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ScanFile1599605949302.pdfwthentisign ID: 30219FD9-A3CC454E-9A5E-SDDCC6FAFE22 THURSTON COUNTY Building Development Center 2000 Lakeridge Dr. SW, Olympia, WA 98502 360)786-5490 / (360)754-2939 (Fax) TDD Line (360) 754-2933 Email: permit co.thurston.wa.us www.thurstoncountybdc.com Creating Solutions for Our Future MASTER APPLICATION This application must accompany a project specific supplemental application. STAFF USE ONLY 2020104086 20-110396 VI Area: Site: 10812 BALD HILL RD SE YELM NO 22729310500 IN I Sub Type: Special Use Permit Gopher Soils YES NO Prairie Soils YES NO PROJECT DESCRIPTION CROSSING GROUP PROPOSED LAND USE PROPERTY INFORMATION 1. Tax Parcel Number(s) 22729310500 2. Subdivision Name 3.Property Address 10800 BALD HILL RD SE 22729310400 DATE STAMP SEP 0 4 2020 BUILDING DEVELOPMENT CENTER Intake By: 64303200502 Lot # City YELM Zip Code 98597 4. Directions to Property (from Thurston County Courthouse) Get on 1-5N from Lakeridge Dr SW and Deschutes Pkway SW. Follow 1-5N to Lacey. Take Exit 109 from 1-5N. Continue on Martin Way E. Take Pacific Ave SW to WA510E. Follow WA510E and Yelm Hwy SE to Bald Hill Rd SE in Yelm. Destination on left past 10812 Bald Hill Rd SE driveway. ROPERTY ACCESS 5.Property Access Existing Proposed 6. Access Type Private Driveway Shared Driveway Private Road Public Road 7. Property Access Issues (locked gate, gate code, dogs or other animals)E]No Yes Point of contact will be contacted for gate code prior to site visit. Gate codes written on this form are public information. Property owner is responsible for providing gate code and securing animals prior to site visit. ATER/SEPTIC 8. Water Supply Existing Proposed 9. Water Supply Type QSingle Family Two Party Wei Group A Group B WATER SYSTEM NAME 10. Waste Water Sewage Disposal Existing Proposed 11. Sewage Disposal System Type Individual Septic System Community System Dewer NAME OF PUBLIC SYSTEM kuthentlsign ID: 30219FD9-A3CC454E-9ASE-8DOCC6FAFE22 Building Development Center Master Application Page 2 of 2 BILLING OF INVOICES The fee charged at the time of application covers base hours listed on the fee schedule. When base hours by a Department are used, a monthly billing invoice is generated at the hourly rate listed on the fee schedule. Should review of the project exceed the base hours allotted, billing invoices shall be mailed to: Owner Applicant [:]Point of Contact YKVJr. K1 Y VWNEK (additional orooerty owner sheet can be obtained online at www.thurstonco_untYbdc.com Property Owner Name Justman Family, LLC Mailing Address CityState Zip Code Phone Cell(_____) 509-261-2196 Fax EMAIL JustBen412Ca-)GMai LcomCommunication Autheatfrom staff provided by Email? YES [:]NO 08/20/2020 Property Owner Signature* 4.` jwtm= Date 8/2OM20 1, 26,30 PM PDT APPLICANT Applicant Name Dane Bergman Mailing Address 10812 Bald Hill Rd SE Phone P60 00- 0374 cityKelm Cell g53 ) 289-9457 Fax EMAIL dbergman@crossinggroup.com crossinggroup. com Signature* StateWAZip Code 98597 Communication from staff provided by Email? YES NO YV1Ir 1 Uk C: VIN 1At- 1 (Person receiving all Name Dane Bergman Mailing Address 10812 Bald Hill Rd SE city Yelm Phone P60 400-0374 Cell 2( 53 ) 289-9457 Fax EMAILdbergman(_a crossinggroup.com Date 08/18/2020 State WA Zip Code 98597 Communication from staff provided by Email? EYES [:]NO Signature* Date 08/18/2020 DISCLAIMER Application is hereby made for a permit(s) to authorize the activities described herein. I certify that I am familiar with the information contained in the application package and that to the best of my knowledge and belief, such information is true, complete, and accurate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the agencies to which this application is made or forwarded, the right to enter the above -described location to inspect the proposed, in -progress or