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HomeMy WebLinkAboutBLD2005-00256 0 • MANUFACTURED/MOBILE HOME INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00256 Received Date: 4/25/2005 SITE ADDRESS: 311 SUNSHINE RD Issue Date: 6/28/2005 SEQUIM, 98382 APPLICANT: WINSTON LAJAMBE VIRGINIA LAJAMBE 311 SUNSHINE RD SEQUIM WA 98382-8713 SUBDIVISION: RONDELAY MEADOWS Block: Lot: 14 PARCEL#: 991900014 Section: 28 Township: 30 N Range: 02 W CONTRACTOR/ DEALER INSTALLER: BUYRITE HOMES BUYRIH*0840B Expires: 5/20/200( 3543 W ST HWY 16 PORT ORCHARD WA 98367 PROJECT DESCRIPTION: NEW MANUFACTURED HM MAKE: YEAR: SIZE: THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 6/28/2006. CALL IN FOR THE REQUIRED INSPECTIONS THATAPPL YOUR PROJECT. Setbacks/Footing (CONTINUOUS FOOTING, SL or PADS USED): 1 6 a 3' Stormwater FINAL Approval: Blocking/Plumbing: 1 ic,4 _ Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: /./lJ,d 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 CASE # BLD05-00256 1.) Septic approved based on the existing residence being removed as show on the plot plan 2.) The application was reviewed by the Jefferson County Department of Community Development staff on June 7, 2005 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Wetlands due to Type 5 stream; Seismic hazard; Susceptible and Special Aquifer Recharge Protection Areas. 3.) 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. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) 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. 6.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 7.) A Type (5) Stream (Fish and Wildlife Habitat Area) has been identified on the subject property. The stream will require a 50-foot buffer. The buffer shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 8.) 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. 9.) 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). 10.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. • 11.) Critical Aquifer Recharge Aremay require special protection measures tomitigate 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. 12.) 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 manufactured home. 13.) An additional setback of five (5) feet is required from the edge of the buffer area to the manufactured home. 14.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 15.) 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." 16.) The applicant is proposing to create or add 5,030 square feet of impervious surface and 6,448 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires the project applicant submit a stormwater plan meeting Minimum Requirements#1 through#5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 17.) 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). 18.) The site plan as submitted with the building application on June 27, 2005 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated June 28, 2005 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 19.) This approval is for a manufactured home 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. 20.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 21.) The parcel was created through the Rondelay Meadows subdivision on November 15, 1976 under AFN 238338. 22.) Sunshine Drive is a county local access road (C502109) and Eagle Creek Road is a county local access road (C502409). The parcel has an existing road approach off of Sunshine Drive. An address of 311 Sunshine Drive, Sequim has been assigned to the parcel. 23.) A septic system (SEP77-00189)was finaled April 14, 1978. An evaluation of the existing system was completed October 11, 2002. A septic permit application for a system with capacity of_gallons per day was reveiweed under SEP05-00117. 24.) Potable water is provided by the Rondelay Meadow water system (State ID#74130C). 25.) A minimum of two (2) on-site parking spaces are required for the single family residence. 26.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 27.) 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). 28.