Loading...
HomeMy WebLinkAboutBLD2005-00511 BBLDING PERMIT APPLICATIGnl MRLA05 0eview 0pe469 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00511 Received Date: 8/3/2005 SITE ADDRESS: 36 EDGEWATER CT PORT HADLOCK, 98339 OWNER: RICKY T REZINAS PHONE: 916-326-9065 SANDRA L REZINAS 651 SKYLINE DR PLACERVILLE CA 956675432 VILLAS BY THE SEA SUBDIVISION: Block: Lot: 18 PARCEL NUMBER: 997900018 Section: 1 Township: 29 N Range: 01 W CONTRACTOR: LANDER CUSTOM DESIGNED HOMES PHONE: (360)437-2501 PO BOX 65437 PORT LUDLOW WA 98365 Contractor's License LANDECD022JT Expires 3/25/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIO1, NEW SFR W/A & 120 GAL. PROPA TANK WO v -An 4 -c--r we.A.\ <-o e_, 'i 11210(4) IC TYPE OF WORK RES SQUARE FOOTAGE: (_ '- - `loo -5 II �.4...0, TYPE OF IMP NEW �5%MAIN: 2,185 'i�ly1o� '�/ VALUATION ,�o-�Z�' ADD'L: 752n. HEAT TYPE: HTP CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: -1,5 # OF STORIES: OCCUPANCY: ��- o CONST TYPE: 3N OTHER: SHORELINE: CONST TYPE: GARAGE: xAa.l�t, 601 ta{'1(ts5 SETBACK: DECK: 254 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 4 Total: 2 Total: 4 Routing Date: Ce • l6` 1� `'71( Type Amount Paid By: Date: Receipt: Approved/Date Potable Water Application $53.00 SLE 08/03/05 76374 APPROVED State Building Code $4.50 SLE 08/03/05 76374 Plan Check $1,373.94 SLE 08/03/05 76374 DEC 8 2005 Permit $2,113.75 SLE 08/03/05 76374 Jefferson County Planning Total: $3,545.19 Building Department BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00511 Received Date 08/3/2005 SITE ADDRESS: 36 EDGEWATER CT Issue Date 12/8/2005 PORT HADLOCK, 98339 APPLICANT: LANDER CUSTOM DESIGNED HOMES PHONE: (360)437-2501 PO BOX 65437 PORT LUDLOW WA 98365 SUBDIVISION: VILLAS BY THE SEA Block: Lot: 18 PARCEL NUMBER: 997900018 Section: 1 Township: 29 N Range: 01 W CONTRACTOR: LANDER CUSTOM DESIGNED HOMES PHONE: (360)437-2501 PO BOX 65437 PORT LUDLOW WA 98365 Contractor's License: L NDECD022JT Expires: 3/25/2006 PROJECT DESCRIPTION: NEW SFR W/ 120 GAL. PROPANE TANK CALL IN FOR THE REQUIRED INS PPEC NS THAT APPLY TO YOUR PROJECT. SETBACKS: _Q`�L�z�/a5 --- — UFFER: Ak Footing: D/C z'pnd/z/2-05 Foundation: ,('/rs v/S at SsEo 004.1711 Stormwater FINAL Approval: 00. //13/G7 " Underground Plumbing: ! (J , Underground Insulation: Shear Wall : /1/oi Qor 8/4A,'• D&AAA-aZ*/ Sheathing: % $, D 4 Framing: t/ G OKkJ G'o ,irons //o-4 Um'cFODY4/hl�fr Ok(A7xe6FT 8 102mh FAQ .61/11;� Plumbing: Ok 8Y/S/e6 Propane Tank/Lines: .a i K ` - 66,:�, 1_,1 j /in. i ( 13(if Insulation: ; _ • ,,4 pi d 5Ier,F01 e/ Gold/to/0 Sheetrock: OK 404iz Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: OK -•far 0 i73 6f HEALTH DEPARTMENT AND PUBLIC WORKS AP R VAL 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 AEI SPECIAL CONDITIONS FOR 'E BLD05-00511 1.) In the event archaeological items are discovered, the proponent, the land owner, or the contractor shall observe the protocol developed by a professional archaeologist in conjunction with local native