2013101556 Special Use Permit 14414 Yelm Hwy SE 05152013 .
. .' � .
COUNTY COM1vIISSIONERS
.�.+:
� " � ' Cathy Wolfe
District One
-�;
Sandra Romero
. " District Two
THURSTON COUNTY � I�ren v�lenzuela
District Three
suvc�issa
RESOURCE STEWARDSHIP DEPARTMENT
Creating Solutions for Our Future Cliff Moore
Director
Presubmission Conferences
Thursday, May 23, 2013
AGENDA
Facilitator: Resource Stewardship - Building
9:00 a.m. Preview Meetin�
10:00 a.m. Project#2013101545 / Sequence# 13 104571 VI - Short Plat
(Lacey) Sprout Family Revocable Living Trust
Bruce Studeman—Bracy& Thomas
11:00 a.m. Project# 2013101556/ Sequence# 13 104609 VI - Special Use Permit
(Yelm) TLC Holdings LLC
Steven Azeltine
]E�ECEIVE�►
2000 Lakerid e Drive SW Ol ia Washin on 98502 360 786-5490/FAX 360 sa.-a9�Y 15 2013
S , YmP� , &� � ) � )
TDD(360)754-2933 Website: www.co.thurston.wa.us/permitting BY:
.''� �„"n� �A,^` ��
�;: ;�"'" �� ��"��;°- � � T'hurston County Permit Assistance Center
�� �a ��t�
2000 Lakeridge Dr.SW,Olympia,WA 98502
(360)786-5490 / (360)7542939(Fax)
TDD Line(360)7542933
Email:germit�a�,co.thurston.wa.us
www.co.thurston.wa.us/vermittin�
THURST�N COUNTY
�„�,�Z Creating Solutions for Our Future
MASTER APPLICATION
STAFF USE�NLY DA1`�STAMP
2013101556
13 104609 VI '
Site Address:14414 YELM HWY SE YELM WA 98597
Parcel#: 21713320300
Intake by:
1
The Master Application is required for all projects and shall accompany a project-specific supplemental
application(s). The Master Application may not be submitted alone. Check the appropriate bog for each
supplemental application being submitted with this Master Application.
e of Pro'ect�ch�k�tt ma��pty>:
BUII.DING PLANNING
�Residential(form SA001) DAdministrative Variance(f'orm SA021)
�Non-Residential(/'orm SA0o2) �Binding Site Plan(f'orm SA022)
�Non-Residential Hood&Duct(f'orm sftoo3) �Boundary Line Adjustment lLot Consolidation(f'orm SAO23)
�Non-Residential Sign(>'orm SA004) �Critical Area Administrative Review(jorm SA024)
�Manufactured Home Placement(�orm SA0o5) 0 Critical Area Review Permit(�orrn SA024a)
0 Minor Pemut(form SA006) �Critical Area Determination(form SA024b)
(MechanicaUPlumbing/Fire/Re-roof/Re-siding/Demo) �Design Review(form SA025)
0 Adult Family Home Inspection(t'orm SA0o7) �Division of Land(form SA026)
�Fire Code Permit(form SA0o8-SA012) �Division of Land Final Map(form SA026a)
ROADS �Environxnental Checklist(SEPA)(f'orm SA027)
�Encroachment Permit(f'orm SA013) �Forest Practice Activities(}'orm SA028)
�COIIStiuCtiOri POlmit(form SA014) DInnocent Purchaser(�orm SAO29)
Q VaTlanCe(form SA015) �ormt SAO otic Resources Pernut Applica.tion(JARPA)
0 Scoping Review Request(f'orm SA01sa) ��g�Lot Determination(f'orm SAO31)
�Access Permit(f'orm SAOlsb) Opther Administrative Actions(f'orm SAO32)
�Vacate Right of Way Request(/'orm SAOISc) Ox,p�ubmission Conference(f'orm SA033)
ENVIRONMENTAL HEALTH �Reasonable Use Exception(/'or,n SAO34)
0 On-Site Sewage System(�orm SA016) �Release of Moratorium(�or�n SA035)
�Rezone,Comp Plan Amendment,Open Space(form SAO36)
0 On-Site Sewage System Abandonment(f'orm SAO1�) �Shoreline Administrative Variance(f'orm SAO37)
�On-Site Sewage Evaluation(f'orm SA018) OSite Plan Review(�orm SA038)
�Water System Design(Group B or 2 Pariy)(form �Special Use Pemut(f'orm SA039)
SA019)
�Well Site(�orm SAO2o) �Variance-Hearing Examiner({orm SAO4o)
Revised 2-7-13 Form No.MA001
Thurston Counfiy Permit Assistance Center
Master Application
Page 2 of 3
Property Taz Parcel Number(s): �21713320300� �
Zoning: RRl/5,Rural Residential Acreage: 2•5
Subdivision Name(if applicable): Lot#:
Property Address: 14414 SE Yelm Hwy City:yelm State: WA Zip Code: 98597
Direchons to the Property:
North on Yelm Ave SE,Property on right side of road just before 89th Ave SE.
