Fillable Large Lot Subdivision Short Plat Short Plat and (Lewis County)

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Large Lot Subdivision Short Plat Short Plat and (Lewis County)

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The Large Lot Subdivision Short Plat Short Plat and (Lewis County) form is 8 pages long and contains:

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  • 49 check-boxes
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BROWSE LEWIS COUNTY (WA) FORMS

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Lewis County Community Development
2025 NE Kresky Ave, Chehalis, WA 98532 Phone: (360) 740-1146 ● Fax: (360) 740-1245
Base fees:
$1,385
$300
Short Plat and Large Lot Application Fee
Long Plat Subdivision Application
Long Plat Subdivision Final Approval Application
SEPA (5 lots or more)
Public Works Review Fee
Public Health Review Fee
Land Development Review
Final Map Review Fee
$200
$450
$150
LAND DIVISION
Type I or IV Application
Contact the Lewis County Treasurer’s office and the Lewis County Auditor’s Office for complete
information.
Short Plat
Large Lot Subdivision
Long Plat Subdivision
Preliminary Plat
Final Plat
If within WRIA 23, 11, or 13
Soil Evaluation or
Sewage Permit Application (Designed review fee $225 per lot)
Well Site Approval
Water System Review (Over 6 hrs then $100 per hour)
Water Availability Notification
$850
$4,000
$1,600
Total Base Fees for Short Plat (1-4 lots) and Large Lot (1-4 Lots)
Total Base Fees for Large Lot with 5 or more lots Total Base
Fees for Long Plat Subdivision Application Total Base Fees for
Long Plat Subdivision Final Approval
Variable Fees
$2,485
$3,335
$5,800
$2,550
$500
$200
$375
$375
$600
$100
Additional fees may apply. The full list of fees can be found on currently adopted fee schedule (i.e.
Stormwater, Road Plan Review, Road Approach etc.)
Prior to recording final documents for this activity, all
property taxes, assessments and recording fees must be paid.
S:\COMMUNITY DEVELOPMENT\Forms\2018
Updated January 2018
LAND DIVISION
Type I or IV Application
Process:
The process for each subdivision varies. The general process includes the following.
Applicant submits a complete application, including a preliminary plat map drawn by a Washington State
Licensed Professional Land Surveyor.
The Planning Department reviews the application for completeness. If additional information is needed, the
planning staff will notify the applicant.
The complete application will be routed to different departments to review. When the review is finished, the
departments will notify the Planning Department of comments or conditions.
If the proposal is a Short Plat or Large Lot Subdivision
Approval will be granted with conditions or will be denied.
i) If the proposal is denied, the applicant will be informed, in writing, the reason(s) for denial.
ii) If approval is granted with conditions, the applicant will need to complete those conditions.
1.
2.
3.
4.
5.
Once the conditions are met, the final plat map shall be submitted to Planning Department for final signatures or
final approval application
After the conditions are reviewed and the Public Works and Planning Department sign the final map for a Short
Plat or Large Lot Subdivision, the applicant or applicant's surveyor will be notified to pick up their final map for
recording in the Lewis County Auditors Office.
If the proposal is a Long Plat Subdivision, the final map will be reviewed by the Public Works, Public Health and
Social Services, Environmental Services Division, and Planning Department. The final map will be sent to the
Board of County Commissioners for final signature.
Lewis County Community Development
2025 NE Kresky Ave, Chehalis, WA 98532 Phone: (360) 740-1146 ● Fax: (360) 740-1245
6.
If the proposal is a Long Plat Subdivision
A recommendation by staff will be sent to the Lewis County Hearings Examiner for a Public
Hearing. The Hearings Examiner's Decision will be sent to the Board of County Commissioners for
issuance
Land Divisions must show:
All lots have building areas outside designated critical areas and buffers
Demonstrate this by showing all critical area boundaries and buffers on the proposed large lot subdivision 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.
That the land divsion makes adequate provision for roads, waste disposal, and water consistent with County standards.
Adequate Provisions for Roads/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 are required to meet County standards (if they are to be
dedicated to the County) or County recommendations (if they are to be private roads). A maintenance agreement must be
provided, indicating ownership of private roads and how they will be maintained.
Approved Sewage Disposal
All proposed and existing sewage systems or septic systems 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, demonstrating that a septic system is
feasible, in compliance with County Health Department standards.
Approved Water
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 within the land division. 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.
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Updated January 2018
Recording of Approved Subdivision Map:
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. Within 30 days of the final map approval of the final map, it will need
to be recorded at the Lewis County Auditor's Office
Other Disclaimers:
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
with the Assessor’s Office BEFORE making those changes. Land divisions may involve undesired tax consequences. You may
reach the Assessor’s Office at (360) 740-1392.
S:\COMMUNITY DEVELOPMENT\Forms\2018
Updated January 2018
2025 NE Kresky Ave, Chehalis, WA 98532
Phone: (360) 740-1146 ● Fax: (360) 740-1245
Lewis County
Community Development
APPLICANT
Completed Survey Map drawn by a Washington State Professional Land
Surveyor (PLS)-With all the requirements on the Lewis County Community Development
‘Land Division Map Requirements’ Handout.
Completed ‘General Information’ Application
Completed ‘Land Division’ Application
Original Legal Descriptions
Documentation of a legal lot of record and meet 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
Adequate Facilities Memos
Existing road maintenance agreements, well maintenance agreement,
community on site sewage disposal system maintenance agreements, or
restrictive convents that apply with 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. For those proposing
septic systems, copies of soil evaluations for each lot. If wells are proposed, a
copy of certification of water availability
SEPA for 5 lots or more
Application Fees
Other: ___________________________________________________
Any appeals will be heard by the Lewis County Hearing Examiner per the Lewis County Code Chapter 17.05.
Application
Number: __________________________
Permit Technician: __________________________
LAND DIVISION
Type I or IV Application
Type I applications involve decisions that do not require public notice and are decided by the administrator.
