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HomeMy WebLinkAboutBLD2006-00170 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00170 Received Date 04/10/2006 SITE ADDRESS: 92 TYEE LN Issue Date 06/22/2006 PORT LUDLOW, 98365 APPLICANT: MELINDA MORGAN PHONE: (206) 786-5526 46 VILLAGE WAY PMB 124 PORT LUDLOW WA 98365-9762 SUBDIVISION: PORT LUDLOW NO. 1 AREA 3 Block: Lot: 36 PARCEL NUMBER: 990400336 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & PORCH(S)/DECK(S) ALSO A/G 120 GAL PROPANE TANK CALL IN FOR THE REWIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: •/ UFFER: /1/414 Footing: (By Sc)ADD IHISC Bat cOt tisrkE Y pm Iiitiot, Foundation: tk 7/(c.; 7 r Stormwater FINAL Aprrova / L/MW o ek -Par ' 1 zo D Underground Plumbing: Underground Insulation: Shear Wall : a r esri f►cA'T.' ream (Kiwi_ OK PEazl J78g- 1 Sheathing: Framing: LL/F'ry 318m /. Dk 41101e7// Plumbing: pi; 4/ o/ 1.,4 Propane Tan / Lines: 4Jr &pipe Lim et 4/14. H -}1,-ed¢s Ol( L`i3/49� liv Insulation: ,p 3g 4 4 47 & ti.5 sg0 4lvAIMcit 1J,uxlV-. 4 �' 41 Sheetrock: Oktd cc,w4 ( c-os c,F 16P) 5/3/‘,7 OK 6/ i/O7� Septic Sytem Final Approval MUST be obtained before fi al of s ucture can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: QK -cop- 0 6// 4)4g HEALTH DEPARTMENT AND PUBLIC WORKS APPROV�(L R 'WIRED 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 CASE t BLD06-00170 1.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 2.) A stormwater plan for a medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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). 5.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 6.) Minimum setback)from Tyee Ln right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. 7.) 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. 8.) 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. 9.) The building height is not to exceed 35 feet. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 11.) Per MPR Code Section 3.107,Accessory Dwelling Units (ADU's) shall not be allowed in the MPR-SF zone. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 06- RILDING PERMIT APPLICATPN MRL Review Ty 164 ype: l Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00170 Received Date: 4/10/2006 SITE ADDRESS: TYEE LN PORT LUDLOW, 98365 OWNER: MELINDA MORGAN PHONE: (206) 786-5526 46 VILLAGE WAY PMB 124 PORT LUDLOW WA 98365-9762 PORT LUDLOW NO. 1 AREA 3 SUBDIVISION: Block: Lot: 36 PARCEL NUMBER: 990400336 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: STEVEN CROSS PHONE: (206) 786-5526 46 VILLAGE WAY PMB 124 PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE & PORCH(S)/DECK(S) ALSO A/G 120 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,220 VALUATION 220,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 456 SETBACK: DECK: 316 BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: 4\ \,„\ Type Amount Paid Bv: Date: Receipt: , Approved/Date Permit $1,665.75 KAS 04/10/06 81054 Plan Check $1,082.74 KAS 04/10/06 81054 JUN 2006 State Building Code $4.50 KAS 04/10/06 81054 Jefferson County Plannin; Potable Water Application $55.00 KAS 04/10/06 81054 & Building Department Total: $2,807.99 co l,„f 5r1.-1(st_e_12.r_. ��, ON coe> JEFFEI N COUNTY 1 IA DEPARTMENT OF COMMUNITY DEVELOPMENT • `� iii, 41` `: 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax ��yys,8 � O� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Np' 16 ii Project Description(include separate sheets as necessary): =-1';lei(-2 Fctr,-, , Li ( ;5 0 ei. I- r¢i"r 1,c4' ( 4 Cc, Tax Parcel Property Number. 