completed work. I agree to start work only after all necessary permits/approvals have been received. Thurston County Resource Stewardship THURSTON COUNTY IMI L41 Supplemental Application PRESUBMISSION CONFERENCE 2000 Lakeridge Dr. S.W. Olympia, WA 98502 360)786-5490 / (360)754-2939 (Fax) TDD Line (360) 754-2933 Email: permitAco.thurston.wa.us www.co.thurston.wa.us/permittin2 I STAFF USE ONLY I DATE STAMP 2020104086 20-110396 VI Area: Site: 10812 BALD HILL RD SE YELM 22729310500 Sub Type: Special Use Permit ALL APPLICATIONS AND SITE PLANS MUST BE COMPLETED IN BLACK OR BLUE INK ONLY Intake THURECEIVEDNTM SEP 0 4 2020 BUILDING DEVELOPMENT CENTER This application form cannot be submitted alone. in addition to this form, a complete application package includes: Apliceant SUBMITTAL CHECKLIST StaafnlUse Q Master Application. x Applicable processing fees. Refer to currentfee schedules. Depending on the adoptedfee structure, additional ees may occur ifbase hours/fees at intake are exhausted. X Site plan drawn to scale (standard engineer scale) on an 8 ''/2" X 11" or I I" x 17" sheet. Site plan requirement checklist. ZONING JURISDICTION X1 Rural County [:]Lacey UGA Tumwater UGA Olympia UGA Grand Mound UG Zoning AC Zoning Zoning Zoning Zoning DETAILED DESCRIPTION OF THE PROJECT (Use separate sheet if necessa oning Use Confirmation and/or temporary use if needed. Project will be to use the indicated property for pipe and construction material storage on a graveled surface. No intended buildings or utility installation. The property in question is directly next to property already owned by The Crossing Group and would be used as a storage yard. The intent is to gain permission from Thurston County to use the property that is currently AC zoning prior to it being annexed by City of Yelm and converted to C2 zoning. 1 Form No. SA033 Thurston County Resource Stewardship Supplemental Application for Presubmission Conference Page 2 of 4 PROJECT INFORMATION UTILITIES: Water Supply: Existing: Single Family well Two party well Group B Well Public Water System Name of public water system: Proposed: Single Family well Two Party well Group B Well Public Water System Name of public water system: Is water system located/proposed onsite? If no, provide tax parcel number ofproperty the water system is located or proposed on Are there any off -site water supplies within 200 feet ofthe property? I Yes D No How was this verified? Sewage Disposal: Existing: Single Family Septic System Community Septic System (Serves more than one home) Public Utility Name of Public Utility Proposed: Single Family Septic Systems Community Septic System Public Utility Name of Public Utility Are the test holes dug? Yes No IfNo, explain Is sewage system located/proposed onsite? No Ifno, provide tax parcel number of property the system is located or proposed on ACCESS: Existing New Private Road ® Public Road Name ofroad or street from which access is or will be gained Bald Hill Rd SE How many other parcels have access by this road? Include vacant Parcels) CRITICAL AREAS: Water on or within 300' of property: None []Salt River/Creek Lake/Pond Wetland ® Ditch Name of water body: Has the property ever flooded? No © Do not know Yes, when? (Ifyes, show area on site plan) Slopes greater then 30%? Yes ®No Are there other Critical Areas? (e.g. oak trees, eagle's nest, high ground water, etc.) Yes No Ifyes, describe: Form No. SA033 Thurston County Resource Stewardship Supplemental Application for Presubmission Conference Page 3 of 4 1 2. ADDITIONAL PROJECT INFORMATION FOR NON-RESIDENTIAL PROPOSALS What are the hours of operation? 8:00 AM - 4:30 PM What are the days of operation? 8:00 AM - 4:30 PM Monday OTuesday ©Wednesday ©Thursday O Friday Saturday Sunday 3. What is the total number of employees engaged in the business? 