Loading...
HomeMy WebLinkAboutBLD2004-00303 BUILDING PERMIT APPLICION MLLA04Revie -00p262 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00303 Received Date: 5/10/2004 SITE ADDRESS: 702 E MARROWSTONE RD NORDLAND, 98358 OWNER: DENNIS JUSTIS PHONE: (360) 385-7364 2710 E MARROWSTONE RD NORDLAND WA 98358-9520 SUBDIVISION: KLEMP SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 977700110 Section: 9 Township: 29 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/CARPORT ABOVE GROUND 250 GALLON PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 576 VALUATION 75,118.00 ADD'L: 480 HEAT TYPE: OIL CODE EDITION: 1997 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 384 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 1 Prop: 2 Seismic Streams Total: 1 Total: 2 Flood Way Floodplain Routing Date: F&W Landslide N/if/(l- Shoreline Aquifer ! Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $825.75 KAS 05/10/04 64411 APPROVEr Plan Check $536.74 KAS 05/10/04 64411 State Building Code $4.50 KAS 05/10/04 64411 JUN - 8 2004 Potable Water Application $52.00 KAS 05/10/04 64411 Jefferson County P1anr„�=; Total: $1,418.99 +& Building Depertmen Jeffersrptreot,°.8:: artment of Connnedty Douelgpme t I ..p, O°� pe.rm_ 621 She'idan own nd WA 08 C3601318-445Q o s � • 0 0 . N .!,AY 1 0 2004 .� , Building Type: Project Type: Frame Type: ❑ Single Family E8 New oud. , :`v E_O n NI= l 0 Garage Attached/Detached ❑ Addition -- ' ❑ tel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: S l IA ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑ Community System ❑ Electricity 7-Oil Proposed: Ili'I Proposed: — 1— ❑ Individual System ❑ Woodstove Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional Alternative ❑ Other VI I 1 v sti v., e_ Permit# SEP -Ch O D 6 Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: Office Use For Office Use Only Main Floor .? G 3-1 , (Q�j,a8 Consistency Review 2ND Floor I BO 3 i ,3 34.to Base fee 53 015. 'l- . 3rd Floor Plan Check fee J 3G- izi Htd Basement State Surcharge fee Unhtd Basement Subtotal I A 19 - c 1 Garage/Carport 3 R i 62 , 1 p O R.9 b Pot Water Review fee 8,6 Decks Og 911/Rd Approach fee Eki,tt r, }\Q 00^ 11(7v`� Commercial X a' TOTAL aj . 99 Industrial Receipt# 6 44 1 Other Cash/Check# I 0 I S Initials / // Date 5/ /010i CO Estimated Cost: o I ` 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 result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's prope or structure shall be requested and shall occur during regular business hours. Signature: �,Q,„,,�,�,cq -c,..,✓, Date: O ^!g 4 4f OVER ► G:\PermitCenter\FORMS\BLDG FORMS\BLDPermit Application.doc 01/08/2004 BUILDING PERMIT • Jeffe County pmi 621rson Sheridan De Streetart, Portentof Townsend,Commun Wty AD 98368 Development (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00303 Received Date 05/10/2004 SITE ADDRESS: 702 E MARROWSTONE RD Issue Date 06/8/2004 NORDLAND, 98358 APPLICANT: DENNIS JUSTIS PHONE: (360) 385-7364 2710 E MARROWSTONE RD NORDLAND WA 98358-9520 SUBDIVISION: KLEMP SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 977700110 Section: 9 Township: 29 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW SFR W/CARPORT ABOVE GROUND 250 GALLON PROPANE TANK REQUIRED INSPECTIONS: [lc] SETBACKS:?e,(,-', `O? [i UFFER: %% ¶1..] Footing: 6 :7,3`0/ F&QNAce Rae- Ok 1/7/OS,0Y X] Foundation: 9c_ ?'.2,O y [X,] Stormwater INAL Approval: Underground Plumbing: _ l 16 J2-1 6-rk Sd $c,] Underground Insulation: De wos tei pc] Shear Wall : 4Lp$ 12-1h.-e0 '[)(] Framing: CAILPra?.T eg X. f l r( `C 4'c.rr /7„,,, ,94,%/eZ-cs hd Plumbing:U-6- WA7Gfrt dlA.C. t1-29-4`1 dr!)Rai lc X.i s OK //d/SG / es#(.44-.9-# IA Propane Tank/ Lines: //kt s C+0T /2..21-or [p,] Insulation: 44 Sheetrock: _ Ns. Septic Sytem Final Approval: I 1 Road Approach Final Approval: RP4 900 . it° G, .ecil -l/a'ga, [ ] Zoning Final Approval: Ij(1 Final/Occupancy Approval: ., --i.?,c>7 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�ASE A BLD04-00303 • 1.) The application was reviewed by the Jefferson County Department of Community Development staff on May 19, 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: Wetlands, Seismic Hazard Areas, Special Aquifer Rechrage Protection Areas and Coastal Seawater Intrusion Protection Zones (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.) 