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HomeMy WebLinkAboutBLD2006-00028 06 0 'BUILDING PERMIT APPLICAT"�N MReview L viewTy 0024 'B Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00028 Received Date: 1/26/2006 SITE ADDRESS: 105 WATERHOUSE LN PORT LUDLOW, 98365 OWNER: DAVID L PIKE PHONE: 360-437-8121 ANN H PURVIS 64 HERITAGE LN PORT LUDLOW WA 983658213 LUDLOW COVE DIVISION 1 PHASE 1 SUBDIVISION: Block: Lot: 4+ PARCEL NUMBER: 968800004 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: M C RAYMOND-BUILDER LLC PHONE: 360-301-1700 1163 BLAINE ST PORT TOWNSEND WA 98368 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR W/ATT GARAGE & UG 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,664 VALUATION 650,000.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2003 HEAT BASE: 1,012 HEAT TYPE: EEE OCCUPANCY: R-3 UNHEATED: 468 #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 490 SHORELINE: CONST TYPE: GARAGE: 720 SETBACK: 45 DECK: 400 BANK HEIGHT: 4 SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 3 Total: 2 Total: 3 Routing Date: latO lOVQ Type Amount Paid Bv: Date: Receipt: Q Permit $2,026.77 LYK 01/25/06 79025 • � �E Plan Check $2,565.07 LYK 01/25/06 79025 State Building Code $4.50 LYK 01/25/06 79025 MAR 15 2006 Total: $4,596.34 Jefferson County Planning & Building Department -�� A.D_a - . ---.....mmaimmeniim 110 Jefferson BUILDING PERMIT • County Department of Community Development 621 Sheridan munit SITE PERMIT#: BLD _ �360�379-4450 Port 36 send, WA 9836 ADDRESS: 06 00028 0)379-4451 105 WATERHOUSE LN APPLICANT: PORT LUDLOW, 98365 Received Date ANT: Issue Date 01/26/2006 DAVID L PIKE 03/15/2006 ANN H PURVIS 64 HERITAGE LN SUBDIVISION: PORT LUDLOWPHONE: 360-437-8121 WA 983658213 LUDLOW COVE DIVISION PARCEL NUMBER; 968800004 17 1 PHASE 1 Block: CONTRACTOR: Section: Township: 28 N M C RAYMOND- Lot: 4+ 1163 BLAINE STBUILDER LLC Range; 01 E PORT TOWNSEND WA 98368 PHONE: 360-301-1700 PROJECT DESCRIPTION: NSFR yy/qTT FOR THE REQUIRED SFR GARAGE SETBACKS: f,_�` TIONS THAT APPLY TO 120 GAL PROP TANK UFFER: v �' TO YOUR PROJECT. Footing: to—p6 Acc ��Foundation: ASE� N6 W 7 i/cG & t 61/i oK 12134/4 Stormwater -c'�c mwater FINAL > f/et „, Aim AA. Underground Plumbing:Approval: - '.,.�. S 7.3 ia. o Under air • f?er� M Underground Insulation: A) % io`i4tbt 1d Shear Wall: Sheathing: F� r A' '�- Framin g.�i�k i it,p� .� • i C ©, _���� Plumbing: �� ,f, r s -'—,," a Propane Tank/ � � 1.N Insulation: Lines: ,t ' e /NGT / //evj .i Sheetrock: /I �-' _dip�AI61 Septic S hY z� o D d �-� /) �7 l611' r Ytem Final Approval � �� Uj' Road Approach Final MUS be obtained �- Approval: before final o o /07� Zoning Final Approval: str ture can be Final/ attempted. Occupancy Approval: HEALTH DEPARTMENT AND PUBLIC r THIS PERMIT IS VALIDWORKS APPROVAL BUILDING INSPECTION FOR ONEQ IRED HOT-LINE 379,44 YEAR O PRIOR TO FINAL INSPECTIONBE Office HOURS IN ADVANCE TO SCHEDULE Hours 9:00 a m -q:30 HOT LINE AVAILABLE p.m. SPECIAL CONDITIONS HOURS A pqY INSPECTIONS. ONDITIONS APPLY- SEE REVERSE ,4: 0Nc• �� G JEFFER., COUNTY • `•,-.