that will be needed for your proposal, if known. We will need an administrative order from WA Department of Ecology (Rebecca Rothwell). We will need a “Reasonable Economic Use Variance” from Jefferson County DCD. 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) We would like to build a gravel driveway off Gybe Ho Road to gain access to our 5-acre parcel. This proposed driveway would cross a category III wetland on the East side of the property, as well as its associated 110-foot buffer. Total area of proposed disturbed wetland: 285 square feet Total area of proposed disturbed buffer: 3,106 square feet The location of the proposed driveway has been determined by a professional biologist (Joanne Bartlett, SPWS) to be the least impactful to the critical areas on the property. A site visit was conducted with the WA Dept of Ecology (Rebecca Rothwell) and Jefferson County DCD on July 14, 2021, who also agreed that the proposed driveway site was the least impactful overall. It was ultimately concluded this is the only feasible point of access. DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 4 of 17 The driveway will allow access to the future single-family residence on this undeveloped parcel. This single family home is proposed outside of the critical areas and their buffers. 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. 413 Gybe Ho Road, Nordland, WA 98358 Tax Parcel # 921092007 Section 9 Township 29N Range 1E Proposed driveway on East end of parcel. B. Environmental Elements [HELP] 1. Earth [help] a. General description of the site: (circle one): Flat, rolling, hilly, steep slopes, mountainous, other _____________ b. What is the steepest slope on the site (approximate percent slope)? 2-4% slope. c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any agricultural land of long-term commercial significance and whether the proposal results in removing any of these soils. Whidbey gravelly sand loam. For more information, please refer to pages 3-5 of the “Wetland Delineation Report” dated April 18, 2021. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. No. e. Describe the purpose, type, total area, and approximate quantities and total affected area of any filling, excavation, and grading proposed. Indicate source of fill. We would like to build a gravel driveway off Gybe Ho Road to gain access to our 5-acre parcel. This proposed driveway would cross a category III wetland on the East side of the property, as well as its associated 110-foot buffer. DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 5 of 17 Total area of proposed disturbed wetland: 285 square feet Total area of proposed disturbed buffer: 3,106 square feet Source of fill: Road base to consist of screened pit run from local quarries, comprised of silts, sands and gravels. Amount: Approximately 600 cubic yards of gravel for driveway crossing the wetland. Amount: Approximately 900 cubic yards of gravel for driveway crossing the buffer. f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. No. g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? 3300 square feet of 5-acre property (1.5% of property) h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: Stormwater shall remain dispersed throughout the proposed driveway construction area. Vegetated surfaces downhill of the proposed driveway corridor shall be preserved. Bare surfaces including soil stockpiled for greater than seven days shall promptly be planted with ground cover and grasses. Straw mulch shall be applied to surfaces not ready for vegetation. 2. Air [help] a. What types of emissions to the air would result from the proposal during construction, operation, and maintenance when the project is completed? If any, generally describe and give approximate quantities if known. During construction of the driveway, we will be using a excavator/tractor for approximately 20 hours. This will emit a very limited amount of CO2 only during construction. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No. c. Proposed measures to reduce or control emissions or other impacts to air, if any: No. 3. Water [help] a. Surface Water: [help] DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 6 of 17 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. The proposed driveway will cross a category III seasonally flooded wetland (labeled ‘Wetland A’ on diagrams). 2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. The proposed driveway will cross a category III seasonally flooded wetland (labeled ‘Wetland A’ on diagrams) and its associated 110-foot buffer. 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. We would like to build a gravel driveway off Gybe Ho Road to gain access to our 5-acre parcel. This proposed driveway would cross a category III wetland on the East side of the property, as well as its associated 110-foot buffer. Total area of proposed disturbed wetland: 285 square feet Total area of proposed disturbed buffer: 3,106 square feet Source of fill: Road base to consist of screened pit run from local quarries, comprised of silts, sands and gravels. Amount: Approximately 600 cubic yards of gravel for driveway crossing the wetland. Amount: Approximately 900 cubic yards of gravel for driveway crossing the buffer. The mitigation plan proposes to excavate 570 square feet of soil material to create additional wetland on the west side of Wetland A. There is no estimate for volume because of the small size. The excavation will be supervised by the project biologist to ensure the appropriate elevation is reached. 