7 qo � -3 3 6 Size: {$1_% d r- (acres/square feet) Site Address and/or Directions to Property: LET 3(,) 7'v'E'F t'airT (,vIlo 4 1f/W-tcvf 3 Property Owner(s)of Record: s/(/ /::1 el.4 /LK.,I In Telephone: 2 .ro -? 5(: - s ZG: Fax: emai:.S'U enctifg.k YFiev5 Q Mailing Address: 'Y , L/. (t'a ye u.�" /;vrh i 2e/10.?'"C.:,Z)664 C of 5 3 6_s f' e_d •GOs,et Applicant/Agent(if different from owner): .5 i •i..t Ve. (/' l.';'S` Telephone: 26,C_,'- 7 )36.;'-$3'7(v Fax: email: S;w-<- - Mailing Address: .54•4,< What kind of Permit? Check each box t r tjr,, ❑Building es(, } ib it 1'E Ij J:riance(Minor,Major or Reasonable Economic Use) ❑Demolition Permit ❑Conditional Use[C(a),C(d),or Cj"* Single Family ❑ Discretionary"D"or Unnamed Use Classification goi Garage Attached/Detached APR 1 0 2006 Li Special Use(Essential Public Facilities)** ❑Manufactured Home ❑Boundary Line Adjustment ❑Modular ❑Short Plat** ❑Commercial* p� p��1 ** ❑Change of Use J E F H S[)14 O U t4I1 ( �ong Plat** Plan 'Address Road Approa 0 Planned Rural Residential Development(PRRDyAmendments** %Propane 0 Plat Vacation/Alteration** 0 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 0 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 PA �l =,�3 to act as my agent in matters relating t this application for permit(s). OWNER SIGNATURE Vs..".., Date: t;Vt By signing this application form,the owner/agent att that the in Lion provided herein,and in any attachments,is hue and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review a ny required ter inspections. and right of entry to this property shall be requested and shall r only uring regular business hours Signatu e: " ' Date: x Vi The action or actions Applicant will underta a result of ce of this permit may negatively impact upon one or more threatened or endangered species and could lead to a "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 ponsibility for ad ring to and complying with the ESA. The Applicant has read this disdairber an signs and dates it below. Signature v \ l�f�, ram.. Date: C U — G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc OWNER BUILDER STATEMENT The signer of this statement does hereby oerti t they are the Owners of the parcel referenced herein, they are not licensed contractors and that they wi�ming res ' iiity of the Contractor for the proposed project. 4. �a.vi '6u Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: -)` b414L- (zOC ) 7u, - 5-5Z6 ( ) MAILING ADDRESS: / _/ CONTRACTOR'S LICENSE EMAIL. S�1,�..E41C 4,4-r- ..e..5 t 3 C�.y l. � WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX ( ) MAILING ADDRFSS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: 0 Sewer ❑ Addition ❑ Steel Proposed: Z Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: L Height X Individual System ❑ Repair ❑ Masonry A. SEP Permit#,5 ;-oD,3'i'7 ❑ Demolition ❑ Other: Bedrooms: / Water Supply. Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: I Proposed: 3 • Public (-=',I et`:fivi'c//- irl /I Total: 3 ( Name of System:C O( ,, ,.-- If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply. ❑ Underground Tank Above ground Tank Size of Propane Tank: i Zi ❑ Heat Stove 0 C Stove ❑ Woodstove GFireplace Insert ❑ Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes /(Ho 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, including the reserve area. Square Footage -fior Tice 00y FI+SEP/r (▪ Q.�'x:c7; i- •a Current Proposed - K... . , x '; Main Floor �� r� 2""Floor . ,* , ; •,q r 4,i- ;a f$' r. ! • r , : 3`'Floor R1 r; 9 •" ` ~ s.