Loading...
HomeMy WebLinkAboutBLD2004-00310 BUILDING PERMIT APPLICON MLA04-00269 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00310 Received Date: 5/12/2004 SITE ADDRESS: 32 LEONE CT PORT LUDLOW, 98365 OWNER: GE LAND LLC PHONE: 1125 57TH ST E STE D SUMNER WA 98390 (253)T826-4261 SUBDIVISION: GAR EN ESTATES Block: Lot: 25 PARCEL NUMBER: 952900025 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 112557THSTESTED PROJECT DES RIP NEW SFR W/ATTACHED GARAGE & PORCH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,258 VALUATION 273,862.00 ADD'L: 1,691 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R 3 UNHEATED: #OF STORIES: 2 OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 400 SETBACK: DECK: 30 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: i J F&W Landslide °l /3/64 Shoreline Aquifer {{ Forest: Commercial Rural Type Amount Paid By: Date: Receipt: 1\IF /UUp eV E Permit $1,968.15 KAS 05/12/04 64417 State Building Code $4.50 KAS 05/12/04 64417 MAY Z 8 2004 Potable Water Application $52.00 KAS 05/12/04 64417 Total: $2,024.65 Jefferson County Planning & Building Department C -- r' C 4 / • BUILDING PERMIT a Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00310 Received Date 05/12/2004 SITE ADDRESS: 32 LEONE CT Issue Date 05/28/2004 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: 25 PARCEL NUMBER: 952900025 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: GE LAND LLC PHONE: 1125 57TH ST E SUITE D SUMNER WA 98390 Contractor's License: GELANLL966DD Expires: 03/04/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & PORCH REQUIRED INSPECTIONS: l SETBACKS: fo'-'l,-6j .: / f ,,- UFFER: [Xj, Footing: '6." -1)IX, [ ] Foundation`k- /'f r ,�,/ [ ] Stormwater FINAL Approval: IL-(itAt4asali.. eU *b S�LGJxtruu6 7 a1 OK [ ] Underground Plumbing: [ ] Underground Insulation: YIlfi/jr[ ] Shear Wall : OK L;/s% 6V //rr OJ,B zw /9/01 6Yp SNr:AE/4 as 0 [ ] Framing: eiq 7/*, [ 1 Plumbing: 7/B/0rj1# [ ] Propane Tank/ Lines: [ ] Insulation: A` [ 1 Sheetrock: Ok 74419 _ [ ] Septic Sytem FindAov [ 1 Road Approach Final Approval: [ ] Zoning Final Approval: _ [ 1 Final/Occupancy Approval: OK 4r CA //ISAI 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 SE # BLD04-00310 1.) The application was reviewed by the Jefferson County Department of Community Development staff on May 24, 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: Susceptible Aquifer Recharge Areas, Special Aquifer Recharge Protection Areas and Type 5 stream touching the NW corner of the property. 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.) 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.) 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.) 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. 9.) 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 single famly residence. 10.) A permanent physical sep•on along the boundary of the buffer area IN 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. 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 be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 12.) The applicant is proposing to create or add 2322 square feet of impervious surface and 5264 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. 13.) 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). 14.) The site plan as submitted with the building permit application on May 12, 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 24, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 15.) This approval is for a single family residence with attached garage and porch only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 16.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 17.) 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). 