Fillable BINDING SITE PLAN Type III Application (Lewis County)

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BINDING SITE PLAN Type III Application (Lewis County)

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The BINDING SITE PLAN Type III Application (Lewis County) form is 16 pages long and contains:

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  • 21 check-boxes
  • 153 other fields

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Lewis County Community Development
2025 NE Kresky Ave, Chehalis, WA 98532 Phone: (360) 740-1146 ● Fax: (360) 740-1245
BINDING SITE PLAN
Type III Application
Process:
The general process includes the following.
• Application Submittal. The applicant submits a complete application, including a preliminary binding site plan map drawn by a
Washington State Licensed Professional Land Surveyor.
• Completeness Review. The Planning Department reviews the application for completeness. If additional information is needed, the
department
will notify the applicant.
• Department Review. The application is forwarded to different departments for review. When the review is finished, the
departments notify the Planning Department of comments or conditions.
• Preliminary Decision. The Planning Department will schedule a Public Hearing with the Lewis County Hearings Examiner and make a
recommendation on the proposal. The Hearings Examiner's will make the preliminary decision.
• Final Decision. Once the conditions are met and all improvements are installed or bonded for, a final binding site plan map may be
submitted to Planning Department for final signatures or final binding site plan approval. Relevant departments will review the
binding site plan map.
• Final Document Recording. Once the map is signed, the applicant is responsible for having the final map recorded with the Lewis
County Auditor. All costs associated with the recording of the final map shall be paid by the applicant. All property taxes and
assessments shall be paid in full for the year in which the final map is recorded. The map must be recorded at the Lewis County
Auditor's Office within 30 days of the final map approval.
Requirements:
Binding site plans must show:
All development is outside designated critical areas and buffers
Demonstrate this by showing all critical area boundaries and buffers on the proposed binding site plan map. All buffers must comply
with existing Lewis County development regulations, including, but not limited to: the Critical Areas Ordinance, the Shoreline Master
Program, and the Flood Hazard Prevention Ordinance.
Adequate provisions are made for roads, waste disposal, and water:
• Access. Access from a public road requires an access or approach permit. If access is proposed from a state highway, the State
Department of Transportation must review and approve access. Even if there is a current access permit, the DOT must review and
approve access based on the subdivision proposal.
• Roads. Roads are required to meet County standards. A maintenance agreement must be provided for private roads to show how they
will be maintai
ned.
• Wastewater Disposal. Wastewater treatment is required to meet City and/or County standards. All proposed and existing sewage
systems or septic systems and/or connections to public systems shall be indicated on the map. If individual septic systems are proposed,
a soil survey shall be submitted for each lot (if commercial or industrial) or for the RV Park that demonstrates that a septic system is
feasible, in compliance with County Health Department standards.
• Approved Water. Adequate water is available for the proposal. The location of wells or public water connections are required to be
indicated on the map. If water from a water service provider is proposed, the applicant must submit certification from the provider
that water is available in quality and quantity sufficient for the proposed use of all lots/spaces within the binding site plan. If individual
wells or a public well is proposed. The proposed locations shall be shown on the drawings and include the 100-foot radius Sanitary
Control Area.
Disclaimer:
If your parcel is in a special tax program such as Open Space Farm and Agricultural Land, Open Space Timber, or Designated Forest Land,
or if you are getting a Senior Exemption on your taxes, you are encouraged to discuss any considered land divisions or binding site plans with
the Assessor’s Office BEFORE making those changes. Land divisions or binding site plans may involve undesired tax consequences. You
may reach the Assessor’s Office at (360) 740-1392.
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Updated March 2019
Lewis County
Community Development
2025 NE Kresky Ave, Chehalis, WA 98532
Phone: (360) 740-1146 ● Fax: (360) 740-1245
BINDING SITE PLAN
Type III Application
Required Submittals: The following are required to be submitted for a binding site plan application:
APPLICANT STAFF
Completed Survey Map drawn by a Washington State Professional Land Surveyor
(PLS) - With all the requirements on the Lewis County Community Development
‘Binding Site Plan Survey Map Requirements’ Handout.
Completed ‘General Information’
Completed ‘Binding Site Plan’ Application
Documentation of a legal lot of record that meets the criteria in the Lewis County
Code Chapter 16.02.050
Lot Closure Notes for each lot prepared by a Washington State Professional Land
Surveyor (if commercial or industrial BSP)
Adequate Facilities Memos
Existing road maintenance agreements, well maintenance agreements,
community on-site sewage disposal system maintenance agreements,
and/or restrictive convents that apply to the subdivision
For applications proposing service from a public or municipal sanitary sewer or
water system, letters from an approved water or sewer purveyor stating the
ability to provide service to each of the proposed lots/spaces. For those
proposing septic systems, copies of soil evaluations for each lot or RV Park. If
wells are proposed, a copy of certification of water availability
SEPA as required for the project
Application Fees
Other:
For Official Use Only:
Date of Completed Application:
Application Number:
Associated Permits:
Permit Technician:
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Updated March 2019
