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_.'.e..___.~._'."."._.__,
AGREEMENT
WAIVER OF PROTEST
AND SPECIAL POWER OF ATTORNEY
(LJD/ULJD/LA TECOMER)
,
THIS INSTRUMENT is entered into this _ day of
,19_, by and
between the CITY OF YELM, a municipal corporation, hereinafter referred to as the
"CITY", and
hereinafter referred to as the "OWNER".
WIT N E SSE T H:
WHEREAS, the OWNER holds record title to the following described property
located within Thurston County, Washington:
SEE ATTACHED
and WHEREAS, the CITY has required as a condition of approval of the
OWNER's site plan/subdivision for said property that the OWNER participate in the
construction of certain utilities and/or street improvements as they directly relate to
said property and the OWNER desires that said requirement be delayed until projects
are formulated for the joint participation of other affected owners.
NOW, THEREFORE, IT IS HEREBY AGREED BETWEEN THE PARTIES as follows:
1 . The CITY will delay its requirement for the immediate participation by the
OWNER in the construction of certain utilities and/or street improvements, subject to
the conditions set forth hereinafter.
-1-
LEGAL DESCRIPTION
THAT PART OF THE SOUTHWEST ONE-QUARTER OF THE NORTHEAST ONE-QUARTER
OF SECTION 24, TOWNSHIP 17 NORTH, RANGE 1 EAST, W.M., DESCRIBED AS
COMMENCING AT THE INTERSECTION OF THE SOUTHWEST LINE OF YELM AVENUE
AND THE NORTHWEST BOUNDARY OF SOLBERG'S FIRST ADDITION TO YELM AS
RECORDED IN VOLUME 9 OF PLATS, PAGE 31; THENCE NORTH 53030'30" WEST
1709.6 FEET TO THE TRUE POINT OF BEGINNING; THENCE SOUTH 37056'
WEST 570.18; THENCE NORTH 53030'30" WEST 80.94 FEET; THENCE NORTH
37056' EAST 570.18 FEET TO THE SOUTHWESTERLY LINE OF SAID YELM
AVENUE; THENCE SOUTH 53030'30" EAST ALONG SAID SOUTHWESTERLY LINE
TO THE POINT OF BEGINNING. (BEING A PORTION OF TRACT 17 AND 18;
SOLBERG'S GARDEN TRACTS, AN UNRECORDED PLAT.)
AND ALSO, THAT PART OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF
SECTION 24, TOWNSHIP 17 NORTH, RANGE 1 EAST, W.M., DESCRIBED AS
FOLLOWS: BEGINNING AT A POINT ON THE SOUTHERLY LINE OF SECONDARY
STATE HIGHWAY NO.5-I, 1595 FEET NORTHWESTERLY OF ITS INTERSECTION
WITH THE WESTERLY LINE OF SOLBERG'S FIRST ADDITION TO YELM AS
RECORDED IN VOLUME 9 OF PLATS, PAGE 31, AS MEASURED ALONG SAID
SOUTHERLY LINE OF HIGHWAY; RUNNING THENCE NORTH 53030'30" WEST
ALONG SAID SOUTHERLY LINE OF HIGHWAY 114.6 FEET; THENCE SOUTH
37056' WEST 570.18 FEET, SOUTH 53030'30" EAST 114.6 FEET AND NORTH
37056' EAST 570.18 FEET, TO THE POINT OF BEGINNING.