american tribes as follows: A. STOP WORK. Do not further disturb the area or remove any materials therefrom. B. NOTIFY IMMEDIATELY the Director of Community Development, (360) 379-4450. DIRECTOR IF COMMUNITY DEVELOPMENT will immediately notify the State Office of Archaeology and Historic Preservation (OAHP), (360) 753-5010. C. PROTECT the area from vandals and collectors. D. OBTAIN services of a qualified archaeologist to evaluate the site and make recommendations for further work in the area. E. IF further excavation or disturbance of the site is necessary, obtain the appropriate permit from OAHP. Proceed only in compliance with the items and conditions of said permit. 2.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 3.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 4.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 5.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 6.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 7.) 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. 8.) A Stormwater Site Plan hasign submitted and approved by the Departr it 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. 9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 10.) 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). 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) The building height is not to exceed 35 feet. 13.) 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. 14.) 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. 15.) Minimum setback from Edgewater Ct right-of-way is 20 feet. Minimum side setbacks are 5 feet. Minimum shoreline setback is 50 feet from the top of the shoreline bank. 16.) A minimum of two (2) on-site parking spaces are required for the single family residence. 17.) Motor vehicle parking between a new structure and the water is prohibited. 18.) No fence, wall, hedge, or barrier greater than forty-two inches in height shall be placed or enlarged nearer to the water than the building setback line. No fence, wall, or similar structure shall be placed waterward of the ordinary high water mark. 19.) Run-off created by new impervious surfaces shall not increase the rate of flow or decrease the quality of storm water from pre-project conditions. 20.) No land disturbing activities will be allowed waterward of the shoreline setback line shown on the Villas By the Sea plat. 21.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. I:\F_BLD_Permit_Buildng.rpt 10/29/19 Jun 10 UO I I.4La p.2 FILL No.1839 06/15 '05 14:16 I410pTQIAS UNIFIED DISTRICT FAX:91656111100 PACE 1/ 2 .;u❑ 150503:31p A_2 trierrBoa JEFFERSONCUuNry 71) [-- l L u .l DEPARTMENT OF COMMUNITY DEVELOPMENT _ i I :„. l'g 621 Sheridan street•Port Townsend•Wczzhington 96368 ! AUG 3 2005 ' . I � $ 360f379 4450• 3601378�dS 11 Fax `'Itar-aliSCCI wwe,.co.j offs rson.vra.usko nmdevelopment Master Permit Application MLA: Project Description(Include separate sheets as necessary): - P YT p2rcei �r n N. I `-{ ►aA 4.4" Inc'w•Q_.