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BLD2004-00311
• BUILDING PERMIT APPLIC 'ION MRAOW OOp 7 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00311 Received Date: 5/12/2004 SITE ADDRESS: 52 GEORGE LESLIE DR PORT LUDLOW, 98365 OWNER: GE LAND LLC PHONE: 1125 57TH ST E STE D SUMNER WA 98390 (253)_826-4261 SUBDIVISION: GAR EN ESTATES Block: Lot: 22 PARCEL NUMBER: 952900022 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 DESCRIPTIOr NEW SFR W/ATTACHED GARAGE & COVERED PORCH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,119 VALUATION 250,075.00 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: CON 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: �/f 3/Q 1 �y F&W Landslide 4 `�V� Shoreline Aquifer rr Forest: Commercial Rural Type Amount Paid By: Date: Receipt: A PP'`'"_ tV Permit $1,839.35 KAS 05/12/04 64416 State Building Code $4.50 KAS 05/12/04 64416 MAY 2 6 2004 Potable Water Application $52.00 KAS 05/12/04 64416 Jefferson County Planning Total: $1,895.85 & Building Department • 0 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00311 Received Date 05/12/2004 SITE ADDRESS: 52 GEORGE LESLIE DR Issue Date 05/26/2004 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: 22 PARCEL NUMBER: 952900022 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 &COVERED PORCH REQUIRED INSPECTIONS: 4J SETBACKS: ifs] UFFER: tic] Footing: kg l-O II.] Foundation: [f] Stormwater FINAL Approval: WO- Z--1v 04\ Underground Plumbing: NA 1.4 Underground Insulation: f?Q Shear Wall : '/,''F k VC(GW y, T(7_ Framing: OK 7/9 464 41 `Tr/l Plumbing: a -7/9/0ii A/ [ ] Propane Tank/Line : f'yA Eiz Insulation: t4/4'Lc.r Sheetrock: Ok 7/4/I/ �'i, /Lrreej6.¢ eYP Sa4,etrrl� Ok 7ii.i9, Septic Sytem Final Approva : r Road Approach Final fikl Zoning Final Approval: );1' Final/Occupancy Approval: Ox fa,-- G/O Bi3th1 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 FORSE # BLD04-00311 • 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 and Special Aquifer Recharge Protection Araes. 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.) 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. 6.) The applicant is proposing to create or add 2086 square feet of impervious surface and 2857 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. 7.) 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. 8.) 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). 9.) 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. 10.) This approval is for a single family residence with attached garage and covered porch only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) 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). 13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 14.) The building height is not to exceed 35 feet. 15.) Minimum setback from George Leslie Dr right-of-way is 20 ft. Minimums ide and rear setbacks are 5 ft. 16.) 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. 17.) 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. 18.) A minimum of two (2)on-site parking spaces are required for the single family residence. 19.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 20.) A septic permit(SEP03-00311)was approved on May 25, 2004, 2004 for a system of 480 gallons per day. 21.) George Leslie Dr(P581) is a private road. The road approach is existing and an address of 52 George Leslie Dr has been assigned to the parcel. 