18.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 19.) The building height is not to exceed 35 feet. 20.) Minimum setback from Leone Ct right-of-way is 20 ft. Minimum setback from the easement along the westerm boundary is 20 ft. Minimum isde and rear seyback are 5 ft. Environmentally Sensitive Areas further impact setbacks. 21.) 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. 22.) 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. 23.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 24.) A septic permit(SEP04-00007)was approved on May 27, 2004 for a system of 360 gallons per day. 25.) Leone Ct is a private road (P580). The road approach is existing and an address of 32 Leone Ct has been assigned to the parcel. 26.) This parcel was created through Garten Estates under AFN 465764, filed of record February 14,2003 in Volume 7 of Long Plats, page 171-175 with Jefferson County Auditor's office. 27.) A stormwater plan for a m l im project has been submitted and appro 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. 28.) A minimum of two (2)on-site parking spaces are required for the single family residence. 29.) A Declaration of Easement has been recorded under AFN 484173. 30.) 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. 31.) The application for the subdivision was submitted in 1992 prior to the 1998 adoption 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 ft setback from the commercial forest lands cannot be met. The site plan identifies a 18 ft setback and a notice is hereby attached to this permit that any uses associated with commercial forest lands cannot be identified as a nuisance. 32.) A 30 ft setback shall be maintained from the disposal component and reserve area to any downslope footing, curtain, infiltration trench or drainage ditch.A 10 ft setback shall be maintained from the disposal component and reserve area to any upslope footing, curtain, infiltration trench or drainage ditch. I:\F_BLD_Permit_Buildng.rpt 10/29/19 May 12 2004 8: 47AM New Homes 1 P• 1 Garten Estates by New Homes, (lc (scale: 1"=40') from........_ INFILTRATION TRENCH 7 z 6O# x 2' DP. MIN. i , 1 s,. p EcEl /' MAY 1 2 2004 `'� APPROX TOP OF SLOPE tc. r 26 �. // V JEFFERSON COUNTY � DEPT. OF COMMUNITY DEVELOPMENT RESERVE e N. "12 -! /!x 541 Sq.Ft. t Y / 6 1 _\ / Of / / ):41‘ '''. 111At 5PIRMIT- # BO' is,z2 04031 0 w ',r jm2 Ate .,-.._:. ..-.;::: ... 6 k_,to :t kr n� z�s n ON COUNTY , Mille ..' � 1 . I // /� ���` /// it t0. ____ , -- ______<„, i ,,,,/,,... / \ , 1be //--�os , ?1 \ , APPROVED ��%/4., �' SITE PLAN / �45�„ ; MAY 2 4 JEFFERON Y DEPT.OF OMmS u TY 2004 COUNT SIGNATURE: 1..... VE pMENT IMPERVIOUS SURFACE INOFF TO DRAIN TO -1ORM WATER SYSTEM. PARCEL# 952-900-025 LOT SQ. FT: 18,452 GE LAND LLC HOUSE PLAN# S-2949 DISTURBANCE AREA: 5264 1125 57th ST. E.SUITE D 32 LEONE'S COURT IMPREVIOUS AREA: 2445 SUMNER,WA 98390 I.\Dratting\Plat ma s1Gpartin Estates Plat.dwg,5/11/2004 11:17:14 AM,$tendon (253)826-4261 rr � Jefferson County DepartEent of Community Development �'` `': 621 Sheridan Street,Port lownsend WA 08368[3601370-4450 ds t tpp[1 , c0-3;lPeAM : Uco 11. Project Description: 1_,..5-ri+ t 4, IGW\ /+ ao(}1-1 —3 Buildin e: Project Type: Frame Type: Sile Famil, MP 00 Garage Attached/Detached Addition tecl Modular Alteration/Remodel Concrete • Commercial Repair Masonry Multi-family/#of Units Demolition Other: Industrial Other: Bathrooms: ?t- Bedrooms: Type of Sewage Disposal: Type of Heat: I 22 Choose one: Existing: Z "Z.,„ Existing: J twsa Community System Electrici Oil Proposed: Proposed: Individual System Woodstove Propane Total: Total: If not sewer,fill out the following: I-Ieat Pump Conventional Alternative Other Permit# SEP Water Supply: y �� n _ Private well Two PartyWell Public:Name of water s stem: v-F )• Square Footage: ii For Office Use Only vlain Floor I 2-.5 c I 1 a t 159.4� Consistency Review lg 2'`D Floor I (O I i504 COQ* Base fee 11.9(7.g. i 3rd Floor Plan Check fee S 1DC pi a --3 Htd Basement State Surcharge fee ^^1 . 