HomeMy WebLinkAboutBLD2004-00213' .
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UILDING PERMIT APPLIC N ML viewTy Type:
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00213 Received Date: 4/1/2004
SITE ADDRESS: 1031 LUDLOW BAY RD
PORT LUDLOW, 98365
OWNER: STEVEN R ROGEL PHONE: (253)983-8353
CONNIE R ROGEL
12020 NAYANZA RD SW
LAKEWOOD WA 98499-1440
SUBDIVISION: LUDLOW BEACH TRS 2 Block: Lot: 21&22
PARCEL NUMBER: 969000022 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: TOLLEFSON BUILDERS INC PHONE: (360) 732-4080
PO BOX 100
CHIMACUM WA 98325
Contractor's License TOLLEBI977N9 Expires 3/15/2005
REPRESENTATIVE: JON THOMAS PHONE: (206)463-7870
PO BOX 1848
VASHON WA 98070-1848
PROJECT DESCRIPTION NEW SFR W/DECK(S)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 3,324
VALUATION 298,597.00 ADD'L: 2,857 HEAT TYPE: OIL
CODE EDITION: 1997 HEAT BASE: 3,773 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: 696 SHORELINE:
CONST TYPE: DECK: 691 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 2WELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 5 Seismic Streams
Total: 3 Total: 5 Flood Way Floodplain
Routing Date: 1/)/ F&W Landslide
6/ O -" Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid Bv: Date: Receipt: APPROVED Approved/Date
Permit $6,941.00 KAS 04/01/04 64168
Plan Check $4,511.65 KAS 04/01/04 64168
State Building Code $4.50 KAS 04/01/04 64168 JUL 2 1 2004
Potable Water Application $52.00 KAS 04/01/04 64168 Jefferson County Planning
Total: $11,509.15 & Build' g Department %
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• •
CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT #: BLD04-00213
SITE ADDRESS: 1031 LUDLOW BAY RD Issue Date: 07/21/2004
PORT LUDLOW, 98365 Final Date: 3/26/2008
APPLICANT: STEVEN R ROGEL PHONE: (253) 983-8353
CONNIE R ROGEL
12020 NAYANZA RD SW
LAKEWOOD WA 98499-1440
SUBDIVISION: LUDLOW BEACH TRS 2 Block: Lot: 22+
PARCEL NUMBER: 969000022 Section: 16 Township: 28 N Range: 01 E
PROJECT DESCRIPTION: NEW SFR W/DECK(S)
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 1997
EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM /yes j no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/26/2008
I:\F_B LD_Occu pancy.rpt 10/29/19
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00213 Received Date 04/1/2004
SITE ADDRESS: 1031 LUDLOW BAY RD Issue Date 07/21/2004
PORT LUDLOW, 98365
APPLICANT: STEVEN R ROGEL PHONE: (253)983-8353
CONNIE R ROGEL
12020 NAYANZA RD SW
LAKEWOOD WA 98499-1440
SUBDIVISION: LUDLOW BEACH TRS 2 Block: Lot: 21&22
PARCEL NUMBER: 969000022 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: TOLLEFSON BUILDERS INC PHONE: (360) 732-4080
PO BOX 100
CHIMACUM WA 98325
Contractor's License: TOLLEBI977N9 Expires: 03/15/2005
PROJECT DESCRIPTION: NEW SFR W/DECK(S)
REQUIRED INSPECTIONS: -1)44 etcu 61,148 41i4tLKeo Ewe 4.Q/8/
[i SETBACKS: dJ( 323/d5 1K, OK i/,ALi I
4 UFFER: Ok 3/205 ,1 SIDE- ark Wc kpackl.apq 6/4. 4/i3/oL -S
[X Footing: s � :. X.. � % i/ t'0 4r5 ,.``�''may 4.1 ieJ yf ,�Er�D� y o #
[X] Foundation: Ve tt ruAtx atea WAus DI(04/04, Oti4 3-2 fG2;
N Stormwater FINAL Approval: . ,
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Underground Plumbing: gk 5/2-s/5 f,(/G NYo,PEa/C A1A)& d xe r f'�' Sub 9'i3`rJ7
Underground Insulation: OK /,c
Shear Wall : F2/0. Sh&- ,e_ Ok /0)4, /Atreietoz_ 51i.4Ea?8 6JAs4.6 e A +/4fol
Kr- Framing: Al / , J 1 I
i Plumbing: Itl wE,,,',.,' L�.t�Es elf. ** , -• #1 ok 2/z�CefCf/i�D, e. I'+'"'
I/ i
[ ] Propane Tank/ Lines: ..e .4,�.44 -e 1 !) 9�.�6 =
Insulation:,. i 4, r ,, ,,, A►-1e 4€ el< L/1 0.4
r
PSI Sheetrock: �r • 7//�L � _
4' Septic Sytem Final A proval:
• 1 Road Approach Final Approval: -:.jn�
' Zoning Final Approval:
J' Final/Occupancy Approval:
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.