22.) 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. I:\F_BLD_Permit_Buildng.rpt 10/29/19 Garten Estates by New Homes, Ilc (scale: 1"=40') © INFILTRATION TRENCH O%/, 600 x 2' DP. MIN. < ..... G \ \ # *0.4 / .. , 0 1) / 2 //� W tip -, /..,. ' „ 76...,: w 39� !,e!iiiieiiiei i E . . ,.,,, ...,.....,.........„....,.......:.................,............ „,... ,, ...................................... ................................... i :::• -.*.'n S 267. :::.ioi* l �sR AQ :.:::w:..:.: : ::::..:.::.:.::::..:I e � •DIMENSIONS:::?i::::::::;:?i::;:;ii:::; :•4 410 S'W'DDE ::.::i:.tt:_i..:::*i s0A 99�� i L- — f — — ,� ,titi t"� 128 ?\ 9 47.40' _ (52)µ GE RGE LESLIE DR - PERMIT # DLD APPROVED 0 4 - 0 3 1 1 SITE PLAN JEFFERSON COUNTY DCO MAY242004 ,D i� '' "r ,.7) JEFFERSON COUNTY 1 DEPT.OFC U�IT�P U �.1 MAY 1 2 2001 1 SIGNATURE: IMPERVIOUS SURFACE RUNOFF TO DRAIN TO EPT. OF C.A .. . :.)EVELoati7L;:r STORM WATER SYSTEM. PARCEL# 952-900-022 LOT SQ. FT: 12601 GE LAND LLC HOUSE PLAN# S-2676 DISTURBANCE AREA: 4764 1125 57th ST. E. SUITE D 98390 52 GEORGE LESLIE DRIVE IMPREVIOUS AREA: 2182 SUM (25 WA 253)826-4261 4261 I:ADrafting\Plat maps\Gartin Estates Plat.dwg,5/11/2004 I:OI:15 PM,Brandon 0 • . • Jefferson County Department of Community Development , `i C��` 621 Sheridan Street,Port Townsend WA 88368[3601378-4450 perm: u A at, �i `,; 0 •.-.... �E. ELOPML;,f x;IN � f U Project Description: liN_ j� ^ `--6-cjPlan O -4Buildin: i.e: Project Type: -�` Frame Type: laniell0 MOP 00 Garage Attached/Detached Addition teel Modular Alteration/Remodel Concrete Commercial Repair Masonry Multi-family/#of Units Demolition Other: Industrial Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing 2 ;`L Existing: _ Sewer_ Community System I lectrici Oil � Proposed: Proposed: idividual Syst®m Woodstove Propane Dotal: Total: If not sewer,fill out the following: I-Icat Pump Conventional Alternative Other Permit# SEP Water Supply: Party y � 6 �� j Private well Two Par We_l Public:Name of waters stem: 4-, Square Footage: Gj For Office Use Only Main Floor ( l l l I�i q 4, Consistency Review -4I g 2ND Floor I SS 8 L '3'9r(Ok 3. Base fee C I i g 3 t . • 5 3rd Floor J Plan Check fee toc-Ii--P,Roo4A, - 7 Htd Basement State Surcharge fee 'q. 50 Unhtd Basement Subtotal I 7 61 I - gs'. Garage/Carport yid "//��1 i goa-6• Pot Water Review fee "P35 D :.,.t, Decks fri..ctij 5 C 1 d 16 1/Rd Approach fee Pr:11 led(ex Commercial � O-1L, OTAL 1 6. 85 Industrial `)D' Receipt# Co 4{4k lk Other Cash/Check# I Ol Total Valuation: Initials Or Date 5 t_alO4 Estimated Cost ( 1 (`/ / . (-' l 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 nut and void. I further agree to save,indemnify and hold harmless Jefferson Counts-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 con •uence of the granting of this permit. I further agree to provide access and sigh • a 'Je rso County and it's employees,representatives or agents for the purpose of ap ication r view and any required later inspections. Access and right of entry to the a %i •nt's,pe •<�st to -.....;I be requested and sh• - ur during regular business hours. -, "�_, 1 . Date: r/�Signature: e7,7 OVER ► I-I:HOME\PLN NTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 PERMIT # DID SON eo� JEFFERSON COUNTY 4 3 1 1t ;-_ ,, p A r, . -, W �'ti DEPARTMENT OF COMMUNITY t? 5EEDSNtONTY ''i�j a, tir pe--'',*',, . 