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HomeMy WebLinkAboutBLD2004-00235 II BUILDING PERMIT APPLIcTION MLA04-00197 Review Type: i Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00235 Received Date: 4/9/2004 SITE ADDRESS: 22 LEONE CT PORT LUDLOW, 98365 OWNER: GE LAND LLC PHONE: 1125 57TH STE STE D SUMNER WA 98390 SUBDIVISION: GARTEN ESTATES Block: Lot: 24 PARCEL NUMBER: 952900024 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 X 123 THOMAS ANSMAN 1125 57TH STE STE D PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE & COVERED PORCH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 207,202.00 MAIN: 865 CODE EDITION: 1997 ADD'L: 1,295 HEAT TYPE:: EEE OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: 400 SHORELINE:CONST TYPE: SETBACK: DECK: 63 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: LUDLOW PARCEL TAGS: YES _NO BEDROOMS: BATHROOMS: STORMWATER: YES _ NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic Streams Total: 3 Total: 3 Flood Way Floodplain Routing Date: ,tom` F&W Landslide ii-t (-,/o Li Shoreline _Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: AriershatovED Permit $1,598.55 KAS 04/09/04 64141 State Building Code $4.50 KAS 04/09/04 64141 Potable Water Application $52.00 KAS 04/09/04 64141 APR 2 7 2004 Total: $1,655.05 Jefferson County Planning & :u. ling Department /a/i i1 ����Jy i W C 11/9 0 0 BUILDING PE RMIT t Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00235 SITE ADDRESS: 22 LEONE CT Received Date 04/9/2004 PORT LUDLOW, 98365 Issue Date 04/27/2004 APPLICANT: GE LAND LLC 1125 57TH ST E STE D PHONE: (253)826-4261 SUMNER WA 98390 SUBDIVISION: GARTEN ESTATES Block: Lot: 24 PARCEL NUMBER: 952900024 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: GE LAND LLC 1125 57TH STE PHONE: SUITE D SUMNER WA 98390 Contractor's License: GELANLL966DD Expires: 03/04/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & COVERED PORCH ', QUIRED INSPECTIONS: i SETBACKS: OK s// ' [ ( UFFER: /Vyq K Footing: OK 57 6y f X] Foundation: (>k 'i/ ,i t 3/ ,' Underground Plumbing: /'/,, Underground Insulation: 04 Shear Wall : 6Alekr) CJ Celtic-twos $1/o// /#rrERR eDsB SttEt•<�r�csOK,6/7ay 1.1 J Framing: ®/< e/q7 J?(( Plumbing: /X 0/0 1,15/ [ ] Propane Tank/Line : A I K Insulation: a eat• 1, grtfi'rA pi" 5 , De- E270. -�(� Sheetrock: ,I„ ,, d _ , s 15 0 -1- (� Stormwater FINA Approval: p-P/I Jai. A F d 2 o/ 4 Septic Sytem Final Approval: `'�` r �ee ) Road Approach Final Approval: Al fA [ ] Zoning Final Approval: N 7 fq )(I Final/Occupancy Approval: edf r-p -p f 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 COI # BLD04-00235 1.) The application was reviewed by the Jefferson County Department of Community Development staff on April 15, 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; commercial forest lands adjacent. 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.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, If such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500)feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 6.) 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. 7.) The applicant is proposing to create or add 2010 square feet of impervious surface and 2343 square feet of land disturbing activities. 