Loading...
Special Use Application 10262009Thurston County Development Services 2000 Lakeridge Dr. S.W. Olympia, WA 98502 (360)786- 5490/(360)754 -2939 (Fax) tat TDD Line (360) 754 -2933 Email: pennit@co.thurston.wa.us THURSTON COUNTY www.co.thurston.wa.us/i)ei-rnitti Application SINCE 2812 SPECIAL USE STAFF USE ONLY I DATE STAMP 09 108840 ZM Permit Type: Special Use Permit Sub Type: WCF Co- location Work Type: site 11247 MORRIS RD SE YELM WA 98597 Assessor Property ID: 22730430400 Applicant: GOODMAN NETWORKS Owner: ARTHUR J JUSTMAN TRUSTEE TI URSTON COUNTY RECEIVED OCT 26 2009 PERMIT ASSISTANCE CENTER Intake This application form cannot be submitted alone. In addition to this form, a package includes: Applicant Use SUBMITTAL CHECKLIST Staff Use Onl Master application. ❑ Applicable A lication fees. ❑ © Site plan. Refer to the applicable application checklist for the required number of map copies. ❑ © Application checklist. ❑ El Environmental Review (SEPA), if required. ❑ © Critical Area Administrative Review (required only if SEPA is not required and critical areas affect the property). ❑ 0 Special reports /plans (may include landscape plan, parking plan, engineered drainage plan, wetland delineation report, geotechnical report or other ❑ ZONING JURISDICTION Q Rural County ® Lacey UGA Q Tumwater UGA © Olympia UGA F1 Grand Mound UGA Zoning 'i2VU2EAMJ+L- TYPE OF APPLICATION (Check the applicable boxes) © Hearing Examiner Special Use —Name of Project Q Mine /Asphalt Plant 5 Year Review ® Mine /Asphalt Plant (new or expanded) []Temporary Use © Wireless Communication Facility ® Day Care Centers and Nursery Schools El Extension of Time El Convert a Nonconforming Use to Another © Expansion of a Nonconforming Use © Kennel 11 + dogs © Home Based Industry, Type of Use 0 Other (describe) Administrative Special Use — Name of Project'( VVQ0��� ® Home Occupation, Type of Occupation Co- location of wireless facility ® Expansion of a Nonconforming Use (less than 5% in County, less than 25% in Olympia UGA) © Extension of Time ® Temporary Use © Other (describe) Revised 2 -13 -09 Form No. SA039 Thurston County Development Services Supplemental Application for Special Use Page 2 of 8 UTILITIES: Water Supply: Existing: ❑ Single Family well ❑Two party well ❑Group B Well El 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 ? kN1 If no, provide tax parcel number of property the water system is located or proposed on �( Are there any off -site water supplies within 200 feet of the property? El Yes �to 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 1� No If No, explain Is sewage system located/proposed onsite? Select One If no, provide tax parcel number of property the system is located or proposed on ACCESS: Existing ❑New El Private Road ❑ Public Road Name of road or street from which access is or will be gained WM15 UV How many other parcels have access by this road? (Include vacant Parcels) CRITICAL AREAS: Water on or within 300' of property: �To e ❑ Salt ❑River /Creek ❑Lake /Pond/Flood Zone ❑ Wetland ❑ Ditch Name of water body: 'N I k Has the property ever flooded? �o ❑ Do not know ❑ Yes, when? (If yes, show area on site plan) Slopes greater then 30 %? ❑ Yes 15�No Are there other Critical Areas? (e.g. oak trees, eagle's nest, high ground water, etc.) ❑ Yes No If yes, describe: Revised 2 -13 -09 Form No. SA039 Thurston County Development Services Supplemental Application for Special Use Page 3 of 8 ADDITIONAL PROJECT INFORMATION Questions 1 — 13 must be completed for all project proposals. 1. What are the hours of operation? 2417 2. What are the days of operation? v � / ❑ Monday ❑ Tuesday ❑ Wednesday ❑Thursday ❑Friday ❑ Saturday ❑ Sunday 3. What is the total number of employees engaged in the business on this site? y 4. What is the total number of employees who reside off the property? 