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HomeMy WebLinkAboutBLD2005-00454 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00454 Received Date 07/12/2005 SITE ADDRESS: 2981 WEST VALLEY RD Issue Date 08/11/2005 CHIMACUM, 98325 APPLICANT: BRIAN BAUMUNK PHONE: (360) 732-4271 PATSY L B BAUMUNK PO BOX 1464 PORT HADLOCK WA 98339-1464 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 901274003 Section: 27 Township: 29 N Range: 01 W CONTRACTOR: BISHOP ENTERPRISES PHONE: (360) 417-0861 982 LEWIS RD PORT ANGELES WA 98362 Contractor's License: BISHOE*999MT Expires: 7/24/2006 PROJECT DESCRIPTION: NEW ATTACHED GARAGE TO MFH GARAGE IS UNHEATED AND NO PLUMBING CALL IN FOR THERQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Mc p 1t-4-o' -- Founds on: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : / ' .... AA1_.eV ///y/S0 Sheathin Framing: / -0> Plumbi Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval, g j- HEALTH DEPARTMENT ND 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 fP SPECIAL CONDITIONS FOR - •CASE A BLD05 00454 1.) The project is located in close proximity to an identified wetland and is subject to the delineation provisions of Section 3.6.9 of the Jefferson County Unified Development Code. Based upon the proposed location of the project in relation to the identified wetland, the applicant has agreed to maintain a buffer(setback) that exceeds the standard buffer requirements by fifty (50) percent. The applicant acknowledges the additional setback and agrees to maintain the extra 50 percent buffer, therefore, waiving the wetland delineation requirements of the Unified Development Code. 2.) 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 contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 3.) A permanent physical separation along the upland boundary of the wetland 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. 4.) 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. 5.) 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 and garage. 6.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed manufactured home and garage. 7.) 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. 8.) 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." 9.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 11.) 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). 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 13.) The building height is not to exceed 35 feet. 14.) Minimum setback from West Valley Rd right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. Environmentally Sensitive Areas further impact setbacks. 15.) A minimum of four(4) parking spaces are required for the single family residence and accessory dwelling unit (ADU). • 16.) A stormwater plan for a mediu roject has been submitted and a rov p J pp ed 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. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 itILDING PERMIT APPLICATIR MLA05-00423 Revie w Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00454 Received Date: 7/12/2005 SITE ADDRESS: 2981 WEST VALLEY RD CHIMACUM, 98325 OWNER: BRIAN BAUMUNK PHONE: (360) 732-4271 PATSY L B BAUMUNK PO BOX 1464 PORT HADLOCK WA 98339-1464 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 901274003 Section: 27 Township: 29 N Range: 01 W CONTRACTOR: BISHOP ENTERPRISES PHONE (360) 417-0861 982 LEWIS RD PORT ANGELES WA 98362 Contractor's License BISHOE*999MT Expires 07/24/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW ATTACHED GARAGE TO MFH GARAGE IS UNHEATED AND NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 15,795.00 MAIN: CODE EDITION: 2003 ADD'L: HEAT TYPE: UH OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: 624 SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: BANK HEIGHT: WATER SYSTEM: -- BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: I I D- Type Amount Paid By: Date: Receipt: 1 Permit $265.25 KAS 07/12/05 76173 �� Plan Check $172.42 KAS 07/12/05 76173 Jefferson AUG 1 1 2005 State Building Code $4.50 KAS 07/12/05 76173 County Planning Total: $442.17 & Building Department C ,YA ��� vcA /A, gsoly eon, JEFFERSON•UNTY • 4 ,.a DEPARTMENT OF COMMUNITY DEVELOPMENT h ` `4 621 Sheridan Street• Port Townsend •Washington 98368 � 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 0 J- Ll aJ ProjectDescription(include separate sheets as necessary): �-it1ttcI,e)cl (,C,,v0; -P try OciunUrP0CTtUrC'cl finr", (' .