� Mezzanine: AF R 1. o 2t ' C ieck fee . . .y, Heated Basement '-• ate s� Unheated Basement ae 1, w ,t . - a { • , s , t, .r . ._,4, ,'t . Other Unheated : ° } : r w + d 1 � Garage/Carport : � Y`.. s, }}� y! V 1 -��41: Decks I � , Other posti/Chec1S air» i i n ' !� - 1~ ESTIMATED COST(REQUIRED) pate: r , .Fair market value is afi-i T ' to finish(! Cr_ o•ar Z'ZCiF(3C1e���1,‘—�A�t�, 1[1iNals9t: � ` �' - t. G:\Pea enter\FORMS\DRD FORMS\M2seer Pewit Application 7-8-04.doc . • .v0 0o W L iCEIEV -� D ' JEFFERSON COUNTY Ai) I 1 DEPARTMENT OF COMMUNITY DEVELOPMENT nn�� U n � 621 Sheridan Street • Port Townsend •Washington 98368 `� U I V i�� I R,i1 360/379-4450 • 360/379-4451 Fax '41%NettC) http://www.co.iefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 06 1 OA PROJECT/APPLICANT NAME: -e I c 10,4 L/ I-Abr?)fG\ 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. ti �f t i i U Project Overview JtIrLn July �oUNTY Dl 11 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. Li _e_ J: 1( v,6 t1s-tic l.. 4- /)•e cv ,5 Fre- + 5c10-1-1.)c.SY-s-r+fit. 4 s-1-Ovcn1 A v-- c 4-1,46 11cr fs .c64-teD ) Gam- c v‘ 124.1.16 Ff- 4%1". -74"-C- In-i; --Ft-eH Dom.-yr�sr i -r• Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. `rt.; i_5 14 t"'t.'(Je- s--t -c, to r . `11-c,r• i, ?/D/ e(c(}r4-t--4y., 0 C-(-4,,.-c n c-e_ Pv z)ram-._ /-e.-F -I- , --- t&-'/ 0,". -=-1,-e- / -t- .Zs 'n r 1 bQrA/) u v\ -i- STv e,e-T- 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. 1 t,:s `-i-"-c_ i--ta..s aL14vt y c'ez.4,- f-%v -h.-e.rr s • I,j f,,,,/,�5 e.. e:=/- 4L t1-z.%9tL(90,/ .-N. 6vze,-, t e 1-i- ryL_8 67 _// ,--e_-c5 G.cia /( Wet d TL* t3 e .e,)1 i vl o v-►a-e✓ —kb ter /)�4-i ;i,1 -,-(,.e /0,-t P,--/,- 4. Describe the existing soils. Indicate soil type on the site map. re>� ;: 0?-5 ► V. C_Eutfiel) 1 k S-C:f7 C P1. 171 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.C.,,,c ^ ; 6 /Ca) ,:i,:a t/ f z_ __ _ GDyG,L_ _. _.__ -4 t1 ,•..c 5? -f e L dam 174127 _Sc�,ir,3 s ;{I,y arc: � / I t ,e-Y - -I y 1-ie f-t-e. r. t v ,/7 6. Describe any excess levels of noise generated by the pro�ased use or activity: t t-c_v (,,f) 1 -.\-j f 6_,.4- ( ;,.,1 ,pl Efk, � 0,) -v h3 c,,,,51-.; ,►, --S TER PLAN t 1 JUN202006 stormwater site plan template-rev.10/1/2003 JEFFERSON COUNTY DEPT.OF C MMUNIT [}' ELOPkJ'T SIGNATURE: 4 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. 14-€ .^c_ f, v 8. Describe the general vicinity of the site, including adjacent land uses and structures,utilities, roads,and sensitive/critical areas (streams,wetlands,lakes,steep slopes,etc.). .5 r4 .- LA3 Lri? ►`� -} c_ clo(-00 -5 k - tdet>t— f c? (-,viceh.2,- . T(�L 4-v-e.. - ►-f;, )5e s /ny -i-/-e. r`7-4 -TiA reoa,5l A SCp c. SRs7z► • 1,4/l 4,) 57-vs�T Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g• Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 in the Manual)or, if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. S't�Lti )n4-Fe-r c (1 U•ss 11 {. ,A4 0 J S hp-‘ d. • 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.] 7(J�/` A 1-I- c 3 -t-L;5 e v-"b+ cT I•S 5-6)6 C 5 r- I--f �i 1-14- O ;14 //e 5 (.1)1/49 rs -e_ j cje7 .€- -+ (tI) ,4✓►6 + "._5 r )-e -t-n -i- e i- l r st 7 ,„5/ 7-1-c. l i>-t- c-J h' 1 c2 r) Pv a„4- 11. Describe the performance goals and standards applicable to the project. 12. Describe the flow control system. + 64-2/4 .._.._........ 6 stormwater site plan template—rev.10/1/2003 S T .c • • 13. Describe the water quality system. f it r , 14. Describe the conveyance system analysis and design. FFE!1 J D rR • 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. ,ti/l/9 ss s ; e ;s r�� (.sc�ce0 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. ✓U(0 17. Describe the proposed surfacing material. -7 L - Q v-e t 4•4 -' : /( 13•<- -1-L• b9. '0,1,4-)h (v_a9--c/, i/ us-\ o C=F 18. Describe methods for restoration of the site. 1'4��'Gt/ �wt ) �y ��(/\ O F /��S J711c�G�/''7GDGi ( 1J.G [�) !