Loading...
HomeMy WebLinkAboutBLD2005-00702 BUILDING PERMIT APPLICION MLA05-0065i'ReviewType:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00702 Received Date: 11/7/2005 SITE ADDRESS: 153853 HWY 101 FORKS, 98331 OWNER: CALVIN K KNIGHT PHONE: 206-236-3038 MAUREEN M KNIGHT 5230 W MERCER WAY MERCER ISLAND WA 980404632 NIICHEL SHORT PLAT SUBDIVISION: Block: Lot: 2+ PARCEL NUMBER: 413272005 Section: 27 Township: 24 N Range: 13 W CONTRACTOR: TIMBERLAND HOMES PHONE: 1-800-488-5036 1201 37TH NW AUBURN WA 98001 Contractor's License TIMBEH*2090B Expires 8/27/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR MODULAR HOME TYPE OF WORK MOD SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,678 VALUATION 425,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 120 0 SHORELINE: CONST TYPE: DECK: 292 SETBACK: 200 BANK HEIGHT: 54 SEWAGE DISPOSAL: _ WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: 1 I /05 Type Amount Paid By: Date: Receipt: _�' �.ri. �dt4� j ED State Building Code $4.50 SLE 11/07/05 77268 �,,,/ �/ Plan Check $1,828.94 SLE 11/07/05 77268 MAR ►t 2006 Permit $2,813.75 SLE 11/07/05 77268 Potable Water Application Total: $53.00 SLE 11/07/05 77268 $4,700.19 Jettei ufl Utility rlauinlny Buildup.)Dew-lament ua 45, r BUILDING PERMIT di Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 PERMIT#: (360)379-4450 FAX (360)379-4451 SITE ADDRESS: BLD05-00702 153853 HWY 101 Received Date FORKS, 98331 Issue Date 11/7/2005 APPLICANT: 03/14/2006 CALVIN K KNIGHT PHONE: 206 236-3038 MAUREEN M KNIGHT 5230 W MERCER WAY MERCER ISLAND WA 980404632 SUBDIVISION: NIICHEL SHORT PLAT PARCEL NUMBER: 413272005 Section: 27 Townshi Block. Lot: 2+ CONTRACTOR: p� 24 N Range: 13 W TIMBERLAND HOMES PHONE: 1201 37TH NW AUBURN WA 98001 1 800 488-5036 Contractor's License: TIMBEH*209OB Expires: 8/27/20068803 PROJECT DESCRIPTION: NEW SFR MODULAR HOME CALL IN FOR THE REQUIRED YOUR PR INSPECTIONS THAT APPLY TO YO .SETBACKS: PROJECT. UFFER: Footing: Foundation: S E L Stormwater FINAL Approval: Underground Plumbing- 4 Underground Insulation: Shear Wall : Sheathing: Framing: Plumbing: Propane Tank/Lines: Insulation: Sheetrock: Septic Sytem Final Approval MUST be obtained before final of structure can b Road Approach Final Approval: Zoning Final Approval: e attempted. Final/Occupancy Approval: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL RE QUIRED THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY TO RENEWED EWFINAL INSPECTION DSPECTION BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE Office Hours 9:00 a.m. - TO SCHEDULE INSPECTIONS. p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY- SEE REVERSE SPECIAL CONDITIONS FOR CASE BLD05 00702 1.) 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. 2.) A stormwater plan for a medium project 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. 3.) A Geotechnical Report was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A setback of 60-feet shall be measured perpendicularly from the top or toe of the geologic hazard to the proposed single-family residence. 