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2014106673 15727 105th Way SE COUNTY COMIvIISSIONERS , �'' `� Cathy�Y�olfe -�•. _- District One ____ � : Sandra Romero Disttict Two THURSTON COUNTY Karen Valenzuela s�rrcE iss� District Tlitee RESOURCE STEWARDSHIP DEPARTMENT Creating Solutions for Our Future Cliff Moore TRANSMITTAL MEMORANDUM Director Date Submitted �'- �-'�� PROJECT NAME: Q � PROJECTNO.: 20 �ylQ�l� �� FOLDER SEQUENCE NO.: �y lq�`3 �'�7 �� _ _ RELATED CASES LISTED BY SEQ UENCE NO.: ❑ SUBAREA# 0 FIRE DISTRICT# ❑ SCHOOL DISTRICT�LisT� `Q ADJACF� U SDICTION�LisT) ❑PHONE COMPANY �� ❑ TC PUBLIC ORKS-UTILITES - 7.King ❑AGRICULTURE COMM ❑ WATER RESOURCES-R.Langan �j TCOMM 911 ❑ ORCCA �TC ENVIRONMENTAL HEALTH ❑WILLIAMS GAS PIPELINE-wEST �TC PUBLIC WORKS -DEVELOPMENT REVIEW ❑PUGET SOUND ENERGY �TC PUBLIC WORKS-Rea1 Estate Services/Suivey ❑ WA DEPT OF FISH&WILDLIFE ❑ WA DEPT OF TRANSPORTATION -D.Severson �l T.NATION []L.MACHi1T []D.WIEDEMEIER ❑ TC FIRE MA,RSHAL ❑ WA DEPT OF ECOLOGY ❑ TC FLOOD REVIEW [] SHORELINE REVIEW []ENVIRONMENTAL REVIEW ❑ TC BUILDING PLAN REVIEW ❑ US ARMY CORPS OF ENGINEERS []C.Edmark-Commercial []Dock Review ❑ WA DEPT OF NAT RES -Pacific Cascade Region � TC NOXIOUS WEEDS �TC ADDRESSING ❑ TRIBE-[]NISQUALLY[]SQUAXIN[]CHEHAI,IS � TC ASSESSOR'S OFFICE-PROPERTY CONTROL ❑HENDERSON 1NLET 0 TC SHERIFF'S OFFICE ❑NISQUALLY REACH ❑AT& T BROADBAND ❑VEENA TABBUTT-T.R.P.C. ❑ THURSTON P.U.D. -J.wErDE1•rFELLER ❑ THURSTON CONSERVATION DISTRICT ❑ INTERCITY TRANSIT-D.BLOOM ❑ WATER RESOURCES-M.Biever(Geotech Review) ❑ OTHER PLEASE SEE REVERSE SIDE FOR LIST OF REPORTS SUBMITTED WITH APPLICATION. Please review the enclosed project information and notify our office in writing of any comments or recommendations on or before the date noted below. Your comments will become part of the record and utilized in the decision-making process by staff or the Hearing Examiner. "No comment"by the due date will be considered an indication that the application is complete. Department• Complete 0 Incom lete❑ P Not Applicable❑ Signature: Date• Please return comments to:�� Q�r � y p • '/1_ /// / � ,.�_ b 5:00 m on•_ �� f•y� 2000 Lakeridge Drive SW,Olympia,Washington 98502(360)786-5490/FAX(360)754-29;�C� TDD(360)754-2933 Website: w�v�v.co.thurston.wa.us/pennittina O �' ZO�4 ,� � � , _—__._.—._._____. __. _ 1 � ANNED Thurston County Permit Assistance Center 2000 Lakeridge Dr. SW,Olympia,WA 98502 f, '� (360)786-5490 / (360)754-2939(Fax) Y� �� TDD Line(360)754-2933 � _ Email:uermit c co.thurston.�a�a.us w��.co.thurston.��a.u s/nerm itti n e THUK��i L�� uOUNTY `�,�t��3' Creutirzg Solutioizs for Our Future MASTER APPLICATION STAFF USE ONLY DATE STAMP THURSTON COUNTY RECEiVED �� 1 � 1�� 2014106673 DEVEL06'MENT SERVICES 14 123967 ZA Site Address: 15727 105TH WAY SE YELM WA 98597 Parcel#: 22730240701 l Intake by: 1�he Master Application is required for all projects and�shall accompany a project-specific supplemental application(s). The Master Application may not be`submitted aloqe. � _ Property Tag Parcel Number(s): ' �__ 3d��"l • ' �Z�_��o�Og Od Subdivision Name(if applicable): Lot#• Property Address: �53.��' 10 S'}h WRy s� City: �/t�[.r� State:_ l� Zip Code• �8$�j' Directions to the Property: _ __...___... __ _ --- - ----._ . _ __. _____ __.._ _. _ _ _.. _ ^ _ / . . . __.... . _ ___ Y�-t�i,,,. Avt -4� C�A�c p_d . � dn C�.A2.