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HomeMy WebLinkAboutBLD2003-00782 0 BUILDING PERMITe Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00782 Received Date 12/15/2003 SITE ADDRESS: 99 VANCOUVER LN Issue Date 01/7/2004 PORT TOWNSEND, 98368 APPLICANT: THOMAS E O'MEARA PHONE: (360)437-9630 MARILYN J O'MEARA 191 ROBIN LN PORT LUDLOW WA 98365-9522 SUBDIVISION: DISCOVERY BAY HEIGHTS DIV 1 PARCEL NUMBER: 947300009 Section: 32 Township: 30 NBI Range: 01 Wock: t 9 CONTRACTOR: OWNER/BUILDER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & DECK REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER: \\c/�y//, [ ] Footing: �' [ ] Foundation: QK hf/ Ch 5 /q14 ^ [ ] Underground Plumbing:/ [ ] Underground Insulation: [ ] Shear Wall : el to_2,C_Qt [ ] Framing: (NI c J ) ‹... CZ_-(-oy f 1 Plumbing: Z-t-8 e )rl tit ' ".7 i 4 [ ] Propane Tt‘.., / Lines: l��,�1y IZ�%-o-{ >`-ev� �c.,yi>kovw eic‘k, -//"noµ- [ ] Insulatio • , f 1 Sheetrock: -fr_ ISO,--1 --ne [ ] Septic Sytem Final Approval: f 1 Zoning Final Approval: [ ] Final/Occupancy Approval: _ s`//J_-/. HEALTH/DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE IIC UILDING PERMIT APPLIC MLA03-00657 ON Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD03-00782 Received Date: 12/15/2003 SITE ADDRESS: 99 VANCOUVER LN PORT TOWNSEND, 98368 OWNER: THOMAS E O'MEARA MARILYN J O'MEARA PHONE: (360) 437-9630 191 ROBIN LN PORT LUDLOW WA 98365-9522 SUBDIVISION: DISCOVERY BAY HEIGHTS DIV 1 Block: Lot: 9 PARCEL NUMBER: 947300009 Section: 32 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE & DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 170,211.00 MAIN: 2,388 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: 528 SHORELINE: DECK: 81 SETBACK: SEWAGE DISPOSAL: ALT BANK HEIGHT: WATER SYSTEM: PUD BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO AREA Exist: Exist: Wetland Prop: 3 Prop: 3 Erosion Total: 3 Seismic Streams Total: 3 Flood Way Floodplain Routing Date: ' a F&W Landslide / �1 03 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: A P,"'.n^•G\E Permit $1,391.35 KAS 12/15/03 60580 `,J Plan Check $904.38 KAS 12/15/03 60580 State Building Code $4.50 KAS 12/15/03 60580 JAN - 2Q03 Potable Water Application $51.00 KAS 12/15/03 60580 Jefferson County Planning Total: & Building Department $2,351.23 pair lat 7,5 C • oN Jetforson Coim pa of Comm�wdty Oevel iniR ` °6, 621 Sf idan Street,Port Townsend WA [360)370-4450 Prmt ri a5LVof APp85cfl© rs Project Description: .. ;_t_.p1. Cr C 1f'v!':oGIk 4-2 1 B 'ding Type: Project Type: Frame Type: iii Single F X New Wood Garage ttache1/Detached ❑ Addition 0 Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete • ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing. � Existing. J ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: — Proposed: Individual System Total: 1. yz_ Total: y ❑ Woodstove Propane If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP 63--CC 2(o 5_ Water Supply: ??�� r ❑ Private well ❑ Two Party Well❑ Public:Name of water system: P C l C) / ` 7R 1, 4 2 L H Square Footage: For Office Use Only Main Floor 3, X 7 r i 551 8 It.o Consistency Review 47.00 2ND Floor Base fee I t 3 Cl. , act 3rd Floor Plan Check fee—65% 9 d`k, 3 a Htd Basement State Surcharge fee 'q„ 50 Unhtd Basement plc, Subtotal 0 39 7.a 3 Garage/Carport -y �,4� �� Pot Water Review fee a Decks �/ Sc2 I- {, l� 911/Rd Approach fee Pt P 43 Commercial OTAL 0,1 a�.a3 Industrial al�.b� eceipt# Cod 52O Other A � i Cash/Check# Q.4's Total Valuation: Initials Or Date 1 a` I S/O3 Estimated Cost: - /d D/ b 0 O If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. r Signature: 7 4,7 � ���� Date: OVER - H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpennitApplication 11-8-01 0 SPECIAL CONDITIONS FOR CASE # BLD03-00782 • 1.) The application was reviewed by the Jefferson County Department Development staff on December 19, 2003 for the potential presence of AfSensitive Areas (FBAs) under the provisions of the Unified Development of Community After an initiale Geographic Information Systems Environmentally(UDC). er an the mapping pmE-nreview and an i Code (UDCs following ESAs were confirmed to be present on the subjecte property: site Coastal Seawater Intrusion Protection Zones (SIPZ). 