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HomeMy WebLinkAboutBLD2005-00298 IU ILDING PERMIT APPLICA1N ML vy 289 Review T Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00298 Received Date: 5/9/2005 SITE ADDRESS: 21 HAYDEN ST PORT HADLOCK, 98339 OWNER: RYAN K ANDERSON PHONE: 360-344-3350 RHONDA J ANDERSON PO BOX 192 PORT HADLOCK WA 98339 HAYDEN'S SUP TO SOUTH PT SUBDIVISION: Block: 1 Lot: 16-19 PARCEL NUMBER: 958800102 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: REALITY HOMES INC PHONE: (253)926-6330 1308 ALEXANDER AVE E FIFE WA 98424 Contractor's License REALIH1984CN Expires 2/15/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,947 VALUATION 200,790.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 730 SETBACK: DECK: 385 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: Type - Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,559.35 BAC 05/09/05 73065 A PP ROVED !//rC D Plan Check $1,013.58 BAC 05/09/05 73065 I� State Building Code $4.50 BAC 05/09/05 73065 JUN 1 0 2005 Potable Water Application $53.00 BAC 05/09/05 73065 Total: $2,630.43 efferson County Planning &$�� �� � ��•!artment s r N 1{ 11111111 •cur • UT5U Aua i1 ? < I_P_% -c 1 '' e WHY! a8poH � k. t <gig 1=1 1 o 12 m i' N 1 s A Q I f Y1 III 1. -`i;, /`` o if Iii � ial rt ams:iajll ii 0 L y�ik 1 q ySg q 6 In 9J a .4 / r 1 t m F[Uj+ c ;S Y tl LH o z Ill 41 CD - r--1 I- . Q3 iIYf 1 gi _o [ m ; a 01 : iii , ipi i ! lblii , limill 01 k gl IIi q11 R $ i 1nob 1 .°1 ¢ :ri 0 1 1 1 Pi 4 1-1 i i P • 11 i lib 0 1. g ill I toALA - 'L-0C- -11 0 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00298 Received Date 05/9/2005 SITE ADDRESS: 21 HAYDEN ST Issue Date 06/10/2005 PORT HADLOCK, 98339 APPLICANT: RYAN K ANDERSON PHONE: 360-344-3350 RHONDA J ANDERSON PO BOX 192 PORT HADLOCK WA 98339 SUBDIVISION: HAYDEN'S SUP TO SOUTH PT Block: 1 Lot: 16-19 PARCEL NUMBER: 958800102 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: REALITY HOMES INC PHONE: (253)926-6330 1308 ALEXANDER AVE E FIFE WA 98424 (253) 926-8515 Contractor's License: REALIH1984CN Expires: 2/15/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: `). :yi ,/< Iy' UFFER: A), Footing: /S,i' `/i z/4 f/ Foundation: OA / .fr. / Stormwater FINAL Approval: % •4 C dowc Ludtt.f yc ,' t t.: y//d, Underground Plumbing: Underground Insulation: Shear Wall : gjcrAVItA2 !3!C /V9/as f Sheathing: 7 SEc er, AGKA Framing: f.�jae�¢ t.an� O� i/i7/aL dK�CGnc�.itons -Pk Aeeidrr (SKear .,a¢ �+I�,nrf.MuoS!a. Plumbing: , �2o -off ABs o le- vt�o c °°�" 7Ir` o4.e Sd oL` caves WA 1 Propane T k/ Les: Insulation: re,cow entisJg V/3194 Sheetrock: -Whig.P/. . a,1 p(, Septic Sytem Final A.proval f not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 2 06 HEALTH DEPARTMENT ND P BLI ORKS 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 CAbE # BLD05-00298 1.) The road approach permit (RAP05-00041) must be inspected and finalled by the Jefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact the Department of Public Works at 360-385-9160 for the final road approach inspection. 2.) 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. 3.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilise soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 4.) A Medium 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. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) 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 standa'rds 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). 7.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are subject to the stormwater requirements in UDC Section 6.7 and must meet the "Area of Impervious Surface Coverage"to the maximum extent practicable as determined by the Administrator." Lot coverage is defined as amount of impervious surface, which includes rooftops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) Setback from Hayden St. right-of-way is no less than 20 ft., setback from Cedar St. right-of-way is no less than 20 ft. side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 10.) 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. 11.) 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. 12.) A minimum of two (2) on-site parking spaces is required for the single-family residence. • • I:\F_BLD_Perrnil_Buildng.rpt 10/29/19 excepting when such lightilb an integral part of a building or structur ound level lighting is encouraged. 11.) Lighting fixtures shall be dned and hooded to prevent the light sourc rom 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. 