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BLD2006-00024
• • 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 #: BLD06-00024 Received Date: SITE ADDRESS: 292 SEAMOUNT DR 1/ BRINNON, 98320 Issue Date: 3/31/2006/2006 APPLICANT: DAVID F BARROWS : 5- (i)9S •g g oZ CAROL S BARROWS 14002 95TH AVE NW GIG WA 98329 SUBDIVISION: S AMOUNOT ESTATES DIV 1 Block: Lot: 21+ PARCEL#: 993000021 Section: 32 Township: 25 N Range: 02 W CONTRACTOR/ OWNER/BUILDER DEALER PHONE: PROJECT DESCRIPTION: NEW MFH W/ DECKS INSPECTED BY L&I MAKE: PALM HARBO YEAR: 2006 SIZE: 60X27 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 3/31/2007. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. Setbacks/Footing (CONTIN OU FOOTING, SLAB or PADS USED): ?ems 74'iz/7/40, St�78 -04 a % G Stormwater FINAL Approval; 4ii SA*/ Blocking/Plumbing: Z 5 41/Ct Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps:r ? )7/ 00 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 • • MLA06-00018 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00024 Received Date: 1/23/2006 SITE ADDRESS: 292 SEAMOUNT DR BRINNON, 98320 APPLICANT: DAVID F BARROWS PHONE: 253-858-8826 CAROL S BARROWS 14002 95TH AVE NW GIG HARBOR WA 98329 SUBDIVISION: SEAMOUNT ESTATES DIV 1 Block: Lot: PARCEL NUMBER: 993000021 Section: 32 Township: 25 N Range: 02 W CONTRACTOR/ PALM HARBOR VILLAGE PHONE: (360)424-8448 DEALER: 3906 CEDARDALE RD MT VERNON WA 98274 Contractor's License WAINSO483 Expires 7/31/2004 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MFH W/ DECKS'rnsrp�C Q.O hri I_. T TYPE OF WORK MOB MANUFACTUREDEf HOME: SHORELINE: TYPE OF IMP NEW MAKE: PALM HARBO SETBACK: VALUATION YEAR: 2006 LABOR & INDUSTRIES APPROVAL? SIZE: 60X27 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC -- BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: 1 ail 1,,,(R. APP9QvEr Type Amount Paid Bv: Date: Receipt: Appro / e Permit $163.00 LYK 01/23/06 79018 MAR 31 2006 Potable Water Application $55.00 LYK 01/23/06 79018 Jefferson County Planning Total: $218.00 &BUM VI JACK WESTERMAN" Jeffers unto Courthouse ASSESSOR P V Pll Box I'_20, Port Townsend, WA 98368 (360) 385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: Do I) nti) F. is(3 it-©t. c) $ ADDRESS: 1' 00 QS� dfv� i� 6-r9 \c- (lc te) vjA- ? g'3 PHONE NO. o. c 3-- - R- e, 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. 1)MOBILE HOME DATA: (A) MAKE Pal w. Hat o (B) MODEL e P 3 S 2 F J (C) YEAR dGO Co (D) LENGTH (o 0 (E) WIDTH (F) SERIAL # (G) YOUR PURCHASE PRICE (Do not include sales tax) 7 C&O. PURCHASE DATE /02 °0� 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 30 YOU FROM WHOM DID PURCHASE MOBILE Aim ymknot &wlr s,/ I txhov iliac?" C s - 4 11)1 T}SS vR / un rttivi Rd C h r h Q't S , w S- 3 -2 L. (,(R) % AS 11DBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YesIf r If Yes, I r pious address of mobile. JAN 2 3 so, at County was Mobile assessed in last year. 3)WHERL MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes No (II)IF LOCATED IN MOBILE HOME PARK: NAME di. ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBILE HOME PAR NAME OF LAND OWNER: 1�: d Gsoto l3 a r two 4-C; S' LOCATION ADDRESS a q a S Pq vy\ ; h n p yr, w REAL PROPERTY PARCEL #/DESCRIPTION qR3 0°C 0 a r ve ccZ zi f La vt 0' Ca/tr,,x49-ec-t-C Signature of applicant THANK YOU FOR YOUR HELP! 4s SS Q QQ JO COSSELL, Property Technician 4 ON III • �Aii 5 cat, JET COUNTY f :\-� W \y a DEPARTMENT OF COMMUNITY D VEI PME ' ' ' ' i �' ' - 621 Sheridan Street• Port Townsend•Washington 98368 360i379 4450. 360/379 4451 Fax �� 2 36 F. qs G p www.Co.jetfierson.wa.us/commdevelopment Master Permit Application MLA: D Ito - 1 Project Description(include separate sheets as necessary): >T,r..lTJT t,�1( tar'Ul Ira Ut7-CQC.t.DxrN ftC rst'e 'bec K Tax Parcel Property _ 1 Number: q .3 0 CC) 0 2. tr Size: 2 (o q 0 (e (acres/square feet) ) Site Address and/or Directions to Property: )..q a- 3rt7 an to vt t "b'r, -j se i N net{ )vi 4 a 3.2.C) Property Owner(s)of Record: Da t; t c 4-' Caro I 13 et c4-p w S' Telephone: z 5 3 ?S'$'- $'S"g. (o Fax: — mad: d_G pQ'-i-e w S q' co»r co ,1.. 