5. Does the owner /operator of the proposed business reside on the property where the business is located? El Yes �o 6. Are customers expected to visit the site? Yes ❑ No If no, skip to No. 8 7. What is the averaee number of vehicles visiting the site? per day �_ per � M.D If 8. Are parking spaces being provided? ❑ Yes �o If yes, how many 9. Will this proposal generate noise? Ryes ❑ No If yes, describe below the noise that will be generated T%1 wN�ITt �utaZ. lam( A'^�ti tSCS f��'7�N�`D 10. Will there be any outside storage of materials or equipment? ❑ Yes [21; o If yes, describe below in detail what will be stored outside 11. Are any vehicles involved in the business: [ es ❑ No If yes, list the type of vehicle and how many 12. Is a sign proposed? Yeso If yes, how many? What is the square footage of each sign ?_ 13. Is the use proposed within an accessory structure? 2SYes ❑ No If yes, what is the square footage of the accessory structure? Revised 2 -13 -09 Form No. SA039 Thurston County Development Services Supplemental Application for Special Use Page 4 of 8 Questions 14 — 36 shall only be completed if they apply to the project proposal. Check the not applicable box for the sections that do not apply. NON - RESIDENTIAL USES - ❑ Not Applicable L� 14. What is the gross square footage of existing non - residential buildings? 15. What is the gross square footage of proposed non - residential buildings? 16. What is the square footage of existing impervious area? 1x1 Impervious area means pavement (compacted gravel, asphalt and concrete), roofs, revetments, or any other man -made surface which substantially impedes the infiltration of precipitation. 17. What is the total square footage of impervious area after the finished project? Ix' DAY CARE CENTER or NURSERY SCHOOL - L %t Applicable 18. Are you proposing a Day Care Center or Nursery School? ❑ Yes ❑ No If no, proceed to question 22 19. What is the maximum number of students you are proposing? 20. What is the estimated maximum expected vehicular trips generated? 21. How are these vehicular trips distributed by mode and time of day? NONCONFORMING USE Not Applicable 22. Are you converting one nonconforming use to another or enlarging a nonconforming use over 5 %? ❑ Yes ❑ No If no, proceed to question 29 23. What is the present (or previous if not occupied) use of the structure? Explain below: 24. What date was the structure last in use for the above operation? 25. When was the structure first occupied by the present use or similar use? If similar use, please describe 26. What provisions have been made to safeguard the adjoining properties against any detrimental effects that might result from establishing the proposed use? Explain below: Revised 2 -13 -09 Form No. SA039 Thurston County Development Services Supplemental Application for Special Use Page 5 of 8 27. For conversions only, indicate why the design of the structure housing the existing nonconforming use precludes its use for any of the uses permitted in this zoning district. Explain below: 28. For conversions only, how will the proposed use be more compatible with the permitted uses of the zoning district than the existing use? Community Club, Private Club, Fraternal Organization, Church, Nursing or Convalescent Homes, Public Utilities, Radio and Television Transmittitipg and Receiving Towers, Riding Stables, Riding Academies, Veterinary Clinics and Hospitals -4LJ Not Applicable 29. Are you proposing one of the uses listed above? ❑ Yes ❑ No If no, proceed to question 32. 30. What provisions have been made to make the development compatible with the appearance and character of the surrounding neighborhood? Explain below: 31. For public utilities and radio and television transmitting and receiving towers only — submit information that shows a need or demand for the facility in the proposed location and provide information on alternative locations considered. The information being submitted shall reference question 29. HOME OCCUPATION - [Not Applicable 32. Are you proposing a home occupation? ❑ Yes ❑ No If yes, answer the following questions. 33. Will there be exterior structural alternations of the primary residence in order to accommodate the home occupation? ❑ Yes ❑ No If yes, explain 34. What is the square footage of the total building area on the property that will be devoted to the home occupation? 35. Is the home occupation the type in which classes will be held or instruction given? ❑Yes ❑No If yes, explain 36. Will all activity related to the conduct of business be conducted within an enclosed structure? ❑ Yes ❑No If no, explain Revised 2 -13 -09 Form No. SA039