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HomeMy WebLinkAboutBLD2006-00023 l. MLA06„ Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00023 Received Date: 1/20/2006 SITE ADDRESS: 334 PORT HADLOCK HEIGHTS RD PORT HADLOCK, 98339 APPLICANT: BRODERS INC PHONE: 4503 OLD GARDINER RD PORT TOWNSEND WA 983689778 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 22 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR/ HAI PHAM CONSTRUCTION PHONE: (360) 455-4158 DEALER: W/HERITAGE HOME OF SEQUIM 6642 5TH WAY SE LACEY WA 98503-7975 Contractor's License HAIPHC*999PP Expires 10/17/2005 INSTALLER: HAI PHAM CONSTRUCTION HAIPHC*999PP 10/17/2005 (360) 455-4158 W/HERITAGE HOME OF SEQUIM LACEY WA 98503-7975 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW M/F HOME INSTALL TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW VALUATION MAKE: MARLETTE SETBACK: YEAR: 2006 BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: 70X40 SEWAGE DISPOSAL: CMY WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Dat L ao/CCe Type Amount Paid By: Date: Receipt: A 1 4 roved/ ate. _ Permit $163.00 LYK 01/20/06 78921 ra 1 I Add. Manufactured Home $34.00 LYK 01/20/06 78921 ,02 ►. Potable Water Application $55.00 LYK 01/20/06 78921 G� MAR 13 2006 Total: $252.00 Jefferson County Planning &Building Department • MANUFACTURED/MOBILE HOME INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00023 Received Date: 1/20/2006 SITE ADDRESS: 67 PORT HADLOCK HEIGHTS PL Issue Date: 3/13/2006 PORT HADLOCK, 98339 APPLICANT: BRODERS INC 4503 OLD GARDINER RD PORT TOWNSEND WA 983689778 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 22 PARCEL#: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR/ HAI PHAM CONSTRUCTION PHONE: (360) 455-4158 DEALER W/HERITAGE HOME OF SEQUIM 6642 5TH WAY SE INSTALLER: HAI PHAM CONSTRUCTIONIAIPHC*999PP Expires: 11/7/200; W/HERITAGE HOME OF SEQUIM LACEY WA 98503-7975 PROJECT DESCRIPTION: NEW M/F HOME INSTALL (FOR JOE & JEANNE BATTENBURG) MAKE: MARLETTE YEAR: 2006 SIZE: 70X40 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 3/13/2007. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. • Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): ''er�K�*./Z--//-oC Stormwater FINAL Approval: Blocking/Plumbing: ,er,„vV, fi /-E posv4iS 22k /Vz 41 Propane Tank/Lines / J Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: ' ; ; I 0 1? -� 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 CASE # BLD06-00023 1.) The application was reviewed by the Jefferson County Department of Community Development staff on February 13, 2006 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review, the following ESAs were confirmed to be present on the subject property: Special Aquifer Recharge Protection Area (SARPA). 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit (4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 4.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 5.) The applicant is proposing to create or add 4,692 square feet of impervious surface and 5,612 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires the project applicant submit a stormwater plan meeting Minimum Requirements#1 through #5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 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 Medium Project Stormwater Template and 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.