0 r Mailing Address: / O O Q J' /f V p•i N q19 Yet ti A O t-i u% A et g' 3 c? Applicant/Agent(if different from owner): Telephone: Fax: — email: Mailing Address: — Witt kind of Permit?(Check each box that applies) ding J Variance(Minor,Major or Reasonable Economic Use) U mot-then Permit, J Conditional Use(C(a),C(d),or Cj*" l ' J Discretionary'V or Unnamed Use Classification U 9arage Attached/Detached J Special Use(Essential Public Facilities)** anufactured Home J Boundary Line Adjustment U Modular J Short Plat'" U Commercial* J Binding Site Plan*' U Change of Use J Long Plat** U Address i Road Approach J Planned Rural Residential Development(PRRD)/Amendments*" U Propane J Plat Vacation/Alteration*" U Alowed"Yes"Use Consistency Analysis J Shoreline Master Program Exemption/Perm t Revisions** U StommNaterManagement J Shoreline Management Substantial Development** U Ste Plan Approval Advance Determination(SPAAD)* J Shoreline Management Variance U Temporary Use J Comprehensive Plan/UDC/Land Use District Map Amendment U Wireless Telecommunication* J Jefferson County Shoreline Master Program Amendment U 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: S /-( Plav\ S'EPOS- 00y%6 I hereby designate iVp vl a DESIGNATION OF AGENT ' N O to act as my agent in matters relating to this application_ for permit(s). Ow'IER SK NATURE 'ofr l tlArt-E.�;'-Q• Date: /" ! C'v 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 against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and tight of entry to Jefferson County and is employees,representatives or agents for the sole purpose of application review and any required later'•-•,clans,Access and right of entry to this property shall be requested and shall occur only during regular business hours. f �r, Signature: ,(oft . f 7Q'V.Fff1( 1-4 Date: /, 7... C 6, 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-trap ble re r adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: t"/c.e/'P..-.L. Date: /* ? C)C C:\Doannaits and Settings\mochil\Desktop\Master Pewit Application 7-8-04.doc 411 • OWNER BUILDER STATEMENT The signer of this statement does hereby eerily that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be as�u�ing of the General Contractor for the proposed project. U Signature: Ik4/ 4f Date: /` / " (./ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: Pa r141 /IQNr-/)O t— 17/0 01 rS _ (3(eO) 7 (70, c>3 ys ( ) MAIUNG ADDRESS: EMAIL: CoNrRAcron's LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAIUNG ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: )X New IQ Wood Existing: Se� U Addition X Steel Proposed: Bank u Community System U Alteration/Remodel U Concrete Total: .9, Height XIndividual System U Repair U Masonry 0SEP Permit#s POS-DGyI to P) U Demolition U Other. Bedrooms: Water Supply: Existing: Setback: U Private well U Two Party Type of FWat , Proposed: 3 X Public I-/kC ErtC Total: 3 C> Nam of System:9eixpereovx1 siC;tr'S If this is a Commercial Protect you must answer the following: i/ij Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces: Number of occupants(indudes 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: ,.