- t.c,r r tin C f LC •e rf 2 c ✓ s Moped y • Number_ 9 9-7 900 O t 2 10,-D,.,-t.Z (acres/set Site Address andfor Directions to Property: Property Owner(a)of Record!. Rrr,fit. Saar...: (.2'Z.14-1cus Telephone: 142) _^tQta' Fax_ em _ Mang Address: L9s1 t j.,..p.„ -Dv*..) , lPIc.,GpXy;11.e C h_ 9 Sime,'Z AppWeaMiAgeat(U different from eweer): Te4sphons: Farc entail: Mailing Address: . Wba#kind of Permit?(Check each box that apptfes) g ❑Vanianee(Minor,Major or Reasonable Ecorroalic Ilse) D Damnation Permit O Conditional Use pa),C(dj,or CI•• ,$Geagle Famig' ❑D"iscretionauy'D`or Unnamed Use Claas#fcation arage Attached./Detadted a Special Use(Essential Public Facilities)"" • 0 Manufactured home 0 Boundary Line AcJJtrs rent O Modular O Short Plat" O Commercials ❑E arding S to Plan" 6 Change of ilea 0 Long Plat I" ,1 Address 0 Road Approach ❑ Planned Rural Residual Development(PRRaYArnendments•- O Propane ❑ Rat Vacaban(Atterartior,"• a Attowed'Yee Use Consistency Analysis • 0 Shoreline MasterRogra3lm Fxemption1Pe1rrmll Revisions*• a Stomsuratar Management - a Shoreline Management Substantial Development" O She Plarr Approval Advance Determination(SPAAD)• 0 Shoreline Management Variance a Temporary Use 0 Comprehensive P1aNUDrc ll,and Use District Map Amendment a YUirelests Tele rmenunk alSon• . . 0 Jefferson County Shoreline Plaster Piogrem Amendment a Forest Practices Itd►Release of Sb-Yoar Moratorium • 'Wriewpara a Pro-Application Coeferense - "Requires a PA+Appr&atian Caalbreraco Please Identify any other local.sty or federal permits required far this proposal,If known: . OES16NAT1ON OF AGENT ( t beseby designate -G Lr4._ 1— - - to act as my agent in matters g to . - -'%I alian for permit(s). .4y Chvt�ro t StCiNATuRE i �.t —�+ _ Date: , C I ari By aignino let apptrat3an fore,the• -. -- t th at at the Information provided herein,and in any altadarrenta,is ova and oared tiO.ele best of no,here'it's knowledge. Any Material easetrood or any oneseiocrofa material Fact male by the ownaarapmtad h respect to this aaraidailon packet may rocultbt this powatit being null aed void- I further agree to save,indemnify and told har less Je darsoe County against all haollitios,).+dgnants,court aorta,reasonable adomeya frees and exPensas which may In atsy way accrue against Jefferson Caeca:t ass a result of or In ocesequertm of the warding of Ida petrol r further noise to• . 1.2. -..--and of entry to Jeffersonm.erson County and its employees,m th preacebe es or agents for e ado purpose of application review atod any ,• -'- la.- .•—re Access and rirptrtat arty to this property shaft be rerluesm4and anal•. only. drag regular business noun- The iaottoe or actions Applicant , antlemate as a result of lye demands of this permit may nevi tiavety impact upon one or more tnr'eatened or andaticiar td spades and caned bed toe;Wentia!IOW ITS an endangered species at trios*therms ant de*nad In ere lemma law known as the 'Endangered per.Jes Act'err"ESA."Jefferson COMITY mks+ne assurances to the applicant that