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 9.) The site plan as submitted with the building permit application on January 20, 2006 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated February 13, 2006 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) This approval is for a manufactured home only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. • 12.) 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). 13.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are subject to the stormwater requirements in UDC Section 6.7 and must meet the"Area of Impervious Surface Coverage"to the maximum extent practicable as determined by the Administrator." Lot coverage is defined as amount of impervious surface, which includes rooftops, driveways, concrete, etc. 14.) The building height is not to exceed 35 feet. 15.) 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. 16.) 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. 17.) Setback from Port Hadlock Heights PI. right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 18.) This is a legal conforming parcel designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 19.) Port Hadlock Heights Place (P517) is a private local access road. A road approach is not required an address of 67 Port Hadlock Heights Place has been assigned to the lot. 20.) A minimum of two (2) on-site parking spaces is required for the single-family residence. 21.) This parcel was created through Port Hadlock Heights Binding Site Plan under AFN 409746, recorded April 15, 1998, Volume 1, pages 28 - 32 with the Jefferson County Auditor's office. 22.) A Declaration of Restrictive Covenant was recorded March 9, 2006 under AFN 509105 with the Jefferson County Auditor binding lots 39 and 40, of Port Hadlock Heights Mobile Home Park Binding Site Plan for the purpose of meeting bulk and dimensional requirements. 23.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. JACK WESTERMAN III • Jefferson Conn•ourthousr ASSESSOR 1'o Box 1220. fort Townsend.W.% 98308 4360)385-91115 MOBILE HOME INFORMATION FORM _ - „A N 2 U OWNER'S NAME/MAILING ADDRESS: NAME: -b ?EPeNt SIQTrEN 8bR G ADDRESS: PHONE NO. or. s S eJ'/%- l 3/S 8701 N• N141 At 1 > `7 Fresno, CA ci3720 The purpose of this questionnaire is to obtain information regarding either the current location of a mobile home or the previous ownership and location of a mobile home. This will help our office determine whether the mobile home is already on the tax rolls in Jefferson County or if it has been moved to this county from another area. 11 MOBILE HOME DATA: (A) MAKE M co- -c tee (B) MODEL P4 C t'f\ e-0. (C) YEAR 2.0O 6 (D) LENGTH "70 (L) WIDTH (F) SERIAL # f &►vC a 551 4 (?K 3L 4 (G►YOUR PURCHASE PRICE (Do not include sales tax) 1 3 1l SCa PURCHASE DATE7A at 20O4 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) (A) FROM WHOM DID YOU PURCHASE MOBILE ADDRESS (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR?Yes No If Yes, Previous address of mobile. If No, What County was Mobile assessed in last year. 3►WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? No (II)IF LOCATED IN MOBILE HOME PARK: I l NAME & ADDRESS OF PARK f o frf 41.11•C K bit ill h+s Lot/Side #3?'Y° 41 lresf: ‘-r pe.e4• HA.11.444- (-leoitfs Plus) (CO IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: LOCATION ADDRESS REAL PROPERTY PARCEL #/DESCRIPTION f2- /(2eiL___f0 e 8 4/enr Signature of applicant THANK YOU FOR YOUR HELP! e5D JOD�[ COSSELL, Property Technician I 1.0 27 Pm (.._,to' f riftszA JAN 2 0 COO' moo, f 1 i_____ ,Ii le . u K °el if, -z. 