TOGETHER WITH A 25 FOOT STRIP OF LAND IN THE SOUTHWEST QUARTER OF
THE NORTHEAST QUARTER OF SECTION 24, TOWNSHIP 17 NORTH, RANGE 1
EAST, W.M., LYING SOUTHEASTERLY OF THAT PARCEL OF LAND DESCRIBED IN
QUIT CLAIM DEED IN FAVOR OF FRANKLIN A. NOBLE, RECORDED JULY 12,
1965, UNDER AUDITOR'S FILE NO. 720749; AND AS SHOWN ON THAT CERTAIN
SURVEY BY JAMES KEYES AND ASSOCIATES, RECORDED FEBRUARY 29, 1988,
UNDER AUDITOR'S FILE NO. 8802290183, IN VOLUME 23 OF SURVEYS, PAGE
2. SITUATE IN THURSTON COUNTY, STATE OF WASHINGTON.
ASSESSOR'S TAX PARCEL NUMBERS:
21724130700
21724130800
Slt~i~~~~~~~;;~~;t~~!~.~~~Z0;~.~~~~~i~~~~~~~=&C-'~'~-'"
.- -- - -
_.~ -
2. The OWNER will financially participate in the following utility and/or
street projects on an equitable basis with other affected property owners:
X Sanitary sewer system improvements;
X Storm water system improvements;
X Street improvements;
X. Street lighting improvements;
X Sidewalk improvements;
X WnTp.r system imorovements,
which improvements are more specifically described as follows:
FRONTAGE IMPROVEMENTS ALONG YELM AVE. W. AS REQUIRED BY YELM
DEVELOPMENT REGULATIONS. PARTICIPATION IN CONSTRUCTION OF THE
KILLION RD. EXTENSION ON WESTERLY SIDE OF SHORT PLAT #8127.
3. The OWNER hereby waives all rights to protest against future Local
Improvement District (LID), Utility Local Improvement District (ULlD), or Latecomer
Ordinance and Agreement proceedings for the construction of said improvements
described in Section 2 herein. For purposes of this Instrument, "rights of protest"
shall mean only those formal rights to protest contained within the LID, ULlD or
Latecomer Ordinance and Agreement statutes, except, however, nothing herein shall
constitute a waiver by the OWNER or the OWNER's heirs, assigns or successors in
interest, of the right to object to the OWNER's individual assessment amount or
latecomer charge or to appeal to the Superior Court the decision of the Council
affirming the final assessment roll or latecomer ordinance and agreement, which rights
are specifically preserved.
4. The OWNER hereby grants and conveys to the City Engineer of the City
of Yelm, or his successor in interest or designee, a Special Power of Attorney to
exercise any and all rights of the OWNER, including any purchasers, mortgage holders,
lien holders or other persons who may claim an interest in the property described
hereinabove, to accomplish the following: At such time as a Local Improvement
District, Utility Local Improvement District, or Latecomer Ordinance and Agreement
is proposed that would cause said improvements to be made available to the
OWNER's property described hereinabove, to execute ~ Petition on behalf of the
OWNER for the creation of such LID, UUD or Latecomer Ordinance and Agreement.
This Special Power of Attorney is granted in consideration of the CITY executing this
Instrument, and shall be a power coupled with an interest which may not be
-2-
__'~A"'~_."'&__'__'_"'--:_"._____"____ .- -_.
..~
~
terminated. This Special Power of Attorney shall not be affected by the disability of
the OWNER.
5. If the OWNER fails to perform in good faith in accordance with this
Instrument, it is agreed that the CITY may discontinue utility service to the property
described herein, after giving 20 days notice thereof and an opportunity for hearing
thereon, or may. pursue other equitable or legal remedies.
6. The OWNER hereby declares that is/are the
sole owner(s) of the property described herein and has/have full power to commit said
property to this Agreement, Waiver of Protect and Special Power of Attorney.
7. This Instrument constitutes a covenant running with the land and shall
be binding on all heirs, assigns, transferees, and successors in interest.
8. For purposes of RCW 35.43.182, and any LID or ULlO thereunder, the
effective term of this Instrument shall be a period of ten years from the date hereof.
For purposes of RCW 35.72 and RCW 35 91, and any Latecomer Ordinance and
Agreement thereunder, the effective term of this Instrument shall be a period of
fifteen years from the date such an Ordinance and Agreement becomes effective
IN WITNESS WHEREOF the parties hereto have caused this Instrument to be
executed the day and year first hereinabove written.