•
S fer,,i0 t Tns fec-1;0n5 • HOT LINE AVAILABLE 24 HOURS A DAY
_T SPECIAL CONDITIONS APPLY -SEE REVERSE
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SPECIAL CONDITIONS FOR CM E BLD04-00213
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on April 12, 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:
suburban shoreline designation; Type 5 stream; eagle/blue heron; seismic; erosion; SUSC
aquifer recharge area; coastal SIPZ.
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.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type,
geologic material, and groundwater that may combine to create problems with slope
stability, erosion, and water quality during and after construction or during natural events
such as earthquakes or severe rainstorms.
5.) A Type 5 Stream (Fish and Wildlife Habitat Area)has been identified on the subject
property. The stream will require a setback of 50-feet. The setback shall be measured
horizontally from the Ordinary High Water Mark(OHWM). Fish and Wildlife Habitat Areas
shall also have Buffers and Building Setbacks established.
6.) Stream buffers are areas that shall be maintained in their natural condition, however,
minor pruning or alteration of vegetation may be permitted as long as the function and
character of the buffer are not diminished.
7.) Among the native conifer species which may be used in buffers or for re-vegetation
include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis),
Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar
(Thuja Plicata), and Western Hemlock (Tsuga Heterophylla).
Among native tree species which may be used includes: Vine Maple (Acer Circinatum),
Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus
Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa),
Bitter Cherry(Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara
(Rhamnus Purshiana), Pacific Willow(Saliz Lasiandra), and Scouler's Willow(Saliz
Scouleriana).
Among the native shrub species which may be used are: Sevice-Berry(Amalanchier
Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean
Spray(Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark
(Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa
Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry
(Sambucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry
(Vaccinium Ovatum), Red Huckleberry(Vaccinium Parvifolium).
8.) Marine shorelines and islands are susceptible to a condition that is known as seawater
intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in
an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater
suitable for public consumption without significant additional treatment and cost.
Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of
the rate of aquifer recharge (primarily through rainfall)and the rate of groundwater
withdrawals (primarily through wells). The Washington Department of Ecology is the
agency with statutory authority to regulate groundwater withdrawal for individual wells in
Jefferson County. New development, redevelopment, and land use activities on islands
and in close proximity to marine shorelines in particular should be developed in such a
manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to
the maximum extent possible by infiltrating stormwater runoff so that it recharges the
aquifer.
9.) The parcel is located within !Pasta'astal SIPZ (seawater intrusion protection z le)according
to the County GIS map. There are voluntary and mandatory measures identified in the
Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23,
2002)that apply to well drilling proposals and building permit applications on existing lots
of record.
A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine
shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources
within 1000 feet.
10.) A Geotechnical Report prepared by Northwest Territories, Inc. dated November 21, 2003
was submitted in conjunction with this application. The report addressed the stability of
the geologic hazard area. A setback of 40-feet shall be measured perpendicularly from
the top or toe of the geologic hazard to any proposed development.
11.) 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.
12.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
13.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative
buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM)to the proposed single family residence.
14.) An additional setback of five (5)feet is required from the edge of the buffer area to the
proposed single family residence.