2.) Marine shorelines and islands are susceptible to a condition that1 P eawa: intrusion. Seawater intrusion is a condition in which the saltwater/fresh aquifer moves inland so that wells drilled on upland areas cannotlsknown as seawater anitable for water interface in public consumption without significant additional treatment and cost. Maintaining obtain freshwater a stable balance in the saltwater/freshwater interface is primarily a function the rate of aquifer recharge (primarily through rainfall)and the rate of withdrawals (primarily through wells). The Washington Department of agency with statutorygroundwater Jefferson Count authority to regulate groundwater withdrawal for inof dividual wells in y New development, Ecology is the and in close proximity to marine shorelines in particular should be developed redevelopment, and land use activities on islands manner to maximize aquifer recharge and maintain the saltwater/freshwater the maximum extent in such a aquifer.a Possible by infiltrating stormwater runoff so that it recharges the to 3.) The parcel is located within a coastal SIPZ (seawater intrusion to the County GIS map. There are voluntary and mandatoryprotectionuresidentified zone)accordinginthe Jefferson County Seawater Intrusion Policy Jefferson that apply measures p in the to well drilling (Resolution 44-22, effective September 23, of record. proposals and building permit applications on existing lots A Coastal SIPZ is defined as: all islands and area within one-quarter shoreline,000 utfe no history of chloride concentration above 100mg/L in hin feet. quarter mile of marine 4.) VOLUNTARY MEASURES groundwater sources COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments maydetention ponds 2wW ande gardens. ed o Unless catchment water has been treated to meet rinkin taring standards, there shall be no cross connections allowed between the impounded water. g water 3. Water withdrawn from wells on each property potable supply and 3.a r ith . P perty shall not be used for watering 4. Ground water withdrawn from each property of lawns gallons per minute. P party shall be restricted to a rate of three (3) 5. Installation of water conserving fixtures such as low flow toilets, restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xerisca in faucets and shower P g, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be is intended to be illustrative of the types of water conservation 5 1 VOLUNTARY MEASURES OF COASTALexhaustive, but rather 1. Installation of a flow meter. &AT RISK SIPZ: measures. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 6.) MANDATORY MEASURE 1. For proof of potable water on a building OR AL SIPZ: perm DOH-approved public water system if available it application, applicant must utilize 2. If public water is unavailable, a qualifying alternative system may potable water or an individual well may be used as proof of potable water subject to the following requirement: be used as proof of a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a potable water. qualifying alternative system may be used as proof of 7.) The applicant is proposing to create or add 3991 square feet of impervious 5224 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a s surface and meeting Minimum Requirements #1 through#5 of the Stormwater Management Manual for Western Washington. stormwater plan 8.) Jefferson County determined that this proposal is categorically exempt the State Environmental Policy Act(SEPA) The site plan it submitted with the building)pursuant to WAC 197-11 800 from review view under been reviewed for consistency under the UDC, and has been approved ( )( )() permit application on December 15, 2003 has County Department of Community Development. An County to the stamped, approvedmodifications, by Jefferson site plan dated December 19, 2003 ha be and/or resubmitted for review and approval by Jefferson County Department of Community shall be 10.) This approval is for a single family residence with attached garage and future permits on this site are subject to review for consistency perits. and does not preclude review and conditions which maybe decks only. Any ordinanceserm . b applicable on future and 11.) A stormwater plan for a medium project has been submitted and approved placed on Department of Community Development. Once the subject permit has been by the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a scheduleissued the inspect the property for plan compliance. A Certificate of Occupancy will not until the Department verifies plan compliance. to occur on the project site until clearing necessary for the installation of temporarya issued P No clearing for roadways or utilities shall sedimentation and erosion control measures have been completed. 