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 29.) The building height is not to exceed 35 feet. • 30.) A minimum setback from SunsFiine Drive right-of-way and Eagle Creek Roaght-of-way shall be 20 feet. Minimum side and rear(south and west) property setbacks shall be 5 feet. Minimum setback from OHWM of Type 5 stream shall be 50 feet with an additional 5 foot building setback. Owner/applicant should contact the Environmental Health Department to determine setbacks from septics/drainfields and wells. 31.) Per letter dated October 29, 2002 from Ross Goodwin, Forester with DNR, states that the presence of a seasonal stream was observed but that there was no obvious channel. No water was present, however it is clear that water flows during parts of the year. Therefore, his determination is that the stream is most likely a Type 5. 32.) A Stormwater Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. JACK WESTERMAN II Jefferson Campy Courthouse ASSESSOR 1111 Itox 121111.Port Townsend.WA 98368 4360) 38 i-9105 MOBILE HOME IN*aummory FOItM OWNER'S NAME/MAILING ADDRESS: NAME: WINSTON LAJAMBE AND VIRGINIA LAJAMBE ADDRESS: 311 Sunshine Drive, Sequim, WA 98382 PHONE NO. 360-797-7000 The purpose of this questionnaire is to obtain information regarding either the current location of a mobile home or the previous ownership and location of a mobile home. This will help our office determine whether the mobile home is already on the tax rolls in Jefferson County or if it has been moved to this county from another area. 1)MOBILE HOME DATA: (A)MAKE McKenzie TW (B)MODEL L 2004 (C)YEAR 2004 (D)LENGTH 52 (E)WIDTH 2 q0 (F)SERIAL# TKCSTOR-404-26151 (G)YOUR PURCHASE PRICE(Do not include sales tax)$80,000.00 PURCHASE DATE 3/24/05 2)PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) (A)FROM WHOM DID YOU PURCHASE MOBILE Buy Rite Homes ADDRESS 759403 Hi ahwav 101, Sequim, WA 98382 (B)WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEA - No If Yes, Previous address of mobile. N/A 5 A t If No,What County was Mobile assessed in last year. N/A F CO 3►WHERE MOBILE HOME IS TO BE LOCATED: (A)WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes No (B)IF LOCATED IN MOBILE HOME PARK: NAME &ADDRESS OF PARK N/A Lot/Space# (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER:Wi nston & Virginia La jambe LOCATION ADDRESS 311 Sunshine Drive, Sequim, WA 98282 REAL PROPERTY PARCEL #/DESCRIPTION Lot 14 of Ronde ay Meadows as recorded in Volume 6 of Plat_ pace 16_ records of Jefferson County, Washington. Sit ate in the C ty of Jefferson, State of Washington. Signature of applicant Winston Lajambe THANK YOU FOR YOUR HELP! JOD�COSSELL,-Property Technician . • • 4110 . I • .. . H c:,,,) :Z.... LI.1 40'-0' . 1 eD t--- 1 14 x39V • i• •-•- - i -r- .;,••,, 0 I i'•'-'4-:`t ' ) •-:-.., L:-- - 117 4 ,..„,.. c/ 8 •r lit ,-- :-....-.,- ',I „A.,. ....g. C7 . 1 'II. 3 r e ••• ''I)( .,.:. 0 '7*. 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Bp t '.: 1 >tiond Front Porch , i , :,.. -13 :• ...."-- = Ln . 1:( ..._,__------........----.—:•• -./ ....31 . . ., .. ,• • . „, ...rowew^m fttfW /MO nenTaibnor IrV4 7A:TT anT en/pritn • OWNER BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed projecct..-�/' Signature: Date: / GENERAL CONTRACTOR O‘ANUFACTURED HOME INSTALLER:% PHONE: FAX: C9 'PliPie.,0 Rei Po_1i( 1%k) ( ) ) 7q7-10r� ( ) C=t4 MAILING ADDRESS: /`Y 5,'rr` �u lU t' KO . W..,,,,�. 64) ,.5f c- MAIL: CONTRACTOR'S LICENSE it `' L �' s WAINS f 41':L L- 19 /Al NUMBER: (,k.F'rgp 9'53CS NUMBER c0isgCA", (:',2-C,(-) ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL I, Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New % Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: z Height: 52Clndividual System, ❑ Repair ❑ Masonry SEP Permit# 1i( 'I b 1 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: X Public Total: �, I`f ec�''"% C- Name of System: i-k%t.t 11— •#_j k r\ i.c,cv4- If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current:_ Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: ❑ Underground Tank ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove 0 Woodstove 0 Fireplace Insert ❑ Hot Water Tank [7 Pellet Stove ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage For Office Use Only Current Proposed Amount Main Floor Consistency Review: t1 2Nu Floor Base fee: r tf:-."'j (.1( 3`a Floor Additional Section: i L'L' Mezzanine: Plan Check fee: R Heated Basement State Surcharge fee: -A' Unheated Basement Pot Water?Review fee: Other Unheated ; i.1E� y*C 0511/Rd Approach fee: i 14a1;)i - Garage/Carport TOTAL: $ / \ Decks Receipt Number: r--, 4,- ( , ` r tL- Other Cash/Check Number i 1 � ! .