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HomeMy WebLinkAboutBLD2005-00539 , VI Lc___ +0 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379--4451 (800) 831-2678 PERMIT #: v BLD05-00539 SITE ADDRESS: 111 BAYCLIFF DR Issue Date: 10/3/2005 PORT TOWNSEND, 98368 Final Date: 5/5/2006 APPLICANT: JOHN J HOLMES PHONE: (360) 379-0772 DIANE KAZUE HOLMES 260 KALA PT DR PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#3 Block: Lot: 447 PARCEL NUMBER: 965000057 Section: 27 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NEW SFR W/ATT GARAGE & 120 GAL A/G PROPANE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/5/2006 xiLa, - 51 8/o Building Official Signature Date Gk tit er)ei I:\F_BLD_Occupancy.rpt 10/29/19� 4) S BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00539 Received Date 08/22/2005 SITE ADDRESS: 111 BAYCLIFF DR Issue Date 10/3/2005 PORT TOWNSEND, 98368 APPLICANT: JOHN J HOLMES PHONE: (360) 379-0772 DIANE KAZUE HOLMES 260 KALA PT DR PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#3 Block: Lot: 447 PARCEL NUMBER: 965000057 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 360-385-3115 Contractor's License: KELLES1150LF Expires: 6/6/2007 PROJECT DESCRIPTION; NEW SFR W/ATT GARAGE & 120 GAL A/G PROPANE CALL IN FOR THE R UIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER:Footing: yn t- Foundation Stormwater FINAL Approval: Underground Plumbing:)0 // 3-oa' Underground 1 sulation: Shear Wall : -__ )2 -7, -ejZs.. Sheathing: /0- ,-4. aS- Framing: RP401-r...1 I i y!-o Plumbing/:/ j "1 7 D-6 Propane Tank/Lines: /oV;-,, /--i7-r(, Insulation: (-�-010 00 Sheetrock: _ /54 0 Septic Syt Fin I A proval (If not on sewer): Road App oach Final Approval: Zoning Final Approval: Final/Occupancy Approval: _5Ls'ab HEALTH DEPARTMENT ND U LIC 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 CASE t BLD05-00539 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.) 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 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. 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 Baycliff Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 16.) A minimum of two on-site parking spaces shall be provided for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/19 MLA05-00501 4,UILDING PERMIT APPLICAAN ReviewType: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00539 Received Date: 8/22/2005 SITE ADDRESS: BAYCLIFF DR PORT TOWNSEND, 98368 OWNER: JOHN J HOLMES PHONE: (360) 379-0772 DIANE KAZUE HOLMES 260 KALA PT DR PORT TOWNSEND WA 98368 KALA POINT#3 SUBDIVISION: Block: Lot: 447 PARCEL NUMBER: 965000057 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License KELLES1150LF Expires 6/6/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/ATT GARAGE & 120 GAL A/G PROPANE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,277 VALUATION 285,368.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: 11 a HEAT TYPE: HTP OCCUPANCY: R-3 UNHEATED: 'aascrecN'C D'1 # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 520 CONST TYPE: SETBACK: DECK: 100 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: KALA PT �.4 VVIV `IC BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: ir,2 3 Total: 3 Total: /213 Routing Date: /( O 5 Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $2,035.35 INT 08/19/05 76297 A p P ROVED 1y'J E Plan Check $1,322.98 INT 08/19/05 76297 r State Building Code $4.50 INT 08/19/05 76297 OCT - 3 2005 Potable