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. 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.) 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. 6.) 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) Sala! (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). 7.) Marine shorelines and islan s are susceptible to a condition that is knows 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. 8.) The parcel is located within a coastal SIPZ(seawater intrusion protection zone) 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. 9.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 10.) A setback of 50-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 11.) 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 contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 12.) A permanent physical separation along the upland boundary of the wetland 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. 13.) 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. 14.) 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. 15.) VOLUNTARY MEASURES 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. 16.) 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. 17.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 18.) A flow meter shall be installed prior to final sign off of the building permit. 19.) The applicant is proposing to create or add 2582 square feet of impervious surface and 15350 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a stormwater plan meeting Minimum Requirements#1 through#5 of the Stormwater Management Manual for Western Washington. 20.) 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). 21.) The site plan as submitted with the building permit application on May 10, 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 June 4, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 22.) This approval is for a single family residence with carport and a detached garage/shop 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. 23.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 24.) 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). 25.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 26.) The building height is not to exceed 35 feet. 27.) Minimum setback from E Marrowstone Rd right-of-way is 20 ft. Minimum setback from Renier Rd right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. Minimum setback from Class II wetland is 50 ft. Environmentally Sensitive Areas further impact setbacks. 28.) Exterior lighting for commercial and industrial uses shall not exceed thirty feet(30') in height from the finished grade. 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. 29.) 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. 30.) This parcel has been desiAted as Rural Residential 1:5 under the Jeff�on County Comprehensive Plan Land Use Map effective August 28, 1998. 31.) A septic permit (SEP03-00280)was approved on December 22, 2003 for a system of 240 gallons per day. 32.) E Marrowstone Rd (C593909) is a county local access road. The road approach is existing and an address of 702 E Marrowstone Rd has been assigned to the parcel. 33.) This parcel was created through the Klemp Short Plat under AFN 471028, filed of record June 12, 2003 in Volume 4 of Short Plat, page 187-190 with Jefferson County Auditor's office. This short plat subdivision was reviewed under SUB00-00010. 34.) A stormwater plan for a medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 35.) A minimum of two (2) on-site parking spaces are required for the single family residence. 