15.) A permanent physical separation along the boundary of the stream buffer area shall be
installed and permanently maintained. Such separation can include installing logs, trees,
a hedgerow, or any other prominent physical marking approved by the UDC Administrator.
16.) Stream buffer perimeters shall be marked with temporary signs at an interval of one per
parcel or every one hundred (100)feet,whichever is less. Signs shall be in place prior to
and during construction activities. The signs shall contain the following statement: "Buffer
- Do Not Remove or Alter Existing Vegetation."
17.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat
management plan dated July 2, 2004 by WDFW.
18.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
19.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
20.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
21.) A flow meter shall be installed prior to final sign off of the building permit.
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22.) On-going well monitoring for c,,oride concentration is required. The proper y owner shall
allow access to Jefferson County PUD or approved contractor to take samples as
required.
23.) The applicant is proposing to create or add 10,248 square feet of impervious surface and
11,748 square feet of land disturbing activities.
24.) 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.
25.) A Drainage & Erosion Control Report prepared by Northwestern Territiories, Inc. dated
March 12, 2004 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.
26.) 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).
27.) The revised site plan dated April 5, 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 May 3, 2004 shall be resubmitted for review and approval by Jefferson
County Department of Community Development.
28.) This approval is for a single family residence with attached decks 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.
29.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
30.) 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).
31.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
32.) The building height is not to exceed 35 feet.
33.) Minimum setback from Ludlow Bay Road right-of-way shall be 20 feet. Minimum side
yard setbacks shall be 5 feet. Minimum rear(shoreline)setback is 40 feet back from the
edge of the bank as stated on Page 2 of the submitted geotechnical report prepared by
NTI dated November 21, 2003 and as depicted on the revised site plan dated April 5,
2004.
34.) 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.
35.) 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.
36.) A minimum of two (2)on-site parking spaces shall be provided for the single family
residence.
37.) The lots have been designated as RR 1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
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38.) An address of 1031 Ludlow Bay Road, Port Ludlow has been assigned to the lot. Ludlow
Bay Road is a county local access road (C508209).
39.) The lot was created through the Ludlow Beach Tracts Division 2 on November 4, 1998
under AFN
40.) A critical area review(CAR99-0397)was finaled on November 2, 1999 for a new
alternative septic system. A septic permit (SEP9-0265)was cancelled on November 15,
1999. A septic permit(SEP03-0244)was approved on February 27, 2004. A building
permit(BLD04-0214)for a detached garage will be issued with the SFR building permit
(BLD04-0213).
41.) A Bald Eagle Management Plan was approved by WDFW on July 2, 2004. Jeff Davis,
WDFW stated in an email dated April 20, 2004 that the proposal will not have a significant
impact on the heron rookery.
42.) A Declaration of Restrictive Covenant was recorded on November 19, 2003 under AFN
478142 for the consolidation of Lots 21 &22 of Ludlow Beach Tracts#2 for BUILDING
AND SEPTIC PURPOSES ONLY to achieve a zero lot line setback from the common
boundary line of the lots.
43.) A Declaration of Easement was recorded on November 19, 2003 under AFN 478141 for
the purpose of establishing an easement for a primary and reserve drainfield for septic
tank and sewer line(s).
44.) A Declaration of Well Easement has been recorded on January 20, 2004 under AFN
480573.
45.) A Well Operation & Maintenance Agreement has been recorded on January 21, 2004
under AFN 480345.
46.) Based on recommendations of the Geotechnical Report prepared by NTI dated November
21, 2003, it will be necessary to maintain ground cover to reduce erosion from surface
runoff. Any bare areas that develop on the property should be revegetated. Native
vegetation that requires little or no irrigation would be the most beneficial.
47.) Based on recommendations of the Geotechnical Report prepared by NTI dated November
21, 2003, vegetation on the bank face provides stabilization to the bank face soils. The
vegetation on the bluff face should be left in as natural a state as possible. If an enhanced
view is desired, trees should be pruned such that the trees are not damaged. Except that
the damaed trees should be removed with the stumps left in place as mentioned above. It
may be worthwhile to consult a tree expert in this matter.
