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HomeMy WebLinkAboutBLD2005-00521 •UILDING PERMIT APPLICAAN B Review 0054 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00521 Received Date: 8/10/2005 SITE ADDRESS: UPPER HOH RD FORKS, 98331 OWNER: WILLIAM P ROBINSON PHONE: 360-374-6753 74 LINDNER CREEK LANE FORKS WA 98331 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 711292005 Section: 29 Township: 27 N Range: 11 W CONTRACTOR: EVERGREEN FRAMERS PHONE: (360)683-6658 690 PRIEST RD SEQUIM WA 98382 Contractor's License EVERGF*196KR Expires 8/18/2005 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW POLE BUILDING NO HEAT - NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW •MAIN: VALUATION 25;000.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 2,400 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: • Type Amount Paid By: Date: Receipt: Approved/Date State Building Code $4.50 SLE 08/09/05 76395 A P P R V V E L Plan Check $346.23 SLE 08/09/05 76395 Permit $532.65 SLE 08/09/05 76395 OCT 1 2 2005 Total: $883.38 Je rson • t Planning B artment t ,f BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD05-00521 Received Date 08/10/2005 SITE ADDRESS: 74 LINDNER CREEK LN FORKS, 98331 Issue Date 10/12/2005 APPLICANT: WILLIAM P ROBINSON 74 LINDNER CREEK LANE PHONE: 360-374-6753 FORKS WA 98331 SUBDIVISION:BER: 711292005 PARCEL NUM Block: Lot: + Section: 29 Township: 27 N Range: 11 W CONTRACTOR: EVERGREEN FRAMERS 690 PRIEST RD PHONE: (360)683-6658 SEQUIM WA 98382 Contractor's License: EVERGF*196KR Expires: 8/18/2007 PROJECT DESCRIPTION: NEW POLE BUILDING NO HEAT - NO PLUMBING CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: /;;i UFFER: Feetim : Pcs`f- 14 (E-s r 5'(.- /C -Cts (-2(-I Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: / Framing: i/ /c, 7 C . , � Plumbing: Propane Tank/Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: /f 3A 7 4,16*---; 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 FOR LASE A BLD05-005 21 1.) 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. 2.) The identified Fish and Wildlife Habitat Area (Type 3 Stream), shall maintain a vegetative buffer setback of 100 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the detached pole building 3.) An additional setback of five (5) feet is required from the edge of the stream buffer area to the proposed detached pole building. 4.) A permanent physical separation along the boundary of the stream 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. 5.) 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." 6.) 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. 7.) A Stormwater Site 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) 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). 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) 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. 13.) 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. 14.) Minimum setback from Lindner Creek Lane right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 15.) Fully enclosed areas b • • below the lowest floor that are subject to flooding are prohibited unless designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of floodwater. Designs for meeting this requirement must either be certified by a registered professional engineer or architect or must meet or exceed the following criteria: a. A minimum of two openings having a total net area of not less than one square inch for every square foot of enclosed area subject to flooding shall be provided. b. The bottom of all openings shall be no higher than one foot above grade. c. Openings may be equipt with screens, louvers, or other coverings or devices provided that they permit the automatic entry and exit of floodwater. 