Water Application $53.00 INT 08/19/05 76297 •fferso ounty Planning Total: $3,415.83lilt& B py partment Iii4Q1114 &' A r „; I ;I \\ JEFFERS OUNTY 417., , L:44( -Ci. —.. ' ''). . ? ` ,a� DEPARTMENT OF COMMUNITY DEVELOPMENT ►4 621,Sheridan.Sfreet_-:RortTownsendl::_Washington.98368 2005 K.,..... BINS 360/379-4450 • 360/379-4451 Fax AUG 19 • 0� www.co.jefferson.wa.us/commdevelopment s . \ Master Permit Application SENT MLA: � --- -- Project Description(inde separate sheets a ecessary): Ne l 'f U� F mtc..7 ,2 I *er — Tax Parcel Number: q 6j oCp os� Property t k - pp /,� Size: 72 - (acres/square feet) Site Address and/or Directions to Property: ,Vf1 , i„ / .tJ.P /1 4//1 Property Owner(s)of Record: St A Di ti- C -- H-JL vti.es Telephone:. -- 011 ? _. ..w. r::Fax: email: Mailing Address: 2.1 01 S :DE/✓f- "1)r-- C i?t /,Jr o CA- _1 SD! 4- Applicant/Agent(if different from owner): IL ti S I--1 La 9S ) Je- , Telephone: J ep �1 S- 1 I�-e Fax: '2,g.6-311 email:Of Sh l eldc e / Mailing Address: z by 1 POI, - D)L_ ?�t o /1 What kind of Permit?(Check each box that applies) Building 0 Variance(Minor,Major or Reasonable Economic Use) 0 Demolition Permit 0 Conditional Use[C(a),C(d),or CI** ' Single F it 0 Discretionary"D”or Unnamed Use Classification Garage ach Detached 0 Special Use(Essential Public Facilities)** 0 Manufacture Home 0 Boundary Line Adjustment 0 Modular ❑Short Plat** ❑Commercial* 0 Binding Site Plan** 0 Change of Use ❑ Long Plat** ❑Address 0 Road Approach 0 Planned Rural.Residential Development(PRRDYAmendments** Propane ❑ Plat Vacation/Alteration** 0 iowe es"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**❑Stormwater Management ❑ Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 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 design J %+1L� . to act as my agent in matters relating to thi application for permit(s). OWNER SIGNATURE . i g / Cr/ 0 Date: rr Sr 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 attorney's fees and expenses which may in any way accrue agai e County as a result of or in consequence of the granting of this permit. I further rovide acrpss and right of to Je erson County and its employees,representatives or agents for the sole purpose of application review d an r ired later inspections. and ri ht of entry to this property shall be requested and shall occur ly durin regular business hours. Signature: �' j Date: i �(-'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 y individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action ' ou are in complian the J fferson County development code.The Applicant acknowledges he,she it holds individual and n n-tra fe ble responsibility f ' g mpl 'rut with Cie ESA Th,;Applicant has rend this;.:isc�ai r r : -ig s ates it below. I Sig„ Jre: ii y}c y d I ti-P< Date: L ?S 0-/ G-\PermitCenter\FORMS\ORD FORMS\Master Permit Application 7-8-04.doc V OWNER BUILDER STATO0i.0 1F • 4f this statement does hereby :g ft •akgtlae certify that. are the'(oy s.°f Pa i , .'herekt ittat 66$t_a( t T Signature: _ .„ ., � 2ttthat • �/'-- :irate . GENERAL �_' •: :SENT �NE �y OR'OR!MANUFACTURED HOME INSTALLER: Ve,k� tC:c�IMTRA�TIfI !/-)L• PHONE: r _. FAJ(. MAILING ADDRESS: (3tbo)3t3 -"1 I• S(o •(`3fod) 38-5—3)/J EMAIL:CONTRACTOR'S Li ENsEWAIN J NUMBSO Lr NUMBER • iARGEUTECiYEtJGNJEtt - • 1*.(!-NG APPRESS: C.. g G "''° S l PHONE (. ) F,wc ( ) s 1C� S EMap, • W ,,�''�not' •..,,-.hype of sewage:Disposal ❑ Addition ' ❑ Steel • Proposed: • ❑ 'Alteration/Remodel C Concrete Hel C Sewereralmun' 0 Repair Total: • Height. 