`7 z- 7 ESTIMATED COST(REQUIRED) Datei / •Fair market value of all labor and materials foundation to finish c =' f Initials: ,:- G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc • MLA05-00245 Review Type: MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00256 Received Date: 4/25/2005 SITE ADDRESS: 311 SUNSHINE RD SEQUIM, 98382 APPLICANT: WINSTON LAJAMBE PHONE: 360-797-7000 VIRGINIA LAJAMBE 311 SUNSHINE RD SEQUIM WA 98382-8713 SUBDIVISION: RONDELAY MEADOWS Block: Lot: 14 PARCEL NUMBER: 991900014 Section: 28 Township: 30 N Range: 02 W CONTRACTOR/ BUYRITE HOMES PHONE: 800-654-1695 DEALER:. 3543 W ST HWY 16 PORT ORCHARD WA 98367 Contractor's License BUYRIH*0840B Expires 5/20/2006 INSTALLER: BUYRITE HOMES BUYRIH*0840B 5/20/2006 800-654-1695 3543 W ST HWY 16 PORT ORCHARD WA 98367 REPRESENTATIVE: DON PITKIN PHONE: 360-797-0012 142 SUNSHINE RD SEQUIM WA 98382 PROJECT DESCRIPTION: NEW MANUFACTURED HM TYPE OFWORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SETBACK: VALUATION 80,000.00 YEAR: LABOR & INDUSTRIES APPROVAL? SIZE: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 0 Prop: 0 Total: 2. • Total: 2 Routing Date: Type Amount Paid Bv: Date: Receipt: A " '3 V E, Permit • $157.00 BAC 04/25/05 72926 Add. Manufactured Home $33.00 BAC 04/25/05 72926 auN 2 8 2005 Potable Water Application $53.00 BAC 04/25/05 72926 Jeff my Planning Total: $243.00 & r - ! I epartment i 410 • RETURN ADDRESS First Federal Savings and Loan P. 0. Box 351 Port Angeles, WA. 98362 ISl 1;ZtV:^ IIInGTON MANUFACTURED HOME r.m* vw,fi d�i L41�_:,mmr�/ liCEn/� APPLICATION E)TITLE ELIMINATION sinG OTRANSFER IN LOCATION Anyone who knowingly makes a false statement of a material fact is guilty ®REMOVAL FROM REAL PROPERTY of a felony, and upon conviction may be punished by a fine,Imprisonment,or both.(RCW 46.12.210) D MANUFACTURED HOME TPO I PLATE NUMBER YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN) 2004 McKenzie 40 X 52 TKCSTOR-404-26151 © LAND LEGAL DESCRIPTION ON PAGE 2 REAL PROPERTY TAX PARCEL NUMBER MANUFACTURED HOME WILL BE IN AFFIXED ® REMOVED 991-900-014 LOT BLOCK PLAT NAME OR SECTION/TOWNSHIP/RANGE QUARTER/QUARTER SECTION 14 RONDELAY MEADOWS © GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS 16 2 1 NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER WINSTON LAJAMBE NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER VIRGINIA LAJAMBE ADDRESS CITY STATE ZIP CODE 311 SUNSHINE i f SEQUIM WA 98368 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER FIRST FEDERAL i SAVINGS VINGS AND LOAN A N ASSOCIATION C*:PORT ANCIELLS . NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE P 0 BOX 351 PORT ANGELES WA 98362 GRANTEE NAME I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AM/A THE RE ISTERED OWNER(S)OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title,IF APPLICABLE / J� Signature of Additional Registered Owner and Title,IF APPLICABLE C •' \,`,�m;PAL ORSTAMP NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S)SIGNATURE NNNSA S;WEZ� * State of Washington 1, �, i� c Signed or attested J , �i) \`�„`• •.•S ,i� County of �/ a V � before me on�-✓ Y� © d g JA�A °/ 72-.•• � ,�p1 Z S. by �1`(-ts�nr-- ��/�"ti�F. Signature i_, — .5��.Al. Q Q` PRINT NAME OF REGISTERED OWNER + NOTARY OR AGENT -. .• •• '`� PRINT NAME OF REGISTEREUUWNER PRINTED NAME OF NOTARY '/,Il .•.....