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HomeMy WebLinkAboutBLD2006-00118 GILDING PERMIT APPLICATS M Review T0119 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00118 Received Date: 3/15/2006 SITE ADDRESS: 672 TOTEM RIDGE RD PORT HADLOCK, 98339 OWNER: RICKY L GORE PHONE: 360-385-6883 LAURIE L GORE 62 RHODY CT CHIMACUM WA 983258723 W E SETON SHORT PLAT SUBDIVISION: Block: Lot: 4+ PARCEL NUMBER: 901114025 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: 11<) TU tag 1� PROJECT DESCRIPTIOI NEW DETACH UNHTD GARAGE W/ UNHTD STORAGE & HTD _*\ 0 killeHLTIG BATHRM TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 5a`- ',a ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: 3* # OF STORIES: OCCUPANCY: OTHER: 6 CONST TYPE: 5N GARAGE: 1,060 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 1 Total: 0 Total: 1 Routing Date: 1/10/.0(.0(�` Type Amount Paid Bv: Date: Receipt: d/D to Permit $671.75 LYK 03/15/06 70856 A A y r Plan Check $436.64 LYK 03/15/06 70856 State Building Code $4.50 LYK 03/15/06 7C)856 APR /a2006 Total: $1,112.89 Jefferson County Plannint &Building Department c� � • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00118 Received Date 03/15/2006 SITE ADDRESS: 672 TOTEM RIDGE RD Issue Date 04/12/2006 PORT HADLOCK, 98339 APPLICANT: RICKY L GORE PHONE: 360-385-6883 LAURIE L GORE 62 RHODY CT CHIMACUM WA 983258723 SUBDIVISION: W E SETON SHORT PLAT Block: Lot: 4+ PARCEL NUMBER: 901114025 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW DETACH UNHTD GARAGE W/1120 SQ FT UNHTD STORAGE-IX'I1D ret-tivEl -i-Olck t.) t-f u 60 SQ FT HTD BATHRM I • CALL IN FOR THE RE UIRED INSP ss3�IONS THAT APPLY TO YOUR PROJECT. SETBACKS: S/2 7� UFFER: Footing: Foundation: '- ` `/,1 PO, Stormwater FINAL Approval: Underground Plumbing: %4 Underground Insulation. (f Shear Wall : t .-- Sheathing: Framing: '54, Plumbing: %— t1 -ll Propane Tank/ Lines: ' nh' L.-way-E.l 54 I/ Insulation: — Sheetrock: Cf- Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 19- Zfir PP - 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 FOR CA, A BLD06-00118 1.) A vegetative buffer of 30 feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. For this parcel the approximate location of the slight landslide hazard is the sloped areas located at the northeast and southwest corners of the parcel at the 300 foot contour elevation. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) 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. 3.) 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." 4.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 6.) 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. 7.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed residence, garage, and associated improvements. 8.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed house, garage, and associated improvements. 9.) 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. 10.) A Stormwater 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) The building height is not to exceed 35 feet. 13.) The front setbback is 20 feet from the edge of the right-of-way of Totem Ridge Road. The side setback (east) is 20 feet from the edge of the right-of-way of 1st Street. There is a 5 foot side and rear setback from property lines. 