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HomeMy WebLinkAboutBLD2004-00011 • MLA04-00010 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD04-00011 Received Date: 1/8/2004 SITE ADDRESS: 199 OLD GARDINER RD SEQUIM, 98382 APPLICANT: PETER C ERICKSON PHONE: (206) 842-0895 ANNE C ERICKSON 1835 FINCH NE BAINBRIDGE ISLAND WA 98110 SUBDIVISION: WILKERSON SHORT PLAT Block: Lot: 3 PARCEL NUMBER: 002332030 Section: 33 Township: 30 N Range: 02 W CONTRACTOR/ DEALER: INSTALLER: JAMES HOESEL WAINS0250 7/31/2004 (360)681-0871 641 PARISH RD SEQUIM WA 98382 REPRESENTATIVE: BUY-RITE HOMES PHONE: (360) 681-0777 259403 HWY 101 SEQUIM WA 98382 PROJECT DESCRIPTION: NEW MFH TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: KARSTEN SETBACK: VALUATION 69,049.00 YEAR: 2004 LABOR & INDUSTRIES APPROVAL? SIZE: 27 X 60 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Exist: 3 Exist: 2 STORMWATER: YES NO AREA _ Plat Conditions Prop: Prop: Wetland Erosion Total: 3 Total: 2 Seismic Streams Flood Way Floodplain Routing Date: j F&W Landslide r { t4 . Shoreline r Type744.,siriegAP. Amount Paid Bv: Date: Receipt: pt roved/DateManufactured Homes $154.00 KAS 01/08/04 624051.� "Potable Water Application $52.00 KAS 01/08/04 62405 ►�ttpt�tTotal: $206.00 : v "zrCo, C � 011'0'i'2004 11: 5 3603794451 JEFF CO DCD PAGE 02/02 £ 7/04 WED 10:31 FAX 360 . 0780 BUY—RITE SEQUIM f�jOo2 • JEFFERSON COUNTY 9OMMUNITY DEVEI_.OpMFNT_c21 SHERpDAN ST, PORT TOWNSENQ_WA 9f336B MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING 0 REPLACEMENT SIZE (ta .i' X In 0 YEAR r1 QO 4 MAKE k 5 Ae.-U1 s tv1 k cp 13 9 COST Ak t&4 b 4,.s. ..... L. _.,, BEDROOMS: BATHROOMS: EXISTING ' EXISTING PROPOSED _ PROPOSED ,__, TOTAL 3 TOTAL , N TYPE OF SmAee DISPOSAL; WATER SUPPLY: a, SEWER CI COMMUNITY SYSTEM ID PRIVATE WELL 0 TWO PARY WELL A INDIVIDUAL SYSTEM ❑ Convert onai )(PUBLIC 00 r Y-, `, PERMIT#SEP -34t( KAlternstive.�9`evi cL Name of welter system: VL IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE b 16 it BANK HEIGHT IA t w . 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 meterisl felsehoodl or any omission of a material fact made 4y Iho applleard/owner with roapost to this application packet may result in this permit tieing null and void_ I further agree to save, indemnify end 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 enfiy to Jefferson Cowlty and it's employees, representatives or agents for the purpose of application reviow and any required later Inspections. Access and right of entry to the applicant's property or structure shell be requested and shall occur during regular business noure. i V1ctli-i"LA SIaNATUR C .. : 'fit C C- 2 k c <S(N.)(-1 DATE t. ( ( I L( NAME(PLEASE PRINT)_y� A,_��. -c c t'vl c t`-,C. C FOR OFFICE USE ONLY CONSISTENCY REVIEW FEE '.I .�'„ BANE FEE ) RECEIPT4k 4'D5 q 'n / ADDITIONAL SECTIONS CASH/CK L/`a f SUBTOTAL DATE -/ POTABLE WATER 8 5 _ 1011/ROAD APPROACH ?Ai 0 ? —2102 TOTAL C W.PennitCenterUrnpMBSlgt,P0 FQFM51M01311.,QAP • • I Q N8gX0c-Z AbeX,17l w CC i 4• , l I- . l.- is ��JJJ \ \,N.?., LLI • = 0 Q rLti �' v a0 0 0 � '" I Ih \ cz) r L E Immo Ei .fir a re-) piiw sI ` •Li ii■ri■ w■.■ MI , w I Ili II (..-- a w -- -- CC 1 _ 9ioMimo4 o‘p dft I . /RI 1 L7 CD I o 1: ;i3 N .,.. ro—6 , i N (31 i',4 \\* .Q i ® ® CT U Gj N O ,CL) \ [7--- A Um 1u1;M1 (-NI L CNJ W O N 0 N `I i 1 13/. rn !--1 AgGxoe 0 �— oeg,9Z H \I w CC 0 0 MANUFACTURED/MOBILE HOME INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00011 Received Date: 1/8/20( SITE ADDRESS: 199 OLD GARDINER RD Issue Date: 2/5/201 SEQUIM, 98382 APPLICANT: PETER C ERICKSON ANNE C ERICKSON 7835 FINCH NE BAINBRIDGE ISLAND WA 98110 SUBDIVISION: WILKERSON SHORT PLAT Block: Lot: 3 PARCEL#: 002332030 Section: 33 Township: 30 N Range: 02 W CONTRACTOR/ DEALER INSTALLER: JAMES HOESEL WAINS0250 Expires: 7/31/200z 641 PARISH RD SEQUIM WA 98382 PROJECT DESCRIPTION: NEW MANUFACTURED HOME MAKE: KARSTEN YEAR: 2004 SIZE: 27 X 60 THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 