16.) All new construction shall: a. be anchored to prevent flotation, collapse, or lateral movement of the sturcture. b. be constructed with materials and utility equipment resistant to flood damage and potential damage to adjacent properties. c. be constructed using methods and practices that minimize flood damage. d. have structural components capable of resisting hydrostatic and hydrodynamic loads and the effects of buoyancy. e. electrical, heating, ventilation, plumbing, air-conditioning equipment, and other service facilities shall be designed and/or otherwise elevated or located so as to prevent water from entering or accumulating within the components during conditions of flooding. 17.) Flood proofing of structures shall be provided by one or more of the following methods: a. Landfill: (Note: Landfills are not permitted in the floodway.) The placement of fill may be utilized to elevate the structure and must comply with the standards and policies of the Jefferson County Shoreline Master Program, if applicable. b. Pole, pier or piling construction: The use of poles, piers, or piles for the foundation of the structure may be used to allow the unrestricted flow of flood waters during periods at a base flood. The lowest floor must be one foot above the base flood level. c. Parallel Foundation Walls: Foundation walls may be designed and constructed to provide open spaces through which water can flow unrestricted to equalize pressure. In velocity flood situations, it is important that all foundation walls be parallel to the flow of the floodwaters. d. Extended Foundation Walls and Basements: (Note: Extended foundation walls and basements are not permitted in the floodway.) The lowest habitable floor of a residence may be constructed on foundation walls that extend above grade to one foot above the height of the base flood provided that residential construction complies with the requirment of Section 5.101(2), "Residential Construction," regarding the design of enclosed areas. 18.) Approval of this permit is based on the letter from owner William Robinson dated 10-6-05 agreeing to obtain an evaluation of the 2 existing systems on the site and designation of reserve areas for these systems and abandonment of the septic system that is less than 100' to a public water supply well. This work will be completed prior to final inspection for this building permit. I:\F_BLD_Permit_Buildng.rpt 10/29/19 . B -1\\ Qtvi l' t ye 1 cr CirCe'l i: 47‘ t2C1 Z.CtS 79 , 1 :,.A.'t . - cRe6‹. V 6. _ T-00s '.- ' ct `b:n1 PORTION OF SE QUARTER OF THE NW QUARTER OF SECTION 29, T. 27 S., R.11 W., W.M. Neerw • NW 1/16 a NerayorIN 100.00 ser er • CORNER 5oo-o6-' ' . �oaor �r prop $ -APPROVED------ 4 ,ePoc,;-©- SITE PLAN 4 I �`'"`l'~� AUG 2 5 2005 L Dive Cg ' SS7 5I ore JEF rt114.77 C DEPT.OF ili" ti IM C 1949Pro ,.. iL r e ' a. : f� ':3( ""g. IV ►uur.►i.AIirArw.- A-. % ' '" r'o rs,Ca ROBt •e �� , 'N '4! k rCt.VWELLNG St0 w ,i� � % �� Reure� m ` o lv S 0 0 dF`'°".qwArER --}-o 01 ra:�-Pe A inAceke u 1=E tied\ of l $ �ooar � �5 ' aieW OreA ritabix !' — -. • 225.00. 0 2011 l . ITN/PI 7 2° p . 175.1fl a R& R ENTERPRISES RI V PARK s sea-4go 400.10t \ ai c 1 e"E�0!�=/iiii=:i �.,►, ■,z.„,•:,•klz: .1.-- .r._ ^E----A i 1, ) "' AUG - 9 2005 .i. .. 49 �.gSON c O JEFFERSOf LINTYIII ral ,a DEPARTMENT OF C ITY-DE ELOPM _ ' ~' 621 Sheridan Street • o T wnten V ias n n 8 51 Fax 360/379-4450 • 360/ :7 ��yS, NGrsO� www.co.jefferson.wa. s% mdevelopment ! AUG - 9 2005 �/ Master Permit Application D5 _ I gl I _ ___.___ _________, MLA: Project Description(include separate sheets as necessary): Tax Parcel Number: 7 1 Z. Z_O ProSi e 7, -' P (acres/square feet) Site Address and/or Directions to Property: 7 Li L'1 e r C of K. [C\ FF t K s Ct j,3 S 1 Property Owner(s)of Record: Telephone: _3(4 C )'t- 1 j 3 Fax: email: 1 Mailing Address: � h l'1 Z Applicant/Agent(if different from owner): l 4 ni'._c Pr Aawtz,`., Telephone: • ; (l kti-I•r Fax: Ce (3'3- 4.105 email: Mailing Address: (-.°(C L ` ,.e. - e< < , > What kind of Permit?