•A•SX .. County/Office No.OR //./,�OFI W,P\`\\�� Title DEALERSHIP POSITION/AGE TION/AGE /NOTARY - AND: Dealer No.OR Notary Expiration a e j•(�( a TITLE COMPANY CERTIFICATION p I certify that the legal description of the land and ownership is true and correct per the real property records. NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER SIGNATURE/POSITION DATE Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. © BUILDING PERMIT OFFICE CERTIFICATION I certify that: Ial the manufactured home has been affixed to the real property as described. El a building permit has been issued for this purpose and the attachment will be inspected upon completion. NAM\PilPoNTED) n BLDG PERMIT OFFICE/PHONE# BLDG PERMIT# 4AV SIGNAT RE/POSITIO DA P.v,rm►V- L 4\ r E , TD-420-7 MANU HOMEAPPL(Rl2/02) R(W)Page1of2 I • • MANUFACTURED HOME -FROM SECTION 1 TPOI PLATE NUMBER YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VI N) X 6 SIGNATURE OF LEGAL OWNER SIGNATURE OF LEGAL OWNER INDICATES CONSENT FOR E MINATIO OF TITLE EMOVAL FROM REAL PROPERTY. �Q Signature of Legal Owner and Title, IF APPLICABLE a LL kkLe c-, - tl t,e,r..-et.P.p.e--c.,, Signature of Additional Legal Owner and Title,IF APPLICABLE NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR LEGAL OWNER(S)SIGNATURE H ��,A� State of Washington Signed or attested pR 0 i County of \/k I' before me on I I iC .5 by �r� -1 1 G W-A SA--t-k,L L4,-) ‘atureLde,,Oltdifg/ PRINT NAME OF LEGAL OWNER OTARY OR AGENT • 101291200= by c1,,tv C=.NT �♦/ 4 APZ PRINT NAME OF LEGAL OWNER PRINTED NAME OF NOTARY County/Office No.OR P \ �j \ `2r --) AND: Dealer No.o,/C/ �,� A1/20111 - UB\-�� Title Notary Expiration Date 7 l 'ii 'I -I%'0. ON (A legal description of the land can be obtained from the local County Assessor's Office LOT 14 OF RONDELAY MEADOWS AS RECORDED IN VOLUME 6 OF PLATS,PAGE 16,RECORDS OF JEFFERSON COUNTY,WASHINGTON. SITUATE IN THE COUNTY OF JEFFERSON,STATE OF WASHINGTON. 0 DEALER'S REPORT OF SALE I CERTIFY THAT THIS INFORMATION IS CORRECT.THE VEHICLE IS CLEAR OF ENCUMBRANCES EXCEPT AS SHOWN. ANY REQUIRED SALES TAX HAS BEEN COLLECTED. DEALER NAME(TYP ORP7/R'INTECC//((••y) WA DEALER NUMBER DATE OF SALE I - TAX JURI TIO��RATE DEAL 'S AUTHO ED SIGNATU 24 7 it 4/()) -- PURCHASE PRICE �� U,�r1U '� %g0C T462 �C�r ❑USE TAX EXEMPT Sale to a Certified Tribal member on the reservation(attach notarized statement of delivery). 9 COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Subagents) I certify that the above application appears to have been completed correctly,and the applicant has sufficient documentation to proceed with the recording of this form. NAME(TYPED OR PRINTED) COUNTY OFFICENFS OPERATOR NUMBER SIGNATURE DATE 10 TITLE FEES FILING FEE i APPLICATION I MOBILE HOME FEE I ELIMINATION FEE I USE TAX I SUBAGENT FEES TOTAL FEES&TAX IMPORTANT: Once the application has been approved by the County Auditor/Vehicle Licensing Office,take your application form to the County Recording Office. Retain proof of the recording fees paid. If the Recording Office retains your original application form,obtain a certified copy of the recorded form. APPLICANTS: Once recorded,you must return to a Vehicle Licensing office to file the Manufactured Home Application, paying all required fees.Vehicle licensing subagents charge a service fee. For full instructions on completing this form for Title Elimination, Removal from Real Property or Transfer in Location,see form TD-420-730, Manufactured Home Application Instructions. The Department of Licensing has a policy of providing equal access to its services. If you need special accommodation,please cal(360)902-3600 or TTY(360)664-8885. TD-420-729 MANUF HOME APPL(R/2/02)OR(W)Page 2 of 2 •,s--,,.0 rerr—A,_,--,Ae\t'-'.4%;4 ;1'..1'''.- • • , ,,_____, ____ 1 i _ . . , 4 JEFFERSON' 1 ix g 13NTY I r--.., .. DEPARTM- EN40441.011111/UNITY DEVELOPMENT er, . .,FFFFRSON COUNT' ii,,'i '''' ,ANgthibl. 621 Sheridan.elrentr PoilTsawnsend.Washiagion 983E8• 360/379-4450•380/319-4481 Fax http://www.co.jeffersonsa,dtkommdevelopment/ Stormwater Calculation Worksheet IMA# ACIA,DS- 2,4r ' PROJECIAPPUCANT NAME :A5I-C Is 1 VI(liy•ak 1^,Di. t:A.110%/3 i'').-........ DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stonnwater calculation worksheet sixxid be manpleted first to classify the proposed as"small,"°medium;or large." Thesize daterrninati rkplomoviater Site Plan is requiargtipoonjUrx:fion with a stand-alone stormwater management pen*litirredillern,buildinipetl , ' or other land use approval application that involves stonnwater review. The basic information will also for searadeting a Stormwater Site Plan,if required. , ., ., .,,...... PARCEL SIZE&Et,SITE) Size of parcel 1 4 94, acres An acre contains 43,560 square feet. Multiply the acreage by,this figure. Size of parcel In square test 53-51 3 I' 8 eqflt Land•disturbInty activfty is any activity that ,ip, 1.,*r..,,- , , _of, ',1,,e,,,,, . ,.,,,..lik.