8.) 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. 9.) 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. 10.) 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). 11.) The site plan as submitted wfrthe single family residence building permittplication on April 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 April 15, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 12.) This approval is for a single family residence with attached garage and covered 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. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) 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 anc 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). 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 17.) Minimum setback from Leone Court right-of-way shall be 20 feet. Minimum east (Garten Road right-of-way) yard setback shall be 20 feet. Minimum west side yard setback shall be 5 feet. Minimum rear yard setback shall be 145 feet (commercial forest lands adjacent)as depicted on the site plan. 18.) A minimum of two (2)on-site parking spaces shall be provided for the single family residence. 19.) The lot has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 20.) The lot was created through the Garten Estates Subdivision on February 14, 2003 under AFN 465764. 21.) An address of 22 Leone Court, Port Ludlow has been assigned to the lot. Leone Court is a private road (P580). 22.) A septic permit (SEP04-0008)was approved on March 30, 2004. 23.) The application for the subdivision was submitted in 1992 prior to the 1998 adoptioi of the Comprehensive Plan that designated the adjacent property as commercial forest. Because of the size of lots created under the Garten Estates Subdivision, a 250 foot setback from the commercial forest lands cannot be met. The site plan identifies a 145' setback and a notice is hereby attached to this permit that any uses associated with commercial forest lands cannot be identified as a nuisance. I:\F_BLD_Permit_Buildng.rpt 10/29/19 a r . lcp. sie oy�o �5* aep _ - -' ai/ c-- \ / j / / 1 ♦' II \ cosi , 1 _u . \ / i\ , V,,,,,, / - . / „ O 39'-`'„ z -II • • ,, �,� 1-i y 0 ' ro CC \ \ M1I Q� ( U O 0� / f H N �� v�J� �o iii---- __ X RVF : \ V o LPL 0 A ', \ N ' if w Al„„,/iZSIft'- ��qg II? $S �z i .....:...... ..::.:...::. „:„:4•*','..:::,4:::::::::::.:socSy;;;7:T or, 8.-io ."1 ) i ' V V''‘.._)'Ir*,101111:'...,' W O , 1 o �, � 1 ,..... CA 1).\ 0. \ \N// V'. . 0 2 N ' 0' ' \ 3 (13 II�r ` N O N_ S -t Nw ) A , O.• 1� iO t iWZ 'Jc� ' 0. _ , V' Cl- ��/1 f-;E- O wz co I A C'7771 va 6 .1NU. bi9J 1 ‘ U It L I. LUULF I : 7)rIVI 5_ ...rrF Cti ? • F. 1/j4,_ Geo/t/ ..5 se/e9 a/67-- . ...% Immanisignuk NW.I.C. .-ui° i... 01 .4 Master Bedroom 14'x 1V-6" ch 0 F-; 12"Shelf Bedroom #2 -... 11'x n'•6" F—. I (: am •Laundri ,.., ' 12 SheT , L . .65ritilr2r3-.7ripoll — \ 6'-rX ti. 266° '". .• ,- , ze L LI. I SPACE Zfr iv - LLL L 1, I.1--t I 77—LI L_ ..- fn m I. I I I'.. A •' ..I Master LLL I - . I I il-i„ al si` l'--1-107'7 Li.. _ 4 . ( 7..., , 2460 . I,71 .' /0 L L..41-L:'IL t.,_i__ ,-, L ,\ (4)i6. rift- .1 , shelves 0 Li.,1 • . a -Bonen Area ,I_LE ri L. — 7 L.1-L 1 r 1 I L.I._ ,,f . 