CITY OF YELM
OWNER
By:
City Administrator
STATE OF WASHINGTON )
) ss.
COUNTY OF )
On this _ day of , 19_, personally appeared before me
, to me known to be the individual(sl
and/or corporate officers described in and who executed the within and foregoing
instrument and acknowledged that _ signed the same as free and voluntary
-3-
_ u"."_ :.:...,.:..,~ ..:_.:.-.::::::~=-____:::-'::-:".:::~-_+=::.
...~;-~-:;;--.~:",'~~'~-:-:~ ----:-'.. --'";---'+:-.~--""'
act and deed on behalf of themselves or as corporate officers of the named
corporation with full authority, for the uses and purposes herein mentioned.
.,
Notary Public in and for the State
of Washington, residing at
My commission expires:
-4-
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CITY OF YELM
ENVIRONMENTAL CHECKLIST
FEE:
DATE
BY:
FILE
A BACKGROUND
1. Name of proposed project, if any:
2 Name of applicant. ~O\-\ ,,-I H uDDLESrO;....J
3
4 .
Address and phone number of applicant and of
person. Po i'30X' l~()(p
YELAA) ~A1A o,SSq',
PH (1;~ ') 45'2> -7'3/'2-
Date checklist prepared:
lI-e-'14
Agency requesting checklist:
LiT'{ of YELA}.
Proposed tlming or schedule
applicable) .
A '5 A P
if
any other contact
E neuE & ASSQ..
tb eD'K' C; oCQ
YELAA, KiA 965'11
PI-i ('2.0(., ') 4'56'- '2 fY~ 4
5.
6 .
(lncluding
phasing,
7 .
Do you have any plans for future additions, expansion, or
further activity related to or connected with this proposal?
If yes, explain.
JJo
8. List any environmental information you know about that has
been prepared, or will be prepared, directly related to this
proposal.
;JOI,J E
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.
~ or 1< ~i 0\1-.3 J
10.
List any government approvals or permits that will be
for your proposal, if known.
C-iTy' OF' Y'ELAA PlJBLIL \.JDtG-I~'S
YEL^^ PLAfJfJl~G- loMMlssioJ....l
PAGE 1
needed
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
11. Give brief, complete descrlption 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.
DIVd)E
2 q
AC(CES IIJTO TH t2E E LOT,S
12. Location of the proposal. Give sufficient information for a
person to understand the precise location of your proposed
project, lncludlng a street address, if any, and sectlon,
townshlp, 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 descrlption, site plan, vicinity
map, and topographic map, if reasonably available You need
not duplicate maps or detailed plans submitted with any permlt
appllcatlons related to this checklist.
APPR-o,,-, COCO' JJvJUf OF BERi2Y VAU-EV RD od SLY'
5iDE 6F 'S~ 510 OPPoSITE ~LLLloJJ R-O. LCXArEO
);tJ TJ.--tE S'^-.lI/4 OF nJE }J E '/"1 OF S'EL 24 ) T/71J I (2; E .
B. ENVIRONMENTAL ELEMENTS
1. Earth
a. ~ral description of the site (circle one):
~, rolling, hilly, steep slopes, mountainous,
other Si..DPES Appf!.ox' 1.. ~ 5W L Y
b. What is the steepest slope on the site (approximate
percent slope)? i 6 t
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 prime farmland.
6-eAVE L V LoAM
d. Are there surface indications or h.lstory of unstable
soils in the immediate vicinity? If so, describe.
JJo
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
PAGE 2
e. Describe the purpose, type, and approximate quantities of
any filling or grading proposed. Indicate source of
fih..Oi~ A~ iJECE'E>SA,ey TD LOtJSneUC'/ A
CoI.AMEJ?..,- iAL 'VIlE o;.J EAU~ D ~ TH I2.t E WrS
f.
Could erosion occur
construction, or use?
