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HomeMy WebLinkAboutBLD2004-00140 UILDING PERMIT APPLICPikN MRAOW00p 20 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00140 Received Date: 3/9/2004 SITE ADDRESS: 202 GARTEN RD PORT LUDLOW, 98365 OWNER: GE LAND LLC PHONE: (253) 826-4261 1125 57TH ST E#D SUMMER WA 98390 SUBDIVISION: GARTEN ESTATES Block: Lot: 6 PARCEL NUMBER: 952900006 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: GE LAND LLC PHONE: 1125 57TH ST E SUITE D SUMNER WA 98390 Contractor's License GELANLL966DD Expires 3/4/2006 REPRESENTATIVE: GE LAND LLC PHONE: (253) 826-4261 X123 TOMAS ANSMAN 1125 57TH ST 3 STE D PROJECT DESCRIPTIOI NEW SFR W/ATTACHED GARAGE & PORCH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 938 VALUATION 163,000.00 ADD'L: 1,351 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 400 CONST TYPE: SETBACK: DECK: 107 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 4 Prop: 3 Seismic Streams Total: 4 Total: 3 Flood Way Floodplain F&W Landslide Routing Date:3 / /0/6 4 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: A P(— ®e3a1( E D Permit $1,346.55 KAS 03/09/04 64058 1�� �J �/ State Building Code $4.50 KAS 03/09/04 64058 MAR 1 2 2004 Potable Water Application $52.00 KAS 03/09/04 64058 Total: $1,403.05 Jefferson County Planning & Building Department de.(L/(/,/ G. i L56vv • • • ------„ Jefferson County Department.of.fommunity Development ; -K...,;,,,, 621 Sheridan Street,Port Town . 8 A; t 6D),3Z8;�445D .. p) ._ ,c ,a,.-T. lon 1 - 0 Lin, .._ ._ ‘, ..„,e,. perm u Ap © f' Project Description: __ ',ePT. OF C;',t ;, Buildin. A.e: Project Type: Frame Type: dtglegnil IMP woo Garage Attached/Detached Addition ,teel Modular Alteration/Remodel Concrete Commercial Repair Masonry Multi-family/#of Units Demolition Other: Industrial Other: Bathrooms: i B,;d•oc ns: Type of Sewage Disposal: Type of Heat: Choose one: Existing. Existing: t_war Community System ant% Oil Proposed: 2r ,, Proposed: aLladividual System i Propane I ropanc Total: .,S Total: If not sewer,fill out the following: 1-Icat Pump O aon- Alternative Other Permmitit##SEV (1 n Water Supply: Party y � 694 _ Private well Two Well - Public:Name of water s stem: � v t ._ Square Footage: `_ For Office Use Only Main Floor ?3(13 /41' (�', 3a Lei. Consistency Review 2 2ND Floor ��i •l i�• Base fee I I ; 55 ��11 3rd Floor Plan Check fee 3[QC K-s $. r\2 (9" Htd Basement State Surcharge fee 4l_ S© Subtotal ) G Unhtd Basement �Garage/Carportgel° ql ", Pot Water Review fee Decks 911/Rd Approach fee )Ctrj" `'\Commercial •Aa, OTAL 1 122 u Industrial I 1 ` V eceipt# 47 4 a 5S/ Other "' i�' - �i1L1L�AL1 t1�� t�� Cash/Check# CO /O I 3 Total Valuation: \� Initials J Or ��`� Date 3M Estimated st: 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 sos 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,indemni •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 suit of or in consequence of the granting of this permit. I further agree to provide cess and ugh fentry toJ fferson County and it's employees,representatives or agents for the purpose of a icatio review and any required later inspections. Access and right of entry o e ap litany p er•or tructure shall be requested and shall occur during regular bus iness hours. Signature: Date: 2� � 7 OVER R. FI:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 Sub '1 i, e` ., a ' ©Ec r8 2003 '1 39' / / 11.