•/ .v i Underground Tank I Above ground Tank Size of Propane Tank I H• eat Stove I Cook Stove I Wbodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other _ Is this appliance being Installed in a Manufactured I Mobile Home? Yes / No ti/ii- When applying fora permit to install a propane tank you must also submit a site plan showing ail of the buildings,all properly 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 l µ�E tte-i kC r' Current Proposed".. .._ - -- Amount (/ 0 5. Main Floor r , i„ a t s C -� Base fee: V 5-oc 3f°Floor JAN 2 . A2cciai nnal Section: Mezzanine: Plan Check fee: ,-- Heated Basement State Surcharge fee: Unheated Basement Pot Water Review fee: (} OD Other Unheated 9-1-1/Rd Approach fee: , `� Garage/Carport - fk l\ 1( f � "tfl nn Pdl TOTAL: $ 4 1 1 I 00 Decks t Receipt Number: l� ---z( '19 01 Other Cash/Check Number: � r ESTIMATED COST(REQUIRED) /7c 0 c 0Date: ` . ,Fair market value of all labor and materials foufidation to finish t Initials: C:\Documents and Settings\mocha\Desktop\Master Permit Application 7-8-04.doc y_, P OPTIONAL i4.1�1'1,1' = .. 111141111 li „ KNEE ! SPACE �1 D . ' 2 1 J1 D c'S r' ri p � m -/ w w 8000 M T1VM rn pi. ! p N3Nfl'1d0 p■ 0 53A13H5.9L(C) p - 73 r _ = 0 su 1 K I'llJ I 1 -1 - 1 (\ T, .1___ 0 0 /� —somi - r -71 H _r IC _. m r 0 \ `D - - �' ai Z rn �, � ' ,�oc �•�® e,V. CD r o®® .. 3 . �. r Li .I z W,, Cn 0 0 A N ,S -0 0 9.. g me 1111111 �- - = z ` " � I C21MH5/8 ll.09 ° ` C►) U"T�( 9 Z —f a O " t S j r .14 3 N z s o I R, m 15 — En 111.4 1 M z A 40 M ,......-1_ r i I__ O .,, `-- ,/1 I, ) 0021 A 9V0 H/0 7d0 X 0 j 3 MM wri .-0 ;. ooaa No I pF� 0 � MCI MI Cr t K in cf) O r • � w O 0 N o 27'-0" a • • SPECIAL CONDITIONS CASE # BLD06-00024 1.) The application was reviewed by the Jefferson County Department of Community Development staff on January 30, 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 and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: eagle/owl/mt.quail; landslide 1; SUSC aquifer recharge; coastal SIPZ. 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.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 5.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 6.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 7.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 8.) A Geotechnical Report dated November 28, 2005 prepared by Stratum Group was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area and stated that the"subject property is not in a geologic hazardous area." The report did not identify any setbacks. 9.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 10.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 11.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 12.) The applicant shall permanent •the bounda of the Landslide • Buffer from the remainder of the subject property through installing logs,Hazardrees a hedge row, or any other prominent physical marking approved by the UDC Administrator. 13.) 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. 14.) 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. 15.) 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. 16.) 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. 17.) 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. 18.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 19.) The applicant is proposing to create or add 1940 square feet of impervious surface and 3466 square feet of land disturbing activities. 20.) 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. 21.) 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. 22.) 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). Al •23.) The site plan as submitted witFi"the manufactured home installation application p li t 23, 2006 has been reviewed for consistency under the UDC, and has eenapp approved by January Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated February 8, 2006 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 24.) This approval is for a manufactured home with decks 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. 25.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 26.) 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). 27.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 28.) The building height is not to exceed 35 feet. 29.) 