-.,.,sheinge in the existing soil cover(both vegetative and non-vegetative)anclfor the existing soil •'•'1. t";', 4`-'4"• 4'-`--4 --* litilliddes but are not limited to clearing, grading, filling, recavation„anai*repection associated with. cfrogroakawrkarstatjatjppirjruc6011.Native vegotatfon is vegetation comprised on Mant,species,other ix:1ciot*woadk.IhoankiticOt ,kAthe-,400.00 region of the Pacific Norther-Mt and which reasonably could hnt i been expettlinflai natairally occtir cradle Milk exanwitor Iidi epodes$uch as , Jassatain hemlockornoterarred.oadartaider,bitleaf;maple.and vine maple;shrubsAuthettivillkovisaiicabony,salmonberry, and sel- herbaceous plants ruach as sword fern,team!carer,and fireweed. Lima i‘ ..: :,, ,, .^.7'.1'k .rl,..' i'.4.7 :' 4;- ' .:?.-7 ‘•' ' :.1:441cMF*- Ittik*r ilillt - ,C.I.Fu,..,fAte..tho totatitg*40,406104,1FilditdiAlled . Answerthe Sollowinelloolltfostkellelidadb 01=iidego,n1104404,10.04414611=0001,,, : . , . .4.- ,- ... oototertikstorIi0kefteellitkont•' .. . . . . . , 2 5,06 '• Doolohe iftilettoomertAfractesor more of .Corteln.Oon site for offlOks,04 r --• 4 SO hativevegetallonialanstor landscaped areas? ,praingeid 0=2), , . /4 00(:). awn Circle: Well,utilities,etc. a 'Z. 8 stet =Line project convert 234 acres or more of ,......_ Driveway,parking,etc_ 21t5Z,C) ,' vegetation to pasture? *eV - r Glide: Yikft- CI Lawn,landscaping.etc. 05 Ina Other compacted surface,etc. 0 sKitfl Indicate Total Volumes of Proposed: Total Land Disturbance , cp2 A 6 sot Cut s2 Fin pr (cuhrc) _,...„.._ .....„. ,.... ,,.. . .., . ...........,.... _ . , . ... 10V00: . — •;r: i,, , . rr i'v.:'.n‘ • ..:-.i., ., ',',.:-...--.:-'S:''''''!".:4','74'r'r;''..'.' 1 ..i1Z,:fittr:"7.4;'''.fr!'.' .' ' ra:,:, .L.,L1 .': :: 1 ,r, rr r, ...!,..--,,4,.,;',.i'ot -2-;:1,;,,A .,4-,-:,,,,, ,..v-. ..1.,' ti,,,ifilti,y.-,•:,--,'.1,.--,,,,::-..:„ . - • - ,, •, ri.f.i --::'.,',••• -: >•'-,,,-'•# •-- :,. -,f.-:":, -,,-----•-,,,, :,•,' r..,.;,- • 'I . . .- .' ."S:1 '' .,-- ..'-`-' •,_, ^%,6,),-:,. ',:,: ',"5'1(t;',..,,,r,:j: - ,...,'.1''''''''':,r:',7.•:',.':-;.. ';',; 1 '..'.:""14-eic ',1'. '",'''' ,-', ":..': tome cat cak wocksheet-REV.10(1/2003 1 • III Impervious surface is a hard surface that either prevents or retards the entry of water into the soil 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 surfaces include,but are not limited to roof tops, walkways, patios, driveways, patting lots or storage areas,concrete or asphalt pavki,gravel roads, packed earthen materials, and oiled,macadam or other surfaces which similarly impede the natural infiltrationuf storritivater. STORMWATER CALULATIONS—IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) 61/ I 0 sq/ft Structures(ail root area) G .. C) - scot Sidewalks .0 sq/ft Sidewalks 0 sq/ft Patios 0 scifit Patios sot • . Solid Decks 0 sq/ft Solid Decks 0 sq/ft (without infiltration below) (without infiltration below) Driveway _2.105 10 %lift Driveway E 0 0 8.4fit Other , Nat Other &WU Total New AiiR_J_Q—sclift Total Existing 1 4:3C) sq/ft / TOTAL NEW+TOTAL EXISTING* GAC,C) sq/lt '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. DEvekopmatriitivuevoLoPmetir a ma Divide the total existing impervious surface above by the site of the parcel and convert to a percentage: OM% 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 1Anilt1411 Requirements- Isthe answeUte‘igthefrePeerg le Oeneideled 110W development and the attached Figure tilliould be used..4110junctute,100-4000001)0441,,torAkfmaivikii#41Iptc o!'.. tOlietennine the Minimum for ittitrinvabir niiiiiidelnitit. DOD gaff VI tit*iiiitty thiiW••Niti eilliProject tuid the application requirements. For proponents of Isrnalr projects who must comply only with Minimum -Requkuinent:11 --.Construclion Stoimwater Pollution Prevention—an additional submittal is not required. The proponent is responclbillitir _ ' .