0 Amy S individual System Q '.Rt.M01. i ❑ ( hoc Bedrooms: SER.Permit# . /' 6 Water$RpP1Y T eo, Heat: -fi prod: '' ❑ Private itvell O TwO Patty 0A- i124 u � Total: F'ublie /� l - Name of System:4444-- : tf thls.ls a Commercial Rro ect u must.answerthe.followin Number of.t'arkrng 5paces: :Curnent: pi:Opesed ?Number of occUpat'tts:(in Ludes owners,tenants �u Number of AUp�Proposed Spaces: 1BC ;eta) Current. Proposed Y IBC Type of constrirchbn Will you have Food Service? Yes 1 No If this is a prn no T-ank:and/or• lianco lnstallatroh erm • mark ali:items below that.a "y El Heat Stove, ,,� g (.4-at►k a oT P.t.000e Tank: • - r: 4 1Noectove. Cl ... -�fe.P,.�e arlsert l7 .Hot-YVater Tank' ❑ Pellet Stove t3 Other.. Is this a liance bean installed in,a Man"-• 'redj Mobile Ho•me? Yesss 9 00 � p nq. X rmltYoinstall a plopane'tarikyoti must.alsq ul n)t a slteplap showing all of the bulldrn a• ll?• • Ilnes, ntrf8rrdlstanres lirom the3 s; lncludk4 tyre reserve area. P�pane ink to all property/lees,buildings anal sepffc System compo e t operly....... ' ' x : .A n.S aA 4•r�ii; r S )' S -A i x?ris! k � � l*4l'a'y ,c ktv' 41$4:'.` it plain Fk&r - - ... • i 20:i to <tY . r- "c+r s_ O 3 ' g,fit ' `?— f 1 • ►i7 z1i�r .. ti 41 2' I ! d r P eL ,,a:.,,' Y,,i .� -. Wzn`s'�y .�ya� r. .� "- r . e_ kt"^tt• �yxq' s:A - Wk •a f4.K • y .r''''''i% T:. 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JEFFERSON COUNTY t�sq'. r, : DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street•Port Townsend•Washington 98368 f 360/379-4450.360/379-4451 Fax http:l/www.co.jefferson wa.uslcommdevelopmentl STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPL)CANr NAME: • 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. / [� Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. N Nen ,! er n0.1-r`C—}—)Ti G , tit.; . 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. )•...10 t St.) W W at-C.. 1)f I t YJc- C . 6. Describe any excess levels of noise generated by the proposed use or activity: • STORMWATER PLAN sfoiew:dersle plan templaie_doc—.rev.10/121NJ03 SEP - 7 2005 5 AUG 1 9 2005 Stor5Mat !E 01J Y Required DEPT.OF DE P E T SIGTvATUR !ENT 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 sensitivefcriticat areas (streams,wetlands,fakes,steep slopes,etc.). OF T1'tt.' 1A -lit pl '1;)0.1 0-oP wl Permanent StormwaterControl Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control 13MPs and facilities to remain in place after construction of the project is completed. `Medium'size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. 9. Describe the developed site hydrology,as proposed. Indicate whether stormwater will be fully dispersed(i.e.,per BMP T5.30 in the Manual)or,if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. - R1 rJC CaN SIT-4J GP at-) T ?i g Lth c'. (;r c p akS —tea -D 4 L p (2 t j0.►)!A Pc 7't J CoI-I ST ..a3c77 01-) W Alta Go i"3 10. if the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities propriced 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. -,"\:) ".:mot ec u c I ►�G D LS t'P8a2 e ,teaei 4.b-T t ut- 1/GGi ti lt?%�o k, d . stormwater site plan templalehoc—rev.10/122003 6 AUG 1 9 2005 'ENr 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. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code 17. Describe the proposed surfacing material. 4 —D(Lr<JE.l..l,k cl 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 onlythose 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. 