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 • BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners o'the parcel referenced herein,that they are not licensed contractors and that they will be assumin he responsibility of the Ge eral Contractor for the proposed project. Signature: r-- �/,--//a- - Date: .3//5-(0 k-, GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) Fax:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New y..Wood Existing: yiSewer ❑ Addition ❑ Steel Proposed: y Bank Height: ❑ Community System f1 Alteration/Remodel ❑ Concrete Total: /H ❑ Individual System [-] Repair ❑ Masonry SEP Permit# c.)S-142`a ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: S ba k f] yrivate well ❑ Two arty Type of Heat: Proposed: U1IV E k'(-40-1 a, 6:4-fhP-c6.-1 Total: !/f, Public Name of System: Po d l vNie . 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: 1_] Underground Tank ❑ Above ground Tank 1fti,S;ze pfPrro�pRng Tap14: CI Heat Stove ❑ Cook Stove ❑ Woodstove LI Fireplace°Inserts.I,� l-lot Waten1pr [I Pellet Stove ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you mustisrtyt A st;e plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank;04 ffprbp3r0, iikes, buildings and septic system components, including the reserve area. Square Footage Current Proposed For Offic� / Amount Revision Main Floor Heated EH Bld App evie*:'' 2nd Floor Heated Consistency Review: __ ___ Other Heated Base fee: ry 5. Mezzanine Additional Section: - Heated Basement Plan Check fee: -2Z1110- (1i(11,-yt 4-r1 \ei_ T0 .16 _ 56.(P 4 Unheated Sto2h State Surcharge fee: C4 ) f.+;i i i 0 . ; .41-_r:� 4 I Pot Water Review fee: _5•e,yi•-h.e;1-f-eci i51+fhP--c,}rr, 6 0 All .ot _._— Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: —,. Other TOTAL: $ 1 \ 1a.%CI fez Receipt Number: 9'c S 3(_[� I , ..lX� 3 Cash/Check Number: V j� ,51039 .D ESTIMATED COST(REQUIRED) Date: r� `� f .Fair market value of all labor and materials foundation-to finish 1 I �) �()� t- G, Initials: `-? G:\PcrmitCenter\FORMS\DRD FORMS\Master Pe 't-A.pplicauon_12-3Q-Q5.doc C_ od, JEFFERS.COUNTY I r,47c ;.1 DEPARTMENT OF COMMUNITY DEVELOPMENT `4 621 Sheridan Street • Port Townsep • t gt 98368 360/379-4450 • 360/379-4451 Fay(' k f',j , 44' 11) gSNp�p www.co.jefferson.wa.us/commdevelopment Master Permit Application KAR 1 5 2006 MLA: ( 1- Project Description (include separate sheets as necessary): N LL e he(4 6 41,5-<.d_ J{ffERsSC1N mum G'Cil Property Tax Parcel Number: .9 j - tt'-/—L ,2 Size: [D.`:��q c n' .5 (acres/square feet) Site Address and/or Directions to Property: (o "1 oZ T "/ ,h �f j_e Rd . / �'c],? 1� / tic//oc f( Property Owner(s)of Record: r,'c r? 'E G v Telephone:(ic.)G 3 - cS Fax: 84,6 -3 ; b`P i y email: Mailing Address: R/i,d c wu;=ti C'.Gr,`vn 4-ecr it (�i,4 i 3335 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) n Building ❑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 "A-Garage Attached Detached} ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑ Address t l Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑ Allowed "Yes" Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby 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 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 any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. 1 j Signature: CLOG 2-C�J l Date: /4 5/ 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 re po ibility for adhering to andm oplyi with the ESA. The Applicant has read this disclaimer and sign and d tesit below. Signature: �� L ZLC� 1 Date: � �J� G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc • • 411 • - TT...I. 4• liti4c,-,,t, JEFFERSON COUNTY h ►4 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street- Port Townsend -Washington 98368 ^+ 360/379-4450 •360/379-4451 Fax (`° http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# VA PROJECT/APPLCANT NAME: R,('.K 'ice 69-diet 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 r�. site map. 