PropertylAccess Issues(locked gate,code required,dogs or other animals): �No Q Yes �
ff yes,Describe:
OWNER IS RESPONSIBLE FOR SECURING ANIMALS BEFORE SITE VISIT.
Type or Print: Additional property owner sheet can be obtained online at www.co.thurston.wa.us/nermittin�or copy obtained
from the Per»ut Assistant Center.
Property Owner(s): TLC Holdin s LLC
Mailing Address: 4511 Galh� Dr.SE
CiTy: Olvmpia State: WA Zip Code: 98513
Phone#: (360)701-9974 Ext. Fax#:
Cell#: E-mail:
Signature:* Date:
Applicant(if different tha.n owner): Steven Azeltine
Mailing Address:8820 Marlene Court SW
City: Oiympia _ _ State: WA Zip Code: 98512
Phone#: (360)786-1915 Ext. Fax#: (360)786-1915
Cell#: E-mail: pacificl�estsurveying@comcast.net
Signature:* Date: 5 �-� - 20 �
Point of Contact: Steven Azeltine
Mailing Address: 8820 Marlene Court SW
City: Olympia Sta.te: WA Zip Code: 98512
Phone#: (360)786-1915 Ext. Fax#: (360)786-1915
Cell#: E-mail: pacifickrestsurveying(c�comcast.net
Signature:* Date: S -.fo -��o�'3
Revised 7-25-11 Form No.MA001
Thurston County Permit Assistance Center
� Master Application
Page 3 of 3
BRIEF DESCRIPTION OF PROJECT PROPOSAL _
RV/Boat Storage facility on the property.
BILLING INVOICES
The base application fee charged at the time of application covers base hours listed on the fee schedule. When the base
hours by a Department are used,a monthly billing invoice will be generated for additional hours 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:
D Owner �Applicant �Point of Contact
*Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar
with the information contained in the application 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 abov�described location to inspect the proposed,
in-progress or completed work. I agree to start work onty after all necessary permits/approvals have been received.
Revised 7-15-12 Form No.MA001
`� ��$�r'� Thurston County Resource Stewardship
_ � ��
'���� 2000 Lakeridge Dr. S.W.Olympia,WA 98502
� (360)786-5490/(360)754-2939(Fax)
TDD Line(360)754-2933
Email:permit(c�co.thurston.wa.us
THURST'ON COUNTY www.co.thurston.wa.us/permitting
5,��t Supplemental Application
PRESUBMISSION CONFERENCE
5'TAFF'IISE�NLY I)ATE�TAMP
13 104609 VI
Permit Type: Presubmission Conference
Sub Type: Special Use Permit
Work Type: Preliminary Meeting
site: 14414 YELM HWY SE YELM WA 98597
Assessor Property ID: 21713320300
Applicant:Steven Azettine
Owner: TLC HOLDINGS LLC
Intake b •
This application form cannot be submitted alone.In addition to this form,a complete application package
includes•
Ap}��icant SUBNIITTAL CHECKLIST Staff i7se
, Use - Onl
Q Master Application. �
� Applicable processing fees.Refer to cu�rent fee schedules. Depending on the adopted fee �
siructure, additional ees m occur i base hours/ees at intake are exhausted.
�X Site plan drawn to scale(standard engineer scale)on an 8 %2"X 11"or 11"x 17"sheet. ❑
X' Site plan requirement checklist. �
ZONING JURISDICTION
�Rnral County 0 Lacey UGA �Tumwater UGA �Olympia UGA 0 Grand Mound UG
Zoning RRl/5 Zoning Zoning Zoning Zoning
DETAILED DESCRIPTION OF THE PROJECT se se arate sheet if necessa
_ _ _
TO INSTALL AN RV/BOAT STORAGE FACILITY ON THIS SITE.