5 4. Does the owner/operator of the proposed business reside on the property where the business is located? Yes ONO 5. Are customers expected to visit the site? © Yes x No If no, skip to No. 8 6. What is the average number ofcustomers visiting the site? per day per week 7. Are parking spaces being provided? DYes No If yes, how many_____5 8. Will this proposal generate noise? Yes x No If yes, describe the noise that will be generated 9. Will there be any outside storage of materials or equipment? O Yes []No If yes, describe in detail what will be stored outside Pipe, Construction Equipment 10. Are any vehicles involved in the business? Qc Yes No If yes, list the type of vehicle and how many? Cars and Trucks (1) 11. Is a sign proposed? Yes © No If yes, how many and what type (wall sign, monument sign, other)? 12. Is the use proposed within an accessory structure? Yes x No If yes, what is the square footage of the accessory structure? 13. What is the gross square footage of the existing non-residential buildings? 14. What is the gross square footage of the total finished project? 15. What is the square footage of existing impervious area? Impervious area means pavement (compacted gravel, asphalt and concrete), roofs, revetments, or any other man-made surface which substantially impedes the infiltration of precipitation. 16. What is the total square footage of impervious area after the finished project? Form No. SA033 Thurston County Resource Stewardship Supplemental Application for Presubmission Conference Page 4 of 4 Presubmission Conference Site Plan Checklist The site plan shall contain and/or address the following in a clear, accurate and intelligible form. Submit the checklist with your application. Applicant Staff Use Use Only 1. The project site must be identified in the field by posting an identification sign visible from the access road and by flagging the property corners and the center of the driveway/road access location. The purpose of the sign is for project identification rather than public notification. The sign and flagging are provided by Thurston County and can be obtained at the Permit Assistance Center. Q 2. The site plan shall be drawn to scale (standard engineer scale) on an 8 %a" X 11" or 11" x 17" sheet. If larger size maps are submitted, also provide one copy of a reduced map. The site plan shall depict the following: a. The property boundaries and property boundary dimensions ofthe entire property. b. The location and height of all existing and proposed structures, including, but not limited to, mobile homes, houses, sheds, garages, barns, fences, culverts, bridges, storage tanks, retaining walls, decks and porches. Include square footage of each structure. c. Setback distances from all property lines (or road easements) to all existing and proposed buildings El d. The location of all existing and proposed wells, septic tanks, drainfields, reserve areas. El e. All means, existing and proposed, vehicular and pedestrian ingress and egress to and 0 from the site, including driveways, streets, fire access roads, including existing and proposed road names and existing county and state right of way. f. For non-residential projects, the location of proposed parking, landscaping and 13 outside storage areas. g. The location of any existing critical areas or buffers affecting the site, both on -site and on adjacent properties, including but not limited to shorelines, wetlands, streams, flood zones, steep slopes, high groundwater andspecial habitats. h. Directions to the site. i. Contours or other demonstration of slopes. j. All existing vegetation proposed to remain and areas of proposed landscaping, including location and type Form No. SA033 parcel # 64303200502zone yelm C- 21 a 4 A M Z' N currently own parcel, 22729310500, rn rchasingparcel # 22729310400zone county AC b UL THURN COLUNTYRMECEIVEDSEP 0 4 BUILDING DEVELOPMENT CENTER IrlrA RECORD OF SURVEY AND BOUNDARY LINE AGREEMENT PURSUANT TO RCW 58.04.007 LOCATED IN TRIi NoR1118ABC QUARTER OF THIS BOUIHWBBTQUARTER MIDTHENORTRWEST QUARTER OF TE0 SOUTML&ST QUARTER SEWN ". TOWNSHM 17 NORTH. RANGE2 EAST, WUAAMEPrE 111SRIDIAN, THURSTON COUNTY, WASHINGTON Otool SEC 29 ti724. 