4.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) The administrator has determined that the maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, , , etc. 7.) Thedriveways buildingconcrete height is not to exceed 35 feet. 8.) 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. 9.) 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. 10.) Minimum setback from Hwy 101 right-of-way is 50 ft. Minimum setback from the top of the bluff is 60 ft. Minimum side yard setbacks are 5 ft. 11.) A minimum of two (2) on-site parking spaces are required for the single family residence. I:\F_BLD_Perm it_Buildng.rpt 10/29/1999 . ON �, • wwk� 06. JEFFERSON COUNTY g ,, DEPARTMENT OF COMMUNITY DEVELOPMENT • 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450• 360/379-4451 Fax ! gs, N��p www.co.jefferson.wa.us/commdeveloprnent` Master Permit Application MLA; ribtf) :9\ Project Description(include separate sheets as necessary): Tax Parcel � Number: // / 3-• 2, 7 2— Property Q�,� Size: 50, 5 Z..S (acres6quare fee Site Address and/or Directions to Property: j 3 .5 S is 4��y /0/ Property Owner(s)of Record:C�,v i h k, )( d h /1444,rP el and Ki?iC4 Telephone: tit%& LTC 3Q3S Fax: -.Z. • - email: a 1 , /•Mailing Address:3 Z3 C L.L!, c>„•r F r. WAN, A rr Hr 'j/�tI a1 k1, ,JX 1 9' '/1 �' Applicant/Agent(if different from owner): 4j+. Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) Building 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]** Single Family 0 Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑ Address i Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments** Propane 0 Plat Vacation/Alteration** ❑ Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Wireless Telecommunication* ❑ Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: DESIGNATION OF AGENT I hereby designatej4 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and coned to the best of his,her or ifs 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 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:6 ‘kii `1.j,l ,1 / Z Date: !0/.:0/0 j 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 lake"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 adion(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-transfera le responsibilitt f r adhering to and complying wi the ESA. The Applicant has read this disc imer and signs and dates it below. Signature: dill - , Date: /6 iZlye"c C.\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc I I • l 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: J��1/4 Date: GENERAL CONTRACTOR OR ANUFACTURED HOME INSTALLER: PHONE: FAX: T rr, )e.i^/uq a i'Tt ye € . ( 60,1 $Ae 1-vri ) (z i- 53) 3.5 3Y-35 (25'1)y3y :3 -g'5C MAILING ADDRESS: !2 1 3 ,`j A/ EMAIL:4k4./,de,t. 9 i be`4,j7C��'AC S,',C r et CONTRACTOR'S LICENSE 4-V h,r n l w�A clzepi WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: 5( PHONE ( ) FAX:( ) MAILING ADDRESS: S 