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Mai P \ - Q, Lo+s3q � � � P �' 989 Soo mo�� f oGt 67 PORT &PDLOcK t}EtGUTS P L CAN 2 1 tarQ" SRDAERS/ INc �E 1 ` ' L% T -Z-pwivsEivt�� lvfl, egg D ivedi«� 30,-747^7711 ✓ , ( d flew :: Ci,e. 1..0,bre) # CO6e4.4 JEFFERSON COUNTY • ivy' w. DEPARTMENT OF COMMUNITY DEVELOPMENT • 621 Sheridan Street • Port Townsend •Wasl ton,9836$ 360/379-4450 • 360/379-4451 Fax 16 O� www.co.jefferson.wa.us/commdevelopment N 30 Master Permit Application MLA: , 04 -- Aftir Project Description(include separate sheets as necessary): J = /1I1 c )c y id Fie, enc. Zn$7`4 e, e Lfs[1S .3? 2 0 Cero-j .11 4 s 12,' Tax Parcel q p Property Number: / 8 / 5cc2 Obl Size: 2 2, 5 3 7 ici 1- (acres/square feet) Site Address and/or Directions to Property: 67 pe it N tic 1OCA Pc iaTii's P 1 aG c Property Owner(s)of Record: gROD E Rs; /'v C. Telephone: 3to o ^7 77- "77"z.2 Fax: 360— ?97— 7/33 email: Mailing Address: 4543 CP/471 Ga,.1l y.,. Jed, rp,,.,L Tr„n So.(cr r.4,,4. 4 8 3''2 Applicant/Agent(if different from owner): Tb t s.-- Tea In vt e T a-- ell Zve Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) 'l3 Building C] Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/Detached C] Special Use(Essential Public Facilities)** y1 Manufactured Home Cl Boundary Line Adjustment ❑ Modular C] Short Plat** ❑ Commercial* El Binding Site Plan** ❑ Change of Use CI Long Plat** ❑Address [7 Road Approach ❑ Planned Rural Residential Development(PRRO)/Amendments** ❑ PropaneC Plat Vacation/Alteration** ❑ Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management C] Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* C] Shoreline Management Variance ❑ Temporary Use CI Comprehensive Plan/UDC/Land Use District Map Amendment CI Wireless Telecommunication* CI Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests 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 cce and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: _lg' 7-iv v pO.0 Date: 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 esponsibili y f ad 'rig o and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: /bis '3-4 a6t26 G:\PexmitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc • • OWNER BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: ) JAN 2 0 2006 i GENERAL CONTRACTOR OR MANUFACTIIBED}-IOME INSTALLER: PHONE: FAX: H A 1 PH Am (3r°) 5S-- 1/:/S8 ( ) MAILING ADDRESS: 6 6 !f 2 .94 LA, p 4 s c &4 C '1 EMAIL: A CONTRACTOR'S LICENSE Q g-S'-3 WAINS NUMBER: ht A i PHC 1 iiPP NUMBER w 4IN S Dl/C ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 71, New ❑ Wood Existing: ❑ Sewer. ❑ Addition 0 Steel Proposed: 2. Bank j>Commu{nity System tt A ❑ Alteration/Remodel ❑ Concrete Total: 2 Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Pepimit# t`,(c (X'( ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 3 Setback: I i P4vate well ❑ Two Party Type of Heat: Proposed: )<Public Total: 3 Name of System: -Me- (4Qc4 > PAD 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 ❑ Above ground.Tank Size of Propane Tank: ❑ Heat Stove t_I Cook Stove Li Woodstove Li Fireplace Insert ❑ Hot Water Tank I I Pellet Stove L7 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all properly lines,buildings and septic system components, including the reserve area. Square Footage For Office Use Only Current Proposed Amount i, l Main Floor 'Consistency Review: y C,(' 21°D Floor Base fee: _ 3rd Floor Additional S 'on: = : , ; C Mezzanine: Plan Check fee: r Heated Basement State Surcharge fee: Unheated Basement / Pot Water Review