-10" / 15'-2" / 12' / '...PORCH': . \ LLLLLLLLLLLLLLLL LLLL' ' 1 LLLL�LLLL `" LLI Nook LLLI�`7L�LLLL L1 1.12'6"X 8'6"_LL LLLL rn LLLLLLLLLLLLLLLL \ LLLLLLLLLLLLLLLL \ \ \ 3050 -LLLLLLLLLLLLLLLLL L. 2LLL,4116"SHELVES LLLLLLLLLLLLLLLLLLLL . LLL _LLLELLL/LLLLLLLLLLLLLL' LLLLLLLL1 _LLLLLLI I I I I I LL LLLL LLLLLLLL_1 A' _LLLLLLL freestandingiLL LLB LL LL; _LLLLLLL island ILL LL; ,LLLLL LL, a' Dining _LLLLLLL•—B48 --ILL Li °7 «LLLL LL LLI u, 11'X 11' LLLLL'Kitchen LLLL L o ~J I I LL�LLLLU LLLL LL� ^ It,, r LLL16'X 8'6" LLLLL;,LI 1 ®1 V' LN'LLLL1 p, '(/' L LLL LLLLLL �r LLLLLLL REFER 'ki 4"4rDW B12 BE'76 a L LL LLLL L 1* _L LL t BLW39/4230 oIQ \ N LLL � - v F raL I. 0 Cl ., 'NM M Famil6F • Garage M Y 15'X23' 1j x= 19'6"x19' _ Q __ Concrete slab is 23" o from main flr. o 5 II \ 3 16' x7' 0.H.D. 'LZZtL f L r, LLLLI L r ", o L' ' ' LLL C L Entry \ \ LLLL �"CL 3050 1 130681 1 1 E n \ \ f \ \ / 4'-6" / / 17'-9" / 21'-3" / 1ST WALLS,#1 DRAWN BY:DW New Homes, LLC select New Homes SHEET: 1. CHECKED BY:DW 1125 57th St. E. #D plan 2289 15 DATE:10-21-00 Sumner,WA 98390 SCALE: 1/8"=1'-0" (253)826-4261 3 BR, Den, 2 Bath 1st Walls Finishes ar 19 X:\Templates\Select\Drawing74wg, 11/14/2003 2:31:34 PM,TOBY " / 39' / / 11'-10" / 15'-2" / 12' / / 4'-10" / 3' / 4' / 4'-6 3/4" i 6' 4'-7 1/4"-f \ `s 6050 iV / 5'-51/2" / -- I O' - 4 in \ \ \ \ 3050 Master LLLL 14'6" x 1T LLLL t O I) LLLL c Sitting LLLLLLLLLLLL QQ 9�-LLCM. Bath LLLL�" 11'6" x9'6" il6 x9 0, o LL' i_LLL� O _LLLL`LL`�L_LLL ; �' LLLLLLL Bail >. — LLLLI I KNEE a_ LLLLI \ y —�a)isL z- 12 Shelf. \ V shelves s� LLL�op • N Bedrm 2 1 ►LLL'4.—J v w.LC \ o M I 11 6 x 11 I LHaII Bath'. \ / 11'-6"x 9' N - o � g JlC-L L L L L L I " \\ M M in 1 _LLLLL \s- M d a b U a ^ L. 12"Shelf iV\ 40BP ,+_ —. >shelves 4 ..,a 3 o I FA ldr I. •I:P C / N Bonusj } 12' x26' 7,1 Bedrm 3 (approx.) A .® / 3 i� R2&R4:2050 �2 ;., 11'6" X 11' *R3:2030 3050 '(CISI 3050 1 n\ • i s rJ 3050 2030 `\ iJn \ \ \ — — 0 n 1 / 4' / 3' / 7'-3" / :3'/ 4' / / 4'-6" / 3' y'-2' X 3' / / 17'-9" / 21'-3" / j j`1 1 ., 2ND FLOOR; ROOMS & FINISHES DRAWN BY:DW New Homes, LLC Select New Homes SHEET: CHECKED BY:DW 1125 57th St. E. #D DATE:10-21-00 Sumner,WA 98390 Plan 2289 2nd Walls; Rooms & 167 SCALE: 1/8"=1'-0" (253)826 4261 3 BR, Den, 2 Bath Finishes Vof 19 X:\Templates\Select\Drawing74wg,11/14/2003 2:31:44 PM,TOBY I BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00140 Received Date 03/9/2004 SITE ADDRESS: 202 GARTEN RD Issue Date 03/12/2004 PORT LUDLOW, 98365 APPLICANT: GE LAND LLC PHONE: (253) 826-4261 1125 57TH ST E#D SUMMER WA 98390 SUBDIVISION: GARTEN ESTATES Block: Lot: 6 PARCEL NUMBER: 952900006 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: GE LAND LLC PHONE: 1125 57TH ST E SUITE D SUMNER WA 98390 Contractor's License: GELANLL966DD Expires: 03/04/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & PORCH REQUIRED INSPECTIONS: ka SETBACKS: ex. s petqk [� UFFER: Mem( po Footing: OK 3/B/ôf1 K'] Foundation:Ok97 *-22 oY [r Underground Plumbing: Underground Insulation: Shear Wall : Eyr. $ kfr/A?1d vM c 4/24b'1 kr Framing: -5/ 4 po Plumbing: le Sfr/4l [ ] Propane Tank/Lines: A/ IA [ Insulation: 4*0 / / [ Sheetrock e- >4 Septic Sytem Final Approval: Road Approach Final Approval: /l/if Zoning Final Approval: /v k' Final/Occupancy Approval: (5K 47-, f 4-,41/ HEALTH DEPARTMENT AND PUBLIC WORKS 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 SPECIAL CONDITIONS FOR COE A BLD04-00140 • 1.) The application was reviewed by the Jefferson County Department of Community Development staff on March 10, 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: SARPA& SUSC aquifer recharge area. 