Me moons that opt be undertaken because this pemtdt has boon is oral WI naiades'the ESA. Any ir4lvilaL woo or aigrw*own the a lawatftt on Denali of an a otter eyed sneafas nigardln$your dlonte)away Wyatt asp In aim with Me Jailit s n County dove opmeet code.The Aeration'teteme4eclato ctat tte,she or it holds tndMduei and nett adheMg to and Carr t/11G WM the ESA. The rT r-- Afpacatnc ilea Dale: , L ti.icca Ny t-AP Or eS\c r, Pontaal,,pcoao„7.s.Q4.doc ; JUN 1 6 20 5 LOCATION: RX TINE 08/15 '06 13:53 JUII IV VD 11.4Cd _ p� riLC, Ivo.uotl VC/ID VD 14:1b .IDS UN II-1LU DISTRICT FAX:91656 0 PAGE 2i 2 .;,::I 15 05 05:31 p _ _T---$ ir5) 1 :t- ' 1.7 1,' .:1 E 7--. OWNER 011ItZgli sTAT MENT ); I 1 The signer of Utis t• •f, ceSU(y that tinware the Owners of the rcei'ete 'h a d i I; _ �r� j!r f/ they will 6e a '�! Pa rencmd herein,t1saL they acre lfmnsed f` rty of Ore Genera!Contractor for the proposed proles, and diet ,rt Signature: • A4 • Date Q • GENERAL COwrPACTCR OR MANUFACiuneo HONE INSTALLER. PRONE: Pia: 11 aMaavc At�DResrs: .S ( 3 ) t{51-ZSU (3 f 61,} 4 3 1-2 V J— CONTRACTOR'S LICENSE �•> >< Co `f 3 � _ 5 $3 for" 1 G d L+- b( fief," C. MI WAINIS NL3.oER: LAA)r_SeC toOaf T Nwas:=a Anairrt:cTiENGNEER: y f IC c.4-Y1'c rt MAn_ws AooRess: w+'�nl•l e c E,,,-9 Pti°"e (2Cx.) V-f L-9l X ( p{o) -7 gO~5-4 - EMAL CI atyivl e,�y r JC__Fs[ti ri r k.a.vCiiii-C e,i-. co!}L P reject Type: Frame Type: Bathrooms: K( New Wood 6d Shoreline: 3 Se a Sewage Dispose): 0 Addition O Steel Proposed: �-£ ` Bake a Sewer Alteration Romodel 0 Concrete Total: 11 eig Hht D Indtviduaall S System 7. Repair 3 Masonry Q 1' rot Demolition 7 Other Bedrooms: Wa Aermtt Existing: _ Setback: Water Supply: Type of Heal• Proposed: —_2....,...... ❑ Private well a Two Patty _S t.. •PO MP Total: '�_ ± Sq., c Name of System:_ N this Is a Cons IciM Project you,must answer the fellowintr. - Number of Parking Spaces: Curiwit Proposed: Number of ApA Parking Spaces Number of occupants(Includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of constnactan: Will you have Food Service? Yes, f No If thie 14 a Propane Tank and/or Allpilartr,tjnelallatIon Permit.murk All items below that • apptic o Underground Tank 0 Above ground Tank Size of Propane Tanis Q Heat Stove 0 Cook Stowe 0 Woodstove t] Fireplace omen 0 Hot Water Tanis ❑ Pellet Stove a Other is this appliance betrto installed In a Manufactured 1 Mobile Bettie? Yes / No When applying Kira permit to Install a propane to nk you must also submit a site plan showing all of the!wild!!Ines,lank location and size,disf'nc s from the ea ppron W I in the reserve area. propane Na off propsr�=!inns,iblNlgiillgs antlesettly including are , t, -1 1 f .. $qu Rootage ciflCd4eaVlN-: , l?�C 1 [' .i Current i Propoarad _ r�; �;f;. .: .. Main floor r ZnuEloor . \\. :. . i' + err, , ' : - . :gi . : i:, .:,. ' ;,: 's or . - nab p: -.em ,r•::, ' r'' Healed Basement _ �.. j " ; I it �-�- $fatal S►udial�s 11e ti F:�,' 4 u Basement • y t. Outer unheated 1`.'1"j0:31.� _ ..