2/5/2005. REQUIRED INSPECTIONS: Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED):/ Cy [ Blocking/Plumbing: 3/ (f)y [ ] Zoning Approval: [ ] Septic System Approval: [✓f Final/Skirting/Vents/Porches/Steps: 1/2/At DEPARTM NT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. SPECIAL CONDITIONS APPLY-SEE REVERSE HOT-LINE AVAILABLE 24 HOURS A DAY • • SPECIAL CONDITIONS CASE # BLD04-00011 1.) The application was reviewed by the Jefferson County Department of Community Development staff on January 13, 2004 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Susceptible Aquifer Recharge Areas and Special Aquifer Recharge Protection Areas. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 5.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 6.) The applicant is proposing to create or add 2700 square feet of impervious surface and 5700 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 stormwater plan meeting Minimum Requirements#1 through#5 of the Stormwater Management Manual for Western Washington. 7.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 8.) The revised site plan submitted on January 8, 2004 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated February 5, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 9.) This approval is for a manufactured home only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 11.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. 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 with the character of the area. Screening shall meet the requirements of Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage)yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 13.) The building height is not to exceed 35 feet. 14.) Minimum setback from Old Gardiner Rd right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. 15.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 16.) A septic permit(SEP03-00314)was applied for a system of 360 gallons per day. 17.) Old Gardiner Rd (C501409) is a county local access road. A road approach was reviewed under RAP03-00262, and an address of 199 Old Gardiner Rd has been assigned to the parcel. 18.) A minimum of two (2) on-site parking spaces are required for the manufactured home. 19.) A stormwater plan for a medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 20.) This parcel was created through the Wilkerson Short Plat under AFN 334814, filed of record September 24, 1990 in Vol 2, page 162 with the Jefferson County Auditor's office. 21.) This parcel is served by a public water system. 5 - N 197' t1�i /_E MI I!I•.Y.% ' Erickson, Peter --1LWL 5 JJ.L1 ,,JJ._,�1•,.A.. I&A A ... ... .•_•A._LA&._•.,L..u•,A... •_.a,1�..&AJ.LL #002-332-030 ` • + + `�' • ` 199 Old Gardiner Rd. 4, , t __A. 1$ slight slope Scale: 1"=40 ' I / ; +/- 2% 414 21' I, 1. 15 Acres * I 290' 100% Reserve Area ::::::•:::: ::::::::::::::::: (30' x 82' Required) I ' :� '; WailLz '::':'y t� ri e p� - aszgaZerdy::::=:-` ST I $+ 14, ?��� ....... .. .. 5 I�+ A = Firs s sA ' i t 1 ty, ✓✓44-✓✓✓✓✓!J✓✓�J✓✓✓✓✓✓✓I✓J v.../v .ow V✓!V✓✓✓✓✓✓✓✓✓s = Maples WO iiii i//iiiiiiiii z'/J,////'////////////i'Nii/,J//// = Cedars I " - _ 1 1 z.,::,:,:,,:,.•„„„„„.„•,,,....;;;;;;;;;:;;;;;;;;;.;;;: _ ! Future Grass µ or Clover 1; a 1.. A , : `50 %� .::: „,„,„„,..„„„„„„,..„„„„„„„„„„„„.„,„„,, I 80' 4 SET CKH .....::.:.: .�.-.....:..:... 0�.N--..:: / 4Lj ' �::: :: : : . / 30' .......... ......: 1 1 WAY 210 ' GARDINER , // 30 ' , i_ PERMIT # BID OLD - 04 _ 00T JEFFERSON COUNTY OC PERMIT # OLD RECEIVED ,s - JEFFERSON COUNTY (31 2Cn4 kkir.; DEPARTMENT OF COA�I v i N II (�tT b. 621 Sheridan Street • Port Townsend•Washington 98368 JEf filiSON COUNTY OCU OHO 360/379-4450 . 360/379-4451 Fax k�!° http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# LA d L-{, - C)cX), , 0 PROJECT/APPLICANT NAME: 2/( r:ir7 PA Q-k Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to subm 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 tt site a ( - t 3 t\YvkA-,4 Of 0— () C2P-e04.0 Ali, t 4a-do,ii?4 S) i.