,UD
as a result of clearing,
If so, generally describe
g. About what percent of the site will be covered with
lmpervlous surfaces after project construction such as
asphalt or buildlngs?
MAX 1M t.>M AS '20"-.1 /}J&- ALLD\.A.JS
h.
2
Air
a.
Proposed measures to reduce or control erosion, or other
impacts to the earth, if any:
AtJ E1J&lIJ f"E"~ \.JILL r-~Lo.e.PO~rE "5PECl FIL
MEA~U{2ES 10 ~EOUL E AJJD Lo.AJneDL E120S10tJ
A~ ~~ f2EQu I eEIv\ E,U rs DF ()ry OF 'tELAA) AJBUl
'\dOe.tc:::~
What types of emisslons to the alr would result from the
proposal (i e., dust, automobile exhaust, odors,
industrial wood smoke) during construction and when the
project is completed? If any, generally describe and
give approximate quantities if known
AuTO EM.ISS'tOkL~
b. Are there any off-site sources of emissions or odor that
may affect your proposal? If so, generally describe.
Do Dor KJJO\,{J
c. Proposed measures to reduce or control emissions or other
impacts to air, if any:
JJOA.J E"
3 Water
a. Surface Water
1) Is there any surface water body or wetland on or in the
immediate vicinity of the slte (including year-round and
seasonal streams, saltwater, lakes, ponds)? If yes,
describe type and provide names. State what stream or
river it flows into?
/JouE
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
PAGE 3
2) will the project require any work over/ in, or adjacent
to (within 300 feet) the descrlbed waters? If yes/
please describe and attach available plans.
jJO
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.
UD,UE
4) Will the proposal require surface water withdrawals or
diversions? Give general description, purpose/ and
approximate quantities if known.
JJo
5) Does the proposal lie within a lOa-year floodplain? If
so, note elevation on the site plan.
U tJ /CiJ.o \A.1 J
6) Does the proposal involve any dlscharges of waste
materials to surface waters? If so, describe the type of
waste and anticipated volume of discharge.
00
b.
1)
Groundwater:
will groundwater be withdrawn, or will water be
discharged to groundwater? Give general description,
purpose/ and approximate quantities if known.
EJJ&IIJECRED 6roRA^ \;JATF~ t2ETE^-fnoJJ 6YS/EM
2 )
Describe the underlying aquifer wlth regard to quality
and quantity, sensitivity, protection, recharge areas/
etc.
L),u AQJOLd;.J
3 )
Describe waste material that will be discharged into or
onto the ground from septic tanks or other sources, if
any (such as domestic sewage; industrial byproducts;
agrlcultural chemicals).
EU&llJEE.e EO ~TDR)A WArr,.e RETE unoiJ SY~TE^^
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
PAGE 4
c. Water Runoff (including storm water):
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, descrlbe
ALL (2UA10~ \dlLL I'3C LOf-JreoLLEO 5ut3JFc.\
TD CDIJDi'nD)JS By AJt3UL WQe{C-S
2) Could waste materials enter ground or surface waters? If
so, generally describe.
,Jo
d. Proposed measures to reduce or control surface, ground,
and runoff water lmpacts, if any.
A~J EIJC:ru..JE/ZR/Z:D 5iDt2-.vt WAIF-1?-- RErE~'f10IJ ~(S.,ff^^
4
Plants
a. Check
)(
\C
or circle types of vegetation found on the site:
FEv.J
deciduous tree:
evergreen tree:
shrubs
grasses
pasture
crops or grains
wet soil plants: cattail, buttercup, bulrush,
skunk cabbage, other
water plants: water lily, eelgrass, milfoil, other
other types of vegetatlon ~~US~.
alder, maple, oak, aspen, other
flr, cedar, pine, other
)(
y;
b.
c.