fee: N. �" , , t, ri� y,Other Unheated 911/Rd Approach fee: u 0 auIiic Garage/Carport TOTAL: $ 1. f 0 ' U Decks —1 S(} ) Receipt Number: `' & Other - Cash/Check Number: 1 r-C- ESTIMATED COST(REQUIRED) Date: I ;le C *Fair market value of all labor and materials foundation to finish �l f Initials: C -r • G:\Pem»tCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc ��N � • 0 PERivIIT # BUI efriN° , JEFFERSON COUNTY - p 6 0 k . ►<} DEPARTMENT OF COMMUNITY DEVELOPMENT IFERS C NTY BC.D 621 Sheridan Street • Port Townsend • Washington 9836kffCI1 9 } 2006 360/379-4450 • 360/379-4451 Fax } i Nd`) http://www.co.jefferson.wa.us/commdevelopment/ _ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 00, ` PROJECT/APPLICANT NAME: RR O D C i'5 IN C C Lo4S 3?—90 f 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. 1 / MA - '4 14a'"►t a. . I)rt‘ltwg7 O vi e/' t 1• I f K l v) R. •vv,Anu c4,.Ped o . be re— SI.Y-E.c-cg c� c-ih C.r,,s Ileci 1- ocA • Existing Conditions Summary 2. Describe the ,existing topopraphy. Indicate contours contours on the site map. Fla-A- LeV. .( w �-'1 i- 4o4 S A+n tajetGL -el4Y4rlc1e) ,s )1°lQ_ ;Ng. a4- Sot.4h End• r t7 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. G}4ss, stma ii bfrus 12 ; n some 4re4S• 4. Describe the existing soils. Indicate soil type on the site map. SC4 dg. ) Gt-.v4!l�, 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. LU Aer ihflIArot.`KS "i' S:42 lJlivha►'1g • 6. Describe any excess levels of noise generated by the propose4 ctivi : n•e N® . APPROVED STORMWATER PLAN FEB 1 3 2006 stormwater site plan template—rev.10/1/2003 5 J JEFFERSO COUNTY rim(w( :V:tonal/kw MATURE: • • 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. N ovke 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.). , 5 S1 t I Iel c4 tVe.l°pe< 1Lht.1I,,f,te4,-V,ed b01-e. pdrK Lv a I vwca�-) tand r�� n�dt by 4-he +rnj hori( Cc�t.ena�F. v.Q>kL�� ���,,pIItnc�NDh....��lQ,nc� ����, 1 45 _IC'by- . 1'Tl�-9 �`loMe S 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 these facilities on the site plan and differentiate proposed facilities from existing facilities. Oh-. s: `le, t'^ {'. -,`l v.%•\ 0>7 L 1 l e I 0 cZ C I-Y 1 a ILct. •vt LA, IT 4.►^ Lull to-c cl' ›persa4. 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] 11. Describe the performance goals and standards applicable to the project. t o €-1 J- f; A-vcl.-1e S4o Lea-}�1^, 12. Describe the flow control system. N o f\o ceynkvol Sy 5- m Vsrad. �,: ,y.. �? 'Y"! N 2 U 1 } stormwater site plan template—rev.1071/2003 — .. ,...,. 6 114.1t k • I•ttt.iO V ita V I SA 0, !�l k 40 • • 13. Describe the water quality system. JAN 20 2nnr. 14. Describe the conveyance system analysis and design. NOv\e Y-ek..;trect. 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. None cevke p141e4. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. NIA• 17. Describe the proposed surfacing material. rvS11-cc( Y-dcK sLy-Fac. Dr: vewaY� 18. Describe methods for restoration If the LLsite. 99� NlihiwIR dt37''r bi*ne (_S C% r)+ev p)uL c1 be.7L any )-es+Dr.1.440,1 w I d be cv 7117 P 1. `t; f e%l.lte 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. NI 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. None 41.P 0 6a G. stormwater site plan template—rev.10/1/2003 7 JEFFERSON COUNTY BCD • • . 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. 4 r eA. fov wit";. 40 L.se el it teWM'zl4 ► ) ) die kn a.filed . 2. Establish Construction Access. 