`. I W ' A ti ' DEPARTMENT OF COMMUNITY DEVELOPMENT _•��_ 1 '' `4 621 Sheridan Street• Port Townsend-Washington 98368 II': ` , 360/379-4450• 360/379 4451 Fax ' ' I 1 0 www.co.jefferson.wa.us/commdevelopment JAN 2 5 2006 Is. HINGt . Master Permit Application MLA: 10- a - Project Description(include separate sheets as necessary): 0etU WileTctn-t, ly vesideekce Wl dC Tole I1e44 cquVt-ty Tax Parcel Property Number: Ito - ' )Q -may Size: 1 4 7 't; (acres/square feet) Site Address and/or Directions to Property: ` >T a 9,War evi%,,,,` e_ Zn i Pc b't 1,e4 l uw 1 ui1A 9 t 3 t.S Property Owner(s)of Record: DCt t•ut r %tee l Ain H Pv r✓) S Telephone: 360- 1 3.1-?1 2 i Fax: A))A email: p i Ke c;& h,,T et ail,e0't Mailing Address: 64 licYltekqe Ln i N.,t L Ict,, ; tA)Pr 183,c...5 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) lieturlding U Variance(Minor,Major or Reasonable Economic Use) U Demolition Permit J Conditional Use[C(a),C(d),or CI** IYSingle Fami J Discretionary"D"or Unnamed Use Classification IiGarage MI /Detached J Special Use(Essential Public Facilities)'"` ❑ Manufactured Home 7 Boundary Line Adjustment U Modular J Short Plat** U Commercial* J Binding Site Plan** U Change of Use J Long Plat*' U Address Road Approach J Planned Rural Residential Development(PRRD)/Amendments** /Propane J Plat Vacation/Alteration*' U Allowed"Yes"Use Consistency Analysis J Shoreline Master Program Exemption/Permit Revisions** U Stormwater Management J Shoreline Management Substantial Development** U Site Plan Approval Advance Determination(SPAAD)* J Shoreline Management Variance U Temporary Use J Comprehensive Plan/UDC/Land Use District Map Amendment LI Wireless Telecommunication* J Jefferson County Shoretne 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: Rat DESIGNATION OF AGENT I hereby designate /M t�e " 1•'?c^� to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 1 / Aa H P�ti2~ Date: 1 i 7 'O 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 respell 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 right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and a squired later in lions.Access and right of entry to this property shall be requested and shall occur only during regular business hours. A,y; � Signature: ( A. "Q I ' , i Ib L Date: I 1 2 5 L L 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-trans able respon bil f for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. lY Signature: ,.L ID + //"7(0 C Date: 1 (2 c I e 1. C:\Docum its and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc 4 4 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 they will be assuming the responsibility of the General Contractor for the proposed project. ° Signature: L at: r ? .` u Date: f r 1 l IC GENERAL CONTRACTOR PHONE: f N 2 5 200o ' AX ju1Kz RA Ntt;,ck (3.0) 3e i - t10O ( ) MAILING ADDRESS: tt L.'S !IA in t_v. 1 i 1' y 43 _,v a s,„A EMAIL: CONTRACTOR'S LICENSE n WAINS NUMBER: 14 C Rrl'G L 'f ' 1 MT NUMBER ARCHITECT/ENGINEER: .0LG1 CV L'ATZ f- t)b..n:( Tt ' PHONE (:2Gi•.. )gy2-t35( FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: LV New 6,I,VVood Existing: 'e- Lt. ewer U Addition U Steel Proposed: S Bank U Community System U Alteration/Remodel U Concrete Total: 3 Height: LI Individual System U Repair U Masonry 4 SEP Permit# LI Demolition U Other Bedrooms: Water Supply: Existing: Setback: u Private well LI Two Party ype of Heat Proposed: Q. < Type '.1%v/ I.ic.t ',:.•,re Total: yJ Ur/Public1 P Name of System:(Jt S r 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: WII you have Food Service? Yes / No if this is a Pane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tans' i Above ground Tank Size of Propane Tank: ?J/' i Heat Stove Cook Sto - i Woodstove i Fireplace Insert i Hot Water Tank 1 Pellet Stove i Other Is this appliance being installed in a Manufac • -• _ •• - ome? 