What kind and amount of vegetation will be removed or .\
al tered? A FE\A..I Or=:Cl 0 U00~ neclZS, 6-~AS(~E,); A~O 13J2i):Jt-
\lJ I Ll R>E eWtO\JEO TO to'u'8TRUL\ Tl-lt?lS:C (oMMEI2LIAL
Bu lL/)i}.J~- SrrE&
List threatened or endangered species known to be on or
near the site.
00 l..lOT ILUa ,^-J
d.
Proposed landscaping, use of native plants, or other
measures to preserve or enhance vegetation on the site,
if any:
;jo~lAAl
CDN\AAER( IAL
LAuD 5LAP,d (.-
5 . Animals
a. Circle any birds and animals which have been observed on
or near the site or are known to be on or near the site:
birds: hawk, heron, ducks, eagle, ~,ng~,
other:
manunals: deer, bear, elk, beaver, other:
fish: bass, salmon, trout, shellfish, other:
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
PAGE 5
b. List any priority, threatened or endangered species known
to be on or near the site.
liD) 00", ~Uo\<..ffJ
c. Is the slte part of a migration route? If so, explaln.
JJo ) "Jo~ KUO\.<JtJ
d.
Proposed measures to preserve or enhance wlldlife,
any.
if
1-10 II (=::
6. Energy and Natural Resources
a. What kinds of energy (electric, natural gas, gasoline,
heating oil, wood, solar etc ) will be used to meet the
completed project's energy needs? Describe whether It
will be used for heating, manufacturing, transportation,
etc. ELEC,;?'i( i IJA ruf-.AL &A-S PER i-IAPS wecO AiJO ) oR.
WL)\.e. FOR. tOJvU.AEf!LiA-L USE.
b. Would your project affect the potential use of solar
energy by adjacent properties? If so, generally
describe NO
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:
ALL f)Tt2uG-WP-E S \JILL 10E eu Ie\" TO L-LJt?~Ekl'
(ov....AAfZ.eUAL STA~JOAeDS A~ PEf2 (iT\.( of
7. Environmental Health -...(ELIJL
a. Are there any envlronmental health hazards, lncl uding
exposure to toxic chemlcals, risk of fire and explosion,
spills, of hazardous waste, that could occur as a result
of this proposal? If so, describe.
lJolJE k)Jbw U
1)
Describe
required.
special emergency
services
that
might
be
J..Jo.cf E
2) Proposed measures to reduce or control environmental
health hazards, if any:
0o"J E-
b. Noise
1) What types of noise exist in the area whlch may affect
your project (for example: trafflc, equipment operation,
other) ? ~I 0 JJ I::
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
PAGE 6
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)? Indicate what hours noise would come
from the slte LO.uSneULnOt,,-1 '600iJO~ FOe. TI-l eE E
[OWAERCiAL Sl'fES OU,e.iA..L& DAyLI[...i.-tr t-lOue-:) ,
3) Proposed measures to reduce or control noise lmpacts, if
any: 00tJE
8
Land
a.
b.
and Shoreline Use
What is the current use of the site and adjacent
properties? SikJ("LE FA,(All~' RESiDEJJLE
A VTD \..(j REL t:1.0 G- V A..ei) EASrF-.eL \(, fr;ok~JC:E cPJJJ L-r- t3USi JJ ES S
AlJO 5IJJ&LE rAM.IVi RE&IDEAJLE l(if:="STF,.el..,\(' WJu~UELLPED JLY
Has the site been used for mineral' excavatlon,
agriculture or forestry? If so, describe
kio uor K.,(jOlLi
c. De~~rlbe any structures on the slte.
\...louSE. bA{2.A&E AuO \,(jELL ~DuSE" DM SIrE.
d. Will any structures be demolished? If so, what?
PLAU JJEO FO~ i-IOUSE R-cAADUAL J 6./1.,eA6-c DEMDU$;..b;.J
/>..uD \A.1ELL lJA CA'rrD ,
e. What is the current comprehensive plan designation of the
site? LDMM Ei?-UA L
f. What lS the current zoning classlficatlon of the site?
(OAAAAEet iAL
g. If applicable, what is the current shoreline master
program designation of the site?