48.) Based on recommendations of the Geotechnical Report prepared by NTI dated November
21, 2003, heavy irrigation or other activities that would contribute large quantities of water
to the soil should be avoided. One cause of slope instability is the presents of excessive
groundwater.
49.) Based on recommendations of the Geotechnical Report prepared by NTI dated November
21, 2003, surface runoff from hard surfaces such as roofs, driveways, walkways and
patios should be controlled and routed to the beach via tightline such that surface water
discharge to adjacent properties does not significantly exceed predevelopment conditions.
50.) Based on recommendations of the Geotechnical Report prepared by NTI dated November
21, 2003, silt fences or other sediment control devices may be needed during construction
such that sedimentation to adjacent properties does not significantly exceed
predevelopment conditions.
51.) Based on recommendations of the Geotechnical Report prepared by NTI dated November
21, 2003, all drainage control devices should be maintained in good working order and
inspected at least once a year.
52.) Based on recommendations of the Geotechnical Report prepared by NTI dated November
21, 2003, if erosion of the drainage way on the northeast property line continues, it may
become necessary in the future to stabilize the slope to prevent sloughing of the slope. A
proactive approach would be to channelize the drainage in pipe or an impervious ditch, or
to place rock check dams in the existing ditch to reduce erosion. This would require
cooperation from the neighbor since it is not on the subject property.
This could also result in aquiring a Hydraulic Project Approval (HPA)from the State
Department of Fisheries.
53.) Based on recommendations of the Geotechnical Report prepared by NTI dated November
21, 2003, footing drains and a backdrainage system behind the basement retaining wall
are recommended. These drains should be kept separate from roof drains and be
tightlined away from the house.
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54.) Based on recommendations o,'fhe Geotechnical Report prepared by NTI dated November
21, 2003, septic drain fields should not be constructed between the house and bluff.
55.) Special Inspection Required:
UBC 1701.1-170.3
UBC 1701.5.1 Concrete
UBC 1701.5.2 Bolts Installed In Concrete
UBC 1701.5.5 Structural Welding
Elevator with Labor and Industries
Sprinkler System with Fire Marshall
56.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
57.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
58.) All construction activities shall not encroach upon the buffer. This includes the storage or
preparation of materials.
59.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
60.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
I
0 LANDER CUSTOM HOMES PAGE 02
4/23/2004 13:43 3604372805
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'; .l, JEFFERSON COUNTY
r DEPARTMENT OF COMMUNITY DEVELOPMENT
11.1111
-.4..' .---2. 4 621 Sheridan Street• Port Townsend•Washington 98368
• 360/379-4450 •360/379.4451 Fax
6 http://www.eo.Jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
hq A# 1 g ,,,,. PAWECT/APPticANT NAfv
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 stormwatar 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. /1
Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
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3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
4. Describe the existing soils. indicate soil type on the site map. T
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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, nd indicate acreage of each.
6. T Describe any excess levels of noise generated by the proposed use or activity:
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JUN - 1 2004
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04/23/2004 13:43 3604372805 LANDER CUSTOM HOMES PAGE 03
•
7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams,
steep slopes,etc.)on the site. Indicate locafon on the site map.
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.).
Permanent Starmwatet 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 stoonwater will be fully dispersed(i.e.,per BMP T5.3O
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 ifferentiate proposed facilities from existing facilities.
10. If the project requires the use of stormwater treatment facilities,describe the
for use on the site. Locate these facilities on the site plan and differentiateproposed of stormwater fromtreetment facilities proposed
normally for large"projects or projects that involve the potential for dispersion of contaminants.] existing facilities. [This is
/6/14
11. Descnbe the performance goals and standards applicable to the project,
12. Describe the flow control system.
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0 LANDER CUSTOM HOMES PAGE 04
4/23/2004 13:43 3604372805
13. Describe the water quality system.
14. Describe the conveyance system analysis and design.
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15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material,
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
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17. Descr be the proposed urfa ng material.
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18. Describe methods for restoration of the site.
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19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [[his is normally required for
"large"projects only and only those for which facilities am required to control flow or treat runoff.] If included,list the Manuals
here.