1_ A )(i.S-1;. Ad c riV{ways i n /erferS u,)"� h Port 4aa 10CA 04.1-e." C'. -- &-- S4c e T✓r.-eI-Sec-1 i oil /4) a revi/) be re verei ce,i-)-h 14 tifr., si3 e c.r c h.ed i-sek ass' s--elf"r d. 3. Control Flow Rates. © � ,/ N l A- /Ue' -flow / Cc 4-���p)�-{e •d. - I-e i- �hein S ')'PC-J- f 10t-v di S iae✓Sec4 1440 -e?eiS7 1 ,^y, V ..e Ott.-1-ion. 4. Install Sediment Controls. J L / (4 if l�r0 5 JC41e4-1- Covv1'o/S )--e,.t.6radt P Yt---P4 T,la..4- eiI %IIi Lu nd° ye,e4-4k4!) 1 ill bJe !> Seat q -S q Vefe-Ls? 04 ST#'/ rr° I'D C6rlir01 ,5'-ec(IY17e/1-71-+ 5. Stabifze Soils. �f seed;n, Lv I-i 69 h A- ;ve (9.ri ssts, i T 1".e b2 Li recl. 6. Protect Slopes. JJ II PIS r G-Pci Ai-e4.S wl')l 071- U' CC ut- arJ S )o s 1 sevc-e'/04- --I-)74-1t -e9 is "1-:-.4(, 4r;ve way L.,/k;ch xS 1 Qo r+tet by ` o vt ea 3)o1e c.v;/) b C S Lr 1C C-e a•�i 7I b ` CYv4 htd 1--ock. 7. Protect Drain Inlets. /V`' /� 1 A j a Jr 4 i r1 in l e7`-5 ' JAN 20 2c stormwater site plan template-rev.10/1/2003 8 r, • III 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. / D / Are' C'l4h/ItLS or D`4/-et`/S /o,_o)ooJed. JAN 2 0 7)99 I 9. Control Pollutants. / 1!o fly 11(4ahIS C'b✓t?Pw►Plaiteii. J 10. Cont fol De-Waterir}g(th9 aict of pumping groundwater or stormwater away from an active construction site). /VO 41,i d "p of S -1or/» c,v4^ler' Con-ie.m t7tear 11. Maintain Best Management practices(BMPs). )evelpvr4b. ctn ct. "ekina✓1e.211- ,e-rIV SI by11 C'on Oro 1 �-e151-1'e.S 5ha)) bt 1'hon -Eoreci an d. v» aia -1'gikl-ed A fte ded - -a C 0 1-Jr a/ t rosii,4 .- 12. Manage the Project. E--es+ A,11an 41,e„iert4- p r4c-4:CeS ' .14-n4 ied heve b-e. 1 11 m p)-e rv)-ed i e d ct ri at ►1'►1 a i i1 -�a i he1 c� k�, -f-'i Ct9r1?FaCT'p/^ a Xn -7 hC .eve,i-71 IN7On! ?i)riy0, rryea.ls -f-1141.4-_ -74 he B In 17. i- d-r/1-it'f i cc( o f Icer %nRci- p4.7ie fro7-ec 4iOr►J 4c1J 7101141 v0-E4S,✓rcS tmA11 be 2. Adjacent Areas. t r+i jo)-en+c.cl 41.5 h-e,e vied. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). I Di>a-fl� 4 Jj4c -1- 41.1eas 4o r.,,,7 s)o/Jt are for-es 7�c1 4reas L.rldcu< 1�p peg.) c.,., )1;c� �re a far-)- et he o 44r411 FDr4. (-let He r17 1-5 /Ot k,i 7-)0►O?e pArA b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). ND I-ecc 4f big bo clirs el wa-lev rare 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. /bone 411 stormwater site plan template-rev.10/1/2003 ,JEFFERSON COUNTY BCD • • '' b. Description of special requirements for working in or near environmentally sensitive areas. N /A 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). n�: �� 1D S,7e S C. CC "-to s;o/✓ pr o rO )ev - have &4erf .."1-1/1- f'c$P F , t r1-P_ pre w n .1otie1t T SDi ! y� f 1.3 gYaveIl S4r7.1 . 1laawt . 5. Construction Phasing. a. Construction sequence I C I-ear S;-k -Eon man0(-+ c4.-,e4) L vv1e J j 3+41) h6M4'1 Svr 4-(<' dYiv2Way, b. Construction phasing(if proposed) N)A 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. Fe b1,v4Ke or N OP et) J 1 ss iii‘n$ A 4-ew ci ay S. II. Wet Season Construction Activities. a. Proposed wet season construction activities. a!) b. Propgsed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initi tion of bonds and/or other financial securities. 8 ODEfts, 1/VC -1.5-03 Old OArri;n-ev ,tl, par4 To wnStot LAI J4 9, 8 3 6 Fs b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. N} o vk-G 1 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. N) !4 b. Diversions. „j /A c. Waterways. N 1 A d. Runoff/Stormwater Detention Calculations N /A J A U 2 0 2006 stormwater site plan template—rev.10/1/2003 - 10