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HomeMy WebLinkAboutBLD2004-00309 •BUILDING PERMIT APPLIC ION MRAO-00 67 eview Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00309 Received Date: 5/12/2004 SITE ADDRESS: 112 GARTEN RD PORT LUDLOW, 98365 OWNER: GE LAND LLC PHONE: 1125 57TH ST E STE D SUMNER WA 98390 (253)_826-4261 SUBDIVISION: GARTEN ESTATES Block: Lot: 3 PARCEL NUMBER: 952900003 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 DESCRIPTIOF NEW SFR W/ATTACHED GARAGE & COVERED PORCH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,119 VALUATION 257,146.00 ADD'L: 1,558 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: 2 OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 400 CONST TYPE: DECK: 30 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 4 Prop: 3 Seismic Streams Total: 4 Total: 3 Flood Way Floodplain Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,878.55 KAS 05/12/04 64420 State Building Code $4.50 KAS 05/12/04 64420 1 1 R(��\ J E Potable Water Application $52.00 KAS 05/12/04 64420 , [ \,.! �/ Total: $1,935.05 MAY 2 5 2004 efferso ou Ptanniny Bud' ant I-614 -t g 3 •E -,r. { °Jreerson County Department of Community Development ) '� D r-- 62YShr; • danStree r t,Port Townsend WA 08368(3601370-4450 l,r �fa per ` O,,J„, a o PT.Of �rEs Project Description: " Dry nn kocq- Buildin. Project Type: Frame Type: roo Garage Attached/Detached Addition reel Modular Alteration/Remodel Concrete Commercial Repair Masonr y Multi-family/#of Units Demolition Other: Industrial Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 2 Existing: Sew L Community System Electrici Oil Proposed: Proposed: 'vidual System Woodstove Propane Total: Total: If not sewer,fill out the following; 1-Icat Pump Conventional Alternative Other Permit# SEP Water Supply: 1A l 60 Private well Two Party Well Public:Name of water system: LA) V t Square Footage: _ � For Office Use Only Main Floor q v0 -o C Consistency Review ig1X 5 zND Floor I S�� v 301 ►C�3' Base fee 5 3rd Floor " Plan Check fee -t-oC,t(- P' Pool —(10 Htd Basement � State Surcharge fee c,� Unhtd Basement / Subtotal 1 ) '3 I - °5 Garage/Carport I t a tD Pot Water Review fee Decks /Ao�""*• o i 0 `" 117,pll/RdApproach fee 1c. Commercial 1G`:J' OTAL ao t . Industrial ���� Receipt# (MIA Other Cash/Check# 1 0 1 3 Total Valuation: Initials C) Cyr / � Date c51010A- t � ✓ Estimated Cos ��` 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 ri o try Jeff ounty and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to th can' co m ture shall be reques rid shall occur during regular business hours. Signature: Date: OVER ► 1-I:HOME\P . CNTR\INFOBLDG\FORMS\BLDpermit%kpplication 11-8-01 BUILDING PERMIT• Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00309 Received Date 05/12/2004 SITE ADDRESS: 112 GARTEN RD Issue Date 05/25/2004 PORT LUDLOW, 98365 APPLICANT: GE LAND LLC PHONE: (253)826-4261 1125 57TH ST E STE D SUMNER WA 98390 SUBDIVISION: GARTEN ESTATES Block: Lot: 3 PARCEL NUMBER: 952900003 