6 --,,-.L LHall Bath L U r4 5 0 1 6 z PLANT MOO . 2036PW if------ ---71 ..._ ., I 12'.SW iv V 3 c ....5 Open Bedroom#3 Or 1 lei 1 r-6" °? Optional •-1 Bedroom#4 ..., ./ 4'•2" 1 6.-4" i 10 x 10.3" 2. .2... 30 0 3050 \ \ \ \ / -10'-6" / —10'-9" 10.-10" rii 1 1 L ill . I-)) „.2.._ 7 , , L------ (I-, JEFFERSON COUNTY I DEPT OF COMMUNITY DEVELOPMENT -4., ..0 ........... DRAWN BY:DW New Homes, LLC Select New Homes SHEET; CHECKED BY:DW 1125 57th St.E. #D -- - DATE:10-21-00 Sumner,WA 96390 Plan 21 60 2nd Floor Plan; Finishes, (253)826-4261 3-4br,2,5 Sath+fionus SCALE: lir=l'-0" R1 & R4-, CADocuments arid Sertings\tmark_NEWHOMESLLC\My Docurnents\Drawing10.dwg,6/21/2004 1;19:55 PM,Toby • • f, `ot.�r`o Jefferson County Department of Community Development -., 621 Sheridan Street,Port Townsend WA 88368(3601370-4450 !t mot) p E�m ao 0 _IN,, iyi-DIrLication Project Description: Buildin T e: Project Type: Frame Type: Sin lc Fa 'oo Garage Attached/Detached Addition .teel Modular Alteration/Remodel Concrete • Commercial Repair - - Masonry Multi-family/#of Units Demolition Other: Industrial Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: _ Sewer Community System Electrici Oil Proposed: 2-k S Proposed: — (Gjividual S''stem 3 Woodstove Propane Total: 2.S Total. , — If not sewer,fill out the following: I-Icat Pump Conventional Xt5lternative Other Permit# SEP 0 4'—a.o-v U g Water Supply: Party y � E� .60 Private well Two Well Public:Name of water system: � \ -t Square Footage: For Office Use Only Main Floor ,CQCD :0-.4$.5b Consistency Review 43 .00 2ND Floor 1/.— SF-3 (1661a,$S Base fee t -q •ss 3rd Floor Plan Check fee S7OCk- OtrAi.i 20n4—1'L Htd Basement State Surcharge fee K•' D Unhtd Basement Subtotal ((v5 1 . 05 Garage/Carport LfripQ gii7C Pot Water Review fee Sc-0 '6 Decks 911/Rd Approach fee _ C Commercial TOTAL L—I a-05 Industrial Receipt# L.4—( Other QVISLOS 11f 8y-•g1 Cash/Check# C) 1033 Total Valuation: Initials Q e-. z.z� 1 CL ( Or o- Date 'il' Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a re It of or in consequence of the granting of this permit. I further agree to proside acce s and right of ent •to Jefferso County and its employees,representatives or agents for the purpose of application rev cw and any required later inspections. Access and right of entry tote applicant's prope •o structur shall be requested and shall occur during regular business hours. {� Signature: Date: 3 2 J 200(f OVER ► I-I:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermit*pplication 11-8-01 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 APR 9 2004 :„.„..") 360/379-4450 . 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 0 J R PROJECT/APPLICANT NAME: C-C., C 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. Coys.—/2G/c7— c s.•vyec A:4i.s,c. o.✓ .64 cAl O.C' TNL ZS L.e.fS .,7- G4i4.2T••✓ 'f 3r-4r, S. AF,<•rZcrC.c7 Ait.C- D /".4<•4 h o r 144. AP/0.tex/ //3 d F TWA' S/ZEE a.c 7-.41C [.o T's Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 7.//s ,f:s.//ct /S/C. /P•40r>•-cgr.0 ' c—V i A . 5.7'.E /a0f.4r="_ Se./4 47 f- ,'i i#cei4T ZoTs c 1 ,c J..:ar 24 2,- 3 5/ 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. MA Ss atigr/£� Ce/•r/caGT�L-y GGK�iC C • Lo es, V a 4/7'.44 7-ea", Gc.3Qr,4..