�c. � o�, lo S`+y�a-`( S� , �r��vt w�� S GrRVEL (Lc�A� c.�r R S'�e� h�tL bh �h� L�Fr. __:� _.�_.,. _..-- __..,_ _------ �----- _.-� �._,.�_ -.___��.�_ . . ..._,. -___.- - ---- - --- __ ______ _--- ---__-_ Property Access Issues(locked gate,code required,dogs or other animals).�No � If yes,Describe: . OWNER IS RESPONSIBLE FOR SECURING ANIMALS BEFORE SITE VISIT. DESCRIPTION OF PROJECT PROPOSAL �J o U,va,�2� L��,c /'��,,ST�ci►2' � - � Renised 8-13 Form No.MA001 . �1 �T Thurston County Permit Assistance Center , Master Application Page 2 of 2 Type or Print: Additiona[property owner sheet can be obtained online at wwiv.co.tlu�rsto��.iva.us/permitti�r,�or copy obtained from the PermitAssistant Center. Property Owner(s): (Z�cH� L.. <E�2 Mailing Address: P•a. (3a 3 y 3 City: T�1.-►'vl State: w� Zip Code: �.�g s� � Phone#: 364 y s g - a b� y Ext. Faat#: Cell#: E-mail: Signature:x Date: r/ �. / AppliCant(if different than owner): � Mailing Address: City: State: Zip Code: Phone#: Ext. Fax#: Cell#: E-mail: Signature:* Date: Point of Contact: �i2�Tr � c.�S'o�V Mailing Address: �0 �p �8 3s� City: 1,��L rH State: �� Zip Code: p S�'J � Phone#: 3G� 7 Sg's�� Ext. Fax#: Cell#: 3�� S�� E-mail: i''�7�7�' c ev.q v . r_D Signature:* ,,-e� Date: �j—/�� 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: 0 Owner 0 Applicant �Point of Contact *Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiaz 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 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. Re>>ised 8-13 Form No.MA001 � Thurston County Resource Stewardship �4 i �ED 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 THURSTOI�1 COUNTY www.co.thurston.wa.us/permittintr s�:r��as> Supplemental Application BOUND��' LINE ADJUSTMENT/LOT CONSOLIDATION STAFF USE ONLY DATE STAMP 14 123967 ZA Permit Type: Boundary lineAdjustment Sub Type: Property Line Adjustment Lot:A THURST -�-Y ON EpUA[ Work Type: Move Property Line RECEIVED site: 15727 105TH WAY SE YELM WA 98597 c p� Assessor Property ID: 22730240701 '��f L { �'�� Applicant:Brett Jackson � nEVELOPM�N�- Owner: RICHARD L BAKER ��VICE� Intake by: This application form cannot be submitted alone. In addition to this form, a complete application pacicage includes: Applicant SUBMITTAL CHECKLIST Staff Use Use Onl �, Master Agplication. � � Applicable processing fees. Refer to current fee schedules. Depending on the adopted fee � structure, additional fees ma occur i base hours/ees at intake are exhausted. Site plan(site plan checklist attached): One(1)map on 8.5"x 14"sheet(template attached)- � OR- four full-size map copies no larger than 18"x 24"and one reproducible copy on 11"x 17"sheet(If submittin full-size map co ies a Mylar will be re uested rior to recording). Original copy of new legal descriptions. � � Original legal descriptions, if applicable. Original copy of Completed Declaration of Boundary Line Adjustment and Covenant Form � with notarized signatures of all ersons having ownershi interest in the arcels. PROJECT TYPE: �Boundary Line Adjustment ❑ Lot Consolidation LOT SIZE BEFORE AND AFTER BOUNDARY LINE ADNSTMENT: (Use Sq.Ft. if less than 5 Acres;Use Acres if greater than 5 Acres) Lot Area Before Lot Area After PARCEL A �• 2S lp• �9 PARCEL B 'rJ. 9 J 3.C� PARCEL C PARCEL D PARCEL E Form No. SA023 w;-,�.:�,_ � Thurston County Resource Stewardship , �' Supplemental Application Boundary Line Adjustment � Page 2 of 4 ' _ "- � UTILITIES� Water Supply' ' Existing: �Single Family well ❑ Two party well ❑ Group B Well ❑Public Utility Name of water system: Proposed: 0-Single Family well �Two Party well ❑ Group B Well ❑ Public Utility Name of water system: Is water system located/proposed on-site?