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 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE &COVERED PORCH REQUIRED INSPE TIONS: [A. SETBACKS: [J(1 UFFER: VI Footing: 44., [,' Founda ion: fi b'l Ki. Stormwater FINAL Approval: [ ] Underground Plumbing: [ Underground Insulation: �// [ Shear Wall : EAT SkEAue ak 7fl/D4t�" Framing: a< 7/i//d' (((///��, '/\ Plumbing: Ok /.0YIP [ ] Propane Tank/Lines: 1,4 Insulation: O/< 7/241iTli 4 Sheetrock: _ Septic Sytem Final Approval: Road Approach Final Approval: [ , Zoning Final Approval: oc Final/Occupancy Approval: O/ .+tr'er- L'/D ®A//D+I lit 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 l ON '% JEFFERSON COUNTY 1$ , lW > ... DEPARTMENT OF COMMUNITY DEVELOPMENT \1_.t� iMAY1 � - 621 Sheridan Street• Port Townsend ••Washington 98368 :1 O 360/379-4450 N. 360/379-4451 Fax `S 'TNC1( http://www.co.jefferson.wa.us/commdevelopment/ �cPT.OF G-f{._ -_� °'F—UP ``"I Stormwater Calculation Worksheet MLA# 0 �� PROJECT/APPLICANT NAME: C�E Lio0 L LC..--- DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE(I.E.,SITE) Size of parcel . 3ZZ acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet ryo33 sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir, western hemlock,western red cedar, alder,big-leaf maple,and vine maple; shrubs such as willow, elderberry,salmonberry, and salal; herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert'/,acres or more of Construction site for structures 15 S8 _ sq/ft native vegetation to lawn or landscaped areas? i : Drainfield,septic tank,etc. 7 c) 0 sq/ft Circle: Yes 440—'- Well,utilities,etc. /� sq/ft Does the project convert 2 YA acres or more of native vegetation to pasture? Driveway, parking,etc. 3 ©� Cj sq/ft q3 90 Circle: Yes -- Lawn, landscaping, etc. sq/ft Other compacted surface,etc. / — sq/ft Inrtirato Tp+.1.1t,,lumoc of°roposed: Total Land Disturbance 9/3sq/ft APJJO'ED Fill (cu/yd) STORMWATER PLAN [over] MAY 2 4 2404 stormwater calcworksheeldoc—REV.10/12/2003 JEFFERSON COUNTY DEPT.OF . UNITY y - QPMljitk ^ 1 SIGNATURE: fit 0--� D ��r►"W Garten Estates by New Homes, Ilc (scale: 1"=40') © INFILTRATION TRENCH V4 6OEIT x 2' DP. MIN. PERMIT # BID Pr n 'r ► --:n D I 0 4 — 0 3 0 9 E; MAY 12 2004lL' 1 JEFFERSON COUNTY DCD ,..,,PS_ _a t J ;_ _^_. ,, _0PNIL ,1 1 Ob 0,— O —87a 1\ �ti LS4 la �S•„•1, 800P• tj- -- _ F .•\ • • 8�\ -1-7-95W i ■ I- 10 i i B�9MI Nip O 9 .... ............................:..................................... r o 1 9" < �•ciEiiec�iir'"'iFtiE3iFiiiiiHiii'`�:iieiei:.'Ib 's; ♦"Or ..:::::.•::.-.....•fro.. ._ w O -\ .... •::eee:Sicii:• 4.i::ieES 1•�0-. •,• i •o \'':-• .:•:•!Niq:..' ., P M 3' t`• c RF �_ 8 4s" • • 4• �! ,%i.v APPROVED SITE PLAN MAY 2 4 2004 JEFFERSON COUNTY IMPERVIOUS SURFACE DEPT.O CO UNI PM RUNOFF TO DRAIN TO SIGNATURE � � STORM WATER SYSTEM. PARCEL# 952-900-003 LOT SQ. FT: 14,033 GE LAND LLC HOUSE PLAN# S-2677 DISTURBANCE AREA: 6913 1125 57th ST. E. SUITE D H TD VIOUS AREA: 3085 SUMNER, WA98390 I:\Drafting\Plat112T maps\GGARartin EstatesENROA Plat.dwg,5/11/2004 10:29:06 AM,IMPRE Brandon (253)826-4261 JUN, 21. 