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.) The applicant is proposing to create or add 2281 square feet of impervious surface and 2766 square feet of land disturbing activities. 6.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) A Stormwater Site Plan 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. 8.) 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). 9.) The site plan as submitted with the single family residence building permit application on March 9, 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 March 10, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) This approval is for a single family residence with attached garage and porch 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. I 12.) 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). 13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 14.) The building height is not to exceed 35 feet. 15.) Minimum setbacks from Garten Road and George Leslie Drive rights-of-ways shall be 20 feet. Minimum side and rear setbacks shall be 5 feet. 16.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 17.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 18.) The lot has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 19.) The lot was created through the Garten Estates Subdivision on February 14, 2003 under AFN 465764. 20.) An address of 202 Garten Road, Port Ludlow has been assigned to the lot. Garten Road is a private road (P582); George Leslie Drive is also a private road (P581). 21.) A septic permit (SEP04-0020)was approved on February 7, 2004. 22.) A minimum of two (2)on-site parking spaces shall be provided for the single family residence. 23.) All lots shall direct runoff from roof and yard drains to private individual infiltration trenches to be constructed on each lot per the plat detail on sheet 5 of 5 of said recorded subdivision. THE TRENCHES SHALL BE 40 FEET LONG, 4 FEET WIDE AND 1 FOOT DEEP, BASED ON A 2,000 SQUARE FOOT ROOF AND 30% VOIDS IN THE TRENCH. 24.) 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. I:\F_BLD_Permit_Buildng.rpt 10/29/19 • PERMIT # Bin co 4' i JEFFERSON COUNT 1 4 D s "-- i MMUNITY DEVELOPMENT LPJ Ap 2004 DEPARTMENT OF CO 621 Sheridan Street • Port Townsend •Washington 98368 j 0''�4' 360/379-4450 •360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ ;;APT. OF C.1\r7 . . E'vELOPML-.i STORMWATER SITE PLAN SUBMITTAL TEMPLATE IMLA# PROJECT/APPUCANTNAME: L., LivvccL L� Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a 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. Cc.vs.--/Is ar 4 S•4!y,c./.2 1‹.4..s,c t- /ears s o.✓ .64csF o.c T•s�G Z.8 La 7-3 .a T cfA#27 .✓ . AFir'rcr.E,v A/,Cii o.c ,L o s Lv.c c. F.3- A"roo'0.4-/ a T..Y 1/3 d F TWA' S/Zk o. T'N C Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. i)/"; .4-tic. /S.L isv/7' cr1CP Pwle /4 A . rx" /sfictP. SG/4/LTG f- Get GT LOTS W/cL f iC j;o,— Z6l .S, 3, i Si 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. eL.4T- H�4 S �r�.�/ C "srO41c ricer.}- G aitr.v� .Los. Vr4/i m7•a.,/ u�dr�c d .cs.f 4"I ( it.ry I S/�•Q•CSI� SG��G.p� F3.GdG..t � 4. Describe the existing soils. Indicate soil type on the site map. Ni i.2/E P'Cr AT G!Li/S'S rs- O' i4 vie}-, $ .Q "'p G Om 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. 