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. No. 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. No. 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. No. DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 7 of 17 b. Ground Water: [help] 1) Will groundwater be withdrawn from a well for drinking water or other purposes? If so, give a general description of the well, proposed uses and approximate quantities withdrawn from the well. Will water be discharged to groundwater? Give general description, purpose, and approximate quantities if known. No. 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals. . . ; agricultural; etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. None. c. Water runoff (including stormwater): 1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. Water runoff from driveway will be minimal. Proposed 12-inch diameter culverts beneath the proposed driveway will discharge onto dispersion pads consisting of quarry spalls. These dispersion pads will be located >90 ft from the parcel's downhill southern boundary, thus providing ample downhill vegetated flow path in which to attenuate and treat flowing water. For additional information, see Stormwater Managent Plan, prepared by Everett Sorensen, PE (Evergreen Engineering Services) on April 12, 2022. 2) Could waste materials enter ground or surface waters? If so, generally describe. No. 3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so, describe. No. Driveway through the wetland will include culverts to maintain original drainage patterns of the wetland (see diagram). For additional information, see Stormwater Managent Plan, prepared by Everett Sorensen, PE (Evergreen Engineering Services) on April 12, 2022. d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage pattern impacts, if any: Water runoff from driveway will be minimal and drainage patterns will not be disturbed. Proposed 12-inch diameter culverts beneath the proposed driveway will discharge onto dispersion pads consisting of quarry spalls. These dispersion pads will be located >90 DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 8 of 17 ft from the parcel's downhill southern boundary, thus providing ample downhill vegetated flow path in which to attenuate and treat flowing water. For additional information, see Stormwater Managent Plan, prepared by Everett Sorensen, PE (Evergreen Engineering Services) on April 12, 2022. 4. Plants [help] a. Check the types of vegetation found on the site: __X__deciduous tree: alder, maple, aspen, other __X__evergreen tree: fir, cedar, pine, other __X__shrubs __X__grass ____pasture ____crop or grain ____ Orchards, vineyards or other permanent crops. __X__ wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other ____water plants: water lily, eelgrass, milfoil, other ____other types of vegetation b. What kind and amount of vegetation will be removed or altered? Our proposed driveway will disturb 285 square feet of wetland and 3,106 square feet of buffer. The vegetation in the category III wetland includes: red alder (young, less than 3 years old), salmonberry, Himalayan blackberry, slough sedge, soft rush, lady fern, stinging nettle, hedge nettle, and water parsley. The proposed driveway would mainly disturb soft rush. The vegetation in the buffer includes: red alder (young), salmonberry, ocean spray, red elderberry, salal, Himalayan blackberry, Oregon grape, sword fern, trailing blackberry, large-leaf avens, velvet grass, stinging nettle, and bracken fern. We do not intend to remove any fir or cedar trees in the construction of this driveway. c. List threatened and endangered species known to be on or near the site. None. d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: The mitigation plan proposes to plant deciduous cuttings within the created wetland area and native trees and shrubs are to be planted within the buffer to compensate for the wetland and buffer impacts. e. List all noxious weeds and invasive species known to be on or near the site. DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 9 of 17 Himalayan blackberry (although we have spent the last year painstakingly working to remove this invasive species by hand). 5. Animals [help] a. List any birds and other animals which have been observed on or near the site or are known to be on or near the site. Examples include: birds: hawk, heron, eagle, songbirds, other: mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other ________ We have observed songbirds, deer, coyote, and squirrels. b. List any threatened and endangered species known to be on or near the site. None. c. Is the site part of a migration route? If so, explain. No. d. Proposed measures to preserve or enhance wildlife, if any: None. e. List any invasive animal species known to be on or near the site. None. 6. Energy and Natural Resources [help] a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. No energy will be needed long-term. In the short-term, fuel will be needed for construction equipment. b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. No. DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 10 of 17 c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: None. 7. Environmental Health [help] a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. 