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 property lines,buildings and septic system components, includin r the reserve area. --------- - Square Footage For Office Use Only Y ti Current Proposed _ Amount Main Floor • Consistency Review: f C 5J C� 2•1 Floor Base fee:Q,YQJv{- t-rCrn Ctvyt_,iIW ra -OO - (1s 4 . Ci ri, 4 ,3 1lit. 5 w .)) 3 Floor Additional Section: r Mezzanine: Plan Check fee: `p5. 01 Heated Basement ,i()I.� O, , c State Surcharge fee: 4 i' 4.5 Unheated Basement t l 111ffir• Pot Water Review fee: Otl:tei-Licilleeted- 911/Rd Approach fee: f)v {r Pezrr,l�. 1O : 1a1,. P e-il54-1'1Y1I Vrty(t Garage/Carport a L 1 .�f i , Q70.L1 . TOTAL: $ 411 .�` , Decks -I 3C C,i LiZ ,00 Receipt Number: riq Va 5 Other t Q Cash/Check Number. `"((V�/1-}N r a -:�k.,( 6-a,,-1 Liu : "t D5,t 1 5; ESTIMATED COST(REQUIRED) pate: br^ I � 51 K., .Fair market value of all labor and materials foundation teffrusli �`y sue } Initials: / C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc ----...mmemmilliiiiiiiiiiiiiiiiiiiiii SPECIAL CONDITIONS FOR CAO t BL D06- 00028 • 1.) A vegetative buffer of 30-feet shall be permanently Landslide Hazard Area. Landslide All buffers shall be maintained from the 2.) Landslide Hazard Area. measured top theor edge of the Areas and their associated buffers shallrrr perpendicularly naturallyy from Should buffer disturbance occur duringtop d. the Administrator sha require construction, remain aelog (madeUDC) to the Landslideo replantingthe Unified Development vegetated. etated. the UDC Administrator. Area or its associated natlbuffeve gw without pment Code No alterations onall be 3.) Prior to and during approvedprior authorization by area buffer r be construction activities, the areab manner that shalls be directly mark with a temporaperimeter shall of thellandslide su such hazard the following observed from temporary sign. The sign shall be placed in a Existing statement: "Landslide m the construction area. Vegetation." Hazard Area and Buffer- The sign 4.) All construction activities shall not encroach uponDo not Removesoall contain includeso the storageAlter or preparation of the landslide hazard 5.) Buffer The from th shall permanent) materials. area buffer. y separate the boundsThis Bfany remainder of the subject property through of the Landslide 6.) orprominentHazard Area row,Critical nyiotherpromRecharge physical markingapproved installing logs, quality degradation. Areas may re Y the UDC g � trees, a hedge The Areas and quire special protectionAdminiso trator.quality protection measures. proposal doesmeasuresional Management measures. However, duringnot require additional foil aquifer mitigate water (BMPs) construction design the standards as shall identified and e Best the Stormwater Management and facility design standards 7.) To help prevent Manag emfrom Manual ainor the Puget identified developmenthel Sound Basin• defined in activity on Marrowstone Islandlan, Indian Isward lanunderground a marine shoreline shall be required to infiltrate all stormwater VOLUNTARY aquifers, all new MEASURES within 1/4 mile of any Water conservation OF COASTAL &AT star runoff onsite. measures: RISK SIPZ: 1• Roof and other intercepted precipitation shall be routed to on-site detention approved means and allowed to be released to the soil slowly. 