GENERAL LAND USE APPLICATION

OFFICIAL USE ONLY

Case #:

Received By:

Master File #:

Project Planner:

Date:

Related Cases:

Prqect Description

and amenities

Size of Project Site: 50.28 ac +/-

Assessor Tax Parcel Numbe(s):

Section :Q! Township: l8

Formal subdivision of 4 existino tax oarcels into 177 sinale familv residential lots with associated utilities

81700000000. 74202500100. 74202500200 and 74202900000

Range: @

Other Authorized Representative (if any): C.E.S NW, lnc. - Crais Deaver. Principal

Mailing Address: 310 29th Street NE. Suite 101 - Puvallup. WA 98372

Phone Numbe(s): 253-848-4282

E-mail Address: cdeaye(dcesnønc.com

Owner (if other than applicant): Same as Applrcanú

Mailing Address:

Phone Numbe(s):

Applicant: Green Cove Park, LLC - Jerrv Mahan, Manasins Member

Mailing Address: 429 29tn Stuet NE, Suite A - Puvallup, WA. 98372

Phone Numbe(s): 253-841 -7000

E-mail Add re ss: J errym ahan@ms n.com

Pro¡ect Name: Green Coye PalrProiect Address: 2200 Cooper Point Road NW, Olvnpia, WA.

One or more of the following Supplements must be attached to this General Land Use Application

"l Adiacent Propertv Lisf E Large Lot SubdivisionE Annexation Notice of lntentE Annexation Petition (with BRB Form)tr Binding Site PlanE Boundary Line Adjustment (Lot Consolidation)tr Conditional Use PermitE Design Review - Concept (Major)fl Design Review - Detail

"l Environmental Review (Criticat ArealE Final Long Plat

E Parking Variance

"l Preliminaru Lona PtatE Preliminary PRDE Reasonable Use Exception (CriticalAreas)I SEPA ChecktistE Shoreline Development Permit (JARPA Form)tr Short Plat,l Tree PtanE Variance or Unusual Use (Zoning)

D Final PRD tr Other

'l Land Use Review (Site Ptad Suoolement

Commun¡ty Planning & Development ¡ 601 4tn Ave E, 2no Floor, Olympia, WA 98501 | Ph 360-753-8314 | Fax 360-753-8087 | olympiawa.gov

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Water Supply (name of utility if applicable): Citv of Olvmpia - Proposed

Existing: lndividual well(d - to be decommissioned

Proposed: Public water supplv

Sewage Disposal (name of utility if applicable): Citv of Olvmpia - Proposed

Existing: Onsite septic(s) - to be decommissioned

Proposed: Public sewer supplv

Access (name of street(s) from which access will be gained):Cooper Point Road NW and Grove Street

Full Legal Description of Subject Property - see attached

Zoning: RLI- Residential Low Impactwithin the Green Cove Basin

Shoreline Designation (if applicable) This proiect is nof assocíated with a known shoreline desionation

Special Areas on or near Site (show areas on site plan)

tr Creek or Stream (name)

tr Lake or Pond (name):

./ Swamp/Bog/Wetland

{ SfeepStopes/DradGully/Ravine

tr Scenic Vistas

tr Historic Site or Structure

tr Flood Hazard Area (show on site plan)

tr None

I affirm that all answers, statements, and information submitted with this application are correct and accurate to the best of my knowledgeI also affirm that I am the owner of the subject site or am duly authorized by the owner to act with respect to this application. Further, I

grant permission from the owner to any allem and representatives of the City of Olympia and other governmental agencies toenter upon and inspect saidthis application.

Signature

to process this application. I agree to pay all fees of the City that apply to

I understand

costs, which

Date /lthe type of application submitted, the applicant is required to pay actual Hearing Examiner

be higher or lower than any deposit amount. I hereby agree to pay any such costs.

Applicants are required to post the project site with a sign provided by the City within seyen days of thisdeemed complete. Please contact City staff for more information.

Each complete General Land use Application shall include each of the followino:

1. Vicinity map depicting location of project with respect to nearby streets and other major features, and encompassing at leastone (1) square mile, and not more than forty (40) square miles,

2. Unless exempt, an environmental checklist with typed and title-company certified list of property owners of record within 300feet of the project site. (See Olympia Municipal Code ()MC) 14.04.060 and WAC 197-11-800 regarding exemptions.)

3. All supplemental attachments for each and every land use approval required by the City of Olympia for the proposed project.

4. A map to scale depicting all known or suspected critical areas on the site or within 300 feet of the site. (See Chapter 18.32 ofthe OMC.)

5. An Environmental Review Report if within 300 feet of any critical area (wetland, stream, landslide hazard area or other criticalarea. (See Chapter 18.32 of the OMC.)

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