1) Describe any known or possible contamination at the site from present or past uses. None. 2) Describe existing hazardous chemicals/conditions that might affect project development and design. This includes underground hazardous liquid and gas transmission pipelines located within the project area and in the vicinity. None. 3) Describe any toxic or hazardous chemicals that might be stored, used, or produced during the project's development or construction, or at any time during the operating life of the project. None. 4) Describe special emergency services that might be required. None. 5) Proposed measures to reduce or control environmental health hazards, if any: Since there are no environmental hazards there is no need to reduce or control environmental hazards. b. Noise 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? None. Project is in rural area surrounded by other properties with acreage. 2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi- cate what hours noise would come from the site. Short-term noise would be created from construction equipment (less than 24 hours). DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 11 of 17 3) Proposed measures to reduce or control noise impacts, if any: None. 8. Land and Shoreline Use [help] a. What is the current use of the site and adjacent properties? Will the proposal affect current land uses on nearby or adjacent properties? If so, describe. The site is currently undeveloped. Adjacent properties are residential. This proposal will not affect land use of adjacent properties. b. Has the project site been used as working farmlands or working forest lands? If so, describe. How much agricultural or forest land of long-term commercial significance will be converted to other uses as a result of the proposal, if any? If resource lands have not been designated, how many acres in farmland or forest land tax status will be converted to nonfarm or nonforest use? No. 1) Will the proposal affect or be affected by surrounding working farm or forest land normal business operations, such as oversize equipment access, the application of pesticides, tilling, and harvesting? If so, how: No. c. Describe any structures on the site. None. d. Will any structures be demolished? If so, what? No. e. What is the current zoning classification of the site? Undeveloped land. f. What is the current comprehensive plan designation of the site? According to Jefferson County Comprenesive Plan page 1-16 our property is zoned as RR-5 Rural Residential. g. If applicable, what is the current shoreline master program designation of the site? DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 12 of 17 Our property does not lie within 200 feet of a shoreline, so there is no applicable designation. h. Has any part of the site been classified as a critical area by the city or county? If so, specify. Yes. The category III wetland and its associated buffer are considered a critical area. i. Approximately how many people would reside or work in the completed project? None. j. Approximately how many people would the completed project displace? None. k. Proposed measures to avoid or reduce displacement impacts, if any: None. L. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: None. m. Proposed measures to reduce or control impacts to agricultural and forest lands of long-term commercial significance, if any: None. 9. Housing [help] a. Approximately how many units would be provided, if any? Indicate whether high, mid- dle, or low-income housing. None. b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. None. c. Proposed measures to reduce or control housing impacts, if any: None. 10. Aesthetics [help] DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 13 of 17 a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? No proposed structures. Driveway only. b. What views in the immediate vicinity would be altered or obstructed? None. b. Proposed measures to reduce or control aesthetic impacts, if any: None. 11. Light and Glare [help] a. What type of light or glare will the proposal produce? What time of day would it mainly occur? None. b. Could light or glare from the finished project be a safety hazard or interfere with views? No. c. What existing off-site sources of light or glare may affect your proposal? None. d. Proposed measures to reduce or control light and glare impacts, if any: None. 12. Recreation [help] a. What designated and informal recreational opportunities are in the immediate vicinity? None. b. Would the proposed project displace any existing recreational uses? If so, describe. No. c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 14 of 17 None. 13. Historic and cultural preservation [help] a. Are there any buildings, structures, or sites, located on or near the site that are over 45 years old listed in or eligible for listing in national, state, or local preservation registers ? If so, specifically describe. No. b. Are there any landmarks, features, or other evidence of Indian or historic use or occupation? This may include human burials or old cemeteries. Are there any material evidence, artifacts, or areas of cultural importance on or near the site? Please list any professional studies conducted at the site to identify such resources. No. c. Describe the methods used to assess the potential impacts to cultural and historic resources on or near the project site. Examples include consultation with tribes and the department of archeology and historic preservation, archaeological surveys, historic maps, GIS data, etc. Not applicable. d. Proposed measures to avoid, minimize, or compensate for loss, changes to, and disturbance to resources. Please include plans for the above and any permits that may be required. Not applicable. 