12.) A minimum of two (2)on-site parking spaces is required for the single-family residence. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 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, the following ESAs were confirmed to be present on the subject property: Special Aquifer Recharge Protection Area (SARPA). 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.) 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.) The applicant is proposing to create or add 4,212 square feet of impervious surface and 5,839 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 o1 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. 6.) 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). 7.) The revised site plan as submitted on May 26, 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 7, 2005 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 8.) This approval is for a single family residence with attached garage 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. 9.) This is a legal non-conforming parcel designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 10.) Hayden St. (C641009) is a county local access road. A road approach (RAP05-00041)was approved on March 3, 2005 and an address of 21 Hayden St. has been assigned to the parcel. 11.) This parcel was created through Supplemental Plat Hayden's Addition recorded November 13, 1890,Volume 2, page 98 with the Jefferson County Auditor's office. 12.) A Declaration of Restrictive Covenant was recorded May 10, 2005 under AFN 498365 with the Jefferson Count) Auditor binding lots 16 thru 19 of Block 1, Haydens Sup to South Port Townsend for the purpose of meeting bulk and dimensional requirements and minimum land area. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations,or statutes applicable to the proposed development. Development pursuant to this permit shall be undertaken subject to the applicable development and performance standards of the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Specie rules to protect threatened Chinook ancllknmer-run Chum salmon became effective on January 8, 2001. Bull out have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes"listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition,the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as"critical habitat"for a listed species. Development of property along any marine shoreline,freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline,freshwater shoreline,or floodplains are advised to do the following: -Set back buildings, utilities and roads as far as possible from surface waters (streams, rivers, lakes, marine waters), or at least 150 feet from the edge of the water -All development activities should avoid unstable slopes,wetlands,and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches Any individual, group, or agency can bring suit for a listed species "taking," even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle at(206)526-6613, or the U.S. Fish and Wildlife Service at (503)231-6121. APPEALS: Pursuant to RCW 36.70C, the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one(21)calendar days of the date of issuance of this land use decision. For more information rel ted to judical appeals see UDC Section 8.5.2(9c,- UDC Administrator (470N---"c•-• O6, JEFFERSONOUNTY • ' DEPARTMENT OF COMMUNITY DEVELOPMENT 1 621 Sheridan Street• Port Tories nc ;V ashin t , �`} '-?s . . 360/379-4450 • 360/379-445' (1-ax' . 3i ,. j gSIIING'1p www.co.jefferson.wa.us/comrndeve opment MAY - 9 2005 L-' Master Permit Application .MLA: 0GJ_.,-- Project Description(include separate sheets as necessaryt f 7f''O' ` ri i_.rf lY • I � , 1-1 i�'tl.(=. U � (''i t^.��i F�'}, ,� iih•dlii it� op( ,/-k' -kA2,iJ�'�`� 'ilC �ic ,�. / t ��' ` t ' t . " Q Tax Parcel ! Property Number: LI S 0 +J 0 OOi I;) =r. '" Size: CO 'C�C: (acres/square feet) Site Address and/or Directions to Property: 1.1 j\'DC-_-(v Cr. C" ?rip I I Property Owner(s)of Record: � r, S � �p r`�i- �-�4'�.. [ ,�t �-�F�I�I.,S��..K � /-l�ycla,, _ /'yal4. ,14cee!s©-'t Telephone: 'yy` 3 S O Fax: email: Mailing Address: 'r PO /30}c /6?Z /nor '2/' Applicant/Agent(if different from owner): is ('. S 0 ' c.v 4 r'�=s& Telephone: Wit,)' - `t'i • 3.35) Fax: -3 6 0 • 3 41- fi 3.5�(:) email: t��y AN > NI-Ka Iv 0.a O; 54 wc,.c Dill Mailing Address: I 1 -13 o A 0 ,?. , t .Lr 14,A0 i. EQ - `ev 1'• 9 8-3 j`I What kind of Permit?(Check each box that applies) .,Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]** Single Fam ,,.