621 Sheridan Street • Port Townsend • Washington 98368 I 4' A I �,4tINGO 360/379-4450 • 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ L. PT 01: Ca'' r , . Stormwater Calculation Worksheet MLA# V 1 L'lAC) PROJECT/APPLICANT NAME: (XI LAVA L. 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. Gy PARCEL SIZE(I.E.,SITE) Size of parcel .Z / acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 1 2.6" 1 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,IN 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: S�- Does the project convert%acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? t g Drainfield,septic tank, etc. ��- sq/ft Circle: Yes No Well,utilities,etc. sq/ft Does the project convert 2 Yz acres or more of �,/ native vegetation to pasture? Driveway, parking,etc. / sq/ft p -7 //i_/ Circle: Yes No Lawn, landscaping, etc. / / 7 `7 sq/ft Other compacted surface,etc, sq/ft i ind►cate�l q tx �e� rtiosecr Total Land Disturbance 2 85-7 Arr v �/ �1 sq/ft cu§TORMWA1FffR PLAN (cu/ed) [over] MAY 2 4 2004 JEFFERSON COUNTY stormwater caicworksheet.doc—REV.10/12/2003 DEPT.OF ' MMt1NITY LOPM Ni 1 SIGNATURE: �/_`� )12 Impervious surface is a hard surface that either prevents or retards the entry of water into the soul mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfacestinclhde; but are not limited to'roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS—IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) /SSA sq/ft Structures(all roof area) sq/ft ct� Sidewalks / sq/ft Sidewalks sq/ft Patios ) / sq/ft Patios sq/ft Solid Decks .�-� sq/ft Solid Decks sq/ft (without infiltration below) gyp (without infiltration below) �// Driveway % `7 -/ sq/ft Driveway sq/ft Other sq/ft Other sq/ft Total New sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* 2.-e:56aa. 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 --st o my wledge. I also certify that this application is being made with the full knowledge and consent of all owners oft gaffe/, DIWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (D E) fOR OFFIGE USE ONLY s = t -z SSIAI#Ys •'t=°`tf , ii .q g,r ,£ lik s. R , SMALL ,401UM` _ <L4kG a REbEVELb NIENT 45tgrmigraYex,Srte;Plan. Yes Tlo stormwater calc worksheet.doc—REV.10/12/2003 2 PERMIT # BID JEFFERSON COUNTY 4 ® 1 �.,. DEPARTMENT OF COMMUNI'tf 11:t PMENT F' i ? ,+ `' DC . 621 Sheridan Street • Port Townsend • Washington �98368 360/379-4450 INU http:/lwww.co.jeffe s/on wa.s/ommdevelo ment/ p DI Or L STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 014 'tijk() 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. C64/5.—/Zuc.7 4 s,.�y r-,4,.,, r ,P�S,r��.,,+`.E on/ .64 csF s La? 3 ,ec T L�.4.2 1"- .7. AFica Cr.E.O A/t,C'a o .. c.14- ,L.®Y lv,e_o- /5.4_ AP/7.Cdx,.•?.a,- v /,3 o F Ttlli S,z)e a.0 T)4C Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. '.'/'3 ,t.ite.L /S/C /sv/scarC,' .,1 A-04 . $.r€c /HAS SG/4Jf7Lf- /.7//4"7/ew•ce-/LT Lots 1 i/cL f iC J... ,r 24 Zf 3 J. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. a. /Tim Pt-AT Ha Coats<.Cr►£z-Y GG 4,-tr�J� Low V�4/7-.4 T-ict n/ £-<. i c ram ,d f 4.