4 m EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New )(Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: '2 I $ Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 2 ,_5' Hei ht:, Individual System ❑ Repair ❑ Masonry 5't SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: private well ❑ Two Party Type of Heat: Proposed: ___3___ CIublic Total: 3 Zee t'1`f: Name of System: If this is a Commercial Project you must answer the following: /4//9 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: i Underground Tank)bove ground Tank Size of Propane Tank: '7 i H• eat Stove I Cook Stove i Woodstove I Fireplace Insert I Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No Ai+ 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 systemolr►po ,. including the reserve area. I- it I c (1 Square Footage For Office Use Only Current Proposed Amount Main Floor sistency Review. L161. Cc 2NO Floor A- Pit- 64 , Base fee: r2 1 3 73 VA- ; 3f°Floor Additional Section: VA 1/4- Mezzanine: /a A, Plan Check fee: I S ; C1 7119 t) `"f Heated Basement State Surcharge fee: 5. /l� Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach _Ally AI A fee: t_Vl36-9 Garage/Carportj J4 NA lD s�� 4 , J�3 I 1 �� TOTAL: $ Decks � � .IN CV).. .f�'"_ " .Receipt Number: 1 1 a(4? Other q Cash/Ch't NunpAr: Oen NUS°y� , C 12C110'5ib ,v+ as 5(03 ESTIMATED COST(REQUIRED) J Date: - / ��✓ •Fair market value of all labor and materials foundation to ish S c, 1if Z.a f'co Initi 561 C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc I m O..I r, h i DliiIT # By APPROVED RMWATER PLAN 1 C 1 ri_sON c0� w4 , ,ti 1 JEFFERSON COUNTY MAR 1 3 2006 S~ '.' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 JEFFERSON COUNTY \' �O 360/379-4450 . 360/379-4451 Fax DEPT.OF C NMUNITY DE PME �` ING" http://www.co.jefferson.wa.us/commdevelopment/ SIGNATURE: - (( i STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPLICANT NAME: C a f✓1 h 4 46t ore en kH l itt- 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. Q fle02se see Sr Art, cosiUC dcA d eSL Existing Conditions Summary 2. Describe the existing topopgr�aphh"y�. Indicate contourson the site map.0 �1 I �0 1 1/ Site, i S r+e /r veIy 7- a_f tT_r•or+l Au>i /0/ iv eatte, de Af vl-f (aiout ''CCU'/•(I ep,re. Gp StoncG 7 D edit I �Viv�� *e 4ef'c ill )111,JlT/S ahod* S S'. 1Ivriz.e/rTa 14l"Shuice. -Trd,+1 04 t 4/tiff lo lifeyf` ro fa )i i Av I c a J/. i5Oe See Ite 014/• 3. pDescri the existing vegetation. Indicate dativevege tion areas on the site map. e/ui" g hit/fie Ore. rs n.dflve. ✓'eli f4fo.f a/ler-, CR/41 f some ever/rcerts), /i..ect Aer rhlx /4/ is AafIrey ✓slid' oyt (4 (revGr.yrterly). (atatiricire _Ole Juts keen 10/T6, O!