2025 NE Kresky Ave, Chehalis, WA 98532 ● Phone: (360) 740-1146 ● Fax: (360) 740-1245
BINDING SITE PLAN SURVEY MAP REQUIREMENTS
Survey Maps: Five (5) copies of a map (18” by 24” Survey) meeting all the requirements for recording by the Lewis County
Auditor to the Administrator for review with, permanent black ink, and meeting the requirements of WAC 332-130-050 and RCW
58.58.09.
APPLICANT | STAFF
A label identifying the map as a Binding Site Plan
A reference to the binding site plan number (BSP) on the face of the map
Original legal description and proposed legal descriptions on the face of the map
A vicinity map, the date, and north arrow
The names and addresses of the owner
The acreage of the proposed lots or square feet of RV spaces
The original lot lines
The proposed lot lines or RV spaces with a number assigned to each lot or RV space. Lot
or RV space
numbers are to begin with number one (1) and proceed in a consecutive sequence
The location, width, and names of all existing streets, ingress, egress, or easements within or
adjacent to the proposal, including, but not limited to, existing or proposed easements to provide
access to each lot/space, and indication as to whether they be public or private and the Auditor's File
Number
The location of existing structures, fences, buildings and improvements
The location of natural features such as water bodies, rivers, steep slopes and wetlands
The location of all existing and proposed wells and septic systems including reserve areas, water
lines, sanitary control areas, and other utility lines
The point of proposed access for each lot or space to the public road, whether each lot or space shall
use a common access or have individual access
The boundaries of any land to be reserved for the common use of the property owners
Location (to the extent possible) of all section and section subdivision lines referenced in the legal
description of the entire property to be subdivided
Survey maps shall also contain
i.
Name of professional land surveyor (PLS), stamp and signature of PLS
ii.
Any monuments and markers of record, a minimum of two corners must be set or found
iii.
A signature block for the approval and signature of the Administrator, and the date signed
iv.
Signature block for Treasurer with a statement that property taxes for the parcel within this
map have been paid through the year of recording
v.
Signature block for Auditor
vi.
Signature block and notary block for owners
S:\COMMUNITY DEVELOPMENT\Applications & Forms\Currently on Website
Updated March 2019
2025 NE Kresky Ave, Chehalis, WA 98532 ● Phone: (360) 740-1146 ● Fax: (360) 740-1245
GENERAL INFORMATION
Property Owner Information:
Name:
Mailing Address:
Phone Number: E-mail:
Tax Parcel Number (s): Zoning: Acreage:
Site Address:
Quarter Section, Section , Township North, Range East/West (Circle One)
Applicant (if different from owner):
Name:
Mailing Address:
Phone Number: E-mail:
Tax Parcel Number (s): Zoning: Acreage:
Site Address:
Surveyor or Other Contractor Information (Attach additional sheets if necessary):
Name:
Mailing Address:
Phone Number:
Acknowledgment
E-mail:
□
Permission to Enter: I understand that County regulations require owner permission for County personnel to enter private property to conduct permit
processing, review, and inspections. I also understand that my failure to grant permission to enter may result in denial or withdrawal of a permit or
approval. By my signature below, permission is granted for representatives of the Community Development, Environmental Health, and Public Works
Department to enter and remain on and about the property for the sole purpose of processing such permits and performing required inspections or
reviews.
□
Prior Notification: Prior notification of the date of inspections will take place is: Required Not Required
( ) (Must provide phone number where applicant/representative can be reached)
□
Legal Owner/Authorized Representative: I/We certify that all plans, specifications and other submissions required in support of this application conform
to the requirements of all federal, state, and local codes and applicable laws and ordinances; and I certify that I am either the current legal owner of this
property or their authorized representative. With this document, I take full responsibility for the lawful action that this document allows.
□
Certification: I certify that I have read and understand the limitations and conditions of Lewis County Code and agree to comply with all conditions of
approval. I understand that any permits issued by Lewis County, consistent with the attached site plan, are valid ONLY if construction is in according to this
plan and all other conditions of the permit are followed. By my signature below, I affirm that all the information and documents provided with this
application are true and accurate to the best of my knowledge.
Signature:
Check one: Owner
Authorized Agent
Date:
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signature
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□
2025 NE Kresky Ave, Chehalis, WA 98532 ● Phone: (360) 740-1146 ● Fax: (360) 740-1245
BINDING SITE PLAN
Supplemental Information:
For RV Parks-Written narrative of how the proposed RV Park is in compliance with Lewis County Code Chapter
16.14.
Parcel Number(s): Permit Number:
Site Characteristics:
How many lots (or RV spaces) are proposed?
Has the existing lot previously been subdivided with any type of subdivision process? Yes No
If Yes, what is the Auditor’s File Number (AFN)?:
Total acreage of the existing lot(s):
Please describe the provisions proposed to make the proposed development compatible with the appearance and
character of the surrounding area.
Please d
escribe the provisions proposed to safeguard the adjoining properties against any detrimental effects caused by
the development.
Hours of operation: ____________________________ Number of employees: ______________________
Proposed common facilities: ________________________________________________________________
Proposed Development Details (Attach Additional Sheets if Necessary):
Proposed Lots (or RV spaces)
Lot/Space 1
Lot/Space 2
Lot/Space 3
Lot/Space 4
Lot/Space 5
Proposed Lot (or RV space) Size?
Existing Structures Present on the