✓ X:. .mac G e aseit s 5;•?4,‹ Sc 6[i' .4c 4. Describe the existing soils. Indicate soil type on the site map. .v-,.Q.G PL.qT /$f-s c"" A Ogg Y S.a" '5 G d/H Go'r/s/4f,T.a.✓cr 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. f e.) S7C.(Z,r� Ld'Q7.0 /J %/PCoN4$,, CQ/Gvizier P,icHEf'- Alo tti'u"-u,vcf /.•' %.YXre•ft•. .d Ad>v /7/2.4/•v S dvi c<- /3/( P/Z v 7-4-cr./CO Z.'/7/-1 $/Z.T' S o c..s .QNA CN Ce-4C '/7 444V A gir.67 UL-4 K. fe,/SS/T 6. Describe any excess levels of noise generated by the proposed use or activity: do/JAE .ON/!/n.h G0,r/..r ee./c7-d N l-v/LL 64- Ae09 t AfAte.w.-veryGafT1/4/4 N o�•� s "ti feze.aa4 r'cf ei,S S4t-c.s .C7 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 loc tion on the site map. Jars 23 Zy ZS" 24 Aif-.A. L..oc.ar�ci i,✓ eGas/c lv26x,,ry7rt' 6,4 A- CA.TA e"e 4 r S 5•—ec ..4 0A.. 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.OJ4cr,.JT LAnto uSeS Al Tad 5.-v41.r Famli.r � s..el.C•vce,' l.4,eC7X 'J /S>.ar-iCJ' i, ACcr -t7- 3 0LoGL;J Gf vJ %Nr /.I!4 1414)4r , I.rwY 1 o`! 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. I^Nr_ Sof4-S Agri: V i -1 ee-4vi0t43 51LT S ockS LA)1Lc_ 6rt lIvsr• Lce'c trJ AI-c... GA re_tl 1aAS,AIS 1-0 PR[. vt r GoNr"ArA)NA1-,&c. 5"T/ZI "LrAz �I-rL1 t�1 J2 r,v t...j.°rr=lam A.S to a: C„ A 3 1 Ai S T•a c. -an r . a.../ p Al A L L Cot-Old SLo ea"19 AJeEzoS / µ1rrIA T'l-iY� 4ppl40 tag IArIf_ 5ic.r F .' - -_ 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.] k 11. Describe the performance goals and standards applicable to the project. T o i,N i v z g. Ani f7 Goil lloL. /toy. D/s?-yeiCo [...A IQ p Arita T'a Pry sZ viz, T A.v Y C on.OA•mot 10,047 'O.K/ 1-4 A N P A r.. ,(� s !.e/s 4,+^. 3 02 /-1444 r F C2 S_ 12. Describe the flow control system. 'G..cn r c.) 12A.T J s w ,G.c. t5 M 1►'.t 1,-•N.1,Z. 17 e� N r I-4 E- US T of itAs Y F34...1 L-.$ t r•-1 dLr/Z S7 0,4n1 ?"2C/ticut`S O%1 . 176w ?N i L.c. 5L0P1ZS To 'KiC 1J1C.v1` AAvy `t ct>-'[1t d0. '-t\i ij yl, r �` r 1 stormwater site plan template—rev.10/1/2003 13. Describettn9 water quality system. ,e,.rrL.Z I I' F:=7Z o v, 19,Co �J V L. �,OG4— klai - 0I STreicT; 14. Describe the conveyance system analysis and design. 1 v 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 4c-c- S/T-r3 IJIL.. I-1AVr AA,.I/IMt.o.._ P1Sru,C0A../e.Fe_ Ltssc.L S7 4 py A-..e►tµ �X/J1'iniG. SiT.C_ 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. ,M 1 N/"f u,►t. c ti S 7-4* /3,<•41., ,,./ct 3'o/LS, 17. Describe the proposed surfacing material. 4Y i4 18. Describe methods for restoration of the site. .1.-.er ) /psi 4 cT 7--2:, 7 4 C- 7,7"-eE i.f. A c.k FtLck-,7 A C-c o pea,n/e1 L f- 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. /(/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. A/4 I, ), v,,,,, , r, 2,,, ::....., , , , ,-.- stormwater site plan template-rev.10/1/2003 111 i ;,:::PI Of G __ivEl.0Ph1L,.t , CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements-Construction SWPPP 1. Mark Clearing Limits. 121.-A T" /S ,4,4(.1Z-rt. . ?)- ZLI=a/ZFz b Fd?C G d"is 3-Ai'at C.T1 try./ 2. Establish Construction Access. GONE/Lt'cr/d .1 ,4 cc,/r.rS 44//GG 11C1icr f.....r7-Aac../S/4ez7 6lt/ /4 c c-.4 S/7W Pre-A../ , /wJ erg/2' CoAIsr/L/tcTitl..`/ 12 .G"/ LUIZad Ala 7- T grx's ONa 1/014,Gt- .. D 604 7-14 tC /ma x/5T/.