IJ/A-
h. Has any part of the site been classified as a "natural
resource", "critical" or "environmentally sensitlve"
area? If so, specify.
Do DOT ~l.JOvJ
l.
Approximately how many people would reside or work in the
completed project?
CD ;libl tLWCuJ
] .
Approximately how many people would the completed project
displace?
IJoiJ E J
P-ESi DEUcE
VALA IEO
k.
Proposed measures
lmpacts, if any:
to avoid
IJ.Oi-J E
or
reduce
dlsplacement
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
PAGE 7
1. Proposed measures to ensure the proposal is compatible
with existing and projected land uses and plans, if any:
\(.llLL AAEEI LOAJlJ1TlOdS OF L-ITY OF VELM
9. Housing
a. Approximately how many units would be provided, if any?
Indicate whether high, middle, or low-income housing.
fJOI..J E
b.
Approximately how many units, if any, would be
ellIDlnated? Indicate whether high, middle, or low-income
houslng.
Ol.i E
I
[LDvJ - T]jeDk.k.F (VACArFO \ J
c.
proposed measures to reduce or control housing impacts,
if any:
/JoLl E
o. Aesthetics
a. What is the tallest height of any proposed structure(s),
not lncluding antennasi what is the princlpal exterior
bUllding material(s) proposed?
1-1 STDf!.....( LDMM..ERUAL $LO&S PDS'SlaE &2loLDe wroO 51011..16--
b. What views in the immediate vlcinity would be altered or
obstructed?
UO/J E
c.
Proposed measures to reduce or control aesthetic impacts,
if any:
JJokJE
11. Light and Glare
a. what type of light or glare will the proposal produce?
What time of day would it mainly occur?
L/&Ur Fe.OAA TI-lt2EE' WAA).A(RLIAL SITES AT JJI(....Wr
b. Could light or glare from the finished project be a
safety hazard or interfere with views?
JJo
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 8
c. What existing off-site sources of light or glare may
affect your proposal?
JJod E
d. Proposed measures to reduce or control llght and glare
impacts, if any:
,uD,UE
12. Recreation
a. What designated and informal recreational opportunitles
are In the immediate vicinity?
'uOU E JCA10vJtJ
b. Would the proposed project displace any eXlstlng
recreational uses? If so, describe.
Do
c. Proposed meas'ures to reduce or control impacts or provide
recreation opportunities:
^-lOAJ E
13.
Historic and Cultural Preservation
a. Are there any places or objects listed on, or proposed
for, national, state, or local preservation reglsters
known to be on or next to the slte? If so, generally
describe.
1-.-lor' ~k..[old ~J
b. Generally describe any landmarks or evidence of hlstorlc,
archeological, scientific, or cultural importance known
to be on or next to the site.
jJOU I;: ktit)W d
c. Proposed measures to reduce or control impacts, If any:
/JaDE
14. Transportation
a. Identify sidewalks, trails, public streets and highways
serving the site, and describe proposed acce~s to the
existing street syst~m. Show on slte plans, if any.
tJEvJ R.oAO WI~ eo f2-/v..J PLAtJAJt:O OW \t!ESTE#2-L'{ 610E
01= SrTE. '5(< 5iD 01....\ JJO(2.TI-lER-Ly 5l0~.(€)(16i1JJ6- A.((ES'S)
b. Is site currently served by public transit? By what
means? If not, what plans exist for transit service?
YES 0"..1 I)JTFJ(il'( B0S f2-0uTt.
c. How many parking spaces would the completed proJect have?
How many would the proJect eliminate?
ADD I:: 0 PA~)LI}.J(-r- FOR n-tP--EE LOIJj,.AfzR-()4L GUSiJJE5SES~
JJOl.t E E-Uu uJ A rED.
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 9
d.
e.
15.