/ lam,q sc io.� �°��r. S s.� q H -7' 4f<T i �-t� -} t--2 l° ��Jp,r Live 0 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. /t)f4 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. r/J c v-P 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. sc�-r'c u l t .8rrrbL.-e.a0 JEtPc. - 3cr7 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 wilt 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. ( ,t) -T I .i.) `V \ i +k 5-7c4. l l ..5-f'ii' p.c., I !..-e A.-A i i.t. vi sfy C--,,,,f c✓,S • 2. Establish Construction Access. Lek (c.) l( (Aj).1-- V— i L \JLi*) t.cter_r,,S k .4,/t49 1Lac.,k._ in t/-e IA. 2 cl„ ( c 4) t',U I>,-e... p --CtOc....--e-k0 t-F- d f I)f3 ti) 1 3. Control Flow Rates. N/✓ • 4. Install Sediment Controls. W-f c.J Z l ( t i/1.57-A- ( ( , ., I t- e- c-- >.4-,S PA-Q-e--4,0-4z.17 5. Stabilize Soils. FQ-frt..-c. -fp r... -f-k�P /-k s e F r>T; L•qJ �v^1` . (—O-�.. ( ,3 ( CO(..P"i bQ s V)-c .'5 Si C..o4(,GY _ J 6. Project Slopes. %V( 7. Prot rain Inlets. - �d' tilt s 1 1,1) u . 1., ,Irri OSON COWIN DCO 8 stormwater site plan template—rev.10/1/2003 • • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. TJl \ if L(r-`y�s it 7 [1 '-`a PA ) /H. Cal i, 9. Cont KilPollutants. JE►FERSON CHM DEO ✓A4 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). ✓(14 11. Maintain Best Management Practices(BMPs). t 13✓u e `c -tJ : l 1 h-( C6 s e c, Q 12. Manage the Project. LA 1,..2_ :, I( — -" -e_ (v L —)--6 s-e.-c -/-t-,art-- , // l3 , to p) '6 . -,- F- ( (a, ,v2 i c� ,--4-1( 5u/.2 .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). '7`turt is G ae-l-1-- orb_ 2 s•)o-c, © - -FL p e.c"1--(y c.,vA.o ` 61--t L)rq.GGt..k -- (p-1- ?(--c.--c_ cL..--e- 2— S F A"5 ,4-7-- -ALA- pl.x./,�. ® ( `K- (e‘ t b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards)./PI- 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. ) (A stormwater site plan template-rev.10✓1/2003 9 • b. Description of special requirements for working in or near environmentally sensitive areas. A)(79. 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). • 4 c (6--1 —f—st4 ( A v-- � p ob we, tl 0-e_.- ,I#. 2 r A.) , i-1,. 5:14. Px-vt�-c_ ooc. Est 17 dam- 6;L--C2r4---L 0 11 w cI —+-e> Cat.:,,—f - l C i)d_ 5. Construction Phasing. a. Construction sequence V"L v-kt- 04- / :5 F:J !,Q l S‘'4"., b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. II. Wet Season Construction Activities. } a. Proposed wet season construction activities. l( b. Proposed wet season construction activities for environmentally sensitive areas. .t4.-)7a1"-- 7. Financial/Ownership Responsibilities. a. Identify a 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. i )//4. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. s _ a. Sediment Ponds/Traps. �.Li )�, I! Li b. Diversions. c. Waterways. d. Runoff/Stormwater Detention alculation ki"' A. ti 4.;._> E F EBSON CCU°fl [CB stormwater site plan template—rev.1012003 1 0 • • 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. (LANDOWNER A IZED RE ATI SI R E) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 7 R C E B. D APR 1 0 2 i JFI E; SB UtINWI D es stormwater site plan template—rev.10/1l2003 12 0 ---\ -I it k r• I (I) . ., I ' I 6 c) cn z r=1 ,...) -...' tt•, ._... -o >_i • 0 >" A 511 n c.-A c- . 1--4 r2 H1-1: c ci, r•.) CD (-) (, • llik 4- cr, 2, tts..i • F . 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