_��If no,provide tax parcel number of the property the water system is located or proposed on �2�'3d•2yd �O/ . A note referencing the off-site water system and parcel number shall be made on the map. Are there any off-site water supplies within 200 feet of the property? ❑ Yes �No How was this verified? Sewa�e Disnosal: Existing: �(Single�'amily Septic System � Community Septic System ❑ Public Utility Name of Public Utility: ACCESS: �Existing ❑ New ❑ Public Road ❑ Private Road Private or Public Road Name: QVT Dr��vEwav o�� 1 � 5� �AL/ c7 � If property is accessed by a private road,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 body of water: ��A Has the property ever flooded? {Q�No ❑ Do not know ❑ Yes,when? Slopes greater then 30% ❑Yes �No Are there any other Critical Areas?(e.g. oak trees, eagle's nest,high ground water,wetlands, etc.) ❑ Yes �No If yes,describe: Form No. SA023 BLA TC N BOUNDARY LINE ADJUSTMENT MAP Portion of Section Township North Range ,W.M. '� r � f S �� )o S��T„ k1�Y.+�� ti y��yv�� 1nl,A q S S 9� " �.'� � R� �I a 5�T" 1A9�4 Y S t:,�' -----�- � � ___.�.__ _ I ��. �� l{ � �� r ��' � �,Y'J �`� � � I`p � � � llv4,�b� � �1� , � � �' � �, � .�+ r�8�` ; � ��n `�uwe,� � 5�i"�+c �:�' � �s,E � '""��!__.— E�E�E�vT �� J� ,�� L_ � ��'1 ',� �•1� �- - � ~ _ '_ —J - � ~� \!\ i i � ��1` ° ` V�3 � � � SJ�'i��,r � �� M 6 \ � � \ � � Y ` , �HD L I N�� 3y� '% '�' 3��. ��.� , . w � � � ��, � � � M �'1 3�� i `'- 2ab' NOTE: This Boundary Line Adjustment was reviewed through Project No. Folder Sequence No. . ZA. CERTIFICATION OF CONFORMANCE This Boundary Line Adjustment is found to be in conformance with Thurston County Platting and Subdivision Ordinance 18.04.040(H). Resource Stewardship Department Date . ' BLA TC NEW LEGAL DESCRIPTIONS OF PARCELS Parcel A of BLA TC described as follows: Parcel A of Boundary Line Adjustment BLA030076TC, as recorded March 13, 2003, under Auditor's File No. 3511457. TOGETHER WITH Lot 3 of Short Subdivision SS-1998, as recorded April 15, 1985, in Volume 20 of Short Plats, on Page 281, under Auditor's File No. 8504150007. EXCEPT the South 395.13 feet of said Lot 3, as measured perpendicular from the South line thereof. Situate in the County of Thurston, State of Washington. Subject to easements, restrictions and reservations of record. Parcel B of BLA TC described as follows: The South 395.13 feet of Lot 3 of Short Subdivision SS-1998, as recorded April 15, 1985, in Volume 20 of Short Plats, on Page 281, under Auditor's File No. 8504150007. The South 395.13 feet of said Lot 3, is to be measured perpendicular from the South line thereof. Situate in the County of Thurston, State of Washington. Subject to easements, restrictions and reservations of record. D� • 2� • 20 l4 ��10�RA Y q �w � �� o b z x � o � "� 35972 � .�'� ��ISTE�'�' S'�4 ��'9 L LAN� I hereby certify that the above legal descriptions are accurate and in compliance with the Subdivision Code. Submitted this _26t—"_day of August , 2014. Dennis R. Baker, PLS 3 5972 �'�'`� �• � Name of Title Company of Surveyor Signature