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. 30.) 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. 31.) Minimum setback from Seamount Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If an ESA is pesent, then the more stricter setback(s) shall apply. 32.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 33.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 34.) The lot was created through the Seamount Estates Division 1 Subdivision on August 18, 1969 under AFN 201980. 35.) A septic permit(SEP05-0416) was issued on February 9, 2006. A road approach permit (RAP06-0007)was cancelled on February 28, 2006. 36.) An address of 292 Seamount Drive, Brinnon has been assigned to the lot. Seamount Drive is a county local access road (C206909). 37.) STORMWATER SHOULD BE ROUTED TO DISPERSION AREAS ON THE SOUTHEAST AND NORTHWEST SIDES OF THE RIDGE. NO STORMWATER SHOULD BE SENT DOWN THE SOUTH SIDE OF THE RIDGE DUE TO THE STEEP SLOPE AND THIN SOILS OVER BEDROCK ON THE SLOPE. 38.) THE SLOPES TO THE EAST OF THE BUILDING SITES SHOULD BE MAINTAINED IN NATURAL VEGETATION. 39.) Per phone message on February 8, 2006 from Shelly Ament, WDFW biologist there is "no conflict"with Eagle's or their habitat. 40.) The site is served by Seamount Estate public water system. • w TAX AV Cr 993Qoc90aI , or JEFFERSON JJj [D ar = ' T '� q DEPARTMENT OF COIOMUN1T15I Vy PMENT m£r i 711, Alocto,. 4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/�79-44 a` http://www.co.jeffersbler. . >Ik1811A1d�m f `t {q y, STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# Y1 1 $ OPROJECT/APPLICANT NAME: etc ;ct r• (j Y i- %+�S X r f(Vv1 D v o1 C 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. I ) ! f j 1 / j 4. a S.Z/ � oZ"1' /io"- e 0,a i, siLc'lcii��. oT Scpl,( 4/G�r. C Fe4 , See S:-/C plGn &Na p Existing Conditions Summary 2. Describe the existing topography. Indicatei contours on the site map. / p brr1fi�C�[ / ` wt{ i� bCc;er'A u_ "„C C`vey" e�-, (4 e Si e slope. Jlus✓� T� the bve . 4, q 1/ t frr P.� i /S �i? C 8 2^ Gt,t 3. Describe the existing vegetation.! Indicate native vegetation areas on the site map. A+ -/ g r�,,�� c,t1l< (If 4a�t /Ot4 AA01 :A, 1/45,5 ur, /. O Tiff o! r 4. Describe the existing soils. Indicate soil type on the site map.gedi A- Of eov.44 , trek Co/J /i "v_ Le:aliooK aA : €454 512/:(. ,A, COk >e S,d7t y/6t,CI r"a« bvtr1v, Cler3 , 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. r( ( 1 Na 5 ,eo,v.5 a/ 5ti/-ticf 1✓HTe (�vW I �� ,-t ;7A 4C 5i�c , 1 c p jn ,�-{��T '16,keS iekct or s 0/5 a_ uf.s4 sr,,, 273 (, Sr q, 5/0,t be%w b.ca,oe•< f,t054.0 6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED Res; a.,z „I STORMWATER PLAN MAR 3 0 2006 StOrr'i�� r 1EF OUN DE PT stormwater site plan template-rev.10/1/2003 Require .OF N I D V E P E T� SIGNATUR 5 • • 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. S-Vef� `—�o(�z.. o,. 514e p9iFnf:PM« (paip� C,otn(t 1. his a.�., , 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.). £' drf (E` �R �{ j -c c ' ) rD'e,r ) 4'QsrS_ Sf p/P G`t ' ':`?, t se,AAi.94f Jr ."- pIJY,_.4r';' ':Ctf°F: 47] if/JloF 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 storrnwater 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. r ekilr.• •1 f•,}e. !�{J"'r;`d'' : s`�h .'y.•_ 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.] 5 fit IV- 11. Describe the performance goals and standards applicable to the project. F !"r 12. Describe the flow control system, Ilk 1 i j1. { stormwater site plan template-rev.10/1/2003 6 • 13. Describe the water quality system. Ti r i R a t f r P FT Pr,1 Y; J3fi 14. Describe the conveyance system analysis and design. J 4 } 4rLU 15. Describe the source of fill material,physical characte(risti of fill material, and deposition of excess material. l 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. (4 S/o fes t j)01,,e igivisi7,cecI. 17. Describe the proposed surfacing material. rn rn 14,5 A Cd ,I-fi c 4) n",e f t <o{ a L-/- G}�i 14 � iYl t1.