2004 1 :49PM C®� _/ N0. 8393 P. 6/34 0. / 40. 1 / 23,0. / / 6%7" / r'— 4'-8" 5' - / �- .050 3050 I 12'Shelf '� ' L ...._--- LI I..L' LL.I..LL _I_LLLI_LLL,. Sltti p i _L LL g LL- I.'g 5'6;Lx� k LLLI .LLx -� -" Master L.L 4se6el_LLLt_I 3,„ �`�MIf 1 I N I , 7- x 12' ., _ N r Bedroom 2 - N 14'X T b" T +l VseN to T ,2- 02 In ° _LJ L °la. 266H .....i _ u� F' i 16 I irH� t 1 3 aL L-`' 4- •n I_ I L c " ID I�.. I --_ � Optional o� ,)1 ` 11 —. --'"'"-11 Bedroom 4 �-o i' t 31'x LO' el 13 ail m Bedroom 3 12'x L 1' /�' R3 CAHNGE:2050SH / WINoow Bonus // 211� 3050 2030PW �— 6050 - 12•-5" / 6' / 10'-9 1/2" ,� _ 10'-9 1/2' , - l 18.•5.� - / 2V-7" ,i' RECEOWEB 2ND FLOOR WALLS C ,. `tit C D 1 JUN222004 L I 1 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT JE" _ �tiTY DEPT.OF C 1'VELOPMENT DRAWN BY:SFH I. New Homes, LLC Select New Homes SHEET: CHECKED BY:SFH 1125 57ti,St. E. #D Plan 2677 CHECKED •-27-00 Sumner,WA 98390 2nd Floor Walls, , SCALE:1/9"=1'•O' (253)926-4261 3, or 6 BR, 2.6 Bath, Floor Plan of 19 C:\Documents and Settings\tmark.NEWHOMESLLC\My Documents\Drawing5.dwg,6/21/2004 12:51:29 PM,Toby JEFFERSON COUNTY ( i 4 CI j'ii / 4 DEPARTMENT OF COMMUNITY DEVELOPMENT 1I 1 a 44 �04 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax ;: .�0N. ,; http://www.co.jefferson.wa.us/commdevelopment/ �1 STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPLICANT NAME: 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. G'3ys.-2,G1cT 4 Si•vy, F.a..s.c.t• /emssi,.C-•,t.E OW 064G/A co.c" 77, /G 08 2-6 r'S . .T- e i4.-zr, ✓ ' s'- r.s.. AF, ,ic.T.C, ' ArtjC- 6# ..c . I.or- 6v/c 4- /5.4- AP/4CO)r/.aA rLY //3 d F. TA/E' S/Z.E c:7 7 C L.o rQ Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 7.4's .1.-/rcG /5,C. ..v/le-car.Cn a-anl /'A . 5"•7C ,,,,,A,-,. 5'4./4At7G.1- /J/Fie."c ,cT Lois W/cL (sic 1-or 24 J z.r 3/ 1 g/ 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. 7-311- a'n/T/K� 17,....o-T 194S lig r,C-,C Co/sr.sccrIc<%- GL/ '.I.4fz-,.a.. .Low vf4/rut -•d.✓ tee-,pe•-•c...a" .s,f 4.✓ l'xe...ec.G e.<- 4.4'AJ'J I .5-.4 .G.s SGetae-4. /3.eea..c. 4. Describe the existing soils. Indicate soil type on the site map. 7 s . re•..T/. As et_.e>7' GL 'S/s rS o ,4 ViZe 3-' SAr.✓.o p 4O/N G0n/s..g7'.4-1./c j- 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. •-rheAl 5/7'.£'J t7.ev.✓ {/.6.e>' 4J//a1...L i/if/Z.4'g / •, ,, .l• 5iq.vOir/G/ Amu-AL-Jr__ ST6ie..c G. .-st r.c..e /J T'.Z.C.s P 4rl %/1r.CO44/A CQ/G geLie r Prrc A Es. NO t-ti /ect tv.ct T/C4. /•✓ .4*-KCA.%. A wY /7/2.4/.+/S A.),L L /J/s /7/Z.0 T"/r'GTiCe W/T/4 ,5/G7- ,3'ocI5 AA GA'X-C IC/7 44N A 12�G,t/t 4ez.. (3A.S/7 . 6. Describe any excess levels of noise generated by the proposed use or activity: hp o/JA. QN/e/ivh Lo.✓Si.Q1eG7'd M Ls//GG /s/C /CirQ�,,t /0,4461./n.'j G417/w4 got-4 S /co•C A-eV/tye/4 7-,,m,..3 1 7-5",e/G4G C64 /45/f/< /TX N471- 4477.f 5.4LcJS 4-7-c.. stormwater site plan template-rev.10/1/2003 5 lr- (I'r i�, " E ►� i r y r - nn ill ` Y ,1Ir 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. -,,; Jars 23 Z5' ZS_ fp 04 A L.ocAr.