Form No. SA033
Thurston County Resource Stewardship
Supplemental Application for Presubmission Conference
Page 2 of 4
' PROJECT INFORMATION
UTILITIES:
Water Supply:
Ezisting: � Single Family well �Two party well �Group B Well �Public Water System
Name of public water system:
Proposed: �Single Fanuly well 0 Two Party well �Group B Well �Public Water System
Name of public water system:
Is water system located/proposed onsite? �S If no,provide t�parcel number of property the water syste�n is
located or proposed on
Are there any off-site water supplies within 200 feet of the property? �Yes [�]No
How was tlus verified? STTE VISTT
Sewage Disposal:
Ezisting: �X' Single Family Septic System 0 Community Septic System(Serves more than one home)
0 Public iTtility Name of Public Utility
Proposed: �Single Family Septic Systems �Community Septic System
0 Public Utility Name of Public Utility
Are the test holes dug? �Yes �No If No,explain
Is sewage system located/proposed onsite?Yes If no,provide t�parcel number of property the system is located
or proposed on
ACCESS:
�E�sting �New �Private Road �Public Road
Name of road or street from which access is or will be gained Yelm Ave SE/SR 510
How many other parcels have access by tlus road? 1
Include vacant Parcels
CRITICAL AREAS:
Water on or within 300' of property: 0 None �Sa1t �River/Creek �Lake/Pond 0 Wetland �Ditch
Name of water body:
Has the property ever flooded? 0 No 0 Do not know 0 Yes,when? (If yes,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.) 0 Yes �No
If yes,describe:
Form No.SA033
Thurston County Resource Stewazdst►ip
Supplemental Application for Presubmission Conference
Page 3 of 4
ADDITIONAL PROJECT INFORMATION FOR NON-RESIDENTIAL PROPOSALS
1. What are the houts of operation? 8�to 5 pm
2. What are the days of operation? 8�to 5 pm
[x]iVlonday �'I'uesday �Wednesday OThursday �Friday � Saturda.y �Sunday
3. What is the total number of employees engaged in the business? 0
4. Does the owner/operator of the proposed business reside on the properiy where the business is located?
❑Yes �No
5. Are customers expected to visit the site? �Yes 0 No If no,skip to No. 8
6. What is the average number of customers visiting the site? per day 1-2 per week 5�
7. Are parking spaces being provided? �Yes �No If yes,how many
8. Will this proposal generate noise? �Yes ONo If yes,describe the noise that will be generated
9. Will there be any outside storage of materials or equipment?Ox Yes 0 No If yes,describe in detail what
will be stored outside
RV's and boats
10. Are any vehicles involved in the business?[�Yes x[�No If yes,list the type of vehicle and how many?
11. Is a sign proposed?0 Yes 0 No If yes,how many and what type(wa11 sign,monument sign,other)?
12. Is the use proposed within an accessory structure?0 Yes 0 No If yes,what is the square foota.ge of the
accessory structure?
13. What is the gross square footage of the existing non-residential buildings? N!A
14. What is the gross square footage of the total finished project? N/A
15. What is the square footage of e�sting impervious area? LESS THAN 1% Impervious area means
pavement(compacted gravel,asphalt and concrete),roofs,revetments,or any other man-made surface which
substantia.11y impedes the infiltration of precipita.tion.
16. What is the total square footage of impervious area after the finished project? �ROX. 10%
Form No.SA033
' THIS PAGE FOR STAFF USE ONLY ;
�
� #
Date Scheduled for Presubmission Conference �'�jj 1�r��Q� . ,���3 ,� o�o I�
Time i �•a�J " 1� �� Place Permit Center, Bldq 1, Room 32 5
Thurston County Courthouse, 2000 Lakeridge Drive SW, Olympia, WA 98502
All agencies or departments attending this meeting are asked to bring along any
information available that will aid in the preliminary evaluation of this project. If
commenting by mail, please ensure that input is submitted prior to the meeting date.
� Plan Review Section - C. Edmark
� Public Works Department: 1. Design Construction Engineer
2. Development Review (2 copies)
3. Right-of-Way - K. Larson
4. Utilities - J. King
� Water Resources— R. Langan
� Environmental Health Department
� Health Department, Bldg 4 —S. Davis
� Health Department, Lilly Rd. —G. Tousley
�. Thurston County Fire Marshal
� Thurston County Fire District# ��- ��
�, Adjacent City or Town `�f�� r'11
�, School District ���
� Washington State Department of Transportation
� Intercity Transit
❑ Noxious Weeds
�. The Olympian - Scott Wyland
� Olympic Air Pollution Controt Authority
❑ Williams Gas Pipeline
❑ Flood Review
❑ Long Range Planning
� Cindy Wilson
� Delicia Durden
�q, Subarea # �
K:�zoning.lu\FORMSIAPPLICATIpresubpg2.doc revised 11/10/09
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