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. stomrvater site plan template.dx—rev.10/172003 - AUG 1 9 2005 7 I :ENT • 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. 2. Establish Construction Access, 3. Control Flow Rates. "fi I t� 1 �C.�`�•iZ.t F J . 4. Install Sediment Controls. 5. Stabilize Soils. C-k 4 I.J t LA..- N.5 Q `-a#PI -r oaf C i te • 6. Protect Slopes. 7. Protect Drain'Inlets. stormneter site plan temp4de-dic.—rev_10/12/2003 AUG 1 9 2005 8 :'ENT • 12 Required Elements—Construction SWPPP(continued) S. Stabilize Channels and Outlets. 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). fi%fir. 11'2- 1 S 45 9-04L I 1 ° V Q lid�.. 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). 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 adjacent to the site. stormwater site plan temptate4 c—rev_10/12/2033 A U G 1 9 2005 9 " b. Description of special requirements for working in or near environmentally sensitive areas. tU ) it 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,settfeability,permeability,depth,texture,soil structure). 0h1"? 1 c... 9Aith . CIO' tc- I ` . "t 0(;)!3 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. OCT- k C. C.,t `4 f2,. 1 ttia� ;"' 1., 1 0(s C f i v �, y I is'E,. @a�l L-4) .ems t C F tg,-)C 4 O t. , El. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7_ Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. o►-ti.J 60 L.,N -Lo a W N t b_ Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation "impacts. VF:t..LeLt S.44,t v S k/0c._ - eat Mriot'OM it VA 1 2, boo/ atj 8_ Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. /7 d_ Runoff/Stormwater Detention Calculations r-- AUG 19 2G stonnwater sae plan tempfate.fbc—rev_10112/2003 t0 . i !ENT s • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the.originally approved Stormwater Site Plan, the proposed revisions shalt be submitted to DGD prior to construction. The submittal.shall include substitute pages that include al( 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.B.MPs (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, t as the applicant/owner attest that the information provided herein is true and correct to The best of my knowledge..1 also certify:that this application is being made with the full knowledge and consent of all owners of the affected p rty: a �7 ` (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) / tp THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: • 9 2005 AUG 1: 12 t�Nrf / 12'-6" / / 9'9" n p t i9'9" / 5/OX0 5/Oh/0ND 1.6" / LI J , / -Cly 5/O id ,_-; r k. 411 c vt F3._ t . .i 6 N 5 • O "R O . . . , ....,..„ . ii, .., 1b r s . 1 II 1 F \-y r a :,: ,,,. .. .... ,. ::..,.. / / / T-8" / 12'-6'' /� 1'-6" / / -0"--t 4'-6 / 6/0-2/ON 9/O-!,/J91 .... .... ......_..... 6/0-2/ON \ ;:•::•:>::.;:.:;: - :..;.::•.....::;.::..:::•::.:<..:::::::..... :.:;;;:<:.:::::.;:.::.:* \ \ _0 Li 14.-O" -16,-0" / I Il!ijKsb b lT p 0- oo ___ ��Ir 1 S] OOP p A Q I ^ N_ v © i 1 I .*: J Ir. --5 ..� / „,: ;} r:' S/C 05CE Closet U y �; •; 0-6/051 '-Cp' ]1.-. 8'6" ■ \ O N lO. L.sll 2'_2" l ° \ o. N I 5/0-6/051 P < U < d kJ' N 42 ,,,, 1i i L l s 1.1 IETZVESSZ42112:61M1 di; \ 3 / 2'.2" ismisimail 9/45/091 L O /* .o ' ° gyp , o 1 d= 146 . .Rf EJ ¢© JQ e IL;:..,„ 06. I 3 V) ik I _ III 5/0-5/09tI ii:? H N O \ \ — \( \ N 5/0-5/051 5/05/091 1 5/0-1/II 00 o J 0 V, I / 25.-6" / 22'-0" / 2'-o" / 1'2"—/ ''t Q / ► FILE Copy