(Check each box that applies) [7 Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ De lition Permit ❑ ❑ Conditional Use[C(a), C(d),or C]** gle Family y�- ❑ Discretionary"D"or Unnamed Use Classification Garage Attached etached�f����i ` ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** 0 Address ❑ Road Approach El Planned Rural Residential Development(PRRD)/Amendments** O Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance ❑Temporary Use 0 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: I hereby designate g�2 e`,�' 4`� c='d �,w.1.DESIGNATION OF AGENT to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE � G( 12,5 ) � -D .— 1�� -- — `! 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 access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature:_ � 1 C • s i -- y'� Date: (-)— 7" v c— 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 responsibility for adheri g to and complying with the ESA. The Applicant has read this disclaim andigns and dates it below. Signature: yMy , 1 7 C Ir�`� m�' Jac Date: j — f— Cl �� G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 41) OWNER BUILDER STATEMENT S 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: r y ``r-vt ...;s (3 O) :$'(vtocS ( ) , MAILING ADDRESS: ll.-�I ' ILl r`'e-T P� 5` ,„_Ar, +A 3,cs. .. EMAIL: CONTRACTOR'S LICENSE lLrlOe 6 1 n (,�K WAINS NUMBS NUMBER: `+ (� � (C r NUMBER ARCHITECT/ENGINEER: 5-- C,`j]C )" JcSo4'I Nk PHONE PO ) c i"fri()j FAX: ( ) MAILING ADDRESS: c'' i Ut ? p 15 41,L)i �`f- S E.22 r ej L EMAIL Pro' Type: Fra Type: Bathrooms: Shoreline: Type of Sewage Disposal: t New ood Existing: ❑ Sewer U Addition ❑ Steel Proposed: Bank ❑ Community System 0 Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System 0 Repair 0 Masonry SEP Permit# 512-81 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: Li Public Total: 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: 0 Heat Stove ❑ Cook Stove ❑ Woodstove 0 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 m -".'i . ubmit•a site plan shokidog ill of the buildings,all property lines, tank location and size,distances from the propane to ' al propyrt'Jin�es,6uil ' septic system components, including the reserve area. ; U Square Footage For Office se\a ly_ �1 Current Proposed 1 I unt Main Floor Co,sistAkic RRv w?Oo ,' ,, 149.. ae 2""Floor Base fee ___ i 2.� 3'"Floor ` ' -Additional Section:—-- - ��( Mezzanine: Plan Check fee: 34(0.'-a") Heated Basement State Surcharge fee: i 5b Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach fee: ' t,V _ C Garage/Carport TOTAL: $ C,`tl c5� (r) C--5S6"---1C) Decks 'i Receipt Number: '2 to 3 q Other Cash/Check Number: a(Tbi: 5 ESTIMATED COST(REQUIRED) Date: d5 •Fair m et value of all labor and materials foundation to finish 2LC Initials: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc , JEFFERSON t,; UNTY .r) i i k , ° _.��`. kr I I I ilk% k‘,..„ 1 DEPARTMENT OF COMMUNITY DEVELOPMENT Z �_____---..— ' 621 Sheridan Street • Port Townsend • Washington 98368 AUG - 9 2( 5 I ,' • 360/379-4450 • 360/379-4451 Fax G http://www.co.jefferson.wa.us/commdevelopmentl STORMWATER SITE PLAN SUBMITT Z TEMPLATE . MLA# 05 _ 2. 1 PROJECT/APPLICANT NAME: g.;1 I Prii,VN r t'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. 90 X 0 Cei r Per`' • Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. �S Rci i'v\ zc1epe. L i-c: 2-c/o ,cc,6-e- 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. La&vs. cow c; k& 9 r e;. 4. Describe the existing soils Indicate soil type on the site map. test. CG \ S ? ' P 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. n\ j ,,1 f jc ke.v- 5.' \CS i i'L"Vt Sct I MD C1'ci+k&ir^ U-Nt TC;— 6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED A)71\ STORM WATER PLAN AUG 2 5 2005 Pt . JEF O tsT St DEPT.OF 'O, D•V.L.; NT 5 stormwater siteplan template—rev.10V1/2003 S SIGNATURE: 4/1Required _ • . 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. • nci C I>ype 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.). 