7-tom S/r.C'.T Y6.e!' w.€�� T.�lydr " .Q" s w,,tTA p-7-e.� �. t�,qr�,� /,J 7-.QiGs r.�. %/beo 404.,74 e'er/4 u T (2irc 4 Es. /l/o Lt'ith lLN4 414 r/Cee. /•a/ j,g4..»t. A I✓Y DreA.,e/S Lv/4 L /airs P/Z 7V c,T.tC4 W/7/4 .S/G T S c c.k.5 A•V/J G.S/.Ccx c,,, 444 A /2/CG e•ersa . 13 AS/l, 6. Describe any excess levels of noise gener t �n � 1�0�pr activity: I{,10 iJ,� ,ON/1/ivai Go � .�' 1J ® ' ' j Le. 6 ,'W i.0 irlAc✓il i✓ ea/1?/w4 g o t..4 S 1cdeC. lc'�iale1 rt7`.�+� • S -t p,/E, 4 Ga.ds._. �rJo,S - flJ1•: ,tM,z- 4.0vi S.Q/.cJS ,2%-7-C.. MAR 10 2004 Stormwater • Required stormwater site plan template-rev.10/1/2003 JEFF RSO CO1'4TY \ 5 DEPT.OF C• 'l DEitELOP ENT SIGNATUR I � - 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, - steep slopes,etc.)on the site. Indicate loc tion on the site map. �. rs Z 3 Z5/ Z s 24 A/ L.ocA7-AV GLaSA- Pax/mJr r 6/4 ,g G.2.•Tae,o4r 5 5i•RlE-_ar"�- • 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.). A,2JAc,J7 LANv 4543 A r 7 )d 5, 1d .r r-asNI Lr RE.s, T)Cti iZsror'c.r ,1 A 6d'4T 3 OLOckJ CIcF c)r rim( ( 1414141-04r . I•twr I e'! Permanent Stormwater Control Plan This portion of the Stomiwater 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. 5,r) laK vaicy Pz vious 5 I LT S o ct.S w t t_c. 6►t J Sr ,i-cE'r, rc P tZ E yr/vT G on►rA rtit NA-pArcG 5'T'R 01.w43 i- 1- 1:2,g.rfr AS IA)TZG.c. As /•,15 t.c ea r• a n/ p n1 QdIA I'J S Lo ft n Al2Egg \.�1 t-t'+-1 pPgo if_ sit.T- 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 large"projects or projects that involve the potential for dispersion of contaminants.] 11. Describe the performance goals and standards applicable to the project. O Mrs.' v"tLE. .AiJQ G04/ZOL ALC.. p/s7'V ,ED A1QfO T-a PIS Z Vi"- T A }' GONTA !'VA T Pan/ '•e A N j' I F.e., 5') S T /z a.•1 a o 2 044244 I t=C - S_ 12. Describe the flow control system. TT S 14.) i G c— >S eZ M t IQ i,ry -1 L(c�. r�}� T's u S of #s1 Y 134_1 i aI rZ S/ o2M iZCIvc1CS orl Qcs-Lc_n(14ILL SLoP,ZS` T4 .rR L)k/v- A/vif'' rz.2os'en/ dam. 1 I ' ;. a .f; a stormwater site plan template—rev.10/1/2003 y 6 • S A 13. Describe th4 water quality system. I.4.LArrzr . I Pr2t.) v, AFCO is Y LOGA -- klariZ2 01sTre1c't E ( f ' i . Fri, t '-) t ^. tl , °-i L 14. Describe the conveyance system analysis and design. 1 MAR g 2D0 ,---1 i t PT. Or C":. 'vELOQM_".i 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 41.-L $/TrE3 1J1Lt. 14AVT I-'t1s/tAik pr5rzrica. •ie.Fz .d/Vor, AtA6"Tc.C✓A4. AO" 5,,,-,4 y . G 0+. A—AD.a s.1- A A',J r,-LI ct 3.s.4-_ 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. /t'l)Ai/,H u.M... C 4,:S Ta /3/',40C."JC. S d I tT, 17. Describe the proposed surfacing material.L� 18. Describe methods for restoration of the site. ai.l..) /m/.a'c.'T' TD TH.AC S.T,erc • • 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. ✓rek-- 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 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. q stormwater site plan template-rev.10/1/2003 t . 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 wilt 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. FL-A r- /S AAJZ.rr.,a.v GL/z 03./2 Fs b Few d.0./s rye ti c.ri v-A✓ 2. Establish Construction Access. oir/fieexfcr/d,./ . cC,r.C.YS Li/iLe_ z1i -. t?c../S1-i£ 7 dot/ /Ac-ii S,7 /It.An/ /Al 41-14 Car/Jr2kcr'dn/ 12L.AA1 LJIZ. ad Aid 7- 1-icr- Pc/lso.Uac- VA.Ai c. eF of tC f'x/37.:✓4 /Qe.v.7J I'lliNi.