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
A-37174-
21. List other necessary permits and approvals as required by other regulatory agencies. If those conditions that affect the drainage plan or contain more restrictive drainage-relatedorks approvals Include
restrictions here_ g requirements,describe those conditions or
stomiwater sloe plan lomplate—ray,10/12003
7
04/23/2004 13:43 3604372805 LANDER CUSTOM HOMES PAGE 05
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 Stoutnwater
Pollution Prevention (SWPP) Best Management Practice's (BMPs) Packet for guidance, particularly with rural residential
development.-
SECTION I-CONSTRUCTION SWPPP NABBATER
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 BMP5 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 2.52 of the Manual(beginning on page
12 Required Elements--Construction SWPPP
1. Mark Clearing Limits.
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2. Establish Construction Access.
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a 34 /z '
3. Control Flow Rates.
/04-
4. Install Sediment Controls.
•
5. Stabilize Soils.
6. Protect Slopes.
7. Protect Drain inlets. .
stommater ette plan template—ray.10112003
8
04/23/2004 13:43 3604372805 LANDER CUSTOM HOMES PAGE 06
12 Required Elements—Construction SWPPP(continued)
S, Stabilize Channels and Outlets.
9. Control Pollutants.
A)44
10. Control De-Watering(the act of pumping groundwater or atormwater away from an active construction site).
11. Maintain Best Management Practices(BMPs).
12. Manage the Project.
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2. Adjacent Areas. w "�—
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas,roads).
b. Description of the downstream 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.
atommvater cIte plan lemptete mv.1 2003
8
0 LANDER CUSTOM HOMES PAGE 07
4/23/2004 13:43 3604372805
b. Description of special requirements 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 o,_ii
soils(e.g.,erodibllity,settleabihty,permeability,depth,texture,soil structure).
5. Construction Phasing.
a. Construction sequence
�f j 00MS,
-
b. Construction phasing(if proposed)
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a proposed construction schedule.
Y r I' 7-0 _/41•Gf.5 _sal_ 4-
Wet Wet Season Construction Activities.
Proposed wet season construction activities.
b. Proposed wet season tlon activities for environmentally sensitive areas.
7. Plnanclalbwnershlp Responsibilitla .
a. Identify 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
inspects.
A AO
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.
a. Sediment Ponds/Traps.
b. Diversions. �--
c. Waterways.
d. Runoff/&tormwater Detention Calculations
�4
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to
04/23/2004 13:43 3604372805 LANDER CUSTOM HOMES PAGE 09
•
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 stormwator management t3MPs),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 iniorttation 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 pro
• F04-- HlC1:41iiet c-EG — 9 c�.
{ en OR AUn-roerzw REPRESENTATIVE SIGNATURE) (D,
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED:
•
•
•
•
•
•
atorrnw,ter aka pier,template,1w.101t2003
72
MAR-12-2004 1e1:41 AM ii, THOMAS ARCHITECT 20ti'i' n63 7071 P. 02
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` Jefferson County De ertmenfi of Community Devi C'P ',
821 Sheridan Street,Part Townsend WA 08368(360)379-443 \
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Modular Alteration/Remodel Concrete
commercial Repair Masonry
Mold-fnmily/#efUnits Demolition Othct,
Industriai
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Bathrooms: -- Bedroomat Type of Sewage Disposal, . Type of Heat; • 11
Choose one:
Existing; Exiednx SCwer Community System • Electricity
Proposed: Proposed; teal System Woodetove Propane
Tot* Total: I not aewern otYt the following: Heat Pu p
Conventional 44207420444
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Water Supply:
Private welt 'wo Par Weir Public Name of water r rtetn'
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Main Float ottsiistea4y Review /yll •
2"rc'Floor , . 7.P aisefee e4//r 00_
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- $ 'Floor IA , Plan Check fee 'LSI)/ ,cj
�.�.• Htd Basement 7' _1 %�' to Surcharge fee `T, o
Unhtd Basement 33811 �Stibtotal /1 5-0 5- IS
Garage/Carpprt . .. V4 _ JD Pot Water Review fee. g_ _ •
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l ear; A qq Apptoach fee /j 1-', ^�h(L•5'
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Industrial NA . °� i Redeipt•# • . .. `i C(c S , , •
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Total Valuation: _r Iniiialei C
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Estimated C et: t/91, 1
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If within 2 ' of the Sho e$
D1stttt",ce to Bank or U High Water Mark r` -• ft.Bank Height -. . ft.