-(ovK-- — I(z,Ot . ,_/,- u` - ck.., is- , `t-t- ci, R4 =.13c�..,4 _ �)+ C11' 1?Q - 0 Existing Conditions Summary 2. Describe t e e 'sting topogr hy. In icate contours the site map. /f I) *s,7 ' c��1� ,c4 ,5.4!)(F �e6w[ c .�/ kb 2 ft,. 7 ,�c at-E � d!7c k4 Cv.- tI ' � SitFS_, 3. D scribe the existing vege tlOn. I Ca native ve 'o areas on the sj a map , TKF S;ff S LA.Ap,�f /416a2/ 1 ik, :.I, s <cf,12ave. f 6/ , ems_ wn, a. �, k '[� r�_b.A. s 2n,4 km,.L -1.6 F , 4. De cribe the existingsoils. Indite soil (o the site map, � r �e / F _So, S 5 .-4// e a u /O'na . 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, i .applicable,and indicate acrSG epgp ofch. ���� , // — �PE CcQE v E �tq.,',iaF r c f c4Oe lit. �� car S ,FO sf / 4c rid - 6. Describe any excess levels of noise generate by the propos�e� /d�'se or active : ,/ Z (, i� SfS a eF ,. 6*ld,J/t ':/r,._._' A b,,>% f�<« STORMWATER PLAN F E B - 4 2004 stormwater site plan template—rev.10/1/2003 4 JEFFERSON COUNTY DEPT.OF CON. NITYfUF�V SIGNATURE: ,i S/ti t 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, pep slopes, etc.)on the site. Indic to location on the site m p. 1 E-Lh �� -, ckU. i.(,.,,,,. 6 k-\,,.e.,)s- ,*_ 14t,'iF 61 e a.s 6)K j% 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (streams,wetlands, lakes,,j teep Slopes,etc. . ,.,., , sTiv Q2fA S' t _0 �r/1,9 1E. + IAA e � i E`rurc r e ti�4 t L- t4 (akczOZ fKcvCc ( t) i :! ),ic t t% r. �- . ;F l:.,- .l (:' ),!'?r..6f, • • 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. g_ 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 Kthi he site. Locat these facilities(�on the 9f ite WTI and^diff r n i to p oposed facili ies from/existing facilit' r Op ie4'.,t_ �r/i' L 1 I b �-O�C/' T;�L' ( ( sie sF '* Lea f t e 11�(u,\ r - 1 c ,--;_,Cis:s r 7 s' :i lo_A/4 '.n 1' i f ! t , - ): -, —0 (EA)tr, (.a.)a-if/? 1 P•'l a...? V` rq PrL 1 r , 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 ngrmally for large"projects of projects tha xinvoive the pot91ntial for/dispersion?,ofpontaminants.] I`14 'ral--'s y1.0 .vt v, ;c ,-r;- -:. T :- `IPA c,* pie ', 1 q s {,�;fry_ , CJ 11. Describ the pert ance g9als and s aA ds applicable to thh projec 7i f /S./F - j t f e .' 't r�j,�.ic.._7`",.'s /'1Sy,f ' �ir,.T 0 'Y , F .S�O.f' ei.�-�`r /fhb r f ;C-f c-F (' 4r ' X.:: -r'Ze<'/'e�..)QS /k F‘ S s+ e'.e�t t z(v , Z fgc i c— r2C) r n i/tad i,c� ,' -7 .' ' �. % 1 Cif �e4 c� ,/ r: t; 12. Describe the flow control syste j i' / , 1' . ' / - /-/ f ;,y ," ' ,% / 6 stormwater site plan template—rev.10/1/2003 PERMIT # RID 13. Describe the water quality system. O 4 _ O Q 1 1 c_ jEFFERStIN COUNTY BCD 14. Describe the conveyance system analysis and design. 15. Describe the source of fill material,physical characteristics of fill material, and deposition of excess material. yW1 Y c_- -c zpi eon u - e, c\-, c4..AN.42 r 2 Y l s . i', L-„ A c_-R D• .n ;. LJrt1n, SV-v of t cLt.trit— Q "5xc ya v.2CA 16. Proposed meths of placement ana compaction consistent with the applicabl§ standards on Appendix Chapter 33 of ti Uniform Building Code. k I Vl,,Nk Lye_ C"CM.rev) v:4 r t (1),1 -c�, \p LA -�f�tt c7Y 17. Describe the proposed surfacing material. 4 Q 1 iJ @,w( `i.)410112..VY1Ac GL-0 e c, cry ) 18. Describe ffethods for restoration of the site. �‘. CC) t D t ro i S r '� SC Q UYv‘i tot.)F ‘,1 e-_. L��c Q A tr 1 cl X, vyl 6n_, XAMCiaintenaniceb iQO 5 �)19. An O eration Manual is Prequired 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. 11(1 20. List here and-includ any special reports or studies conducted to prepare the Stormwater Site Plan. SC) , 1�� (�y— 9[�O.Cj v$1,-(A c � _S � 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. c 6 \ -o _ cs m ,,.�� �p �,� 111-et ►� gyp, storrnwater site plan template—rev.10/1/2003 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 ) Mark Cjparing Limits. / i / ? . 2. Establish onstruction Access., f .`l /2) � % "s d rj'r 1/�T t' - 1 \ �y1'� a� r c--) 3. Control low Rates. r F/�tt> >47 c );/j , .,,, ,, ; eeY__ . �1�; s m2.