Lot (or space for RV Park)?
If yes, what type? (Residential,
Commercial, Outbuildings)
Current Wastewater Treatment
Provided to the Lot (or space for
RV Park)?
If yes, what type? (Septic, dump station(s),
or sewer)
Proposed Wastewater Treatment
for the Lot (or space for RV Park)?
Current Water Provided to the Lot
(or space for RV Park)?
If yes, what type? (Group A, Group B, Well
– Include Name of System)
Continued…
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Proposed Water Source for the Lot
(or space for RV Park)?
Proposed Future Use of the Lot
(or space for RV Park)?
(Residential, Commercial, Industrial, RV
Park, Other)
Certification
I/we the undersigned, as the applicant, hereby certify that the map and legal descriptions attached hereto show the entire contiguous ownership in which
I/we have an interest by reason of ownership, contract for purchase, earnest money agreement or option for purchase by any person, firm, or corporation
in any manner connected with this proposed binding site plan and that the following is the signature(s) of the owner, contract purchaser, or their
representative. Also, that all adjoining land is owned by others not associated by a land development business relationship with the owner. Also, that the
information contained in this application, map, legal descriptions, and any other supporting documents is true and correct to the best of my/our knowledge.
Signature: Date:
Signature: Date:
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ADEQUATE FACILITIES-FIRE
Date:
Fire District:
Dear Fire Commissioners or Fire Chief,
We are requesting a land use permit for
Located at
which lies within your district. Please respond below to indicate whether or not your district has the
capacity to serve the proposal or will have the capacity to serve the proposal at the time of
development.
Sincerely,
(Applicant)
Fire Commissioners or Fire Chief:
Adequate facilities mean: For residential or commercial buildings with a height of 35 feet and below,
two stories or less, and 50,000 square feet or less, the local fire district has the equipment and
personnel to serve the new facility without a change in the current level of service for similar facilities
existing in the district. For industrial or commercial over 35 feet in height, the district has the equipment
and personnel to serve the new facility consistent with the adopted standards of the district, including
local fire codes. Fire Districts can provide or secure adequate emergency services to this location for
the proposed project.
□
Yes, we have the capacity to serve the proposed development, or will have the capacity at the
time it is developed.
□
No, we do not have the capacity to serve the proposed development
Please print name: Phone number:
Signature: Date:
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Updated March 2019
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ADEQUATE FACILITIES-LAW ENFORCEMENT
Date:
Law Enforcement Agency:
Dear Sheriff or Police Chief,
We are requesting a land use permit for
Located at
which lies within your district. Please respond below to indicate whether or not your district has the
capacity to serve the proposal or will have the capacity to serve the proposal at the time of
development.
Sincerely,
(Applicant)
Sheriff or Police Chief:
Adequate facilities mean: The Law Enforcement Agency can provide adequate emergency services to
the location of the proposed development.
Yes, we have the capacity to serve the proposed development, or will have the capacity at the
time it is developed.
No, we do not have the capacity to serve the proposed development.
Please print name: Phone number:
Signature: Date:
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Updated March 2019
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ADEQUATE FACILITIES-REFUSE DISPOSAL
Date:
Disposal Company:
To whom may concern,
We are requesting a land use permit for
Located at
which lies within your district. Please respond below to indicate whether or not your district has the
capacity to serve the proposal or will have the capacity to serve the proposal at the time of
development.
Sincerely,
(Applicant)
Disposal Company:
Adequate facilities means: facilities are available where the project does not adversely affect the ability
of the local and/or regional solid waste authorities from accomplishing the goals and objectives of the
adopted county solid waste comprehensive plan. Adequacy includes pick up, transport, disposal, or
transfer of solid waste.
Yes, we have the capacity to serve the proposed development, or will have the capacity at the
time it is developed.
No, we do not have the capacity to serve the proposed development.
Please print name: Phone number:
Signature: Date:
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Updated March 2019
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ADEQUATE FACILITIES-SCHOOLS
Date:
School District:
To whom may concern,
We are requesting a land use permit for
Located at
which lies within your district. Please respond below to indicate whether or not your district has the
capacity to serve the proposal or will have the capacity at the time of development.
Sincerely,
(Applicant)
School District:
Adequate facilities mean: For residential uses, the school can reasonably accommodate the school
population anticipated from the new development within existing facilities, together with state or
federal funds expected as a result of growth or changes within the district. For commercial or industrial
uses, the traffic or other impact to the school does not interfere with reasonable school operations or
safety.
Yes, we have the capacity to serve the proposed development, or will have the capacity at the
time it is developed and the proposed project does not interfere with reasonable school
operations or safety.
No, we do not have the capacity to serve the proposed development or it interferes with
reasonable school operations and/or safety.
Please print name: Phone number:
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BINDING SITE PLAN Type III Application (Lewis County)

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Completed 21 January 2021

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