'lJ 1'1 )U� 'l� C7(i , - L t \ c i1e'`7 CL-1 !ri-iZ€C.d ''r s'-(i f'\ 51-0 L vv1 u t v� r� l ti 4 Ct 9 auk; ) r Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. rQ-k: I �� % i..i l 1-4 Cf,l� J `l c Cc"� C 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. .L; c,ct iv cA f I t N.1 et, .fA ►=t c c�. `:tit� h o S t _ t'Yl it y l *t-- ►4tAt)L2 +tQt f . 4. Describe the existing soils. Indicate soil type on the site map. / lC_ . t � � !'��F `:J I'1-�v C...�°` !_z)/ � ' "i- r�'1.��K 't-t_.i r`�E� !�✓C) ( ++1 5 6.0m' C, — /\I `)+`C ry t7l'Ut'_i�J.r ! . ti4---(-�N� (IlP 6`1L�t rtir 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 anolie-ably. r nd indicate acreage of each. N 417(. Sip VIA to 4,4) 4- t.� 1-1"‘ 5 ft h.�t<>�' 1 N'�1:�c�4'(—- i c iJ firt.tal p 6. Describe any excess levels of noise generated by the proposed use or activity: 1U/19- APPR V-ED STORMWATER PLAN APR 1 ? ^006 stormwater site plan template—rev.10/1/2003 / ..5 FFERSON COUNTY OEPT.OF COMMUNITY UEVELOPMI NT SIGNATURE. • • 111 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. c`J l 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.). j> c_ 5 .5 t f��,�.� r�r� �c,,f In c..v S f-- _c= c�{�v ci2 '!s p; ' ' . 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. /(�- f /�l1. I;c::... I.(��:,���.Y/- -( 1 F>c( J �-v�L�,,i/.� i 1, k���y;.t d i`,v<,{..5 ,'V-NJcc IT 1 1)1.1 C\ C.�P V ti LC i i t �' j ,Q f- C I /�.i 1 'dI'LVVy 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.] �1 : ;.'.,Y� 11. Describe the performance goals and standards applicable to the project. 12. Describe the flow control system. /fie • • 1 • .:.I _- t& stormwater site pan template—rev.10+12003 6 • • • 13. Describe the water quality system. la�` 14. Describe the conveyance system analysis and design. • 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. 18. Describe methods for restoration of the site. 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large'projects only and 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. 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. 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 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. 1.13 Ai, ) L 5.4-c; it •'l # : F ✓i-N) tiL , � f--c) <"'_- i t rr 2. Establish Construction Access. I P-1 lJ NJ )i� .v. L L idu•` -{-e 02 Q_Lc:fit ii-5 t)t a's , rv>f-,:tttt; el rc : fti cj w„i t 3. Control Flow Rates. t- t ��1� Ss {� ;.c 4. Install Sediment Controls.t ','{-„} t.t I}-`., e S 42-- 5. Stabilize Soils. , I 1,-)0. v Alt! 5+-A-- l (l - I i'Z 6. Protect Slopes. Nv1 �� I J,c c� `E E'a vnl it) �= u' �`� `E-Ir� �� (Ur n7.3 Protect Drain Inlets. Lt . t I .0 1r 8 stormwater site plan template—rev.10/1/2003 IP • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. N. a {a.b y 9. Control Pollutants. %l t)av Lk)i.t bk.% p g 10. 2 De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices(BMPs). t.V Lt 11 ,,v � � A-Ll t? 4r / . 12. Manage the Project. LiJr u.>: (t t *- An�'►- -1‘isi �)�A 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). T h (1A49-,' .r Ace- S c� A) 6 i a — lei to r► j /�J-r Ues f`t4 t`t-� . c7 rJ 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. P e S S y-2t✓ { S 5 160'5 4- Ci, %,41 1--t A( 1-TITA. stonnwater site pan template—rev.10/12003 9 • ' S • • b. Description 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). ICI OA-i 5. Construction Phasing. a. Construction sequence ,L { ekat+ 1-:e, � d-he 1r16cc5.4:: b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). 