12.) Outdoor residential storage shall be maintained in an orderly manner fire, safety, health or sanitary hazard. 13.) Not more than two (2) unlicensed or inoperable vehicles shall be storedon shallay create no than one-half acre unless totally screened from view of neighboring dwellings and rights-of-wa any lot less Y Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping the character of the area. Screening shall meet the requirements of Unified Code (UDC) Section 6. with Outdoor storage of thirteen (13)or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile yard or junk (or salvage)yard and allowed as a Permitted Use in Table 3-1 of the and such storage shall meet the requirements of UDC Section 4.10. In no case,Ile wrecking such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive shallUDC, (ESA). Area any 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined Area impervious surface which includes roof tops, driveways, concrete, etc. 15.) The buildingas amount of height is not to exceed 35 feet. 16.) Minimum setback from Vancouver Dr right-of-way is 20 ft. Minimum setbacks are 5 ft. 17.) This parcel has been designated as Rural Residential 1:5 under the Jeffersone and rear Comprehensive Plan Land Use Map effective August 28, 1998. 18.) A septic permit (SEP03-00265)was approved County gallons per day. on November 7, 2003 for a system of 360 19.) Vanocuver Ln (C602609) is a county local access road. A road approach under RAP01-00243, and an address of 99 Vancouver Ln has been assigned to parcel. PP ach was reviewed 20.) A minimum of two (2)on-site parking spaces are required for the singlegthe family residence. 21.) This parcel was created thr'Tugh the Plat of Discovery Bay Heights Div •1 under 265014, filed of record April 23, 1980 in Volume 6, page 75 & 76 with the Jefferson AFN County Auditor's office. I:\F_BLD_Permit_Buildng.rpt 10/29/19 C CI mn m c�°i� v` Z C'9 G to N p 0,4,4 5OxZD v r\c"I(a-9 rzt=;cR‘/c 2.0 1-0Aw/ sei a 7:3 GPrekDe/S( (\eCOMML'cl ESN RA 4.1-5 — it:I. ' -e /at/ 'q:)?‘It..,4.k' 4e-A.S Z A5� RkododeNde, S�` Is\� � e a.5 11)1 @ - 43'9 k2 / Q Q TANK Ix S (1. \9 m j , ,c* /O,s.---c s 2 py Ji/2l yes€_ `) t GARac-,� (E- 6 m1 F1 /e S I° �` -2°� �2,4y1 os s69 ki Ext/i�po�. 7Y �o�zcw 7� r e. i SPgi, , i D/z.4c//1r f/ ,11 ve o-Ade, Rlilsei, , BED _ 4 APPROVED t_moscif) u,�A44,1*L- STORMWATER PLA 510j( Roth" P5t DEC 222003 JEFFERSON COUNTY DEPT.tip +tuytrY n� _ �i tM iAASKi li K O 141 C- It i�— c�AruR �-P ql V,,eoq v i' e...- /01- * 6 -13 - 3 ' • • r--) r1 fir 3' 4) JEFF E S& tb I -�' APPFZOV " DEPARTMENT OF COMMUNITY-DEVELOPMENT STORMWATER PLAN jO 621 Sheridd eev- °port T-awnsbf t"'Washington 9836 360/379-4450 •360/379-4451 Fax DEC 2 2 2003 -WINO http://www.co.jefferson.wa.us/commdevelopment/ JEFFERSON COUNTY STORMWATER SITE PLAN SUBMITT L ►,• ;. liA� PME. MLA# PROJECT/APPLICANT NAME: A m /7,1 //' h(� O f,�,,L R Yv( Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, tl applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. 6"; v44,;/V D/\< 55 y S — tvdsc ' Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. ://9-7" &- // '12A5'S 4. Describe the existing soils. Indicate soil type on the site map. 5. Describe the existing site hydrology(i.e., drainage;behavior of water on the site—above,below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. / Ae,4/,�J KJ e r- So%!K5- /xJ_4 r/�C e 7 v A-2 d 6. Describe any excess levels of noise generated by the proposed use or activity: d9,-t 5 flt�,r�/1�1 stormwater site plan template—rev.10/12003 5 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. . /%oiVei • 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands,lakes,steep slopes,etc.). / / //17-- /4;16--11 — Si .)y/e / ( / ),-,-c e1 d2 ve.l o�v �:-7v 7 - Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. 9. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 in the Manual) or, if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. . ' C 7( 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for larg "projects or projects that involve the potential for dispersion of contaminants.] A// 1T 11. Describethe performance goals and standards applicable to the project. / //// & ) S /.',y t-r.' 1 Y PAL /Ln/ p.-7 0/,e'o-2/�/ c c)//it�/'i1 a23-4 .i/o �S - /7'y�// /ANd ce. 'e ",/.0,--is.,,i ./'r1 S' 12. Describe .the flow control syystem. / / / stormwater site plan template-rev.10✓1/2003 6 r-, ----Hi! 1 I Ali,, iii! \\r' Ai': 13. Describe the water quality system. DEC 0.1 2 2 2003 r N %T. OF C '0�M r 14. Describe the conveyance system analysis and design. /t7/A 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. AiA 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 4% 17. Describe the proposed urfacing material. 18. Describe methods for restoration of the site. --ce e/A-7 -�c.,/441 f4iii „ati;:ioace;/5 Ali/61,ci /'ca 7 /0/,/,(.5 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. 0 20. List here and inclu any special reports or studies conducted to prepare the Stormwater Site Plan. A/ /9- 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. /e stormwater site plan template—rev.1011/2003 CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) ' The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will.be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). . 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. / 5/4 S P /1'/ r /w7 4-e_— A_ O t..!t.i Z2c.,, 7,- r�' _5—,71, 2. Establish Construction Access. At e (;cAts Xruic/Q�J 4 e e os.5 3. Control Flow Rates. / / 1 ` ,e, v�.!-1�-E';- Sze ✓�/vL s// jZ - 9ir,- l5 - J 1i e :��tf l 4 -F /1r`4d /4ty,-/ CC'Qp.n.`_,4. Install Sediment Controls. j2� ---.3--- -�c� 7/z/c7 ss ,9�ci ��iqs.,�� 5. Stabilize Soils. / /5- gY�Jy `/ J/ • ��n. S' /✓//Y�� V J, f��/�s CCS S�L1v�/6 o A-' 'e AZ- 6. Protect Slope 7. Protect Drain Inlets . /fe sii- S stormwater site plan template—rev.10/12003 ? ;•� r r rr ( I.,,—:ttI i 12 Required Elements-Construc PPP(continued) � � 200? 8. Stabilize Channels and Outlets s D�� 2 2 2003 , � °i f �1' r cch - 9. Control Pollutants. / e0-A.-Ixo/ erwle_cr� e/-P,4,v UcJ7� j /�,,,,'T I,4-'3 4 Lle . (-4,4,,,,,iz 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 47/4- 11. Maintain Best Management Practices(BMPs). OK 12. Manage the Project. y..�� — Ire esa_-rI//, z-0/7//'1/Ja-v,,j'� eC u<s z e c c, Z . <°� / yln T E e/C — /(rc/i' t✓ I f.4*vQ/ /2n/vX9 � /1 ..riirkI/iylci.y7 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residentia areas, roads). � / ,t'y'r'� ,,,c-i (5/1,,- gores s' irchd c/ . f2 1 b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 40C yards). /17/71- 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. !V stormwater site plan template—rev.10/1/2003 9 b. Description� of special requirements for working in or near environmentally sensitive areas. /K/ 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). A,(4 - 51 /� /, - 5. Construction Phasing. a. Construction sequence L rcc,av ,iD hr--- w,(i..0,977 w—' q C/<-// Sti ci bP%) of //7,-)S-€ - (2_4) s ecci t /7 ,-/c1� c. ; b. Construction phasing(if proposed) . „5 Jd T/pi. 2 --` -C/n-1 m L72 ,6 �i� - ' /.-,i �7 . 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. II. Wet Season Construction Activities. a. Proposed wet season construction activities. A7/1 AC e_ -- 5 b. Proposed et season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. lr) C_)Al 2-' // ' A/ ' - b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. / 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. .J b. Diversions. /Y c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/1/2003 10 Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities,or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to.the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. ( NER OR AUTHORIZED REPRESENTATIVE S TURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: DEC 2 2 200 3 rcT.Q'rCi'. ,t ._... 12 stormwater site plan template—rev.10V12003 _1 .` ' , ?,- -- •5! , -' a / CjZ //I 1 a_ _ , `,,,, GY�Sly( � • r w,S S i ,f QQ 4"7-': \i-t \ GI- • p4� W I U to f a y . _ ..(_ a� 1 IV tk do •/-,.: _P , : t zXOS — 1 : q f • •