2. Water other a collected frome Storm lawnsW and water and roof catchmentsponds standards gardens. Unless catchment water has been treated to there shall be may be used for watering impounded water. no cross connections allowed between the 3. Water withdrawn from wells on each pro meet drinking water and/or potable supply and gardens. property shall not be 4. Ground water withdrawn from used for watering gallons per minute. each property of lawns shall be restricted to a rate of three(3) 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower 6. Landscaping plan (xerisca ing plumbing p g, native fixtures. PPlease NOTEvegetation with minimal amounts of irrigation). is eaintse to be illustrative the atb evef listed eaat measuresof water are not intended to ae exhaustive, 9.) VOLUNTARY MEASUREStypes of conservation 1. Installation of a flow OF COASTAL & measures. but rather 2. meter. AT RISK SIPZ: On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. __,.....,............millii 10.) MANDATORY MEASURES F 1. For proof of U COASTAL SIPZ: • DOH-approved Potable water on a building permit application, pproved public water system if available.2. If public water is unavailable, aapplicant must utilize 2. If or individualuilawell a qualifyinga alternative system may following requirement: may be used as proof of potable water subject to the f a. Chloride concentration of a laboratory-certified building permit application. well water sample submitted with 3. If public water isunavailable, a potable water. qualifying alternative system may 11.) The property owner shall comply be used as proof of by the UDC Administrator). p y with Water Conservation Measures 12.) The project shall adhere to the Best Management Practices (per list maintained erosion and sediment during construction.estM stabilize soil ede during BMPs shall dde s perm) anent a control measures t ter, and drainage control systems construction, and in the design and ermanent to 13.) A stormwater Site Plan has been submitted and approvedoperation of stormwater fully Community Development. Once the subject Community De the ms. of the submitted p permit an by the issued theDepart applicant of Departmentmm provisionsimplement Development d plan has been t hed the Community d contact the Jefferson County y f plan compliance. Pment to arrange a schedule to inspect the property A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shallP pertc for site until clearing necessary for the installation of temporaryP ment control measures have been completed. occur on the project 14.) Outdoor residential storage shall be sedimentation and erosion fire, safety,residential lo a maintained in an 15.) Not more than two sanitary hazard. orderly manner and shall create no (2) unlicensed or inoperable vehicles shall be stored on any than one-half acre unless totally screened from view of neighboring rights-of-way. lot less Y Such screening shall meet all a 9 onn standards specific to the district in which the storage is kept, rg dwellings and the character the area. applicable is Performance shall and k CodeScreeninge , and be in keeping development Section 6. shall meet the requirements of Unified Development vehicles(UDC)is Section . Outdon those where specified(13) P g with storage districts thirteen eve or more unlicensed automobile inoperablewrecking yard or junk (or salvage) and such storage shall meet the requirements of UDC 9 yard and allowed as a Permitted Use in Table 3-1 as an wrecking such unlicensed or inoperable vehiclesbe stored in an Environmentallyof the UDC, (ESA). Section Sensitiveno case, shall