31' ROS NO. I . 9306I102D4(R2) f Y LINE DESCRIBED tN - a AGREEMENT iEGARDiNG pBOUNDARYLINE_ ZRECORDEDUNDER AUDITOR S FILE N0. 9305250069. PLATOF N 114. MCKENNAIRRIGATEDTRACTS SEC 29 BLOCK 32 (91) 61.KFR L6 303.00400 DESTINY FARMS 6c 10 f20U!,°DR 6n303200300 BASIS OF BEARINGSB9'17f2'E 5302.74' P0B - PARCEL A x 0 POI - PARCEL B 367.77' ® 574.21' 300. 00. NORTHEAST CORNER. NORTHWEST CORNER. NORTHEAST OUARTER, NORTHWEST QUARTER. SOUTHWEST QUARTER. SOU7HEAST QUARTER. N W ,yn PARCEL / 1000, ACRNCE LRNDARYEEME T NOTE: i MAN ONLY BOUNDARIES CONIT'TON WITH LOFTNES5 PARCEL 22129310301 SURVEYED THIS CONTRACT. 6 I T 3SF50 1 I yflj35'LT A • 3 1i23'3900E i 30 24. 30 5.00' 32-70.06 eA 30'LT Ltj OO E Q-N66.21 00' N ROAD PC 5 \ SE 72.B2. BI N AP?800 001 \ w E THURECEIVEDNTM PT 3609. S SEP 0 4 2020 541048029 E BUILDING DEVELOPMENT CENTER GRAPHIC SCALE 1--100 t 1TTTr it _ 0 100 200 300 LOFTNESS 2l729TTOi0132' S1' 00' JAE947' 11'51"W 5. 00' J0 / k 9 AP 37.15.65 / MARCH 9. 2-4 z _ Geomattcs, P.S., Inc. GcowneCB LardSurveying N o.RAY s, . r•_s104 Bevy VW16y RoadP.O. Bm 2530, YCIM WW ftM9&W7-2530 36oAOM AND (5263) fa 360.400s264e C A[ bBizwmadc&1mmdmwvey1m/AOm Not uM0 www4BOmadpjmwbwy0iD8XOm EAPRES: 1f 03 m STRONG FARMS LLC I 22729A20200 This map/platis beirrq furnished as an aid in locatingthehereindescribedLandinrelationto a40ininy shots, natural boundaries and other land, a is not a survey ofthe lend depicted Except to the extent a policy of tineinsure isee •sly mowed by erKlorsement, if &by.. s Serves, / ocat 6h'b'M' e 3N 5V§, acreagor matters shownthereonFOUNDHAVILANO REBAR PER (R4). UP 0.1 1.2'NORTH X 5.3' SOUTHEASTERLY OFTHEEXTENSIONOFTHEFENCELINES. FOUND HAVILAND REBAR PER (R4). UP 0.1' 4.5'SOUTHEASTERLY K 5 a - SOUTHWESTERLY OF THE EXTENSION OF THE FENCE LINES. SET GEOMATICS REBAR ON BOUNDARY AGREEMENT LINE FENCE. FLUSH WITH GROUANO SURFACE. 5. 1'NORTHERLY OF FENCE CORNER. SET GEOMATICS REBAR AT THE ANGLE POINT OF THE BOUNDARY AGREEMENT LINE FENCE. FLUSH WITH GROUND SURFACE. 0 SET GEOMATICS REBAR ON BOUNDARY AGREEMENT LINE FENCE EXTENDED NORTHERLY. FLUSHWITHGROUNDSURFACE. 1.3"NORTHERLY OF THE FENCE CORNER. 0 SET GEOMATICS REBAR AT THE CENTER OF THE SECTION. FLUSH WITH GROUND SURFACE. 12'SOUTH OF FENCE LINE. SURVEYOR'S NOTES:- JJ I B. THIS SURVEY IS SUBJECT TO ANY FACTS THAT MAY BE DISCLOSED BY A 00 PARCEL FULL AND ACCURATE TITLE INSURANCE REPORT. 9. EXISTING POSSESSION, I.E.. FENCES AND OCCUPATION MAY HAVE PRIOR 03. BL. A RIGHTS. DO NOT REMOVE THEM WITHOUT LEGAL ADVICE. o 3, yyo P 010557jL 10. THE ENCROACHMENTS SHOWN BY THUS PURVEY MAY BE AN INDICATION p OF RELATIONS, RIGHTSBY EITHER A TO VERIFY SETTLEMENT ORHOSTILE RELATIDNS. NO ATTEMPT MA$ MADE TO VERIFY IF AN UNWRITTEN RIGHT ry I A HAS EXTINGUISHED ANY PORTION OF THE WRITTEN TITLE SHOWN BY THIS M1 SURVEY. ANY CLAI NAME SHOULDCONSULT AN ATTORNEY CONCERNING THE BURDEN OF PROOF REQUIRED TO PERFECT AN UNWRITTEN RIGHT AND OBTAIN A WRITTEN TITLE. 11.1HIS SURVEY MEETS OR EXCEEDS THE STANDARDS AMC) GUIDELINES SET FORTHINTHE "SURVEY RECORDING ACT' CHAPTER 58.09 RCM OOCZAR THE FINAL RESULTS MEETS OR EXCEEDS THE STANDARDS 4LBNTA FISEOO22729310100 INMAC332-130-090. S MU UU1 Tmoo, y I \ ASHTpfCT". . CENTERLINE AND RIGHT OF MAY -- OF SALO HELL ROAD SE IS PER RECORD OF SURVEY STATUTORY WARRANTY DEEDS yb RECORDED SEPTEMBER 10. 2003 FOR: STEVEN J. LOFTNESS I UNDER AUDITOR'S FILE NUMBER 3573085 (JUSTMANI AND SW1/4 C SF1/4, SFC 29. T17M, 142E. M.M. j \ \ OCTOBER 7, 2003 UNDER JOB N0: 1152 1 APAUDITOR'S FILE NUMBERS 42.51. 07 3583813, 3583614 G 3583015 DRAWN BY: ORB S 114, IBOCZAR. STRONG G LOFTNESS. DATE' MARCH 5. 2004 SEC 29 RESPECTIVELY). SCALE: 1"- S00' SHEET: 3 OF 3