- too V-'1)1r - Tax Parcel li Property n Number: 'I 0 ia i y 0 O 3Size: 2.1 U CkC rE S (acres/square feet) Site Address and/or Directions to Property: P 9 / toes/ 1/au 1 /1d i Property Owner(s)of Record: gregn v- Patsy AcrirrucinI�/ Telephone: J‘C)——7 ) .- y,-2'7I Fax email: Mailing Address: Fee /4/4',/ io-rT /✓a/ife , Applicant/Agent Of different from owner): .r3/S/® 6n/erprl SCE Telephone: 3n-- 9//J-- C g‘ / Fax: email: Mailing Address: 1.i hew is' `?—) , What kind of Permit?(Check each box that applies) 0 Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑Demolition Permit 0 Conditional Use[C(a),C(d),or C]** ❑Single Famil 0 Discretionary"D"or Unnamed Use Classification a.Garag Attach Detached 0 Special Use(Essential Public Facilities)**. ❑Manufactured Home 0 Boundary Line Adjustment ❑Modular ❑Short Plat** ❑Commercial* 0 Binding Site Plan** ❑Change of Use 0 Long Plat** ❑Address ❑ Road Approach 0 Planned Rural Residential Development(PRRDYAmendments** ❑Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management 0 Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance 0 Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment 0 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 e T ,'--"d ny attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or an . -f i. ..ral ct d y er/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 J `' f Cou rk�gainst all liabilities,j ts,court costs,reasonable attorneys fees and expenses which may in any way accrue against Jeff ' ' my at;laR estf t j o n f the granting of this permit I further agree to provide access and right of entry to Joffe Countyand its exrr v purpose of application ployees,repres`e�tatives or agents for the sole review and any required later inspections.Access and right o matins-property shall be entry a requ4ted and shall occur only during regular business hours. �� , r:r ( j v "' Signature: '7/d/'„,� , >4/I ---r ---_-_ `I a °' ' V - - _-_� Date: �_ % _CS 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 if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable respons'bility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: /2,.i e1,� 7(.2 Date: 7—/�L -'O �'G:\PemvtCenter\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 responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: i� 151^,o p enter i r-. /� ( ) ( ) MAILING ADDRESS: C( L e I :J R CI P;1 - EMAIL: CONTRACTORS LICENSE 1. `( 9 m T WAINS NUMBER: �✓ S „' NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL - - Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: +N... New Et Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: eI Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: Height: 0 Individual System O Repair 0 Masonry SEP Permit# O Demolition 0 Other. Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed Total: 0 Public 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 0 Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove 0 Woodstove ❑ Fireplace Insert ❑ Hot Water Tank 0 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 F'*rOfflcd lseonly r,j ,, Current Proposed ! J r,0-, : ;s.ai ,' ,'` x` Main Floor ,vC� Y t 2""Floor , ,, ...,,,.. — . ., -,-.,,,. ,.: . - .„,,;_....,.....„,,?.,,.... ..,. .4, .5.,,f:::,.. .:,.„.,....,, " c �.: E, ;" - . :+gray 31"Floor 44604 \ 4 sue, -- 4 Mezzanine: ''1//1 1 f/) _V L� 1 (y.105 J- `� Y... 1 ... Heated Basement ~ • '3 V,a P Unheated Basement s 1, Oti-r �, . ,;2J k7 ih"" r -. 0 t r l i t .�tis h 3 ro Ja� k3 F.l�ac Other Unheated R r : 6. ? G 1,�7, “ Garage/Carport 9 4 'F ,r i{ 4 i A IC,: Decks f apt r a llttll�: i+'" �i 1[t�.�i '�`'��4�� �� �..s yi i Other ,' C� do Numbe a � ,ig'`.,, �}k. r.„:-- :. ri c r`„„,:••i�.. �1�1 t , l rt r ++',. -a i. t y °,�tYy —_...� s T� 'rt k v ar 3 r q ..I"T ESTIMATED COST(REQUIRED) — gyp w+ .Fair market value of all labor an tenals foundation to fu ' ` "1��,'����` `",."" 'i ', ( T. k / „ , S7' 4ti is t.,:v.Y 1T..4 15 -. 1 5 `lnW� ..L ..i t y T r a y. ‹ I -` G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc , 621 Al' Nco, , JEFFERSON COUNTY 4/4 44, d DEPARTMENT OF COMMUNITY DEVELOPMENT , ,,, 621 Sheridan Street• Port Townsend•Washington 98368 360/379-4450.360/379-4451 Fax C` httpJ/www.co.jefferson.wa.us/commdevelopment/ • STORMWATER SITE PLAN SUBMITTAL TEMPLATE JM # oS'4 d PRQIECT/APPUCANT NAME: (R f,lc,h -, Patsy I�a o rn b irk k I 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 positionand relative size of site map. proposed improvements on the Ill©nbACl/ired home e0 /7/k I"54/10r7 kno// W .r 04:Ar- !Dm p a CrcU y /,s Existing Conditions Summary 2. Descnbe the existing topography. Indicate contours on the site map. 6ep -rt el I RI,pe-3 t`Y' r.9 icd4' cf r prop- 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. GUoOde_c(en 3 5 )`Jes Q, y is ra&5 -"he m idailc to. 4. Describe the existing soils. Indicate soil type on the site map. _Yidirt . 