any 16.) Maximum lot coverage is not to exceed 45%. Area imperviousv surface which includes roof tops, Lot coverage is defined as amount of 17.) The building height is not to exceed 35 feet. driveways, concrete, etc. 18•) Exterior lighting for residential uses shall not exceed twenty finished grade, excepting when such lighting is an integral a Ground level lighting is encouraged. feet a building in height from the 19•) Lighting fixtures shall be designed and hooded to preventpart of a or structure. directly visible from outside the boundaries of theproperty. l lighting, the light eosrce from being g g, during construction and after project completion shall not adversely use of surrounding properties or adjoining rights-of-way. The intensity or brightness of 20•) Minimum setback from Waterhouse Lane right-of-way affect the yard setbacks shall be 5 feet. Minimum rear(shoreline) setback depicted on submitted site plan. shall be 20 feet. Minimum side 21.) A minimum of two shall be 45 feet as residence. (2) on-site parking spaces shall be provided for the single family 22.) Per MPR Code Section 3.17, Accessory MPR-SF zone. dwelling units (ADU's) shall not be allowed in the 23•) Motor vehicle parking between new structures and the (OHWM) is prohibited. Ordinary 24•) Motor vehicle parking between new structures and the High Water Mark (OHWM) is prohibited. Ordinary 25.) No fence, wall, hedge or barrier greater than 42 inches High Water Mark enlarged nearere t e water thaneg thee building enlarged d eture shall be in height shall be placed water ward of the Ordinary k a High W placed or High Water Mark (OHWM). • 26.) Mechanical apparatus rather th'E: wherever practicable. ° chemicals shall be used for brush clearing^aintenance 27.) Herbicides used for maintenance along roads and drainage systems shall follow the performance standards outlined under"Chemical Application"of the "Forest Management"Section of the Jefferson County Shoreline Management Master 28.) As delineated in the filed by orange painted 1"X 2" shall be allowed in sensitive areas unless witnessed by Larson Program". Anthropological/Archeological Services L stakes, no earth disturbing activity 29.) In the event archeological items are discovered daring construction, builders owners shall observe the following protocol: STOP WORK. DO NOT FURTHER DISTURBE THE AREA OR REMOVE ANY MATERIALS THERE FROM. NOTIFY lot IMMEDIATELY THE JEFFERSON COUNTY DIRECTOR OF COMMUNITY DEVELOPMENT (360) 379-4450. THE DIRECTOR OF COMMUNITY D WILL IMMEDIATELY NOTIFY THE WASHINGTON STATE OFFICE OF ARCHEOLOGY AND HISTORIC PRESERVATION ("OAHP' , DEVELOPMENT FROM VANDALS AND COLLECTORS. OBTAIN SERVICES OF A ARCHEOLOGIST TO EVALUATE THE SITE (360; 407-0752. PROTECT THE AREA FURTHER WORK IN THE AREA. IF FURTHER EXCAVATION OR QUALIFIED AND MAKE RECOMMENDATIONS FOR THE SITE IS NECESSARY, OBTAIN THE APPROPRIATE PERMIT FROM PROCEED ONLY IN COMPLIANCE WITH THE TERMS AND CON DISTURBANCE OF PERMIT. THE OAHP. 30.) Construction of housing units within 10 feet of an adjacent housingunit on CONDITIONS OF SAID residential lots shall be built with "one-hour"wall construction. 