•cititw • ..3�.;..i•r• : .r` Or' GaragetCa ' '� • sr t:T �5• \' 61 lI'T .• ' •V'.. ,i'r il. ,.J Yc I ci Other •f._&` . ; • •.'. a. i�siill oil N1trt1liii t l..-`' :"..' a< -•-- ..-r•_ cost Zs• 5- 4- ~. 'GO' 7- ;t . nu REQUPR�j ��! t .Fair matte.vsfue of at Atbora td me ,. to finish •'; -•' " ?ra • • r • -fit .5 .' -� - ....*...-_,. jGIV Alm 7-1i-0}doc .,."•''''.i:.• RX TIME. 06/15 '05 13:53 gSON � JEFFERSON COUNTY i 5. 1.4 DEPARTMENT OF COMMUNITY DEVELOPMENT 1 f I AUG - 3 2005 1 / ,y, 621 Sheridan Street • Port Townsend •Washington 98368 192/ING0 360/379-4450 • 360/379-4451 Fax _� http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# O5 —A (C.q PROJECT/APPLICANT NAME: R'a—I N 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 position and relative size of proposed improvements on the site map. /fire--(• Existing Conditions Summary 2. /Describe the existing topography. I icate contours on the site map. r ` '� 2 4-L Sri lli,555M5SS -sl A �Lc)P T t..-4v 2-1\ 3. Describe the existing vegetation. Indicate natti vegetation areas on the site map. -j' / i 4. Describe 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. 6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED PD STORM WATER PLAN AUG 2 3 2005 t5 stormwater site plan template-rev.10/12003 Storrtlwat r IEFFERS* C U ; Require DEPT.OF II,' DEVFI P EN SIGNATUR /. Describe significant geugraphic 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.). Cam, N t)i/'2 h S 3ik tC P (72- >' Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 in the Manual)or, if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. i.1?- 0 c / ,3 t f? 7-- /? A-41 f/>, /�i� / 2r.>a0 11/g:y / A . !-rD )-?`/ /7 I' -�--O/\--t/1 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.] /0/6 • 11. Describe the performance goals and standards applicable to the project. 12. Describe the flow control system. , I ; - 1 AUG - 3 2005 • stormwater site plan template—rev.10/1/2003 6 • 13. Describe the water quality system. 14. Describe the conveyance system analysis and design. 7 77)c L/t avz- / z� _ 1�fi< o�4J� rd?A_) Hft elf f?11:1(, 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. el-ye /vo / p y ta-0 ,- 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. � ,v /'',1— —Hj ! r - �S (.�di.f�'(!Z fAl aN - l/-1 17. Describe the proposed surfacing material. /n _Q t c_ /C.-/ vl�i2/O (. A) i) /J ss � j3/1'2ic s C� 18. Describe methods for restoration of the site. • 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. /Q 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. A-) /6- 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. 1(./ ' Ir-j) 1, L 1, )i) AUG - 3 2005 !! stormwater site plan template—rev.10/1/2003 7 CONSTRUCTION STUFiMWA i EH POLLUTION PREVENTION PAN(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 ili 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. O l) C_-Y /Z.,1 7)74- - / S Cram �� �, 2 c wig � i�� p/ rua� /z - A / 2. Establish Construction Access. , /r Crtei 11i2A I Y 0 77-JCL -- i f/077G- ��1 J/Cr,Joi7 -( ?O vt-rap fT 6 .1ii /moo c - Ai/Lt_ h)0 I— /43 , N iz rc$ s 14,2 y it. rZ c iA-(,(--L No t //I/,c, -s A3fL-L_ , �-).