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 th se facilities prnthe site plan and differentiate proposed facilities from existing facilities. 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] k.)/ 11. Describe the performance goals and standards applicable to the project. FU/A 12. Describe the flow control system.4 0. IE�-,) AUG - 9 2005 stormwater site plan template—rev.1011/2003 6 13. Describe the water quality system. t; L l '' AUG - 9 200r ; { 14. Describe the conveyance system analysis and design. I NA . ,_._________—.-- ......_. ._ 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. t\-)71\ 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. VV/k. 17. Describe the proposed surfacin9 material. 18. Describe methods for restoration of the site. 11V//\ 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. N/ 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. / yP\ 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. Y„ Y/t-St • stomtwater site plan template—rev.10/1/2003 7 1111 • CONSTRUCTION'TOkMWA•- R tioN 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. 2. Establish Construction Access. 3. Control Flow Rates. 4. Install Sediment Controls. 10/ f\ 5. Stabilize Soils. ItYj 6. Protect Slopes. V/A 7. Protect Drain Inlets. bkJJJ ` l� } AUG - 9 2005 I , stormwater site plan template—rev.10/1f2003 �„ .---- •— _J 8 • • 12 Required Elements-•(:onsuut;Lion SWWPPP(continued) _ _ _ { 8. Stabilize Channels and Outlets. wI ',i �k .0 a AUG — 9 2005 s; 9. Control Pollutants. . _ d I 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). IN/N 11. Maintain BestManagement Practices(BMPs). ai K v/i. 12. Manage the Project. ' v/ 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 0/k b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). A)! 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. p stormwater site plan template—rev.10/1/2003 9 • • . o. De rip.ion of special requirements foi working in or near er1v.. _:meiuudy sensitive areas. Vti/ 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). K/- 5. Construction Phasing. a. Construction sequence S�=�' ��S'�-S ,�'r0Sce 1-Fitrn� 1. S eet' FOtcv+%' k 1 e`Ic,\ b. Construction phasing(if proposed) `, t / 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. 5 -et, is ADe9 i , II. Wet Season Construction Activities. a. Proposed wet season construction activities. Kot b. Proposed wet season construction activities for environmentally sensitive areas. T1/4/714c , 7. Financial/Ownership Responsibilities. a. Identify the property wner 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. N?/R 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. yt�� ( "�' v(4' kk ji (�� — b. Diversions. ,` ( 4 L 'd �c j 7' i c. Waterways. , I d. Runoff/Stormwater Detention Calculations ►' Al 9 !2-9% i stormwater site plan template—rev.10/12003 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 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. Ce ( N OR AUT REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: AUG 9 2005 , stormwater site plan template—rev.10/1/2003 12 • • 1g e \ \ N .-.cr) X 07 ' co N x O1 I coxi� O 1 p13 �2 no Iv OSI 1\ N N - \ O Ori-r X N • xi • co 23 I T = O V v7, i r N D Z 0-.0, • • ix _ co -n N O. 0-0 I I O O 03 qh N a) SI 0 O co CS \ v un II N I —16 --I FAO)Y1 Of s XmX I - • N CO DO) 0TvDv IS \ -'o rp• v 0'-tym4k mNZN 0 O-o Z AN N D 0� ti o 0 ea 6° \ \ 4110 10'-0" / 10'-0" 10'-0" 10'-0" 40.-0" �J7 D , I ''J i to • i Ind O = — W N.)m D D D TITLE: POLE BUILDING FOR BILL ROBINSON - JEFFERSON COUNTY, WA mi xp 'YOY ST )• Nz (WTI G �'' Um 264 -t" 5, LAI � , Z FLOOR PLAN N O cY do; O-n a W 7 N O CA NI) OD .411 mvi (� 1 a O m r\.fi 02��0 C 0 U1 CLIENT: �� O ' E NOV I C & 519 S. PEABODY ST., STE. 22 0. L� .�� EVERGREEN FRAMERS Z PORT ANGELES, WA 98362 rn �FF,Q ^ 690 PRIEST ROAD ASSOCIATES FAX: (360)417-0su-Oso� SEQUIN, WA 98382 ring INCORPORATED EMAIL: ZENOVICOZENOVIC.NET