//Lf 4/ se 18. Describe methods for restoration of the site. i\t oA'y >eI4ic3 Lvrrjl _4G Lf/e , ti� TiPo ec er>✓ nor e it bt i'ut. • Sept alloy fie./U1 sJ t ;ettiteo( 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. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. �C Ol o y tie c 0'1 u6_5 t`%--; 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. 1 Cr^I>L:cu1 f!rtQS �'eG�lt?9 y P4124`-if eSs p-4 /F S4Orr,, *se, 43 4€ 'ercr� �p-p <7 -4n� ��� atA wear s dr � e- -k beafoc�c '` 9� <,�(7 �1a,n ,7Jr bu, PT, stormwater site plan template—rev.10/1/2003 7 • • 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. L 1 >4 ci L#eu'- ✓ ,9(10610C. Sfa; Gad' ui;f( .3,e. nna1i<f . . ep*c // 2. Establish Constructiton/Access. R i!.,5 S --o v1•f 0" S !j l f t iS ip dace,. G"I n p� i7 Y ." cc )1 14 b ! C7`I 3. Control Flow Rates. 4. Install Sediment Controls. }-:x 1)0 Cove/E h�l €t ( SQtrjeal 5. Stabilize Soils. Sail, W`: !\\ 5-6tol ztr qf: ,17 47re. 6. Protect Slopes. 1 �o ( Pfnr‘^c, of liR�ir tN {ii 4 k 19!it C r.,l Slu g's . 7. Protect Drain Inlets. Lr stormwater site plan template-rev.10/1/2003 8 • !i (+ \ E, R 12 Required Elements—Construction SWPPP(continued) ' ewer6 8. Stabilize Channels and Outlets. a tt tk4, { ♦,,.v 1.311 9. Control Pollutants.I _ i I ` S ii W fl 52 STG+ 'Z�'�7l (�- c(ea/%/I q^) t10 3pIlk n lvi/ fJ'¢ /�„-1-ra40.J# ' ( c;4.t . An -eft $ /11.5 U-1 l� - Ol i C eGt�� � 1M .047�l l �' � r?erg y 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices('(BMPs). Ci-' i,k 4-c,, e e.3 -t0/ coy e-A f{. we(k 1 y u tti l ve, 40,14ra 6Pttn"es €5t+5 ivt€9,A 12. Manage tile Pro ect. }� bpf9rc��"'Fr/ OA11-04 Or W�Il 1DP rf 4 51+ ' C/?,9f,;..,r 0,of 8friP.„ 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). t iv t it 014 t.,,4 S)j '3 E i a s�o 4 G�i ( Ir(dt - (t 'n. i ♦ / �k„..4q. b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). Th e r ? rtS i rri j r rA7' ' ' 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template—rev.10/1/2003 9 • b. Description of sp ial requirements f9r working in or near environmentally sensiti a areas. c et? I,„,„; �J GIB . ' 9e(;4 1/ ,' Q, a { / 1 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). J 4 Os, n L 7 i2'rr' i./ 4F� t� !t✓ Cv (�'� iG �n7�1 i be ','o !� �� �� C/pc h{1{' t/.t( ,r"'1 f'i Z.I fir, '1afZG-( 5. Construction Phasing. a. Construction sequence jek CC)m S t -LI c4- iY:)s'tri 4. b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction chedule. IV 0 5{%e -i' 1 C:j,54-r c..',vr re/A4 - + 4E c II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. FinanciaVOwnership Responsibilities. a. Identify the property owner 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. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. I 1"` d. Runoff/Stormwater Detention Calculations stormwater site plan template-rev.10/1/2003 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. �0 ,' 4. APPLI E ', By signing the Construction SWPPP wortcsheet, I as th t i�a- the information provided herein is true and correct to the best of my knowledge. I also certify that t • b e with the full knowledge and consent of all a�own,K4_ ,-e/,-7 • the affected prope .�, ' (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: T< 1_V Tr_ 7 T ., II—,_,, storrnwater site plan template—rev.10/1/2003 12 a tx, _,__ -- *." TrT"X"1^r_....4.........,_,........_.. -""-.,..". ___-_ _ . . i ti) IIIIIII.IIIIIIIIIII t 01 IUI �awN n • vi V L AO -r *1 o N o a a ., fl • . rn C/11 lc, 0 0 --. a r` ' t ,,, . .1.... gAk \\ �. �-T tffI rL ! . • C3 2 . . t., 2: 0 s 3, A i 2 1. i Rt \ks,... ii, ma Q ° hrliL 4. t t i., i _ roa Q ,vr t? U ! `1 a� f� A /\,g4, 'llif E ff arii ©i i, Zo• V E f 5 0 CP §: . . 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