The Type I applications include Short Plats and Large Lot Subdivisions (Short Plats are limited to four lots if zoning can be met)
Type IV application involve decisions that are heard by the Lewis County Hearing Examiner and the Board of County
Commissioners.
Type IV applications include Long Plat subdivisions
The following are required to be submitted for the Land Division application to begin the review process:
STAFF
For Official Use Only:
Date of Completed Application: ____________________
Associated Permits: ______________________________
S:\COMMUNITY DEVELOPMENT\Forms\2018
Updated January 2018
Lewis County Community Development
2025 NE Kresky Ave, Chehalis, WA 98532 ● Phone: (360) 740-1146 ● Fax: (360) 740-1245
Land Division 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.
STAFF APPLICANT
A label identifying the map as the correct land division name
Reference the Land Division Permit number (LLS, SP, LP) 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
The original lot lines
The proposed lot lines with a number assigned to each lot. Lot 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, 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
Point of proposed access for each lot to the public road, whether each lot 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; and
v. Signature block for Auditor
vi. Signature block and notary block for owners
S:\COMMUNITY DEVELOPMENT\Forms\2018
Updated January 2018
Lewis County Community Development
Signature: __________________________________________ Date: ____________________
Check one: Owner
Authorized Agent
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: ____________________________________________________________________________________
_______ Quarter Section, Section _______, Township _______ North, Range _______ East/West (Circle One)
Surveyor or Other Contractor Information (Attach additional sheets if necessary):
Name: __________________________________________________________________________________________
Mailing Address: __________________________________________________________________________________
Phone Number: __________________________ E-mail: _________________________________________________
Acknowledgment
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 of the date of inspections will take place is: Required Not Required
(________) ___________________ (Must provide phone number where applicant/representative can be reached)
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.
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.
S:\COMMUNITY DEVELOPMENT\Forms\2018
Updated January 2018
Lewis County Community Development
2025 NE Kresky Ave, Chehalis, WA 98532 ● Phone: (360) 740-1146 ● Fax: (360) 740-1245
LAND DIVISION
Parcel Number(s): ______________________________ Permit Number: _________________
Site Characteristics:
How many lots 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 parcel(s): ________________
Sizes of the proposed lots:
Lot 1: _______________
Lot 2: _______________
Lot 3: _______________
Lot 4: _______________
Use a separate sheet of paper if additional lots are proposed
Do any of the lots have structures? Is so, please identify the lot number and the type of structure
__________________________________________________________________________________________
__________________________________________________________________________________________
What uses are proposed for the proposed lots?
Lot 1: Commercial Residential Industrial Other: ____________________
Lot 2: Commercial Residential Industrial Other: ____________________
Lot 3: Commercial Residential Industrial Other: ____________________
lot 4: Commercial Residential Industrial Other: ____________________
Existing Sewage Disposal (including sewage permit number and date of approval):
None
Septic Tank on lots #: _______________________
Sanitary sewer on lots #: ____________________
Other (specify): ___________________________
Proposed Sewage Disposal:
Septic tank on lots #: _______________________
Sanitary Sewer on
lots #: ____________________
Other (specify): _____________________________
Use a separate sheet of paper if additional lots are proposed
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Updated January 2018
Existing water supply:
None
Individual well on lots: _______________________________________________________
Public or municipal water system (name of system): _____
__________________________
Othe
r (specify): _____________________________________________________________
Proposed water supply:
Individual well on lots: ______________________________________
__________________
Public or municipal wate
r system (name of system): ________________________________
Other (specify): ______________________________________________________________
Access:
Name of Public Road(s) used for access: ________________________________________
Roads in the subdivision will be:
Private Dedicated to Lewis County
For Long Plat only:
Fire Protection District: ______________________________________
School District: _____________________________________________
Telephone Company: ________________________________________
Electrical Power Utility: _______________________________________
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 land division 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: ___________________
Signature: ___________________________________________________________Date: ___________________
Signature: ___________________________________________________________Date: ___________________
S:\COMMUNITY DEVELOPMENT\Forms\2018
Updated January 2018
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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: _____________
Lewis County Community Development
2025 NE Kresky Ave, Chehalis, WA 98532 ● Phone: (360) 740-1146 ● Fax: (360) 740-1245
S:\COMMUNITY DEVELOPMENT\Forms\2018
Updated January 2018
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: _____________
Lewis County Community Development
2025 NE Kresky Ave, Chehalis, WA 98532 ● Phone: (360) 740-1146 ● Fax: (360) 740-1245
S:\COMMUNITY DEVELOPMENT\Forms\2018
Updated January 2018
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: _____________
Lewis County Community Development
2025 NE Kresky Ave, Chehalis, WA 98532 ● Phone: (360) 740-1146 ● Fax: (360) 740-1245
S:\COMMUNITY DEVELOPMENT\Forms\2018
Updated January 2018
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: ___________________
Signature: ______________________________________________________ Date: _____________
Lewis County Community Development
2025 NE Kresky Ave, Chehalis, WA 98532 ● Phone: (360) 740-1146 ● Fax: (360) 740-1245
S:\COMMUNITY DEVELOPMENT\Forms\2018
Updated January 2018
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Large Lot Subdivision Short Plat Short Plat and (Lewis County)

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Completed 10 October 2020

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