-1-ccam_`( 462t✓4r- 0/-2 7-c, / -r,3 / i' 7 . 3. Control Flow Rates. --s u43-S Pi Z'< D) ->2-0--/Z-T /6/4X . 4. Install Sediment Controls. //-7-- �/ i) c-/ 4 E? ) / /L-C o c_A-97 0 N S o (= c-s /Z j r2zb /1-6 Cj a6 L-4_/•..)4 5. Stabilize Soils. /17C6f74/0/may C ,i -T /%7Za -i6, r6 c' J 4/177V J e-t, 77t_7,Y 7 -)' _t i -J 6. Protect Slopes. `S'/L i //GNc_iZ . -S .- . - 7.0 t Zt2e/�,4r\ct Drain let - i-0/2-0- A le--0 N t - -/!L-) - ____•_1� . 0 c-c)eJ.,s Po u -C,4 y(- �.c— ` i AUG - 3 2005 i` '/ stormwater site plan template—rev.10/1/2003 f i _ L— — 11111 -1.1- 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. Grn� 12_i�i 7L 0�-� 9. Control Pollutants. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). /•-•3Or) rtKr'r: c_-Il5 /\ (3c-t_ 7 - / r v 7-72-A--c-r) l / " V _ ePtA 1 f 7b tip. V 0tf7 )c 11. Maintain Best Management Practices(BMPs). N/7t —7 !-c'/ /Z J /lT Gt/ /L_7 C_y 12. Manage the Project. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). c)60 (_O Gl / / / &)/'£ _( _ L� Lit)L%1 1 "1-n-!_` b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). C4--7? F 4',9crIt) T J//5 IC r7�4 y , s/ T-s T t 'r) /) /e ms 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. o2T- iCuOi o rJ No211y- Pp a P�ZL2.7/' - —, - ` 6) tits AUG - 3 200S stormwater site plan template—rev.10/1/2003 I - I 9 ,r_ _ _ ____ __ _____ _____ . _________-.1 h. Description of special requirements for working in or near environmentally sensitive areas. . )/r /mil[ ( . .r-3I� ,4 -i �.S'Z7 ' Ei L ll 8lg r /*7 e bv hi-/ c-/-i- / c ii-s rrl.er c&S 4,-(. --f4 `5/ c- C_/A.)£- f2,51 c i, so l3l�. f 7?-hT [T"7-",E3✓ J-CJ �,�/e":Pi-- /`S /7/75/±/ l 7�5/72//-72�d i77/ cr ,,•J.9rz�j�i �s��.4 L . 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). 6,4-1ADA V/L- 0 /9704, _A)vz-L- ,0 tc_t_01,.-) 71'//? F-aa 1 N Cj -a a fz 5. Construction Phasing. a. Construction sequence /c.. c3T'/ .S/ _ Fiz-Nc--/i_j G U-_-_t4„e l }�7 a t.[� A=1O/ _)} L74..0/ t1.) .1/ski S J $ . Pie-4/a0 L/r.)lz7_,C gvq-c1 F/LI J 4 A/4.ti/T_} / c.t-GE' ,%' l--t[-c'2/-�-Ue-- � <eln.L6 - b. Construction phasing(if proposed) .�L( �!/..� — N 0 -PH-7------C / /C c - - 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. /b'A ' Fir0r9z s!z t? iC [ 3C ©F" 0c i l L.4 / ?- $ , 7'M-/ems,..4. _/=�e.1& ; Li4i' s v�f f I C II. Wet Season Construction Activities. /i-LL / D I/L pa e•-\ ' P lAvej a. Proposed wet season construction activities. - .0 LA)/�T /c.,`3 d,N VJ_ b. Proposed wet season construction activities for environmentally sensitive areas. 1 5-✓ /� Ill 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities./ /74C6 b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. TX , --SM-/ ' rya(`-).6 ) ?L f P16 i N-s c-c,-- c--47-� lz= , I-A to i\E G� 0 2-Z- /--1 ►.)6 it 4 Lacs 7-✓'-1 P ',S ( 9 13k'4A / Y//z-S -TT- , 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. 