-IliiiI2Eleinents to control erosion and prevent sedment and other pollutants from leaving the site durinetheAMMiltildkiiiiidiiiiit- ' 'AXON& Pick*the eenstruction Stormwater Pollution Prevention(SWPP)Best Management Practices(BMPS;PackeL Proponents of`medium'projects—those that must meet only Minimum Requirements al through #5—and for large";Projects—thosethat Must meet all 10 Minimum Beciukernents—ere required to submit a Stormwater Site Plan. DOD has preperedT, sitimittat teenpage of a SiSfrewater Sig-!Akin, principally for rural residential projects Complete the template in theStommater Site Plan InstructlemilimillkibMittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormsvator 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 best of my edge. I also certify that this application Is being made with the full knowledge and consent of all owners of the afbd prope . 5 aP/ta_00 (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) - ' r IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIOL ' i • . .:. . .. . .. . . . stoma...Wes cak worksheet—REV 10,1Que3 .EFFERSON COUNTY DCD • �..,3ON �,O w O JEFFERSON COUNTY $4.- 1 DEPARTMENT OF COMMUNITY DEVELOPMENT _ COUNTY .i.. j , , , 621 Sheridan Street • Port Townsend •Washington 98368 '-� � N t O 360/379-4450 . 360/379-4451 Fax a` http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# MLA 0 5 .0 0 Z C`S PROJECT/APPLICANT NAME: I.._. /'3 /t \ U 1. 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. (V\c4AQ-,ctct1'e.Ck 1'NtrQ 1 pciC1 AO 1 X. cz,' . IV)0A,V, et:,5*ina 0 r+\-e___ L.-)ct i•( cA,,Gk c e 'ON 1-E'infih Existing Conditions Summary `1 2. Describe the existing,topography. Indicate contours on the site map. Crrctdte, Acops ci,Wo\)--ir I crOG- ,n E't,°l^ 5 Q Q - 3. Describe the existing vegetation. indicate native vegetation areas on the site map. G rGSS,S ,-e.\ ) 4c.J\ A rQe4 , Al cl-Q+(-ce 5 „ 4. Describe the existing soils. Indicate soil type on the site map. , c_o M•p .:,c. _A v ri a-e {, r 1,QA Sol 1 S is 1\c -z� +\,-,a,-A-- . 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. 3,,•k 4`u C <,1.ts-r c r, 41--- 9 t k— M�'- --4.:3 ram. ACr"--1tAl� {_. A',IN-C_A`a s .. \''‘., J ,5 *" (V,hr.i'k;c")-, r,c1 i 1-4 1.,\.1 't:.\ 6 1 0 t7 ° .._ - i-. r J -.,z_. c c`_,S`- , 6. Describe any excess levels of noise generated by the proposed use or activity: storrnwater 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. Del 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.). IocCkk.or\ : ] ) 4 4 i1 5== cj focA. C 3 - scram. �' t' + 4 e.54- H 1O .4- - r ka,"'• i— fle Streco, 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. 9. 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. 3f,L; "'\ b\i ci- (' 5 C `t - ej tl� • \ h EL- eV, (A�c> n a. dr �.\` 30 hoe,e, S',i- - a `� 1 eP-\`h�.r i Q ck..) W • \\ C M COi !1 3 tatler coq±.2. � c -16con. 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 foblarge"projects or projects that involve the potential for dispersion of contaminants.] A Pt 11. Describe the performance goals and standards applicable to the project. /t- 12. Describe the flow control system. • Cr u�-�r ;n c `� P i � f l o tAN N.C3 i fr stormwater site plan template—rev.10/1/2003 6 i • 13. Describe the water quality system. 14. Describe the conveyance system analysis and design. Co IN ��ca2_ 5(As w \\ ',cam -3 f �c. •-f' rL 15. Describe the source of fill material,phys. characteristics of fill material,and deposition of excess material. 3/4 A, S c c jJ o C X C c=SS r-t cd-e ri dl L"1 be CY f 1 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. (( c�c}CS r 0C bc,_c IC tn.0 t•J 1 ` (�C'_ tJ�.� +0 MOv-e_ 5Gti � 5 , 17. Describe the proposed surfacing material. 3/4 4- SPCAtr.e (`C7Gc-. otl 3 18. Describe methods for restoration of the site. _y !� ,y 3t?(C w '�'YV\ c ( 0.SJ r 1 ��� �V` V %c', •(--• 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. /A- 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. i1et\fa— 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. ror Q_ stormwater site plan template—rev.1 W 1/2003 7 • • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will.be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements-Construction SWPPP 1. Mark Clearing Limits. �+y (— �di C-t�Q v.C:(`� ; S �� tif2C J 2. Establish C1onstruction Access. \c,a „A n 40 c.11 ) c S5 3. Control Flow Rates. 