0 Unhtd Basement -�� Subtotal ��S aaO.�S Garage/Carport A----' �./ • z"g Pot Water Review fee ! y- Decks ,OQtt✓1 3 C) 1/'. Approach fee r a j os, 4" — Commercial C,1_•] . TOTA a Industrial L ^I�tb,,1DP Rec-'.t# CO -1l-k CI Other Cash/Check# i 01.5 Total Valuation: Initials elr Or Date 6/ Estir dted r - i eel If within 200• "-` Distance to Bank or Ordinary rngu 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 ' t nt to efferson 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 th• tc p ncture shall be requested and shall occur during regular business hours. Signature: Date: ! O " 0 _ OVER ► l-I:HOME\PI_ CNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 PERMIT # DLD ir ozc°� JEFFERSON COUNT`IFERS9N CDD I' F\,v7 r , DEPARTMENT OF COMMUNITY DEVELOPMENT 2 fit'' I N`S S. • To O 360/379-4450621Sheridan •treet 360/379-445Port1 w Fax Washington 98368 7 `'` TG` http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet MLA# 0 4/ (/v1 PROJECT/APPLICANT NAME: r 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.,SITE1 Size of parcel . 7 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 1 9S 2_. 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: Construction site for structures I /(o q ' Does the project convert'/acres or more of sq/ft native vegetation to lawn or landscaped areas? i ! Drainfield,septic tank,etc. S--"c=:›CD' sq/ft Circle: Yes No Well,utilities, etc. sq/ft Does the project convert 2'/2 acres or more of native vegetation to pasture? Driveway, parking,etc. .5-V sq/ft I Z , Circle: Yes No Lawn, landscaping, etc. 3 sq/ft Other compacted surface,etc. sq/. Irl pt litt(�l itli rop .ed: Total Land Disturbance G �jj""�r jj���`jj vv ll �� / sq'`t ST&R. R IIIAN (cu/yd) [over) MAY 2 4 2004 JEFFERSON COUNTY stormwater calc worksheet.doc—REV,10/12J2003 DEPT.OF CQM. UNITY OE - P • j• SIGNATURE: 0 i Impervious surface is a hard surface that either prevents or retards the entry of water into the 011 mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater gcantities or ata'n int r4se",cf t to of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, avel roads, packed earthen materials, and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. ?= Of I; STORMWATER CALULATIONS—IMPERVIOUS SURFACE NEW EXISTING // Structures(all roof area) I c.¢ ! 1 sq/ft Structures(all roof area) sq/ft _ Sidewalks 3 ( sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway 5—6 C, sq/ft Driveway sq/ft Other sq/ft Other sq/ft Total New sq/ft Total Existing sq/ft f TOTAL NEW+TOTAL EXISTING* G" Q✓ 2 2_ sq/ft "This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: Does the site have 35%or more of existing impervious surface? Circle: Yes FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure_2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the es f m nowledge. I also certify that this application is being made with the full knowledge and consent of all owners f e cte.�.ro 4 e tA / NDOWNER OR A -.RIZED REPRESENTATIVE SIGNATURE) (DATE) FOR OFFICE USE ONL3Y ° t L " A , t E r t 'p r • MALL s 4,0451 JM $ ,,i t,A`RG, �£ ..';,t.,e REC]EYELONY,KNT' AV tarrnwater 5lte_Plan 4_Yes :mo atormwatar talc worksheet.doc—REV.10/12/2003 - 2 PERMIT # B1D _ _ . , ' Jam_ JEFFERSON COUNTY wr 4" '41vek DEPARTMENT OF COMMUN! VELOPMENT t . 