--il Y- ❑ Discretionary"D"or Unnamed Use Classification Q Garage h Attac /Detached 0 Special Use(Essential Public Facilities)** ❑Manufactured Home ❑ Boundary Line Adjustment ❑Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** ;14 Address 2 r /14 yi.+p,-, ti Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** 0 Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent 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 acce right of entry to Jefferson..County and its employees,representatives or agents for the sole purpose of application review and any regir later' spe ccess and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: f 4 'i✓ I I C` Date: G '-, .. The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even ij u are i mpli ce with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transf le res onsibiIi for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: '�(%�; ',tr mil.L _ Date: Z-ZZ- 0. G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 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 r por)sibility of the General Contractor for the proposed project. Signature: /// t',i,t� ..014- Date: 2,.G `-05 i GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: e f � 0 VtE 5 (253 ) 72 i 33e' (25?) c76:._ semis MAILING ADDRESS: /;e& f 71eidt'+.- Cd 't J IT >qde l.S EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: It/L_/H 174%C/L NUMBER ARCHITECT/ENGINEER: t. jl`it.G PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: •' New , 1 Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: ..;Z Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: - 2 Height: y Individual System ❑ Repair ❑ Masonry /IA" SEP Permit# Water Supply: ❑ Demolition ❑ Other: Bedrooms: PP Y: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: - �, Public CAA_ -1.. �:L Total: j /I( 'Name of System: 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 ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ 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 props lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system compqn , including the reserve area. E-'A -a I a io Square Footage For Office'Use Only Current I Proposed A„ Amount Main Floor i �i ' Consisterit;yReview: +.*- �` 1 4.Ci 2 Floor Base �� r i !'c_ 5 j� , r, ,J 33" Floor Additia at S t ati' f is . % iiI Mezzanine: Plan Check feell Ay _ q 2005 I G;w! 7�'� ,c Heated Basement State Surcharge fee: Y 1 Unheated Basement Pot Viater Review fee , r m - - ii 5r(, (DC) Other Unheated 911/Rd Apprqaph f ,;41, ' Garage/Carport ! ') 11 NUt, f a TOTAL $ R '7 i 3 43 l Decks Receipt Number: . 3 'I CashlCheck Number >1 ESTIMATED COST(REQUIRED) Date: ::: ,,,. .Fair market value of all labor and materials foundation ' --- 7<) I 1 ' ( (.20()I t1 Ci0, IV ICx G:\Pem itCenter\FORMS\DRD u 1c t Application - .doc , • ark% JEFFERSON COUNTY ; '�"� !! '- MAY - 9 2005 DEPARTMENT OF COMMUNITY DEVELOPMENT t,,h�� 4 ,y, 621 Sheridan Street • Port Townsend•Washington 98368 "" -,-.- "rt[�t 0 360/379-4450. 360/379-4451 Fax J;` r ' t http://www.cojefferson.wa.usicommdevelopment/us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA if 05—&? PROJECT/APPLICANT NAME: Ry 4 t4 Au(9,011 (A., Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. ,; c Co:scPili- of cS ; . ; je,i,oP ;rrt e5_ try,) 4" t.d.: �. - 7 C�?� .:, Yt „, ri -I t»',$ tl, i:._yt;f .. .t 'IC .;,j i+J!. 4, ` r''.. U'' N•lrin-' 1'f t.! !'.X !'t` fa( ... o ti c., ?<k :4)6 2, ' e-s" . j Existing Conditions Summary 2. Descnbe the existing topography. Indicate contours on the site map. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. P71 Ls s ,exrep -. 6o /,a 4 ,o,irif . 10 -3 0 rer i . 611 Sf t inr#- boo&f,d�,, -t ' 4) {;J e -'e& Gt,c.cr ;->1C,c r f 4. Descnbe the existing soils. Indicate soil type on the site map. 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. (Oai-Pr <OA E. l.'' # of 7rr/orC e 4)0 tV�rr' C; �.... L.}7 • 6. Describe any excess levels of noise generated by the proposed use or activity: it AVM- " "", APPROVED STORMWATER PLAN JUN - 7 2005 stormwater site plan template-rev.10V1/2003 5 JEFFERSON 0 Y DEPT;OF(OM 1 I. N SIGNATURE: 'Ltx� r, • Atiorw 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. 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.). Pi oke G Cot rc ilr/ ', % ur . et-rQ lr kn-}1. t4 r ‹rafi+si tli v c ,A1— e.T i tli to i� ,Cti/r i r‘r w rQ F 4 .b �I 14,1117 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 f lities. fog too 00'4'0 e& b tt-co ciIZ j? atOft% 4 r 4c raQe( j dyu'F'*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.] A). 11. Describe the performance goals and standards applicable to the project. 