31.) Existing asbestos cement sanitary sewer pipe across Lots 1 and 5 and Tracts A have been pumped with grout and abandoned in place pursuant to Jefferson County Health District requirements. A and C 32.) Lots 1 through 7 of said plat shall have an equal and undivided 1/7th ow maintenance responsibilities for the guard rail located within Tract "A". Declaration of Conditions, Covenant's and Restrictions for Ludlow Cove Division and 1 for further information. Refer to 33.) APPLICANT AND/OR CONTRACTOR SHALL CONTACT JEFFERSON Ion 1 Phase DEPARTMENT OF COMMUNITY DEVELOPMENT (DCD)AT 360-379-4457 TO SCHEDULE A SITE VISIT WITH THE PORT LUDLOW DRAINAGE DISTRICT, DEVELOPER/OW BUT DEVELOPER/OWNER, AND DCD PRIOR TO ANY LAND DISTURBING ACTIVITY AFTER FOUNDATION IS STAKED. RICT I:1F_BLD Permit_Buildng.rpt 10/29/1999 r • 0 .¢,gQN C6 ��� JEFFERSON COUNTY 4k `� c DEPARTMENT OF COMMUNITYV DEVELOPMENT j ��� • 621 Sheridan Street • Port Townsend • Washington 98368 �Ov� O 360/379-4450 • 360/379-4451 Fax . w` C` http://www.co.jefferson.wa.us/commdevelopmentJ So`� ��cQ` STORMWATER SITE PLAN SUBMITTALEMPLATE MLA# 0 L% -C j00 PROJECT/APPLICANT NAME: ge-yfrivoLi /3 a 13 t erS 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. a/711 c ' rri JCY' 7.tv&f. 4= A- t,✓,, A-rT' -c` 6 K e' P v&—vti/it�` / 1� c�i iv� t t�r�'r-Z7 Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. /'1'-.0E=7041--?' =- /X LA,'Ai 1Lji l--C- C;.0 fa/A.,`6 i--C 'r. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. ,t,c e_ 1 `ri A ��a q me-` 7-#-Ti(s - ( 77i 7 . 7.-iti-, ` / io .5t. ,�-d Z c 'Y2 ( 6CTrg/'tL ()it- (4, `7-, 4. Describe the existing soils. Indicate soil type on the site map. fo4iv0 "it:i> -1 1: 1 E=Z-.) '6111f Cc. Ay '7 pt '7-�, 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. APPROVED 6. Describe any excess levels of noise generated by the proposed use or activity: STORM WATER PLAN //b`"a-- z i7'?fLfJ /`/fret V E Ci/flirt-/r. - 1 Cft - 3 2006 Stor(lwat r c \ IEF7so k umic , DEPT.OF CO, V T :VF.1, it stormwater site plan template—rev.10/1/2003 Require \ SIGNATURE: 5 . 7 • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands,lakes,steep slopes,etc.). ,4-P(7-C= t/ /6iC/ -r'1r/4'7 /, t,S r,` '9The' le-tit Pe i1i C c S` 4-n1 p 6-14., DG�Cf&i,, 7'/C i 7i SK 7--c-re- '7 6!U/7 L e t° i/t%rt 'L-72 - /-744-r2/3e, f c-7 e r""., /210-1 E72:rY 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. L C'% 7"/i1 e fs/G :c y C= -c/t, "T/22 f5''�.)1731 Tim ,f tl'PC C t j n ce . �- 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.] 1A 11. Describe the performance goals and standards applicable to the project. ?�rG/2"'l'1-L L/4-7. y9 /: /2-4 el- R-lx, "'t -!`/ P-C 141 t L JS'C --j�1v—C-ref=4 z-& ) 1 t4-T 7-71 y� J5f i ,1. J;�Vt e '72 1`'t�-7'L- rn7.� g: -�r L'/2 —7( ¢--?"t • - 12. Describe the flow control system. , vi7tv "7L. '? 7 ' f t.S Ct f t-sL- S 7/9-C e E77 l 7 - %N 77 .Sz=-�2 7"/Ci/r L /ti''C- G7t. C'C-1-171'126, stormwater site plan template—rev.10/1/2003 6 13. Describe the water quality system. /1-' c ' Attee- `F-r r d /f 7 -_ / 24 jq-✓v /11 T ,Cte 1,4-z-e-- , AP/r) 6" 0/,� I/V 4--0 I ,-7'UT'- k �- 14. Describe the conveyance system analysis and design. /* --4//4-1�P 'z' /4%-VT> pi /,+/. L_ t dr" T f r C-//t1 , 771 7icit- fit 'L �� � i ?� - jle/V U/j l4-7f-, /3, -c��►.:� /- j -16 C,4c C&--c--7— ,44-7-1-7-z_y ' , G�3 f C•d - (�t-�7E � "L//L;' /1- , go', G 'of 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. T /2-c1n/ . 4/t el-7-6-72( t Gti/C a /fry( S%7--tc' 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. /Alec l-tt) h 'f C-/C/77CA CC 74J 1i,�'r=7 A=74 f ':rt/e? f / /11 C ,Zvi.