/Jly G elrt ( PQ, /�1nhs ro)h ( at-4Q v If' &C1j 1 4. Describe/the existing soils. Indicate soil type on the site map. / sQ+vrif '�'o, Spa u,i*A )tiy..erc de (4.ravG(/ 1 AOSf'y f�te,frliellok ,SDI15 Ac1i. ee w,,// le it c� eo'se c ieica l Irt yor/ Cs✓ m,`/1rs� (u,,d-h clp 1j Aft rids ac/4t e), 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 a licable,a d indicate acrea of each. v 11 f rv4 +'of' Soi1 on) hfv ra .elbe hue, 1v vP Jme rtt - e01 tao , 1 . Ou . C4a "taxes / 4cr //- e d S/}'-C 'to , l'vr4( re vim e 6s1 Si 5' 1-0 -'1,e NertA. _ 6. Describe an excess levels of noise enerated b the ro sed use or activity: o e. a s et ,a v 11.'1' v f0 C < • 40n rvct-1•dn r T 3 20t15�jr D LD stormwater site plan template.doc�rel! 2D001� I L.i V DEC 1 F q �T 5 Page I ofi JEFFERSON COUNTY iiCD • • 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. Dce4n b/r7f IC s'A0k1/1 o/4s% - liiiey/�e d 4af✓.-al re fivse 'rot. 4A11 el thou* '/S a /4v�y, ,i i�4 (11dter' m -k df [c[r/[1 0''S / tdre a zoo t i'C yOro,Jt Sr 4 O v 1 W to S e O.^ /r1 i, /(Jaf'vraI rd✓Ma 1-19 /llorA will no ie. i.f�v•- e by /0,--Gli ec1' 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.). 'S.-0'v_ Cs GU.es f 012p. flay /o i 6(r1J tom«S t of 'dike Dc e as- . L ,f t' 1Uo,- 1'A I frrvdtely owwt4" y).- lees, s1ng,147 rca pr�'s- 'Netofi. a1 use - ' t h-0 Sv i.c -4 iy,V4bely, O(w711 .— r n ,as. sq 1,P reS �0te�1-, I I . ere 1i 1 edcR i otwved by Qt7i.•� 1 i- tt��. SRc iti c=hi7y 1141 (caJ!;/ A u,a-/� Al 1 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. Locat these facilities on the site plan and fferentiate proposed facilities from existing facilities. 4o e,('sf .t q� y 1 �";t c , Siif>✓/A,yero1 o7y will ht uncle/4 2eil exce r for- a(rcll/rtaf e i' � it t/S • optGl rd e (s 7 5 sf+t w c(ddi e/1 4-4:0 tvii'ee lit-cult ro0 71 Aot'.$f wi t I 1Y. c'S -er're ,by rain q u7k,..` -Iys7`eiat, 10. If the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large"projects or projects that involve the potential for dispersion of contaminants.] Alit 11. Describe the performance goals and standards applicable to the project. 0tS /0/-t Ygg��}e-l.{ '�if-0,1 (tu�if,raI ar (ifr )dr-5 9cies, f SturJf'e 4r€ t et; 2oSE) t1t IQTv,4-1/ t>rlst;aJ'k' ore-.i,lik e ck Sif'e ey)Y''S}'os , u ,, a✓At fa le S(7/-'6/C io t S 4 t/o(� 1 r � K Q r 04 pt r'+tQp;'/( /Y1, ti7 i hip 1- eylin..7 0., di.s -er.S iah s y5)e-froi, 12. Descriiie the flow control system. r W ifi d f f'' 1(Jri a Ie y Rezietyc t cui o?? from j pryer v 'o$ 5 v,^,c w s Cp'4)0 9,4;y A o u;e 4040( ,Z rag � 1'60 ) tv i t A A. Ira 1 n aq se i ys1rsti 4 ►'o,-e �-e.1/ 5ft7aI t, r�(Ch 9 i -nA'� er rat 's7pp�r)o.A1 4,-,4i�.►7.5 sren, be CQ/i0..o v�e A 7--ca.AL-gf.'-' s�SPi, o✓� 20 C 0 LOB T 1#``; DEC 13 2 05 '. stormwater site plan)nplate.doc-rev.{/1 6 Page __�_ � '; • • 13. Describe the water quality system. � Nil .��,?f�/ 1'o iOff ir.arh ► e,o'ls er1P1 "ih 4.tq / c rrt,e/^4/idd5 U/To cv/Sr - 14. Describe the conveyance system an lysis and design. Q4! , c e)14✓ #7 l r o�1d I r oc> 1 H-ers and d D n5100v1s r o v/(e h et ID for e -it'll 4"i 011 00" Q4i'Si0n sy, 7L 15. Describe the source of fill material,physical characteristicsti e / of fill material,and depositionnof excess material. Fovnaho Aack1�'/i to di bt w[ ild Xrfn l, /, J 7`r^0;( v s r yt .'