�c,t�T Cif i.v- eCaSx' /-.2oXimlrr 6F 4,- CA,rat9a4r S- 5.—R )4 . 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.). AOJAc,.v7- L.ANO 4 5 4 3 A + 1 We 5/NALr Fariit.), rzQ.S,,'Ii•vc(ct' a,CTi(•) iS>.a rd.r /r A 6e74q-- 3 (3G0e " aFrt c)# TWA: 1414141N41a , I.rwY 1 Oy • 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. 7ThIZ. 5e/c..S A2ii. VEiGT" Pe-Zvi ous 5ILT- 5 oc1GS tcitL.c. I.S►c /"JsrAc,c,E•p i nJ & c... G o.rc.it IS•a.s,.1S i o PRE V,NT G O Al r"A s ) vA—r,&cc 5'T/2tE•yrM 1..3 rrI. Pig.rty 1..1A TES A.S W Ii c-c_ A 3 /AJ S rm c.c.tz r i a.J dn/ AcL /Dawn! sLoPfzn 40.E.+4,3 �►rA T-prr. Aaoieo tag ii rtE 5'ic7- F,_Ne- . 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.] ►4 — 11. Describe the performance goals and standards applicable to the project. T o M l"/l"NI Z fe.... AN]a G o Al OW- /.1 G Cr D/s 7A eiEo L--A i z2 A 6112 T'a Pgrz.vi<..-, r AWP CoNTAksi/, JRIT'GtJ 4 AAir- n,I ,rZ P5--) S J Ai t 3 c2 A t-il f Cat S_ 12. Describe the flow control system. `•.Lin t v iz,c,.TT S Lo .c.c.... i M 1 n! 1 Ytm L.. P..�1✓ 1 4 E- P 3 T oF' Il. . y / 41 r_.$ t nl arcr/Z Si 02,n1. T2‹ curS oAl , 06-c.4..�n0N/ c-c. 5 L o p�.S TO P12IC 1JJ ,v r' ,q N j' IC, OS.an/ co.e Lv4-s4, ozrr5 stormwater site plan template—rev.10/1/2003 6 13. Describe.th9 water quality system. ,or Zi . tI Pilov1vf<oF VL.OG.�4-- klA~-rz,2 0tSTr21Cr, fr.:y r,a `-.. F, ,_- „� 14. Describe the conveyance system analysis and design. , 1 li f I !v'� di , MAY 1 2 ?024 , C ,-P[. OF C,F,. . . ,t JJt'Mi. ,f 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. /frL . S/TrS 1.J1LL r4A.Vi ,V n/IMLir►�. I7rSTu/c47 .",'&' .QAJ.O AiRCF" .CJAc w,c e ST.a¢- p — /sr o c.I-1- F€X/JTi iv Gt S.J"'E_ 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. /vf/Ai/Ali Le A"` CGi7F S 7 4. /�`LR0C/"i l - S d/L,T, 17. Describe the proposed surfacing material. `Y i� 18. Describe methods for restoration of the site. J .ers-0 /p+t P.a cT 7 7W..t" Si TUE /=..4 c.JL F'OLj. 7 A c G a yeilPueN L j- 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. ✓r 4- 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. ,t/4 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 CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAr1(SWPPP) _ The Construction SWPPP addresses sediment and erosion control during construction. The BMPwitidicated by thea�pficanyin the template that follows must be installed on the ground during all construction phases of the project. T1e 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. ?L A /5 /4432.67,4. 7 Gic, .a rL i b Fd c c ,/s net((...Ti v-.✓ • 2. Establish Construction Access. o•✓.r�iGa cr/d.../ At cc.r.Css Gd•GC. .d/€ /4E.. d'V T 4 C. S A 'J /AI drN2 cox/5 2ttc.T.d,a/ R.AAi Lal'Z ►a /ale T 1-sir a.v.a Van c cX"F 431 7 )4 tC /,x/ss.�✓t, ?b rtl,N/../,car "1.✓Ic- Gd.