20r i. 621 Sheridan Street • Port Towrisen Washington 98368 Q 360/379-4450 • 360/379-4451 Fax la http://www.co.jefferson.wa.us/commdevelopment/ E v E 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. Gos s.-2e,"c.T 4 S..ti l.4.i.>.e...r s./.1c-.ve.,E o�✓ .64 cog, o. - 7-/.14- Z•S 4-8r-s ,44T ¢i4QT'y.1J ICs' r- S. A r IC IZC.7 .O Alt/C-a. of .47.4c.4. ,L o 7- ts.�/�4- 744. AO/,.Caxi..ta TcY //3 d F T/./iC 3/2.e a.c r)4 c 1.o i. Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 7-Ar/s .kJicc a/C. /,.vr icarCv o•,l "CA - S/T.f1.�t�. SL/f,./frG f- /�//c. T <ice/c. Lars W C�/ /3c f-:oi 2.4 J 2.Sj.) 3/ 1 r 9 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. "7"-- X._ an/T/.e eL..oT HAS ,g,E� .e eo.st/c.crTems- GLA.Q'/:/Ja .oss, V r 4/T.s r'-cs.✓ Lc.)04-IG4%. .d.E' 4.✓ �X.ft.rv/L d 6,,/e/jSS J Si�•?.CS' S &a /3.2eo.. . 4. Describe the existing soils. Indicate soil type on the site map. 7 i/4L T.✓i•2/ r Lc.T i'SisTS o- .4 I/,c }-' 1 -i. 'f 4d1ff -0eirSi 41S7'.4•11c7- 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. 77,6(4 . S,r/C•J O.B.a-✓ je.s er w/CGC._. i/t!!i/CiC If ,, Q S rq.vOivlq 4.44(7 A-1Z.. STa.e.� e-.)•47-.C,e ,.I 7'.2.C.sr/r i/ixoc'4., C Cdr.-.4 t/,r_/cT rPiTtH 6_s. Na /1'J /'✓ct Ld.4 rr. . ,-./ j,y�.,.. A.�t• ,7re.4/•v.f Ad,4.L /3i< P2o TV c.7.tCd 1-•)/7/-f 5,c7 3-0c.L.s Aou47 G//.CYxcr> 44v A 12rG,cfz.4, A AS"/J • 6. Describe any excess levels of noise generated by the proposed use or activity: 410/l.tf Oil,2/.IId Co.VJi.2iic7/d,v w/Le- , A.- Leaa►t AfisL✓,,i-i' G/,f7//✓4 /,!o t./£ S ..- c lc-61/.t/o4 T.,fx/.3 i 7"¢,1c. . Go4/57 Aid,S/C /IA': NA/t- 4i, 5 4 t cJ5 . -7 c... ' stormwater site plan template—rev.10/1/2003 5 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. J--n Ts 2 3 Z 5/ Z .S ( Z 4 ArZ' I 'c A 7X17 /A/ cG o spa' P20x,si/ry 6/4 C. r S S._R 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands,lakes,steep slopes,etc.). A'2JACIC^) LAA)r! GIS/3 �q c T"WD 5,A) t.re F4rnt i Lr It S,i2.E,vc(T Gia,CT�� �sra,- j ,; A 66 4T- 3 0Loex-.1 a, ,G, 66-110- 1? tlr l./ 41414)4r , I.Iwr 104f E� TIP „y 1 2 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. Nr- S !.Gy Pe-Jew 0 us 5►LT s ock.S L iu.c. 6 rc I"IS rpc.cE'n IrV /ic.c GArc.tl ribias,^is i o t'REVIAir GosJrA, )tvAT>NCA- "LtiNS 1�1rL1 D1,2rp / .AS IA) Lc.- As /tit STL' L n l'i on/ p A/ AG L ©ewtil S La ff.E lc? 4 i4Exas µ1 t-r- T-1-\ A►'r'Ko Pf in.r tE. 5/L r Fi"k- 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. 0 I AA Z. AN e o i i eoL !-1 G L p,_s 7- ,4€/W L.A'V O A 14O Ta PK fz A PO GdAl77A , 4r..-6 t/ 7-4 A N � ,rZ /p' s 3 o/Z 4-444/Fes,. S_ 12. Describe the flow control system. w A.-TT c._ A. 1 mt z vF AA. Y L$ 1r..k dk/4 Si02n1. -1-2<")clt,rs o 1 Oacc..)i1M/ t-c. SLoptJ TO PeC✓,Civf Arvt- Jo ei 6v 4.36" 0e17-3 6 stormwater site plan template—rev.10/1/2003 13. Describe,th]water quality system. L�LA.ryr../L r Is P!2U v1 1'K-17 F V L0G.hZ— kJ&T C.. 0(sTre1c.r tr ,.._.. 3 '' ti i', 14. Describe the conveyance system analysis and design. .1 + tlf1 i �[� AJA,-- p �LYr &G. . _. ,f" 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess`material. /tc—L S/T-E$ {,tiILL 14AVs 041 QIiM Ijp.� l7ISTUlCdA../e.fC. Ay Abe /NRTi1t.C✓Ac Lu/c.L STRY pwa- �,'.o.e.M- �X/1T/n/Cr S,T�_ 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. MJ^//Psi Hin._ CG/.-5 Ta fj,-a, ."i4 Sd/c.S„ 17. Describe the proposed surfacing material.L/ 18. Describe methods for restoration of the site. 4.--oi,..) /rat/�•4:1 C.T TD 7-/5/iC Si 7'.elcC f'.a e.g. FU[..L 9' A c-c o 0¢,10/yc\i..)- 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. JY 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. A./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. q A stormwater site plan template-rev.10/1/2003 CONSTRUCTION STORMWATER POLLUTION PREVENTION PLt�(8WPPP�)9 ti 1 2 2O "' 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 projeci.T.Tb proponent isr-rspoo,risible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Corstiltthe 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. 