-e. )/ ti�,ss<.df/d at p.dr•4c -e. 5-r't�. w O I i) t' )0-e r"nt t'40tc. 10 c 01 .otve )_ �x•'s/-1-)1 "Ft' 1t C0Yls71ruc-� 'ai c;i ;s 10e--n1 i4h)p /'cal ',rot q rave/- 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 69/9(v ir1 den#(r .0 0 Gk f// 7 r ,i�, DN Sr r r'Yt. 19�2 y S O�t ref rva,)N 101 ys ui;ll b . /O "'ill r,�fe ✓,3-Y-a 1 p,' frrkisgbk. lalieb cap,n oN 14411'Oi?i'y Dz 1vlc' f } , 17. Des ibe the proposedsurfacing material. 1_ / / / 1 leN-�S d (.()dIkS 1-0 lot ,pertyl,ah/e, & i*sue Ores to Ae- • r es ivr e u/Ir i v el e iq 'vri. - 18. nDescribe methodsa for restoration of the/site. Q ,0l'AiirZ-e(.( c ,-e (c) -ev' �A14A Adv$�,w tac�r{✓.r -GS, S eta f,Y) �t 4'.C. sf ,(a�'if -a I V , C4 /`i?yt ei nel / a'/ 'j-9ls�ei o(1 rvY/1 bbe. a5e a$ fI�S 5 1 (e rye q ih dr S.r¢ ,)r:A0). c 0,25 I/''c ! 1 oil 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. Nk 20. List here and include any special repo or studies conducted to prepare the Stormwater_ Site Plan. .I( col r•y or, ! /l/0fr 11r211aaAli Y , /1 0 ?Pei a l ee10o,r fs a -tt Seils qia/y.c s_ 21. List other necessary permits and approva s as required b 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. Laid vse. at4e✓efo •er ' �v )D 1 a✓Jt`%vd! ,o Ai• ko l e orer+�0 1rD I9-r •� rC f"i,7q j�oft -erect rt e.7ft' *e 1p�y2rs;ah 10-2r7)7 is /101- �e/a�e4_ t % e- were no-he , T � 1 stormwater site plan template.doc—rev.10/12/2 a DEC 1 3 2005 l 7 VI P . . • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements-Construction SWPPP 1. Mark Clearing Limits. /� C/eariitvj, low, / nof71 on si1� JOlart. Gi�ear�n a)reGA ceriip/e� b ewe o DPI p eye i�' #-a,, Q.) Q d t>'` ka.11 E,I./ 2. Establish Construction Access. o115fi OA alC_•PSC %S Via c1r.i'Ytw4, (e)cis/ 1 ) 1-0 f4 Srfe- ectoka f/re€GL 0•Pr1;t' 4 be,t Z 1r41f-e ,.fir 1?49.7'- 3. Control Flow Rate Gtirrrrif S te- tf r'a;rtd t iS /rt%!7alrt1y -}-fir v47A e•rnm is h)e. Soi)S ct j ils0 few ;t'Z'fr vave I la�,ev-s Ae,),20, soil i',-t' t cf Ad..c Pt 1..,) M,a I i ar/dc't' On "ea.-Ad, ."edrrnefri [ont, is ruj1/ 4e tice 4s uJ,(171'oibri70e. 4. Install Sediment Controls. 5.-},vim tat a 8a,."cr-1 anal. c ii- Fes,.G„c 4.,5 c9/,- Drrafr✓t See 51 / an. 5. Stabilize Soils. 1(1 A-. de-tJon ,fie. i 4 en,e.^d/)y FL f w'1A Jra%n?e. f-Ar®d44 Q. rP7tc, ie i.r4✓e-I s,il.5 . /halc cyt)1 4Q_ u s evt 45 etycr 1r;4/e tyt ) C9Yt5fr"c-lie', '1. rQ-es?'o,,1 es.k t1g'f rq ! v9-; ha I- oh- 6. Protect Slopes. VA. ( 1,45to-wc'f: s� c i s ,.ertfrally -1tt, 7. Protect Drain Inlets. _ DEC A 3 2005 11 stamwater site plan temPlarad j+ 'c' t Y? 8 3 � Page T mvof g�. _t • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels-i and Outlets. / 11 n�► ,I, t Q� /Ui4, sccl;�v�( (0rtfr^o if .5400/ ( .41. 5-01.2 cier►J ±o CDrt/hn1 ran. 9. Control Pollutants. f fb Ads"0it. if itot 4/�f Lr/4tee�f Al! <prtS ff-uct i91 J'QR7r c Grl)1 t�1P ,r/J�C!'1Aeri, ►1 S n Q OBI C o r1J f�r c <v� �p i • (4,0// A e l nl i-e.4 11>r Oti4 5,/e_ i/ ' Glu 'PIC i/ f o - 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). VAS 811. Maintain Best ManagementL Prladices(gMPs). 