-jar c ," 7 , 44-1, z"r��an- _ i 17. Describe the proposed� surfacing material. n �"/►d- /:) ,/h9r � s�[�C�iid 4Cep c L'fr'?t I /�5 �' ��: L e/�-G 18. Describe methods for restoration of the site. L 1- t- C[ = - /Aimm,'`d L(,/C,C C 4.i.a C. 7'h 1 ,L,./� _r / /�' i s r "/j'- mac'/) r! �� ?,�,�� '' 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. 'r4 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. /t, ifti 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. iti 7 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. ,e C C At-afty e--:e pe7c6A,• A r ; i"mil - 2. Establish Construction Acc ss. At x//,.'( / C GC=5 5 e - ISZ= i,;7" ?_hz 3. Control Flow Rates. ,� 3 AA; 27 6 Z r Le_ /_ic to 7 re C=e,v' r/'d% f=r_c , 4. Install Sediment Controls. (- ZS 3 t, C t'• 'C.C /1.s' Cam; rr7i e /n n;d. 5. Stabilize Soils. //� S 7i t e Ei. ! /2 �,,t G t t. of- 7771 7 t 5. r = C y r .. S'7/'/v`-e 4 (i. s 4 t Pc-C re t. 12-13 $c, L_. 6. Protect Slopes. i>iA, e- C`/1/ z---Xrt 2--- ' "://>, 7i t A- r g.461-,41 f 77/i r?.� 7. Protect Drain Inlets. C ' 3 ce-/2 C Z c' L-L. C L- �C` -z- 7e. r z -i4/4r /%'t stormwater site plan template—rev.10/1/2003 8 • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. /Pt ._� t. �1 4i‘01-D c Jr re t-T /S jet.'G=Zt. e- c 72 itc- I�i S C.g-/2-6a{-=' /A re 54s.' -,-= u-'i i7-tc `'erty �' �/ C r/trt-�1�c S te/ - 9. Control Pollutants. A<Ci/5 tE /C L-C d-1 t_ A-sys vi,%>"L G tq /So e i f rC Xalrfiv' .0 /ga 'r, 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). rt/f/✓'L= met/=Z T � / c r t C Ail're a' E 11. Maintain Best Management Practices (BMPs). ' /Ai( in'XF-ill;"r A/4-A.% 4--tV'1) /JL..,yPCr Yi 12. Manage the Project. Arc/24(7,rc C-/v 5,-rc i'4x y e J /2--__54 cA. /./ c / /Fee T/ 4y S C 7> 1 t e are t/4- 3' ett! PES)ZL22 /ii''C D2-e-7)? /t/`2_ L` X-r- 'fit 7?l/Vt.e-s', 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). i/4rc-G4„K e2,/ tr'G r)vo D 6z �'CT�2/s- L-c 1 l" E �f b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). rhC "77` 1j4 Viz_ r i _CC/c- 1,47 /A.,q, LL 1214 et > f-=- 1.-.1 Ti>z---r Ire rift= itt -Sty,'4t D/S P hl/c.'{r,t�- i �c ?" 7C i / /A;,1,4-72 72/dfc i - 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 r • 4 b. Decription of special requirements for working in or near environmentally sensitive areas. 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). /1/4 /4 Wi ---13 I1::- 7L 4 /r C E= /c-?V LF7VC'-z el IV 7'� ?-C----D 2i2/ 4-D -C-t n, T , tc-DiAtJ,' S 7-C- . 5. Construction Phasing. a. Construction sequence G 'C 72- 57 r / c=lr- t2+ 7-/dit.L t.& c eL de'e� /'J 777,e'i to s fi Z..E.,C cir t77, /- V r�-e/c-7-,,L L Le t e- IcLC G./A, e' f i -,,e,?6=c-,c . b. Constructipn phasing(if proposed) /1E' 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. / �1/4/26(-1 7ec)L .v_ r C 67n&—t - '-G, II. Wet Season Construction Activities. a. ,Pjoposed wet season construction activities.74-ct,_ /2 =r, /A",1,t & t i-A---L i, , -1,i.se_ -;- eit ,n;DA r"le-/L, b. Proposed wet season construction activities for environmentally sensitive areas. h'/ 7. Financial/Ownership Responsibilities. a. Identij the property owner responsible for the initiation of bonds and/or other financial securities. Poch (D /--lk-&-y#7371 At 1-14i.le 4 ? S b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. . Heletl„f` a. 111Sv ("e,►1c�- C .,. 11 he ii� r► 16(C ijr'c;,,'-Z ni. a' COI Latta ci o;r0(bolt ,- . 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. 1v c. Waterways. 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. 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. 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