9}v P t a. 1�t?t omP tI rt C l : i ;>., .F� Brut $u c P S. 12. Describe the flow control system. r.....wwrw s l � ' i{r 1 � w. stormwater site plan tertgla b-rsv to7tnoO3 , 6 vt:t , l3 = t4-t-tt w t-< ►+1"..(3) 10"4t(t 'ts'rrr;,':tt� 13. Describe the water quality system. , 14. Describe the conveyance system analysis and design. 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. Girt bty n t ,. ,iI be C --l! ,k to 4 j. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. (/iraueJ bri4eivaty '-b k t p� ;." place' rx)t,LL 5 Oo4fe1 at,y` to444°4114,k raV5 . 17. Describe the proposed surfacing material. .1Nri: Cru f oc L1 .,fwQ/ 18. Describe methods for restoration of the site. ca toq 11 ter' L c (c ,1f Cu y Cebu 511 e u r(1'Q4 4 b/w S � rra�5 U. A.)4Ei ' Pew Ito �F �'.t"1)/Gto r 't 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. N,1P 21. List other necessary permits and approvals as required by other regulatorngenc ies. 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. 111f �( t i itA lJ iL.. i f t,�s #1 irri MAY — 9 2005 fifty - storrrwater site pan template—rev.1011/2003 w 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 2.52 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. hit ;vicar k'��t�` � cA)r *AK.t-� � prat C'-jFYrt'i,� t��;.>rt11.S. (�tAitf 1G�� iX "� l"�{j 4-,rrrre ? will be J+t t=.,t . r'ntt41 uti*I`t~ Dv��'� �e1 r' pb 2. Establish Construction Access. (01.1/2- c1 � ovk y 0 to c e c a yr (,A Meet, 6 IMti?_ h Cou i)IiGVL `e W! 1 T3wIP C.!Q - 3. Control Flow 9qtes. orto0 Ne, lief` tom . C NYC) gvAp 4. Install Sediment Controls. $i i f. P4'vC` ' ,3v p C Z 33 DU St ,qt aim CZ.30 5. Stabilize Soils. lira? $.4 'oa toss 6. Protect Slopes. l06 'o fe$ i " 7. Protect Drain Inlets. cote too eX,15 ) f ra+ l✓t /-5 MAY - 9 2005 . stomavatersiteplantenplate—rev.1d1/2003 8 .! C.:V 3;"M T . 12 Required Elements-Construction SWPPP(continued) 8. /�Stabilize Channels and Outlets. 66 1Ay 4 il 4,it-le..\ 101 il be il JA .4' *:kt 9. Control Pollutants. - ., , • Af.P (0 L4c re e C leox Ct_ es 4-1.4 I la 0 ay col. re)pet f /.!en$ '.p`r '. 6FM p c"'t.5'! p 10. Control De-Watering(the act of pumping groundwater or storrylwater away from an active construction site). il)tipt 5 j,q €I o ,r a vQ`j-iOt i vtcI 1.t)at 11-64". 11. Maintain Best Management P (BMPs) 12. Manage the Project. I 1 ( ,A-Pc . iititsz 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,r ;G- cP -4 prop,Pifi t b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 14 V. __.... .. 3. Environmentally Sensitive Areas. ""' i"" • a. Description of environmentally sensitive areas that are on or 9p n� n _ -� t, . t if �f 4 ill MAY - 9 ZUO5 ;` dip., 1_..... stomtwater site pan template—rev.10/1/2003 9 t Alt iL • 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 b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. iv,4111o1' t4 - ^c t o o- n. Wet Season Constnctlon Activities. a. Proposed,wet season construction activities. 4-etr or 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. 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 shket for the f;if applicable._ _ a. Sedim s/Traps. }>` b. Diversions. >.. ' ""-s 11 c.; Waterways. t d. Runoff/Stormwater Detention Calculations MAY - Q2005t t 1 , rid i y t_ii-•.•ufFi•l.'(:J;'�t j`.y.O1:}fnlOT^mE tT stormwater site plan template—rev.10/1/2003 10 Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities,or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts')when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best e m, kn• -•ge. I also certify that this application is being made with the full knowledge and consent of all own*,the aff= ted p ••e ( ••7 .OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: a _i,,,..1_ :4.. i . b . f ' Y — 9 ZOpS i''f Lq:YELOPMEI 7 stormwater site plan template-rev.10/1/2003 12 to • • i I i i I I I I I --�. l--1--- —---- __a__ I ' , 1 I • I I I I I � � __1._ 1 _ I I 11 11 1 --- ' I I 1 — l -a I 1 I 1 1 I I -'_...— 1 1 ' ' ! j . 111 ' I I— i �_ r , , 1 � H ,______ 1 I ___,___F. , I I I . ! i 1 r h K F f - _I• 1 - ti1I T £+1 I I _I j ; 1 1 , i— 1 4. • I I I ' I I 1 i I I I —• I 1 'I i i I 1 -- ' -i--+-•- i -{- T .a I - --I i j tom 1 I f I J ! 1 J I t I l { I I j _ 1 .}_ I 1 I I 1 l—__} 1 I , 1 _..f.-_.._i I +_�-1 .. -•-.-- I _ 1 I __a-_'__I I I 1 • 1 I I I__-.I.. I-_ , I .-T _�_ MI _I I -,-- ------;--�--— j — — - a —1 I • (1 ti' A I it---(!'----- 1 I ! 1 r6 II:, I , I1 y I i fi 4.1 i t , ! , , Il . i . it 1 „iif /W. I , ! 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