34-orM ci c� �, f1c3i.) S fi C' use_ 00c.J -}b.a t‘a ti-h t,.)e5-0e.11n evt ire ,-V,c3/1 • 4. Install Sediment Controls. A 16,-r s e o (10(-4'\ 1,1 t,34- O 41 ij oc\IN. o. c1 b-Q-- 3 .54 Cri J locA1e5 -• `-1-E r- 5 c_ 5. Stabilize Soils. be_ CO ^€c Lic P1G.s+ ' WQ �kr c �;c; c-w vo1v � fOose. so‘1 S• 6. Protect Slopes. no s I o f S --c, p{<.; C.\- T�n-� c-( -C 7. Protect Drain Inlets. nc3 CkPGtr1 r‘\-42.4 S stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. "1 0 Ov4-1f } 9. Control Pollutants. ,\ . 1ne- co r-cs`2 o f A(r Teo\s )e-- Ao' Q \c t 10. Control De-Watering(the act of pumping groundwater or stormwater away from ac active construction site). C r 0 Cl LA) 11 �� c�+C,n c�v t'►rc ckr S 11. Maintain Best Management Pragtices(BMPs). A 5 mo d.)\ (e..i .,;c„.) NC4kcn a re,To A r‘. s <A \\ b ►f\ OtC•. A Li \eN a rt '�Cr A (�5 c CGc-Ae \ &.n c t- cc r\S\ rL t\1 \ C b M is W \\ V.)f- . 12. Manage the Project. cJec () t5 Mil S es3 c-A-Q.0C c \ .pro�eci� Wcrk u,\\ be- &)te, CA0r\ �, c11,t:QSi 5 l'i .<J' "or4 5 ?Alji (' :a$oOM wCI4-ttr, (o t c+ nr1/4-1,4or\ o-P CC^, tsc`\orS It wtr+t/5A.•ct \ C {-e 5 Q Cab '17( 5 ,l+�5 �'�-��d•� t`no h AlYh e_ a cx`,t - t Q lti-1 S c eA f, 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). To -+ , 10ci1'‘t..Hs- , c'1/4 +1 — 5 s } „ b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards).C_, �C 3 /g C1 \S-t i r�? jE C� See t S I i ft+�i-ec1n� "�U Ores. e�cc CS�1cr c C ( r .�\CJl c,o ` . T� P€— 5 si-r cv 50 ` sei- cj + c" b ‘f•a ` `°�Cas r i � .S 5+ r► i AA4o co i,�er± r roc e\ 3. Environmentally Sensitive Areas. a. De scription of environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template—rev.10/1/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). 5. Construction Phasing. a. Construction sequence c P4� t',\t ...�c, t�e�� :Lc,'�:c r� . Se+ (hcv, AeC 1r`Gwe, - 5 j,, Mock, al\•ket;\CS�i -i��ks� • �`r1c '-c So L)�‘\ b. Construction phasing(if proposed) 4O _ 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction chedule. .1.. 34- c0 .c��i ca 13 f, ,,Jc.t� S vrre_ i 5 rh s --f- ko�S c s.;t� 191- +". \;4,2s r54`` :�.;5� Ntcke_ ‘1s A03 -V;+Lc\ II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. L J i A CYS-cj r\ V t t`j 'n 0. 1.��'.'��✓�b'�-- b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. 05 b. Diversions. c. Waterways. Cif d. Runoff/Stormwater Detention Calculations 95 stormwater site plan template—rev.10/1/2003 70 • • 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 Constructio SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my 1 owledge. I also certify that this application is being made with the full knowledge and consent of all owners of the)fleeted . cy,erty. t, --5--- 6/P7/05 ( NER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 12 storrnwater site plan template—rev.10/1/2003 • • • Storm water pollution Prevention BMP's Project Name: Winston& virginia LaJambe Tax Parcel: # 991900014 Rondely Meadows Lot #14 311 Sunshine Road APR 2 2005 1 Clearing limits will be limited to 30 feet west of proposed house foundation and 40 feeit north of foundation. These areas are currently domestic grassy areas. 2 Construction access will be limited to one access point over the existing drive way. This will extend over the purposed new driveway access to new home site. 3 Flow rates will be controlled by the natural run off path though grass areas already exiting. Further control will be by Straw bale placement at natural low area. 4 Sediment controls will be placed at natural low area collection area in the natural couture of the site. This will be with straw bale placement. 5 Displaced soil will be covered with plastic to minimize sediment transport in runoff. This material will be seeded with grass and covered with straw to stabilize. 