16.
will the proposal require any new sidewalks / trails /
roads or streets/ or improvements to existing sidewalks,
tralls, roads or streets, not including driveways? If
so, generally describe (indicate whether public or
prlvate). AJEvJ AJI3U( eOAf) PLAAJJJE() 0.0 \..dE~;r=:,eLV
~;OE OF SITE PROlJlDi)J6- ACCESS TO LDTS 2 & 3
will the project use (or occur in the immediate vlclnity
of) water, rail, or air transportation? If so, generally
describe.
tJo
f.
How many vehicular trips per day would be generated by
the completed project? If known, indicate when peak
volumes would occur.
UE/-lILULA,e T~AFF1L t.et:ATED 13\( 'TJ.-/REE LOMMEL!LiI.cL
t3ubUJ ESSES
Proposed measures to reduce or control transportation
lmpacts/ if any.
(JESl&D WILL ,(AEE! CD,A..JOiT10!,jS OF TI--lE
[/~( O'F YELM
g.
Public Services
a.
Would the project result in
services (for example:
protection, health care,
generally describe:
AS fl-fQU,RfED fly
an increased need for public
fire protection, police
schools, other)? If so,
rnREE (OUM.~e(IAL L3us 0...1 E551zS
b.
Proposed measures to reduce or control direct impacts on
public services, If any
DES i &I\...f lJ I LL ,(At E'f {o/..J 0 (iJOtJ S OF TlJ E
{iT'-1 OF YELlA
utilities
a. C~'.rcl" utilities currently available at t,he site:
e c ity, nat~gas/ ~/ refu~ervlce,
t e ne, sanit~ewer, septlc system, o~
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.
/-lOOK- uP 10 6A/J ITARI.( S~l.u f:,R 5'(5T'E",{A.
C. SIGNATURE
The above answers are true and complete to the best of my
knowledge. I understand that the City of Yelm is relying on
them to make its decision.
;()~ ~ 13~.,-A-
/I-ti)-O,4
Signature:
Date Submltted:
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
PAGE 10
/ \
4 -'.'- ..'
CITY OF YELNI ,
/11J1J{P
POBox 479
Yelm, WA 98597
458-3244
OF~-WIAL USE ONLY
Fee'fOl~, ~F 4
~:15;~~tW&11; ,
Fi .< ... ;f IJ!Q~ LJ,
YELM
WASHINGTON
APPLICATION FOR
SHORT PLAT
Fee $50 00 per lot
(Plus any professional service cllarges
per Resolution 252)
1\1\
__0'
_("'n \~ /,
,-~' t~ \" \' \\ \'\11'
A short plat is a request to subdivide property into four or fewer lots for the purpose of residential, commercial,
or industrial development. No more than four lots may be created by short platting within any five-year period
A short plat is reviewed by the City's staff for conformance with City subdivision standards and oUler regulations
The plat cannot be approved unless appropriate provisions have been made for public facilities, such as roads,
sewer and water Although a survey is required for the final short plat, the survey should not be done until pre-
liminary stlort plat approval is granted by tile City Preliminary and linal review will usually each take about 30
days Unless appealed, the City Planner's decision is final
NAME OF PROJECT
SHorer eLAT J=oR Lt2..EATlvt: HOME~ "[/.iL_
OWNER
Mailing Address
City, State and Zip
Telephone
,-
APPLICANT
Mailing Address
City, State and Zip
Telephone
Po eo'i flOG
YEll\!\ I WA. 9'O~c.rl
('2d:, ') 45((:: - Cd i2
ENGINEER! ARCHITECT/OTHER
Mailing Address
City, State and Zip
Telephone
E. TRUE A~I) A~:~OL
PO l=3o>< '101(:')
'(ELM I WA lit',SC;,
('lOLl 451() -1.Y>9,4
SUMMARY OF REQUEST
To ~0i301ViOE
IiJ mn-l P-€ E
APPP-OY...IMArELY 29 A[RE~
WM^^EP-LIAL Lor~.