14. Transportation [help] a. Identify public streets and highways serving the site or affected geographic area and describe proposed access to the existing street system. Show on site plans, if any. There are no public streets. To access the site you turn off Flagler Rd (a state road; SR 116), onto Gybe Ho Road (a private road), and then will acess the site through the development of this proposed driveway. b. Is the site or affected geographic area currently served by public transit? If so, generally describe. If not, what is the approximate distance to the nearest transit stop? Not applicable. c. How many additional parking spaces would the completed project or non-project proposal have? How many would the project or proposal eliminate? None. DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 15 of 17 d. Will the proposal require any new or improvements to existing roads, streets, pedestrian, bicycle or state transportation facilities, not including driveways? If so, generally describe (indicate whether public or private). No. e. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. No. f. How many vehicular trips per day would be generated by the completed project or proposal? If known, indicate when peak volumes would occur and what percentage of the volume would be trucks (such as commercial and nonpassenger vehicles). What data or transportation models were used to make these estimates? 1-2 vehicular trips per day after completion of the driveway to access private residential property. g. Will the proposal interfere with, affect or be affected by the movement of agricultural and forest products on roads or streets in the area? If so, generally describe. No. h. Proposed measures to reduce or control transportation impacts, if any: None. 15. Public Services [help] a. Would the project result in an increased need for public services (for example: fire protection, police protection, public transit, health care, schools, other)? If so, generally describe. No. b. Proposed measures to reduce or control direct impacts on public services, if any. None. 16. Utilities [help] a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system, other ___________ None currently available. DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 16 of 17 b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. None proposed at this time. C. Signature [HELP] The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. Signature: ___________________________________________________ Name of signee _Robert M. Brown, III_________________________________ Position and Agency/Organization __Property owner______________________ Date Submitted: _04/20/2022____________ D. Supplemental sheet for nonproject actions [HELP] (IT IS NOT NECESSARY to use this sheet for project actions) Because these questions are very general, it may be helpful to read them in conjunction with the list of the elements of the environment. When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; pro- duction, storage, or release of toxic or hazardous substances; or production of noise? Proposed measures to avoid or reduce such increases are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: 3. How would the proposal be likely to deplete energy or natural resources? DCD RECEIVED 5/12/2022 413 Gybe Ho Road - Robert Brown III Trustee SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 17 of 17 Proposed measures to protect or conserve energy and natural resources are: 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? Proposed measures to avoid or reduce shoreline and land use impacts are: 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such demand(s) are: 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. DCD RECEIVED 5/12/2022 WILKINS, DYLAN9210920105.15 ACRES[EASEMENT PLOT G]EXPERIENCE SOUND9210920125.15 ACRES[EASEMENT PLOT H]WALLA, KIMBERLY L9210920115.13 ACRES[EASEMENT PLOT E]ROBERT M BROWN III TRSTE9210920075.13 ACRES[EASEMENT PLOT F]NORTHGYBE HO ROADSDFASDFASDFASDF DFASDFASDASDFASDRAWING NOTES:1. DRAWING IS AN UNOFFICIAL COMPILATION OFDRAWINGS FOR THE PROPERTIES SHOWN.2. DRAWING IS NOT FOR CONSTRUCTION.3. WETLAND DATA IS COMPILED FROMECOLOGICAL LAND SERVICES INC REPORT(2021).4. SEPTIC DESIGN IS FROM 'SEPTIC BYSUZANNE'. NO CLEARING OR INSTALLATION HASBEGUN - PERMIT NOT YET OBTAINED.5. PROPOSED HOUSELOCATION/DESIGN/ORIENTATION IS SUBJECTTO CHANGE BASED ON DRIVEWAY LOCATION.THIS IS AN APPROXIMATION OF THE IDEALLOCATION.DRAWING FOR: 413 GYBE HO RD, NORDLAND, WA 98358DRAWN BY: JOSIAH BROWN DATE: 04-19-2022LEGEND:- WETLANDS- WETLAND BUFFER- EXISTING ROADS- EASEMENT0 83' 166'SCALE 1" = 166'WHEN PRINTED ON 8.5" X 11" PAPERDRAINFIELDRESERVE AREA1 10 ' -0 " 1 1 0 ' - 0 "40'-0"40'-0 "APPROX.HOUSESITE15'-0 " 1 5 ' -0 "DCD RECEIVED 5/12/2022