6 The stabilization of slopes is not needed as the topography of the site is almost flat. 7 Protection of Drain Inlets is not needed as there is no drain inlets in the area. 8 Channels and outlets Stabilization is not needed as there will be none constructed or used in the area. 9 Pollutants on the site will be limited to the concrete spillage and clean up. This will be limited to the East side of the proposed house pad. This will be minimal as the unused concrete will be transported back to plant. Tools clean up will be minuscule. 10 Dewatering Control will not be needed as house pad will be surface set. 11 Maintenance of BMP's will be done. A weekly schedule of review and inspection throughout the construction project will be in place. Within 30 days of completion of construction the facilities in place for BMP's will be removed. 12 Management of Project: 1 Phasing of project 1 BMP's facilities constructed 2 Construction projects 3 Removal of BMP's facilities 2 Work will be during the driest summer moths to help limit rainfall disruption. 3 Coordination of contractors is limited as this is a small project expected to span only 60 days. 4 Inspection and Monitoring will be done on a daily, and more extensive weekly schedule . N -(-A ' eRRc.SL ii qc:\ lg000 ( 4 RoNDELY MEA00c,-)5 LOT4 .iii. . i v 1.JIN6-ToIv $ VIRG 1t4 IA L'N'Z-AMCIE 31 \ 5UN51-LINE ROAD . __ ___ __ _. _______________ E k G L. � CSC _ \‹ (o P,' , - 'LE��' _E,. .\,4-raN 6A.nt.05 /1 CZt / -__ _ CI / CD / , Q iCD U`~ C • ILI ...._, / pV \. _ ,_, C r-- dP� STRAW _ -i- !C , GALE_.t - , e)o `'\ AT LAfi/ AREA 1 1 _1 CoAi57R .$)UcTit z r �0 I / (, ., I R 5-R V c 18'-'''' sr) i / I SETT IL I N. z srI 5o x 50 I\ I __ - Y --- ci 1✓- Z O I �— IIL ' , PRoPosED HOME i 1 } _ _ _ _J uaxSZ `o --1 it r I S�pncH ! 1 Z' I p i TA N K 1 J 2.0 I ARFA 1 1 I a--i\ ,`c,62.o xSoi 1 ,,'0,- : )....-...., ....,..- _._-- _.:.,`, �D / o P e s D - - PR I S 40' /9�' APPROVED :_ _. -- -��c?- ) ; _ SITE PLAN - s EXISTIN G r 9� '5 5° S tI X I SM\ D R I v 1_ Iid.)A``' ` 1.7X30 2.0Y 8 JUN 2 8 2005 —'' E'Ec Mo ILE. -I-o ' EX15T1NG I JEFFER • COUNTY l I QVeO• 1 s en c, DEFT.OF COM i Y D. Ed p I I I H©X 4 O • SIGNATUR 6X� I OP ' '. `-., Ex15-nivc, 35' I oN\\ SHED TANK+ CF'II.„ _ oxiL I r +--_+_ 1 Y V _ I _�...�- AD,)I\c�ENT t.-.aT REs1 o E!�(7\, \,.. L.oT aA EI..EV, g5, �1.5 Sc n �.�_ 'ammo 1 N TA . Re51- 'it gg4q [sa0l4 RONoELY M5AaocU5 L07.-.it 1.4 WINVeati -$ VIRG `N.1#1 . ..t.A•TAA6S t1..t. SONS 1-1iNE'...RaA i - . %brr►kl1.s As Pslov1Q4)0 Qy OwNEA — EkC7LV__. C 7 \4\ f () ' ) AL I �,loftx 30 '- � g I _� g4 e,k e is i ��" _.. O I1 1 fl G / ,. f Qom#/ ` 1 4i-' .....„(\\ _ . 1, lU. j 1 r�.kr'' ;OA i ' - ' t.1.1 ,..+"" E Qv' L- s' ,/ ...,-: ;�1 x aO — �p2 SOIL.i.o�ra T . .._.._._.. \Z. � A N NDJS0ILA.•IqP R1c.gT/0 Ct M1 ) 1 O T,/-4 1 10 n 2i `�t PkoPosIx•D MOM .._ ^s---f-_ _ _—�—_.— i 2 O'L�J •Z- CAN?ROL DA1V&L -t /// 10' �Jx ,( WATER- "Ff►ptNc� w4crlo- (J0 a. yr i-QeH ►,Ire•- 4 1 for M l nJ l tr7".171 e5 C ).( ;,�1 � �' - t�w`so. -- VSL cjto.r,-6ow,g (moo c crl\u'1 \ o 4 Qu,� `-`44 ,0, .Q _•ScPTfGTMJIe. ... .t.• '.. '.,, i p 6 p i7 rn p?�n�K ' • >rL Q I VEL,"44 a..i/ ABC_ sc,wc 90 A uc rz • '�N1'IL.Ta.Arlow PR f ♦�• y 00A9Q1_Z" I_Ir..oir ,- 11 t o► 0121 y'�•.r..,41--.-_ R�.,,,.,.-.'- RIEVISED S : PLAN.. ca,.',,, ,. , ', (32► \ 1 (OOS 1M0' q (1 551 dated mS .‘,.., as been APPROVED 912-2)MS 1 ,;,,_�,,�._ ='. •' �;._.:,. by JEFFERSON COUNTY r....._.,._....r..o Ltd 1,ra Nx'. -"�. _ 1 •EPT.OF COMM ITY D: • "�. t ., -r 0 as- A B r-,, ,?t5 SIGNATURE: �� ��� iia "' ' L. ....2 �pT'x SEA AS au 1 L I°I 9,4 �ue ‘11•41111TIC _ F + , I .q.n I_...r,. .*. 1 . ""+r•r, ,40`x40 I 14. S I TA* Pt_ 4, Al)Qs 35 -1-Ar+ ' )! \\ I I S P API O ‘el a, _wit _--,EL ',;. z E1�EV,��� -7'1-�lS SI?� Qt_A''.1 IS G2LAiLzQ LO _� +sue' /Vg•W Co1107c v1'rkt• + \1. , p c>A, l..O c.AT 1 •.,,c S cc,7'1 C. TAN 1Gg $y 1.fk t•-•av k Lt R.S AND syNr.o.,.-, i 1 +.)ES or.►4.."-t11111/ Tp Su2AAcz- u2n clS P' '1ST/ M6' ..4\.. 7,4 t...)K. „„,,,„„la:,..,... -----_, E._ )1(' • Irir...r.'--, \ ---) 7.7 C E V' E , -______,...,____ ft JUL 2 1 2005 ,-,//.i../,O.411:04,,risi0.I;, O O T L a i.' rXP 4-Rs 7/^11 ..o$ 'i I, 0 R-4.)P TO L. 1 Ai tom-• I JEFFERSON COUNTY DAT40 APLIL /2.-66 ..poS DEPT.OF COMMUNITY DEVELOPMENT ^_ A