36.) A wetland delineation report dated February 2001 prepared by Olympic Wetland Resources has identified a Class II wetland on this parcel. This wetland is graphically portrayed on the plat with associated buffer of 50-ft. No filling, grading, or other alteration of the wetland or its buffer is allowed. I:\F_BLD_Permit_Bu i Id ng.rpt 10/29/1999 t?N C E ti-r r 1 JEFFERSON COUNTYelk D 444 DEPARTMENT OF COMMUNITY DEVELOPMENT MAY O 2004 �' 621 Sheridan Street• Port Townsend •Washington 98368 �``L 360/379-4450 • 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ Qh�E :I ; -,PT.00F C'iN t; , ., AvELO. STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# O w-r4 V PROJECT/APPUCANT NAME: at! rt/1 i S J U r5-1_t. S 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. C:�7 i-L S *ae.il house - 6cAvc1e f SI,.� / n n i_©�<,4_ . �i , wt (T i e.vt.c�rc-n �`�,'f'e vt-i i C./v ctn,-T¢ 1S c:>+.v .P c ie c�/.�„ ce L Q IP .4 VYI I n Ct ebb, Levi,4 c>T VIrce. iv-L tle ' Yee-it.1, , ' cae/Qtke/44 czxmaz i+-q vo v 4e4 Existing Conditions Summary 1/' 2. Describe the existing topography. Indicate contours on the site map. LeJ 4cr).P o4 s+-e, i 4N-ow) 101 o.k,ove E. . at,.t,vo Lc)tii6V4 i.J �',, cc Laoccf. l e v e l c,z)di, tt b.-e ® -6 Le lV,IA) G erv-,,,-a v- -6 e n e v,e4 I i ct t G, e P n-�t v e, `3 i i-e i(,ip-e> tc.c-v tr�l -I-1n v, LA.,'-e-i Gr_+,•.a-QP_ CU e.t 4 (-_v co t n a 4`-a of v Ct - 3. Describe the existing vegetation. vegetation. Indicate native vegetation areas on the site map. 0 eir t Yh i ce r + Ct� pc)e (,ro. C i,v e (-oz.vy?e. / CR.(1 o v i A,C>- :j 1 Eice v 5 e-L O 1c=t. -7 e cc, c.x. i cIpiv ;(Al (_z_ 1 i/l O u] ,n P le " 'Lt.-P• Gte Q‘t Lc,,-n.0Q_ c-cr @ v aQ C c3 v VI 4. Describe the existing soils. Indicate soil type on the site map. c,_,;, 1 lev.a e-, , if e-,-1( e -C C, n. p ca),b c v h Lc.) (.n Vav- t6iz 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 eeach. V n ►1ay.cla.I4 . Q 11 e vCcYk, co ,e { e, "to YWcam,WU4, ft.2 We,t( y,J . j._ h`E' r /�-,.:a Io a.,e,-,-,. to c csv'f Ce G 2. ,....e.,cs`I-.e k t v► ee (4 z..z v o n L S�„.)m-I't rs,-t • 6. Describe any excess levels of noise generated by the proposed use or ac vl : APPROVED a n IV r-e APPROVED STORMWATEX FLAN JUN — 4 2004 stormwater site plan template—rev.10/1/2003 JEFFERSON COUNTY s DEPT. C ITY + V ,, SIGNATURE. k1—C. �' 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. TIn o it .f 1 c I I e.,1 i(214-1<.,eP <a.S 1 iA o.Q 4.__e.,62.7 e.cV ca r, 71]t1 A 8. Describe the general vicinity of the site,including adjacent land uses and structures,utilities, roads,and sensitive/critical a;gas (streams,wetlands,lakes,steep slopes,etc.). Le,un ) (06246 vh N + .w 01.vV�9.'1-e n E li o S''t a e p j o S-- n >1 u'Qi.[ cc V-Z et S 14 S S. . vcr a is 6 -�c41-v"1 1 b e tp oz.tr e...�( .S, L S A .-,.�„�t) s i�1 o _c f )�.Q k P 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. S-4ccvrn w®-+eVV c-1-, t,b( 1q.¢ V(3tk1 inf)t5 'a,w. Cami St) vvc, ,L,oC% ns cc, ve.5 4 -il- 1 O. 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. 12. Descrbe the flow control system. 4._. . / r T 2 is , r [ storm siteptan tempttEl 10)160it'r. I i.it 6 jitiMliti IV.itl t i iv' 1 :,i;J) !4) i�411 w.ve•V.Ksw+az,» 13. Describe the water quality system. f ry MAY 1 Q 20114 f 1, zi,cPT. OF Ci ;, _ -vE_OPbi_ s i 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. Q,/4 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. n y�vi.� c VC,a i,t�v tQ2 (r viJSWfPSG \f�C� h fav CDV54at, nd1e 1 i 18. Describe methods for restoration of the site. Cess er, 5 ; n v- i v-e. p ( cin 4 -z,, , ( i 6-9 p(z ,1e 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. 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. • stormwater site plan terrµtlate—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 applicabie 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. c I e.a tr t na t r" , + 3 le-t� �� % e In e f 4 o +s>.Q vn )..1 gan v' et Lik te..2 tnn c f +lz ya V 4 J-42 2. Establish Construction Access. (1 C, Y1 5 T V1Jc T t a to Le G C.e S ► 5 ctt y 0 +(_.1p i t t1,e d) icp co.c4. h CL C cc i e, 15cam. 3. Control Flow Rates. I / ` 'l.eve. lmtry' r,0 ,P ( S?' ,ri �7c7 ' Cay7,4 r F!a 1 r t''i-P,_'S OLLT 54\reOn v % 4. Install Sediment Controls. f o tr ecnt t , Vey O e v e_csal e. BQ c.)"Cr (.I t ) 1 ST.o Ca' r1 S 2.4 c -t at�tJ�' Qp r)3 Lt a h 2 C t ry Tca c. (0 sz. ,Q m, t<nA �5. Stabilize Soils. 