by awing the epplicar nn form,tlie+ppi+esnt/owner an,that the ieformatipn provided herein is teas alai=rod to the beet of chair Intowledge. Aay neat fileehood ar uty
minion of a material feet made by the applicant/owner with moat to this apphcatioe packet may result to tltla peunit being nag and vad.
I tuttheraem to rave,indemnify and hold humbug Jelfaavn County against aU Uabllitita,tudgmtnq,noun coam taworiable attcreey'a feoa and expcona which mar in u,q wrty acente
*Ow Prikr"on County ae a'Mgt Pr of in srmarqupntt of the gnanttrig of this permit
I further agree to provide stems and right of entry teistlenon Coustty and it'r employe*tgptcacn4 era at rem°far the putpoar d°Ppl;culL°n rewrew and toy required later lespretiar e-
Acteae and right of ertrry to the applicaor'a property or atructury thsll be rtyucotv+i and ahaU ocean during regular bun.Teri hau,z
Signature: t .�, ..
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/ ( PROGECTDATA
/ t New Single Family Residence' Parcel Size:
First Floor- 3323.875 Sq. ft. 1,609 Acres Project Description: ArchitectGeotechnical and Drainage Reports:
1 Second Floor- 2137.25 Sq. ft. New Three Bedroom Jon Thomas, Architect Northwestern Territories, Inc.
/ Heated Basement- 3773-125 Sq. ft. Property Tax Account Number Single Family Residence P.O. Box 1848 A JLS Group Company
I ' / Patios/Decks- 690.75 Sq.ft. 969 000 022 Vashon, WA 98070-1848 717 South Peabody Street, Port Angeles, WA r Covered Porches- 696.0 Sq. ft. Property Owners (206) 463 — 7870 (360) 425 - 8491
Connie & Steve Rogel
(( Impervious pervious Sur
faces Estimates 12020 Nyanza Rd. S.W. General Contractor Structural Engineers
I Legal Description: Lakewood, WA 98499 Tollefson Builders, Inc. Ellisport Engineering,Inc.
/ House (Floor Area): 3,784.0 Sq. ft Ludlow Beach tracts p
Covered PorchesANalks: 150.0 Sq. ft Lots: 21 & 22 Phone: 1-253-983-9353 P.O. Box 100 20501 815tAve. SW
Q � { '`= Decks: 777.5 Sq. ft Chimacum, WA 98325 Vashon, WA 98070
QQ Q' /25$ •'; l = Basement Terrace 193.25 Sq.ft Property Address (360) 732 - 4080 (206) 463 - 5311
���,. _ Walks @House 89.0 Sq. ft Drainage &Erosion Control Report by 1031 Ludlow Bay RD. New Detached 3 Car Garage _
Port Ludlow, WA 98365 First Floor Unheated- 135.5 Sq. ft. ft V' / // Second Floor Heated 1075.5 Sq. .
A/� \�
Balcony 52.0 Sq.ft.
251 \� / Covered Walk- 378.0.0 Sq. ft.
\ s / ,� Impervious Surfaces Estimates -
lot �` \ 7'� �� Jy1.�/� `' �, `` Garage (Floor Area): 1,053.0 Sq. ft
'4� Covered Walks: 378.0 Sq. ft
\ V �/ •Q ! // \ \ Service Walk 274,0 Sq. ft
Road/Drives
/
253 1-. Parking/Drive: 2,080.0 Sq. / \ / /�� /�j / + ft `" r `. �/ Drive to South Property Line 770.0 Sq. ft
`-yam �.. Drive to Road 7000 Sq. ft.
L! �� ' �` ..•,� �`�yy;. Drainage & Erosion control Report 'oy
Northwestern Territories inc.
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