PROPERTY DESCRIPTION i
Geneml Location APPf-:Dx.IMATEty ~1:D JJvJL'1 OF I3EP-R\.( VALLEy' 1<.0,
od ~L'f ~iOF OF Sf-- 510 OPPC6iTE _ KiLllOd t2.D.
Site Address Land Area (acres) -t 'l.Cj AU:E$
Section 2-4 Township' 7 f.-l Range I E
Assessor's Tax Parcel Number 2n 14 I 00/00" 2. il ~~ I ~OB(D
Full legal description of subject property (attach separate sheet if necessary)
DiJ SITE PLA"j
I affirm that all answers, statements and information contained in and submitted with this application are complete
and accurate to the best of my knowledge. I also affirm that I am the owner of the subject site or am duly au-
thorized by the owner to act with respect to this application Further, I grant permission from the owner to any
and all employees and representatives of tile City of Yelm and other governmental agencies to enter upon and
inspect said property as reasonably necessary to process this application I agree to pay all fees of the city which
apply to this applicati f1
~ \ '& ~ <::\:1__________._
\
Date
PLEASE ANSWER THE FOllOWING QUESTIONS
ATTACH EXTRA PAGES IF NECESSARY
Do the subdivision's lot sizes, proposed use, etc , conform with the zoning of the property? Please explail~
YE~ THf PRoPDSAL (ClfJ FOeiAS W In-I Tl-i E Zo1J IJf::;- OFTI-lE PROrtr2~TY
2 Are any provisions proposed to minimize conflicts with neighboring land uses? Describe
YES 'D-lE PP-oPrJSAL Co!...IFCleM~ 'it> CiTY DF YELM PU6U[ l,(joeK~, AtJO
'(ELM. Pi-AU IJ I iJ G- [o,U,zA I Y:> lo,,-i_--"-~ \TE R IO~_~H_ .
3 Is the site within 300 feet of any "critical areas" such as wetlands or streams?
Do
4 Wllat provisions will be made for water supply?
Cir'-( OF YE UA 'v-i ArE..€- SY~T"EAA
5 What provisions will be made for sewage?
err\{' 0 F ~ E eM ~'E w E ~- c::, (' 5TE A/\
6 What provisions will be made for stormwater and/or flood control?
E)J(:;-I/JEEREO ::jT1)~~A 1.0 A TE J2. R-ETEAJno,d -S'/STEM
7 Wllat provisions will be made for streets, access and/or buses?
PROVISiO;,'~ vJ U i 6E MA Of' A"S Dr.-TEeM IdEO fJELE'SSAf?{
8 What provisions, if any, will be made for open space and/or recreation?
iJb ~ iF
9 What provisions will be made for schools and sctlOol children?
Llod r-:
ATTACHMENTS
o Adjacent Property Owners List including Assessors Tax Parcel Numbers
o Vicinity map showing nearby property, streets, land uses, streams and other features
o Map showing location and size of water mains, sewer, stormwater facilities and otller utilities and points
of connection to existing systems
[J Copy of any covenants or restrictions that will apply
[:J Grading plan for cuts and fills over 100 cubic yards
o Ten copies of preliminary plat drawlng(s) not larger than 18"x24" showing
1 Datum
2 Boundaries of all lots and streets in relation to city limits, section lines or corners, plus existing and
proposed survey and elevation monuments
3 Lakes, streams, wetlands, trees and otller nalural features
4 Proposed zoning, use of eacll lOl, and any public or common areas
5 Existing buildings and olller structures
6 Existing and proposed streets, alleys I sidewalks, railroads and associated rights-of-way
7 Wells and underground storage tanks
8 On-site waste disposal systems and proposed sewer lines and tanks
9 Existing and proposed street lighting, power, natural gas, television and telephone lines
10 Grade and curvature of streets to 300 feet from the plat
11 Existing and proposed contours at two-foot intervals (or 5-foot if greater than 5%)
[] A reduced size copy of the plat not larger than 11 "x17"