✓ 'c� 4 pZ d•4O; Th yyl,,w mil/r. C A.ric. Cd.y126/caT i.1.4' 7 d Tic}/ J./TA- A}.4.7 C. �614/ a¢/ 3. Control Flow Rates. �Gd c4 Ile c Tr 1-4)."e-C_ �3. i/"),AK/z Ke7 61-' 577,e.4rryrc.4.c,'-yo eLAGmis I-I 45AI c.„S /.J . 6ei/e GyLVt t T 47ITZIa C 4. Install Sediment Controls. SILT .f=� ..c•(S 1LJ)1...i.. as. /r1Sr.c444ry d/n/ A._LI- Od24i44/t.L SG a',CY A.Al#7 /.t 2 6/70%/ G/e IT'/c.•i c. /c3IZ* AS„ 5. Stabilize Soils. 1 53vrj of S • /2g7/05!J c.v/GL 45/ "III N.M,L,(Q c) it) G.df.5 Z es, /Z 7) 3 1 S/_ T/-I FL /Z�.3' 7- CI r T 14 r 1 'L/ 'r- 1 3' %Z IZ A 7-i v+F L.,- FG.t1.i 5 y er=,a c ai"S 6. Protect Slopes. //c/.0/cr A i 6C 7-'d OS c F SL 04.0."4-5 /-z•t/O S/4 7— /�/1/G/E.. A s A(.4:c.i:.SSAge.,)-a. 7. Protect Drain Inlets. 5 . 7-- SS el7C.J - Gd/GC. tip /"/ST.44.G/c:l� ---) r 1 6 ' )C f - 1 8 stormwater site plan template-rev.10/1/2003 f t • PFRMIL# ein 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. ) t - , ,0vor 4 IV O Pe f c r- r3 5- 1 Ai S TA o c_i-.J 5, /-/4�' 6.4 i c,,f 4-vp Y"7 ��c �v C ,Al T NA A /i0.eoP•2 Zoc.arrmNg_ 9. Control Pollutants. �ic.r.C.G.Cz 6 y f14 1° AA , -3 / �.ac z7 4ry 5/4.7- wiz Svc re5 'z.E.. TN I-Lo Oa o Ic S1EDirn w q 77 o.✓ ,.dTd S i�r"� 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices(BMPs). 1,4*4 �.C�oT c.7 p2QA,v cJy T�.ET? Go.�,.�o- �DGGu j ca,v1's �.E"s '4 eu.a.J , /Go''+i�i SLu.et- -,7 /177d0C. G,..€ •v c- TS LTG. 12. Manage the Project. on./ cm./ 04 1237441114r. Al L ' 15A ►5 2. Adjacent Areas. s a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,road ). .QcGo2�i•t/o, f an/ r//� D6Wi/i4ic.L 5GcPg_}' .4t J ACC'0J7 j 2 .4 .L G,QiTAGac. /ArZf:41.Js 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. F,o.Cf- $� 57:12e1:::c2.02.. vJ . c.* - T d h..o ry 2- 3 , Zsi1 2S r a r a yJ 6 K 1 1- MAY stormwatersite plan template—rev.10/1/2003 8 P?. 01 C = f s't_Ot''hai:'.I • b. Description of special r uirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). /Y 4 5. Construction Phasing. a. Construction sequence G u _ t/ot.ES t-2).C. /=cci..x7•or- Ou/v> Fdu/+va r a co.e,s-..rzucr /404456E. .C.A.. CLosr a.v/ GOT w/7-,cr [.c__ �SeLoS•a") w164swic.Cs b. Construction phasing(if proposed) ""' '17,6•4'c.E.' 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. 540IW .aS II. Wet Season Construction Activities. a. Proposed wet season construction activities. 5+4 - b. Proposed wet season construction activities for environmentally sensitive areas. ,_'JJ 774 - .4 c-c_ APoedsoirCia1 /L!!EaS h..erf3- rv-C Se:vs,2 ',C /0.21.43 ,4")42 c ,VS�2`,ci Ac.c.a4 ',Mvc, Gr j d G:+4. 7. Financial/Ownership Responsibilities. a. dI4e ntify the property owner responsible for the initiation of bonds and/or other financial securities. 4- Z W 7 b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. �.�:,.c /fie rut Cr:S LGG. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. A b. Diversions. A//-L r c. Waterways. /V d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/1/2003 =�T_. Of( j, ..FJ c(lx r I 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 Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the t of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of th ff d rty. DOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DA E) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: • lll�g 1111 II r mg 1 2 2004 .r Eh:PT. OF CI .. . : _-;vLO'hiL I 12 stormwater site plan template—rev.10/1/2003