�.If Ifsftrc a.; , ff =„1� I 4. Install Sedim nt Controls s* / 0),!( 6 nT J`�C1 E j'i:i: /J-c/ I = (; it CIU .!� pl S, 1 5. Stabilize Soils. 6. Protect SIp es fi r 1° 1=0Y u, - 7. Protect Drain Irilets. ; sto F O_EE vc-n (1(.)P3(L.. i ,(31`, j - A1. stormwater site plan template—rev.10/1/2003 8 PERMIT # BED 12 Required Elements—Construction SWPPP(continued) 0 / - 0 0 1 1 8. Stabilize Channe and O lets. `t Oa H-O 4Lvt ok_ Cul t46 JEFFERSON 6uuon y DCQ 9. Control Pollutants. � �p � ( ( � �en�-, sce rt �, ,., !: p�. rlk P / � E.., ��ttit .4 ,.P - u1+ c'- .ef fori , I 10. Cflontrol De-Watering(ti , act otpumpipg groundwater or st rmwat away from an active construction site). 11. M,intap Best Managemt Practi es(BM ). 1 . fvtrap the Project. n Nn cza ti i �X(j'q. , :�C i=rX- C .,��e.`.0,. Gtj a£\ ',)` U, ,r 2. Adjacent Areas. . a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, resident areas,roads). tt ` c. 10 t .i t 1 4._7� ► tee! . 1 ,I 1. o-ia ! 1 A �L�7$�i�/A.JI WA LY . 1_ s of•� Li.'P . b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 44 yards). f(�� t�..r 2 c tS 6OOk, ©C UY ` l.t)c`4-\, L--a--)' F(Sl(� S 1 1 3. Environmentally Sensitive Areas. a. Description ot environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template—rev.10/1/2003 ^ 1 b. Descriptiopof special requirements for working in or near environmentally sensitive areas. /vou P -R,- i 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soil (e.g.,er iibil' a leability,permeability,dep xture, oil tructure). / ft �5�usc �t p .q�5=oK_f�CS uc 5. S.v4 - Cl)- /i , - ,e, , f 5. Construction Phasing. � pa. Construction seque9ce [_ , Vt wz<<Rcf c.D -�^-c Sa tf.. p ecp'"n G r) 5 v . l YY�6 k t' 1n 1C E.-/TYK. —1�Pc S7: . I b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Pr vide a propos construction sche ule. d�a2i . gt-s i-E-c,. -M-: A),,, S,k;- n . M; r 30,4,t -6, ( .Q, &CAI a �� E MI- VA. II. Wet Season Construction Activities. a. Proposed wet season construction{�activit' s. �}(� Q �, (1( _5 1.19 Ci, i\ F�f..SC._j;V' t�lttinc! ,irvCX,ont0 F fJJ Q Avc (.l�.t - [LOt)F/:,St b�Z'TYa, b. Proposed wet eason.construction activities for environmentally sensitive areas. n f� • 7. Financial/Ownership Responsibilities. 74dentify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation /Ampacts. _ 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. Air c. Waterways. c� � d. Runoff/Stormwater Detention Calculations 2--T-v Lir7 stormwater site plan template—rev.10/1/2003 10 SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan, a stormwater site plan,and/o separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. ?Mali # L�a. Vicinity Map b. Jefferson County Approval Block 0 c. Erosion and Sediment Control Notes 0 4 ® 0 1 1 2. Site Plan. CC cc n p' a. Legal description of subject property. C FF R IJ Ili BOUNTY D C b. North arrow. c. Indicate boundaries of existing vegetation(e.g.,tree lines,pasture areas,etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales,interceptor trenches,or ditches. b. Show all temporary and permanent drainage pipes,ditches,or cut-off trenches required for erosion&sediment contro a. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades,dimensions,and direction of flow in all ditches,swales,culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s),pond(s),pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth,length,and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe,and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. g. Detail controVrestrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s),if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. _ 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings.7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. storrnwater site plan template—rev.10/1/2003 1 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-bunts")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 a t roperty. 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