•40 .d.<' a /isJ Sa-Q•GS� SG4:We-4e /3.2ea,.� 4. Describe the existing soils. Indicate soil type on the site map. ��.‹.. .✓Ti/C/r`C HEAT Gs t/S.S TS G .4 Ui Y S.a"✓• P 4 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. ? � 5.z7,C.7 tJ.B.v.r y.6.eP e-v,€z-c__ 746/C/r , iq../O,.vy 4444T4-7Z-. ,j %1/2(.Co4et,.yr CNG v oc PiTt . No 41// -1"vq to.g j,q t• A nit- fr72.4.•v . is ri c.c /3 - P/Z rgc,T.Cd G•,/r/- $.G T so c.k.S A A)O CA/•Cc.X.C/7 4N A /2A:67 i/..4/4 p/L S/T. 6. Describe any excess levels of noise generated by th PPRO grEtl : Ale/l.t� 40/.r/1/.vs i 4-0 [i- v 17Sj #a►c at✓d.•✓, GiiTTi/t/4 g a 4.4 S /eo/G Jc-ew,t,o4 r".f4/.3 3I P 4/5i tea.,s/ - /2-h: /V.d/s 4y, S.Qw5 APR 15 UM stormwater site plan template-rev.10/1/2003 JEFFERSON • 5 DEPT.OF VE 1� i SIGNATURE. /A . 1 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, psteep slopes, etc.)on the site. Indicate location on the site map. .1--- °rs 2 3 Z 5i Z S r Z 4 A' L.o c A 7 tw ,,✓ GG a s c PRox/d►r rr of c,a Y S • 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.). Ai57,J4C,(O17-- I A 47. 4543 A rGJd 5i'1 Lr F-4riK 1.4, fzS, tic,t<r GiA,,4 71C"-) /ZS1-aT•CT iJ A 4:11-4.7— 3 0Lo-lj aF.te v tea %Nr /414 t4 t I.rw r I o'f 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 within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. r"Nrz. sar 4-s /a2K. V d4}- IPEKv, us 5 1 Lr s ocICS t J i t lr/SrAj,c.e "I A. .c_ C. rcu i o PRE vrcAir Go,1r'AriAsftJA1J�c� STR��a.w�g 1.JrTu 1:31 rp As Wrz[-c.. .4s /tilsrpc.c.nrr an/ an/ AL,L Odc.nt sLOPr►2 4 c3 \.�I%T r).4 A►•OKoPe tar tz:.. sicr F�NG>�_ 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 AnlD Gon/ko1. /-tLL j7/sryei£'O L.Ati1I7 AMD .7 a Plea:V''-'T A#}d GOA127A NA T',N 7-4 A I'V s 7 ' 44. s 0/2 /1e?t- S_ 12. Describe the flow control system. •Ld4.) /2a..Tl> c r \Z -d �� 11.4E-. NS1 c F NAY g�`i L$ (#j` sr r $Sr02w4- T2‘^/ctxrS OBI 06-cao/VNi c-c. SG °►' 11 5,14--r ' ;1 Viev r AN rC.¢osiaA/ dam . - -- Lv 4-S17f Da/T.$ r:...- ... WTI :"Mit APR _ 9 2004 Y ,f ? t 1 ss1;YWt/311 stormwater site plan template—rev.10/1/2003 6 Tv.I 10.11tF111)r11A "Al WY)if).1.4 • Y 13. Describe,thq water quality system. .vN2. i 1 P,co v, p,C17 F N Loc.i,e-_ lciar1Z1t- D 1STrc/cT i. APR -- 9- 2c44 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. /tc—L S/TES (.JILc. 14AVii: I'Lt1"kJ IN1ttW.- f71S rut:QA.dt,.IC qA/.o /NAtT-JE.C✓A4. Lt!/Ge- 57-,a t• g *- A-.o.e.. . ,-X.i r..v y s.77 "- 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. Nt i,v/.•-I twin_ C Li .—S Ta /3'C.a..0 1"IC 3'd.C..s- 17. Describe the proposed surfacing material. 18. Describe methods for restoration of the site. .1.-.tsw /s.t/�.Q GT 774. 734'.< S.T.eE fj ai c.14- FIL..c.,aL A C.G o,¢,ative\L sti" 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. /4---- 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. /V4- stormwater site plan template—rev.10/1/2003 7 CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will.be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements-Construction SWPPP 1. Mark Clearing limits. ,5 .4�c.r2 rLa v>. GLr a rL v Fd a^/.s 3-,4c c.TI.r.