71 _ ____ b. Diversions. /h1rL -�, i i 1If )/ , L.c. Waterways. -T d. Runoff/Stormwater Detention Calculations t ► ill i AUG - 3 2Of7 f _, stormwater site plan template—rev.10/12003 i Storm water 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 I, 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 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. _ f ( .e4 — (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: II _ i , 1,, ,,I .7c7, .. r[ ____.. _ . ...t, ii ) AUG - 0^-r 1 i , , stormwater site plan template—rev.10/1/2003 12 Q O // Jill r. / lECEOW LSD 15 c�,5�°Z9 DEC - 7 2005 < / ' JEFFERSON COUNTY i' DEPT. OF COMMUNITY DEVELOPMENT / �' REVISED SITE PLAN C '/ dated I p'�,17/US C Has been APPROVED.z , l _ _ P' by IEFFERSO O Y tr ,. VIM°at DEPT.OF L St MONA T 1 /•• Re4u��� X . ` b ..--- I : ;.r'' :.1.:.. ,j; .1. .....: 11, -'/ 1 f ' \ ‘\ i 1: '.13 '1:* :,-,' ,:::'::: '.",i , .,, -',17‘, ..c\ -. '.:- ' ),'A..% ,s_ ,, ,\ \‘‘\1 :.1 ..:Lh.,. '.... ,,...,:t,: - -::.-. ic•.., ,,,„--:-I*7 )1 (Lk, . , • , \ I , r \ . \ ,,,,, .() .tp‘‘ \,1, . c. .‘„ . 17. ‘‘ „ .. „:„ . ,, , ., . ,• .. . ''‘• . • - \---- „,),0, , sw, „ , . : , , ,--_, „, \ ' ' id" „. % , ,, .\ -,,,,. \. , \ � , i w� \ ',?---- , / \__.,- ,, j \ /'• � �.. . .„-. \ _ I \ - / \ 1d , / / \ - __ m �� �'� ,'��� LILI \,„ik,,,,,8„" .i.,,,,,,,,,,,, \ , : • „-- 4_,[..._H-1;".? \i.- - • ., / '. ,w° \ .- < �\ NEW RE5IDENGE \ 8 if ,,.._.„. .. �` ______ - .." „,-- ,- ! / , . \ $, t ,o.\ \, \-. . '400°N : . , ,, , . "rk \\\ \\* , , , • , 's.", , 4/00*-_ 0. 0\ '‘ /A\s, ,' 4,*- 1 sillIZOk \JY\ \ \ •,. , 7 Qtrk ,‘\\‘‘‘ \\\ ,N , It‘r j „7„...- • - , le", „,,, '4•40- ‘'. ii - ---i- • Ci ,c-(' ..Cv) \7-Lnini: .: I / /' 44'.4',Vt'Sq,,,,*,, ,,',',1":: :;;r:y,i \ ..---- 47'1. \ \ =F ,"�- _ drainage i ' \ �� / -a5ement / `\ \ \ �•� \•� ••--•�-/. mom \ \ \, '-' \ . ` \ I •�..:.- Vitt., . i / / tar(nk.net 4 /' C g SITE ELAN z NORTH G \ 111111, MI I-V O M1)9N21 'NbC4NMOl 'b/L S°73S 21Lt9 'l:7ac'-t 91 101 SGS aHl.1,9 Sr/11IA w = c NOIIdlZl7S1CI �I'a'9�� R' ly las^inN 1Nf10 �� CE ? X'dl .-, /w al a 1V78 O CD' Hl?JON /'i AD *to• P'd IP NIVIci ..LIG ,- - , CA � � / i �� Q o•mil. ,/9 ''-\ ).\ � d3 tea, I I`yl a �U'S', �,'" Q! \ � � ,ram leCI ill n \•I• yea c�`'l \ t�) \. 0 i 1 cf), 1 ,\--) ..---- \ • vrA‘‘74 \ ,, , \\ \ \ di''' " JCS\�tl wD \? \ 1N \ 8 : 1E (0: ,' ,"... \\\ .' l/ 41.471111P , ,' .., rri I I 11 Ai ►� (5b y d?J \ \ I 0 AI r. (1, o uiI ul y4 r I \ \ a9c' • i i \ ' \1) \ 1 ••••',0 C„..,'" -........ , ...,„, 0,10k, , \i I 1(I , --„ ,,,,-",..,...1 ., \ • . .110 s, \t. It...,) \ 00 AD �'•f ul I W ' !NI f r I '' vW \•1. t� at .p �Q AD C Rt..) 1 .� \44NIGA I MAN \� ='`\ �' \ \ �, (Li) 'it 1 ''s \ .--". \ ...," \ \P r tz con ‘,1%, P\- "/ Q\ C \ 'i' . �, ! \ .,. 11 \ \ 00 4-4 1..1 v s, -•' „-`... 4% -- , Ut = Is\ / ,.•-4, \.;, \ O- v , '\ \ N Yb), 1 1 ` '' `\ \ ., - \ CD O p i' )•' - v, -/j-- `� L� cn I i �� I \ // ,I t. I \ y h -- - 7 1 c i ?:t „il' xi 0,li „,;!. .„- cn Xj { w �� ri y o 0 tau C�7 O i cs� T \ \ -__ _ - , i ,