•/ietc /d.rf. c..o 7Yl..rl 7 741 j.'YX it.),4J C2. ice" 3. Control Flow Rates. af 5 77,e,c;,f--rz 4 r C-4.c 17 C- IS I AV ch s&S /•J ' 6CIo,e L.yr::i27- 7 Tr.N�T 4. Install Sediment Controls. /"Jsy-.z 44 Ia*, aid s1/4I4/c�. SL6P.Gs AA-/0 '3.2661 G. n.�4S,. 5. Stabilize Soils. 153e1,J o/G .5 7 .S1-. Ti6JJ it)/c.t. •n•Z c.) GdfS Z Co /27 3 c/. TA/i£ OK S r t F TN rZ S' ) gar:ac.,4r.v c./- FLAT s.44e/<4CC$- 6. Protect Slopes. /,n/,oi c..4.7-•C Td OS c S . T r 4Nc./C' Aj ter G.47.SS.42-' 7. Protect Drain Inlets. 7— 5-6)Gi - Gt//G G lric /y✓ST.4c G. " 8 - stormwater site plan template—rev.10/1/2003 I A., 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. e A c r- �. d'r/�/.d 0-7'7-4,4 7's 4 Np PR0 rrcT-- 13 /,.J 39 c /44).' 11.4ic.f 4-vp J/47- Af,"..QaPi2 11 C Locar orv5_ �n/ i N� 9. Control Pollutants. /...7-,,cd,cr7 6 f/4 .a i y r ,C3 4.6 6.4cKrie 5 o i++.-......,t 0E. 7-14 K. ,Gd 41 o f / q r-yo.✓ rrG. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). '4 • 11. Maintain Best Management Practices(BMPs). 'is 5 ✓�.207 c.7 �i2�4.•v U,,/YLrGT3/ e .e..iv P..—.7 •�,,d,01.�'-� GG'`r/tsGCTiG SLu.ey S, r"d� G�-.E�a-v cY-ti /FTc. 12. Manage the Project. SyP�.c.•.�T�-..�.�.... cN'4 - s os.o"./ /0T4,.,y Er i5 A.S IS 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). S IviG c.. DgI.E iir!STici<-G�/J G�2?.�G TL A c c, /�i•-,4.,L Y a�./ i h�•C DoWi/14it t 5 c o P'J ,4i j ac C'-J T"- i c Arc G•ei ,ArZ,Z.4J - b. Description of the downst eam drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). � 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. ��ii.Ic.Ga a.�f Si/lam �a tt , .j .7 a L.aTy r ,I 1. u 2004 i stormwater site plan template—rev.10/1/2003 =`l E;OP Alt s P1. OFCli%r _. , 9 b. Description of special r uirements for working in or near environmentally sensitive areas. 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/A. 5. Construction Phasing. a. Construction sequence G L/T J/C/.ACS /tdoG F--'434 AJd ATo M1 Quic i) r d tN0.0 Tra.v GOn/Sr.CGI c.T -v/9ScA ..0 C LO S A Q.t// 440 7 4)i7 +I ALc /C#o S a"' /t9SAS 4I44/C 3* 44, b. Construction phasing(if proposed) Pam' 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. S 4••1/C .aS SA. II. Wet Season Construction Activities. a. Proposed wet season construction activities. 5-.4 r+s/4' d-4.3 ott. - b. Proposed wet season construction activities for environmentally sensitive areas. ,Ad rxt e A te. AP/.e #14J£a s %�,C ,r,swC ,442 C4,T A,t) 2 c-"a/✓Si/2 7 A GG64.47.e Vc,Z. 7. Financial/Ownership Responsibilities. a. Aeentify 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 impacts. / Ao(i icy /-(e.,t a S L.G C. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. Ably- b. Diversions. /t/A-- c. Waterways. N�- d. Runoff/Stormwater Detention Calculations /VA- 10 - stormwater site plan template-rev.10/1/2003 , 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-buiits")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 signi g the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct o the best of m knowledge. I also certify that this application is being made with the full know) ge and consent of all owne oft e a ted p erty. 2vSZ00 - (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: _ --per— , ., , P-- 1--) Li n t " S Li, 0 MAR 9 2004 L...- ;,-*PT.OF C..A r = _,Ev.E:.OPIti, 12 stormwater site plan template—rev.10/1/2003 I s a. 3 or is m o' trf m i w 0. 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