121-A T /5 .4/C.r2.rs a.o}-4 G[.r a rL ry Fa?‹ a"/s 7 J LT/v-n/ 2. Establish Construction Access. GoN.r7 1, rid ,4 iCriE t__/.S14,Et7 d'11 4 c-/te- Si7/z: /%GA../ 1 AJ care ca s P[A•.1 LJiZ 'Ja Aid T T /tiZS a ti c. ✓El i a, 7—/4 /1.xig7/ ✓4 /2o•46v; Th /41//V/,.1, A.✓f- Gd,+r/0G/LAY 7; "d 77,51/C ..f/T/<' .14.)4772-er.. /eH/t/ ptt'/ 3. Control Flow Rates. liJ,c C- Z rc' 6Y S 7--,i2,4,r6.4 ec.AocMi 1.3 6nr cs /•J ' auk GtiL.t)F T p,Tt.>a�g 4. Install Sediment Controls. S147— ..t✓ ac A.LL Cd Zv"14/L L SG6P.Cs' A.AW , , OA'#J/, /4)Z'CAS_ 5. Stabilize Soils. 15Svr.7 a, s 77.4, L.►Z r-/c,J w, e.. 6r ,+4,iv,..,,raE ' v it) L.d�� Z Co /Z ?) 3 4 ‹/_ %HF( r2rz.57- v F T'N rC ►mot 1 T 136 %Z,isQ-ar/v•E-t-t- 4fei'=.41 c{S 6. Protect Slopes. /lt/i7,cr- .T-C Taos d F S.c oP'C d.4/4c7 S/4 7— ,4.s A/'c-47-Ss,Qt Y 7. Protect Drain Inlets. 7— S^9cJ - Gd/G G C. /Z: 8 stormwater site plan template-rev.10/1/2003 t a :� t-DiD ill - --Y 12 Required Elements-Construction SWPPP(continued) 1 8. Stabilize Channels and, 4Out WAts. ' C'7.17'G✓�TS 4 Au) j i�`(7T/ �7-' 13 V' a Age /�i¢ G� 1 AJ S TA o c_,-� , /44 r 6.4/c,f 4.vp T r47- wiz-v c.. ,P1. C}y Ai T'Nlc A /IP.QaP.21rsr'1E Loc.ari0NS_ �. _� . 9. Control Pollutants. /c.r-. ...Cd 6 y /1A r 43A Icz g.4c .! QV 5/4T r=i<--t/c. (-es ,711 �,'td,M/e.<_ T'Nic. FG J Or- f 51 ww-til e-..-v FA 77a.✓ ,n/To S/- ",'-tgi+'V rT-c-. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). /A- 11. Maintain Best Management Practices(BMPs). /s S/ (iFeoT,�-c.T 0.24i•v cA.,TI...CTy , GO-v ;€ /74LL c.' .Oiv73 .ac"s '4 iv.a i Go-,vc..Gc i.C. SL ci.�y s,7-, l'd� G4.4C A..v c-er r- /c''rt.. 12. Manage the Project. Syp' ..�..%-7F-..�.e... GNWe.K- Los/c.✓ /1/1/ �,S e.,,eiIr ©.✓ .et --*S' jA I 1-1) 15 A S IS 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). ...7-«. /'A-^Ac S LyiG c_ /3/r ....7.,ST.4LG.c C er2ZiT c.T z.}' AcG.o2i tc,L t- or,/ r NA .Oo&WAic.L 5 z..ot 'O.,5 40j .AcC'..JT 7-4, •4e- G,Qi Tic..a.L rg2f..4.-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 Sti Ae . a. Descriptionensi of environmentally sensitive areas that are on or adjacent to the site. �% a %d L a i� Z3S zs/� ZS P26 stormwater site plan template—rev.10/1/2003 9 b. Description of special r uirements for working in or near environmentally ser aas. • _ L L' .I 4. Erosion Problem Areas. Description of potential erosion problems on site in the contekt-f-the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). 5. Construction Phasing. a. Construction sequence G L/T do[.ES FdiC. /-O 4 A.)17 ATV fn., Q41142 r:d 41040474 Ttq /40 44347 C!_03r a.v/ La)7: Lc)/TA/ A �,La3'e..J /y643 4,AZICS b. Construction phasing(if proposed) ' ' rt/d_ 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. 54••, AS 5-A. II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. /.11sr4 qc-c_ APi'.e0a,</ 47 /14/Cats iv.0 ,Tiuyr- ,44:ZI.43 A'✓42 C'a••✓.�/Z 'c7 A c_C. ,M- G/-. %t S--3_ 7. Financial/Ownership Responsibilities. a. Ilentify 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.. ►.,t LGG, 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. "1/4 b. Diversions. A/A- c. Waterways. NQ- d. Runoff/Stormwater Detention Calculations /1/A- 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 signing the Const ction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the be .f . y knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the - e".4 p ( • NER OR AUTHOR REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 2 200 12 stormwater site plan template—rev.10/1/2003