1 h i 5 ii G n s? t s z<k-e,aev I .p l rvt k (ed*"-ec0 r e v t t .ry fS e� S c�/n C Li C.)v1 .v_ -t-►tiw c + ) d. c . I LP C_ I )y L'Yl.Cs'�,t - ej v¢t v,. Ct. e.EQ t rn e vt"f' t S.s v e S 6. Protect dopes. Tit ris Ve.us l c24.K <5. w`t. 14-e '''ems' 1 h e.e 1/o l Q Ce a 4 �[ml b 7. Protect Drain Inlets. 11� v 2 CP.V ¢ cc t,c9.►b-1 ( 4.5 stormwater site plan template-rev.10/1/2003 8 12 Required Elements—Construction SWPPP(continued) j 8. Stabilize Channels and Outlets. P`, i . a IF, P '-' i.t. ir. \, j MAY 1 0 2004 iVo prift9fi> c L e nit= h.,:sc0-0 L Q- VI � F'LurLJV,r vC._Oghi= .I 9. Control Pollutants. 1 ettiltillll e (sly Vn.crY1 , ±<7v cs 'Ss, -i'r7 t v u(L ,cv po i ( V L l t_-->-"a. s' PI,Ca 1/t C? V 4 Cr 1/ 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). Y (-Ca vS-'✓I 4 CYl'l 5_ (lc., 4 I L \/(. T' VJ-e_ 1e3 e. i 14..> tea Le.L-Q, ) 11. Maintain Best Management Practices(BMPs). Ji 4".e. W, 4( in_a- vn O 1 )4v C__ tc . 6-e. l 4" p ac. scsVQ 5 Tca.ke kl -f-tD rn � t il. 4- vt 6 e,s 4 y/I.eo-.1 t r�'—vrvf yt-\,cu.e_+I. t,-e 5 '''7� `112. Manage the Project. 1 , rrr"4 es16 L-t'�L I((:. 'e l 1/�(1 C1� v. n '� c5 S e ( Y "� ��i cc. ( lot_,s5 +v ✓ • 2, C> Y ,\ 4o S4cp t "S" t �c,1b4e1, i S to0 )�.+ — i in, 6 P v �Jz. .e4 (1t.cv'LIP Q In.e ,, e l_ 1, trri p c o- f .- i, d�v v v Lr-v.c:.1�vv. e_,4,-‘ ,./1,v - pry, a-,.'t' 2: . Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential ` y- areas, roads). n c I ),e C.��.. .�Y t i ....- +0. -4. / E..t e 4tA4 4 S r i,a�eC.T lei as- d t3 r t1 s 1/ `2 t v l t .5 c> r, S +v1 ,p e5 `F C.:,,,, e-s4 -3,. . i �l b( 1n.cs ' (Le 0. C'c,..: b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). j iE- • 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. T1-,e 1.0!L 1 4 e4 e G,t,1 14 w Y ec. b Ca LP-e- — stormwater site plan template-rev.10/1/2003 9 b. Description of special requirements for workingL in or near environmentally1 sensitive Jareas. .wayD yq 7 �� I t1•1 z ern lg rL i V-r. j 7 G -Q. "i!R. ri c Z C u Q 7 cs t y C i 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on Tsite soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). AT 5. Construction Phasing. a. Construction sequence real. ► G. — fU Sjrtr✓"7 tU4 1 UT 2 't V. m, f 2ItC2i1 vi"5 s c'i-.gyp (.e-arni 1" b. Construction phasing Of proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. Jun T h v v —�- II. Wet Season Construction Activities. a. Proposed wet season construction activities. lV c41^^4 b. Proposed wet season construction activities for environmentally sensitive areas. IL 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or ether evidence of financial responsibility for liability associated with erosion and sedimentation impacts. - 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations storrnwater site plan template—rev.1p/1l2003 10 Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The-submittal shall include substitute pages that-include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities,or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the proje is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affect property. e-Di--► 7-o 1- (LAN WNER OR A ED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: stormwater site plan template—rev.10/1/2003 12 U O 01 ISLAND COUNTY --i,_.O Q dl Q JITTERSoN -- COUNTY (Y J ADMIRALTY INLET Z Ln _ 12 IN '`s, U, 11_l U D m W 11 L 7 -- Ch*. low% Li_....ki •,-- ' a LU L') g . a' 4'* / it . Z 1 - f m <[ .ter • LL,,----- V)m Z N0 � ° w 0 `- ENO !- Z , 0 IQ 1- I C s.� ft Up Q U (L1. 7 I,i E IL Io . iikir, \ \ \ • • 4 4 4 4 4 4 ! 4 'i V � erlI\ 4 4 4 4 4 4 4 4 4 4 i t4 \I Iiiil.IF v I 4 4 4 4 1 4 , \ :. 74- a> , Q . . . \ \\ \ I 0 ) ,g---I - u'''.;,(>; -- \\\IC1 ,...j frQ 1 F ZN w SUFFER � ' ,�''-- _o7-\\\ J a/ I , °EDX - ' 0 tI".--. r---_________. ,,,,-/ o rt 4,,, ik: /..... 4.',\ : , L., . z.,u. \14\' / \\.`N ' i L-j .4 A i lirb -Zz =3) j 1— ,-4 �'' i 'co 1 -- __ --_ M 3 �� I !t -.OZ..- "1 ro io I • 3N1l A43 'd• \ / LI9.c M «OS,6 .00 S Q ► Oil 'N0 5A10 17714I IS --—-—--L- _ At o k- Z W Q m > o O 0 m o o i- wZ r Q o ct V U d C> C� U N 0 0 0 >- j 2 W w o0 o O � m0 9. 0 O ( O Z w dO Q Li 0- CDN ,z (n � >- 0. , 0 J > . , w � w, Q QE-, Z o Z fjQQQ'} w d Z Z (n0 ZN Zc) CCCL W C) 1