5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site—above,below,and on the ground). Indicate existing stommwater 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. ,V" PA 6. Describe any excess levels of nolb ierg /(E�use or activity: � l 1 � .� A _ STQRMWATER PLAN {' y !v -- , Li J1. l 2 CtN) ii a AUG . - 9 2005 __. 1 G>: � U. r %i, . 1'r` , l '.. 'la.0r _, JEFFERSON COUNTY storrnwater site plan template—rev.10,1/200a DEPT.OF CQ4t. UNITY DEV LOPM 5 SIGNATURE: .e,f,� J a 1 • • 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. CO I aY0, Pr c41 i r1 Th i da t. o`f Prop- i i`1h fa..s Oi c i r'trrvd c-f tQ zit 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, tc.). pS� yr� wi i) ie. Io,r,-fed h�(�1 ,'dtJtcI to c t cox- asa - - T lJ'V l '�t3Prtt6r,c4 hotr,..,41• L 0Iei f nrr o l c GxU I � . J 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. tc SO lies- S -Lo t1 •s le i,eks k Li(S( k 5 1A'n r oY\ d 1\13Av ra1 E,rov,,. 10. If the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] 11. Describe the performance goals and standards applicable to the project. • 12. Describe the flow control system. • r I ; i "1 ,illl 1 2 2005 l! _a t • T7r.**1:• P. , 1 Vs Ul 44,11A,�';7 stormwater site plan template—rev.10/12003 6 • • 13. Describe the water quality system. / - 14. Describe the conveyance system analysis and design. J 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Descnbe the proposed surfacing material. 18. Describe methods for restoration of the site. 19. An Operation and Maintenance Manual is required for each flow control and treatment facTdy. [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. J 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. rE Fk i JOt 1 2 KM �I 00, stormwater site plan template—rev.10/1/2003 7 • I 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 wilt 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. Qi-c-_�Pr' (Dili 6e w► Ii i 1ovndri€s 6f 3At -to aGre- • 2. Establish Construction Access. ll t •onoyATyr�ox_ 9(0 X Gra(>of fl2(2( I//e 70 AcSJre W17A I ,c �. T S OY c o In e,c,A;(wN 3. Control Flow Rates. Drtue wt` l( ()e arci.ed for nator0.4 runi,- '; !•n exce sS c�4 (dre Ar..A:N. e 'c-Oc't -e_ tns+e,,1b-ak1 4.' Install Sediment Controls. 5. Stabilize Soils. bdt hee.dtod slopes- litre mih c/na 6. Protect Slopes. . //A IT; 9 ; t 47. L7 7. Protect Drain Inlets. i 1 1:-.; i.JAI - -J U L 1 2 -2r`15 } ',/ y .._.._.. S stormwater site plan template—rev.10/1/2003 • • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. M/-A 9. Control Pollutants. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices(BMPs). d v/ 12. Manage the Project. Iv Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). ` h -- b. Description of the downstream 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 adfacentto- e r.f4 ..T NA 1, I 11 I_ JUL 12 5f 11- E, s stormwater site plan template—rev.10J1/2003 9 • • • b. Description of special requirements for working in or near environmentally sensitive areas. N/4 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). A..)G'n P. -- Construction Phasing. a. Construction sequence N/A 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. Iul y -fh A 01 . and s II_ Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed/ � wet season construction activities for environmentally sensitive areas. ,/V�,4 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. i- Engineering Calculations. Provide Design Calculations on a separate sheet f foRowict�s ifrapplicable. a. Sediment Ponds/Traps. �' - b. Diversions. L'1? c. Waterways. ! L J U L 12 2005 ') d. Runoff/Stormwater Detention Calculations `` ( r stomrwater site plan template—rev.1 M1/2003 10 i • 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-bunts')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 appllcant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. LANDowN ENTATNE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: • • L�-� D i i„ JUL 1 2 2005 , JFFFEtt`:O!COUNTY o PT. 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