1, 0 1 A41' ke- ins'eC1 1 ei4d1 /11Qin14ine Off, ov/ter Centi'stG arS ivri47 to tr'c�'esn, 11 RA/16 a,i i/ s� !'em 9vtd (v; j It), 30 sties / 1^/101/, *4/'de 1-ir)s7 pi- cc,ns ti,ad-i`NI. 12. Manage the Project. r'o c ran tv tl i ;t - 0 c p rU c ,`v Girl' +� t L° c '�(� Jl'►S, otmmmt' 5"ire- 111.SI) �'j'o�S t'p [lie 10er or'rH pc� 4i B r ver 44 Ca'1�rr:LCni af rS a$ dlpy''olorice fe , 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). / -}- �W1/0cf- 1-0 !9A'aCcen}" dyedIDS 11ot /'1�'i c ye*e 2 >edt 2n! terit^DI$ stA 4I,i,4 4.e. Suf ee eht to 0r4)v,e,74 adi s iu,46Qgcv_ ( LE )4(e'lt ef"-ea X b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). r' • . • 3. Environmentally Sensitive Areas. . a. Description of environmentally sensitive areas that are on or adjacent to the site. CUil r� S;te iS /Wort, an ZC� ` ,Jarori 4v'' , hiyA 4Jaier Mad( d"�"- fa, c Ocean, dc,eah bp u ,s a ro�C, 55' ye.' callify vi;t1j 4 S ° �� Vrl h 4 t^e,/O Sd_, .,,ln id Co„ ' T �►vJl-e / 2/ . 0S' 1Y v9 rr1 Pit" t oil b/We r ai bedcA �primp,. 4,4i/(hdo Ii- rf, Not cliAl ri n e Jr, lenel4 ail Side in e(„d,r$ S- con a l electinaoq' e. To 1dc,r' c oc-e(n.t . stonewater site plan templaleedoc<- t 9 3Z DEC 13 2005 , ;. Page 5 of_._ '' • b. Dpscription of special requirements for wpprking in IDA near environ ntally sensitive areas. CmtiSo rc/;off e cOM,/eq ur��-rr . Zy SPc(fo1. Off 5 )Le_ mj w;l l Atm/r'72/e In1 far't ere c�1,2s l c�:o.4, !�� ruo�-�Q,��S C r�Sv/tr/l�7" a u�e`fl�c2�s )8n�? C ee'"er. y,-rd� 9,_iIppr. C9vieistuld-1Vjren tit), 1, Scet,'or► ,PPe.rnj4re? t ,o "ec wji net i`►1 dct P�tadit er s ecics, � 4. Erosion Problenf Areas. Description of potential erosion problenis on site in the context of the characteristics of the on-site soils(e.g.,erodi lity,settlesf ili ty,p meability,depth,texture,soil structure). // ote 0,,en rec. eof c44, cd I re/orf 0.44 we-11 lb", (a ilo to4,L-A-), 5. Construction Phasing. a. Construction sequence Q� }. .. (ous'•e- L[ii)( D>L �rri4jdvi1Y c .Jt eft dia i7eti"? 5i/'e c€,nS�cl� cpn 1o✓n�.+ro4, Se t� s y$� c t. ' o ht, coral 1p 7-.e, ,-i 1 4v 5 e e.c ca'r b. Construction phasing(if propose Nr� 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule.Ov/ S i C act,-e) eS e (cafa f p citirt%4oy ev�- 20©6, / II. Wet Season Construction Activities. a. Proposed wet season construction activities. /Drte curr�Ht/y e)i .p c7 f b. Proposed/ wet season const ction activities for environmentally sensitive areas. A/o 1 ( 'rr a sz f l y e rle c i'co( 7. Financial/Ownership Responsibilities. 1, a. Identify the props owner responsible for the initiation of bonds and/or other financial securities. re°tcr iwn e by Cr1/i' r r•ti,n k' Ai' Coni ro 04 i`,cv Mtn c� Pally q/cr 4 ty �pht,Ab. Describe bonds and or other evidence of financial responsibility for liability associated with erosion and sedimentation _ impacts./o be S�Dec► er.