+t/oci c a 7=.o..i1 j 7-, 4 ,T/TT 6eJ.4fK2 044'4/ 40 i 3. Control Flow Rates. .9='G d Lcl 'Z.o T� 44)1 c.L /N T�xl-r .r 41 c.o c c.yo FLAc)his 14A+1,-, (Sglcs /nl - a4A'e Gt.,Lvr:iZT 4. Install Sediment Controls. S1G7— I.J)LL. 9C. /'JS9-.aLLlza' dA/ L-L 0dZ444/LC- SGd,�.0s A.AlC A 261-1nJ/J C,Q/T• Gri L RrZ. 5. Stabilize Soils. 1SSe1/Z._1" 0/G .S T.a41[-/2 Ns.T/d/ ",,AniZ/CO c.) L.dP5 Z Co /2 ? 3 1; c/. %NFr. j2r.3 7" o (= TN I�t-�T i 3' 6. Protect Slopes. C Td OS o F S4 op-3 �/o .f-i� T- i/z NG IC. 6i.z 7. Protect Drain Inlets. ` A S®GiG GU/GC. 8 stormwater site plan template—rev.10/1/2003 lt� i s l i , 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. P; Ur. J, E_i° , G a Aw _- c.-- ,q►+ "rlal/.t9 O7-frGr7 J 4 N0 p/d /N 57 oc_i•v y /-1.4r 6.4ic,f 4--tip sisT ,.rJ i Hr A i,"; o L 0 G i4 r,orV S_ 9. Control Pollutants. ''// c r-dC,G.Cd f/ 6 y 4 r / A/4S 8.4cI17 ,4f'' J�/LT 'r Svc. 5 is,.•�.... Tfl 1c FGd c,J O/C SrE'O,,ii i v r q 7y a ,n/Td Si`�.tr'�n�y 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 444- 11. Maintain Best Management Practices(BMPs). ///a-S f .QoT,CGT /2.24'Ai Uy Tt....ClY Gois,T.eo �OGGu%.4ivJs .7.c--s .4,.v.v? Gde>-v c). SLu.e.Y Sr /�d� G<. .�.v crei 7 /LTG. 12. Manage the Project. cN% � s�iLos,o 1../ ,41i 4.3"ee,G/Cs" 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). „ ! l-A". S 4�ic c- d3/Z i•d s7'>ciL-e-iC G Q-ZZCC. A c.Go2#i t4 f- , / VA notv,JNic.L 5 .0 A4/7j 4.C( #.1 r- j O Ae.c_ G.QiTica c A2r<a-J b. Description of the downst eam drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). �3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. 2, 3 , Z si Z s' r 2 6 stormwater site plan template-rev.10/1/2003 9 i. t• 'f b. Description of special r uirements for working in or near environmentally sensitire areas. EE 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,seettttlleeability,permeability,depth,texture,soil structure). 5. Construction Phasing. a. Construction sequence G uT moo'. S Feoe. /=o ce,vd Are rr‘i 4ui..r7 r=de/Auz•.r a Co..rs:,r_c,cT F}o£43( 4.a.-v,,s�4,a:af c[o3 a.,/ L.O7 6. /7-AJ ALA c.J l$lgSaiSa.4,CS b. Construction phasing(if proposed) i� '74'4'cC,' ild- 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. 54•a� .as SA. II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. /tiJT.v c c_. 4 , APOQoOjC/AT , ,'4.14 ,1-2+�•43 A,vp < 'S' �zL,c.• Ac.0 i7'•t Z.r ,i 7. FinancialOwnership Responsibilities. 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 impacts. #mow /-a.ytr5 LLG. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. vv1/ b. Diversions. A/A— c. Waterways. r1/4-- d. Runoff/Stormwater Detention Calculations /1/4- stormwater site plan template—rev.10/1/2003 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 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 C.•struction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the •-st .', . • iv/ledge. I also certify that this application is being made with the full knowledge and consent of all owners of .•= a, . • op ,e. •• NER OR AUTHORIZED REPRESENTATIVE SIGNATURE) TE) 7 THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: MAY 1 2 2U0 - L OF Gly stormwater site plan template—rev.10/1/2003 12