1. Provide a proposed construction schedule. IVA l o- Olv f- con) -cc+ cl /fir/QC. 11. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. '1 4 mot. 4- 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. /p ,/) c. Waterways. JYJW� �1—IJ 1 1 d. Runoff/Stormwater Detention Calculations 10 stormwater site plan template-rev.10/1/2003 Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities,or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. ,y (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: {�f ; r �1q�� PP • M1 12 stormwater site plan template—rev.101/2003 0 0 <Cc4 0 ---,____„......1—villi r—I 4. 10 ! a = 3w I cow• 1 m 9 I o ? _�Q 1-9' I •° o cp '�/410 14' a) 0 ® —: `5 .97:.....oS.l.."""......:«"i r•:C7............................... ..I.�•,h;•r+i.... .s•s..�.:..."'L..«.� W i�.�� "'L0 -I p Ii a) \ / 1 / 0 \ / I 1! o \ / I ' b 171.1 \ / I i \ / I al O I CD DJ 1 c x1 O \ / I (e ni rn 1s'a o \ / I Ca f Cc) s'-3' A 1 pp, a? IMO / \ / \ I F iY / \ I / \ 1 N / \ I I,I `2 / \ 1 / \ I cn / \A ,I w III --in a I, 11-11 alb_� \ ? ` $ w 3' 318" /ffili II II II II II II II II II II w a mi A Y 1;. _ 1,, 1.,,,.', I,:-• II II q II I! II II it I!/I I n o I — — — — Jl,iL JL 1L II__11j— �.'7 ! Fi \ ,f c'-77i8" / 2,_8„ D \ — / 1 3._0.. �\ \' c / I \ ru, o / I\ // I/ \ / \ / 1 rn i s' W \ Y 1 8 / \ I O 0 °° rn Co CI ..._ _.__ / \ 1 , m : _,. 410 0 / \ I Li m ai ' OD o / \ I m �• / \ 1 Oo 3'_°" tv I-a.10 IRS O O -' 661 .� p.. 0I..I ' 11N......_— _._.....__....._....:; __..:::-- -:.._;;;: :_,_.._. w rsas__'iii:ii :eie;;:p a;=.e .::: -::: 0 ___....._.... \ \\ Taa R� L., NJ III c W N 00 �yII I " OD c 0 c 0 T I \ C • Q m ( / 3'-10" ✓ a toI __.2 , O x 0 O T• . �J (D (D (D (....1> )-4 d > i Rick & Laurie Gore „ ,, o H 2 W ;. t.z z �: i o m Log Home Garage Main Plan w N a z °z �•i cs Chimacum,WA.98325 I Designed for: o a n n �i 360-829-2594 3 5 10 • 0 o , 0 2 ' 19'-77r8^ / 5'-67/16" / 2'-96ra 7 I rT lIr T 1 I 1 ItH 1 I 1 1 ID 1 I I I 1 j j1 '4._ ' II• j I 11 I •j 1 . e ,• I I I I I 1 � 1 tY Y7 Y !Y7YMY7Y1CN5tl7Y5l:Y1UdYdYeMCIYIYtlwe:YaYX1� f7lYtYd.�'uY!Y+:7C5tllrdYdYftllYtYlY7YftxYeYdY%#YtrltsYSC&Ydldt7nattdldtYlxYdYtY7C#StrdYNYl5tYe717 . 0 I • I I I I I I I I I I I SeI I I as C I I 1 I I I I I mCD I mot I j a I limn I I 3 1 I I I O j I j O I I I I . I I ,•.a1.,,,.G,..b.«.1 I I 11 I 1 1 I I I' I - 138t�iI i 1 ' I I j o� 1 74-3'45r8 10'71ns„ / � i I I . I I 2 I I I I Cis Co I jci j 4' 0aW;I I -<= p 200cc) j I as ° ° Paa1 j OD II dYdi>lStltiYifYlidllS6!Y7PSt7dYPOtftY!$HtNfddYflt7ti7P7i7ifd#7rid7li$lfN StY!Y fl3[dlPYiXYYlPSEt3;l7ItlYtt —�.!9 0 7Mip tlPt8digYlYdPtHdY7 II1 0 IjII j I - FP �` j I I I I I I P I I I j 1 1 1 I I I I© I 1 1 1 I I1 ._L.--•--1-. —•--.1.-1.--•-1J--.....—U............— —• 0 410 x N `7 (7"----->17--'''N ,t.-..1. d Rick & Laurie Gore x YY?: g 4 D N ., 62 Rhody Court o>8 ��.;I p o Log Home Garage Upper Plan _� 0. z °z �•• i y IDesigned for: Chimacum,WA.98325 $. 53 n 1 ; 360-829-2594 a V 0 ' ! ! i !a2 A�Qe , . , I ar+w.�nq.w.M,RMMn, , 4 ..,w....,.,. _.,...a-�.�1.. .... . 1 1 Ir ' (,.,C1( 1, \ I \ I I N t' o • 1 \ ; ��I .. vt \ 1 I I , \ / ` 0 1• , \ /,‘ `' � , \ .. .,� :: '''XI.- , )--/ 'A _., ': ! Ir \ \ 1 1 4 '�- 1 \\ i L N , It • i is L� ' ... �.... I , I . 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