✓ 2. Establish Construction Access. oN�iGH cr"/d A c.G GG d/E /fTR a G./5/4 Ea d'l/ fi 4 c..4 S n PLA n/ i /*/ a-cr/C cods # n G ; 1r cT/d / 17LA•./ .JiZ i7 /Jd 7- �T /"sC/ZS o#ua c- 61e. 7-14 t XX,g_re n/ , 0•40/ Td I't?/N/.++/r,C ..d 77,./ 7 G rA'/ 6v.+At.TiZ/G QHN , 3. Control Flow Rates. �L d r-ci a3,E ,n"-"M/z.Cp, 6y S 27,te".44-r r 41 c•a j�Lk.Ctrj(1 14 0=0 e ($A/t.,S /n/ ' 64j GiiL1.1 le"T L7/rp�S_ 4. Install Sediment Controls. hi)L L. i3& . / STA,c.c r v d/✓ .4 -1- ©d 1.41 44/L(- SG 6Pls A Al A 2 6-1., #2 C/2/T/ Gam. C. / 7Z I AS„ 5. Stabilize Soils. 153 i J o 3 r:41-4:5 Z.he is.r-/6p.) tvic-G 6il: /►ri•...i,z‘<O UnJ Gdr:5 Z /2 7/ 3 3 V. F T fl rC 1 t-/ 'r- I S• %Z l i a t-A 7-/v+E' s C CS 6. Protect Slopes. /N,o/c... 7 0C Td OS d F S PA-3 /a..dp f/< T- 7. Protect Drain Inlets. /GT S'OG1tG G. /GG /fs/S7-i4GGrlJ n, APR -3 Z01-4 8 stormwater site plan template—rev.10/1/2003 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. a c �J�/,C1 o7,er!_.rTS 4/V P _pg-U r,—,-- /N STA oc-i f-/At'' 6.aic.j .4..146:7 JisT �/n.v'c.� �,J 7 Nr 9. Control Pollutants. p 45,4 ic�s 6.acl���J ,6S' Sii..T tic. ce5 --710 'e.E rg . rize4 o lc / Sgo rnr-v:q ,"/Td 5 , vit 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). APR 9 a U4 11. Maintain Best Management Practices(BMPs). 7a-Si ✓�.eGTCGT a.2A.•v cMa- TG.CT3/ Go tilJeo L PoL-e..U%.xN?$Gdric�.C)—.G SLu.�y SiT� Fd0C G<...EA:6 •v crri Tc. 12. Manage the Project. •viiS-..�.A.v i r✓ 4S o"✓ j:7 I L'' l A 5 15 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). Ac-c>a' '', '„GF- a,.✓ r 4'A Doiv"/Alic.L. 5 c.oP 0..j 417j #3.cC#4-) L) QG /2fr.4J 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. G-�tT.4cn.,o.Cr- $ .STiZ�04.e -c. /f vJ c.,.*- . %d La i 3' Z. 3 / / Z.r - 26 stormwater site plan template—rev.10/1/2003 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). 5. Construction Phasing. a. Construction sequence NT I/O c.E S Fd.G /-G 4 A Jti A Tv cr) Qu'c.17 rt C o.,,ST.„Ccd cT 4O ot3 4A„ "'Sc-i41=20C CL-0S CI...Li L.07 lc',r.LJ AC- frir..eoS•c..! M GALS u.,Z, b. Construction phasing(if proposed) i� otAC--E' 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. S4Mir: As A. Ii. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. /.4.0.37-4 c..c._ A c.c_ APOQOOiCiA.1 "WC.*1 4 S N,CtiF$ )0C S 47v$,Ti1.4'C AL2 C.4.$ Q,✓/J a.✓Se—"2ii c7 A c c o.Cv'M, Z.r j c) 7. Financial/Ownership Responsibilities. a. + Intify 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. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. /T a. Sediment Pondsraps. A/4.- b. Diversions. A//Z c. Waterways. N4— d. Runoff/Stormwater Detention Calculations /VA- AP R q 2004 ;.-- ,i 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-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signin the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct the best of y knowledge. I also certify that this application is being made with the full knowledge and consent of all owner of the ected operty. ZSIZCO(/ (LANDOWN OR AUTHORIZ REPRESENTATIVE SIGNATURE) (DAT ) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 4I 2.004 , t %\'' APR 9 _ :\ V_ U--------L.------ ----'77--,---,'-7-,,„ , t,,,\ of 12 stormwater site plan template—rev.10/1/2003 L