� , CortStr,)c o COrlj.^4Cl1 (r) -'or ov`tdd c�ra' a 4 S I r c ld I`e r r t'�>/:t`t`�e S �S y 74r c 5y5fT•07 C'e,?syr o�¢-:�� fir J 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. /VA c. Waterways. �1,/} d. Runoff/Stormwater Detention Calculations NA stormwater site plan template.doc-rev.104220t - i�p DEC 1 3 2005 10 - e Ivl Page, , Of ►. • • 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. 1/11,-/ _c (LANDO ER OR AUTHORIZE REPRE TIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: .._IL; I... c I I 1 L, t 6 . 1 • DEC 1 3 2005 stormwater Sete Plafl teRlPl3t@ Pa 9 ___�®f 3 20' b— -- -- -- --—N88°15'25"W o�e�Ote 6 147FT± —e0�� 34 Rg1QG}30-- -- I 5�o°E 51a I m 6 A I NOTE: DISTANCE FROM HOUSE TO AVERAGE HIGH WATER MARK EXCEEDS 200 FEET G � oCD co Ln n Iz Z TI N X 65'-0„ m -iI No o SETBACK F OF BLUFF PER GEp EOCHNICG cf)N w (f 5 T) REPORT CP I s 1 G N m rn I ROOF 0' � I m 32 N 88018'12" W °FN - -- _ — -- ----147FT±-- — Nei E 33 -- -- - Q�}29 '- 20' t °F 9IV -0" NROOF OVERHANG i G Rg1QG 11 II II I Z , co .� PERGOLA 123 '` ^ n � ' ----- C --�- ERGROUND i i + / IUNDJ - -- - PROPANE TANK j \ ` 24 ELEC. ---------------1---- +- - o -- � 36'-0° 1� 1 26'-0" ---------- _ __ ---- ! METER _ --- o 26 25 --- --- rt---- ---- _ --� _ _ ----- ------ \ I .- -BY" ' - 1 I I 3A 1A �� - - STANDBY COVERED r-ter-'I - ' ' - I I + 1 - .. - - - .. _ . \. _ PORCH O°H OJ 1 1 I 1 RESERVE FIELD o w¢ --..-..-..-.. 14-..--.-_1�..-1 .-..-..-..-.-..-..-..� GENERATOR L__JL - - - �SEPTIC TANKS o om ° „ --•--•--•--•--•--•--'-- -- — w N881812 W -------•--------- N--'-- --.. _ 400.00 FT SITE PLAN NORTH Scale: 1" = 20' ROAD WIDTH 0 10 20 40 POINTS 1, 12. 13, 14, 22, 23, 24, & 25 - 13' +/- POINTS 15, 16, 17, 18. 19, 20, & 21 = 19' +/- SOIL TEST PITS = 1A, 2A, & 3A 308'-0" — --` �.-- -- -- _ N88'15'25"W % - -- �. -•- - -•--•- `, om 400.00 FT PROPOSED GARAGE o �w -.. V-__..-..-. / PERGOLA TRO ACK AKTWE L 0 /15 i - PARKING \ RopF0ly��ryF l EXISTING ROAD II 8 5( SETBNOK / �c - \ \ `. (pTgSFM .� PROPOSED I COVERED `\��'Q RESIDENCE PORCH _ 6 ' 2A 28 22 I WATER TO HOUSE �� o, \ A C \ OUSE ti �2 --•— 0lQ° 10 LEGAL DESCRIPTION LOT 2, NIICHEL SHORT PLAT RECORDED IN VOLUME 4 OF SHORT PLATS, PAGE 28, RECORDS OF JEFFERSON COUNTY, WASHINGTON, AND LOCATED IN SECTION 27, TOWNSHIP 24 NORTH, RANGE 13 WEST, W.M., JEFFERSON COUNTY, WASHINGTON. NUMBER 4PARCEL DD I 1 I 1 I 1 I 1 I 1 I� 1 � I � 50' R/W PROJECT DESCRIPTION THE PROPOSED PROJECT CONSISTS OF THE NEW CONSTRUCTION OF A SINGLE STORY SINGLE FAMILY RESIDENCE AND A DETACHED GARAGE FOR CAL AND MAUREEN KNIGHT. OWNER CAL AND MAUREEN KNIGHT 5230 W. MERCER WAY MERCER ISLAND, WA 98040 PROJECT ADDR 153,853 HIGHWAY 101 FORKS, WA 98331 C MAR 1 3 2006 JEFFERSON COUNTY DEPT. OF COMMI wN nc..c. r� Cl) ILA N 00 N � C6 Cq N z< O CO O o w co wQ w� `1 z J Q Y Y No, Date Revision W U z W U W V z se M M 00 r— z 00 Qz �_ = cn C7 Q M C/i Lr)Y OC)ry LoO -m-LL • • 7,4 153853 HWY101 BLD05-702 KNIGHT royals Redo Prior Ao Final In spe �on SE Rp,P ZON SIPZ pPW / l