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HomeMy WebLinkAboutBLD2006-00530 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD06-00530 SITE ADDRESS: 110 LOWER ADELMA BCH RD Issue Date: 12/14/2006 PORT TOWNSEND, 98368 Final Date: 1/25/2008 APPLICANT: DONALD B CRIST PHONE: 602-920-9596 ANGELA A CRIST 110 LOWER ADELMA BEACH RD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001324020 Section: 32 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NSFR W/A/G 500 GAL PROP TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes (610 THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 1/25/2008 I:\F_BLD_Occupancy.rpt 10/29/19 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00530 Received Date 09/13/2006 SITE ADDRESS: 110 LOWER ADELMA BCH RD Issue Date 12/14/2006 PORT TOWNSEND, 98368 APPLICANT: DONALD B CRIST PHONE: 602-920-9596 ANGELA A CRIST 110 LOWER ADELMA BEACH RD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: TAX6: PARCEL NUMBER: 001324020 Section: 32 Township: 30 N Range: 01 W CONTRACTOR: PARADISE BAY DESIGN & CONST PHONE: (360)437-9344 BILL IRWIN PO BOX 545 CHIMACUM WA 98325 Contractor's License: PARADBD943C1 Expires: Nr 9344 PROJECT DESCRIPTION: NSFR W/A/G 500 GAL PROP TANK CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: �/ UFFER: uFEER, U)STALLAt• Footing: i7,' ,3//'D7 Dv H- 3 - Foundation: ?M' Sfre,7U7," Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : x-r i/ur QS1451.� CLAcg 41( lige?, w k-,110) o L 7� ir) Sheathin �t (l � 9� fM'f.QroR ,LrvL�on S1/���pLL ���u�' !/l� 1F G7 i �'A',v�`" "� Framing: afraeg2/07,1 Q6 i•irr 6+0rururrr GuFlus Lorto$ FieAA«ive QA Plumbing: 1Q9 9ID A/ ,67 le)9r eliete 4 !.�/ //� �a Propane Tank / Linen / / L �(/ �c- - Insulation:t,�%t� - � t� {-ly 4. rr4s4 9/00 Sheetrock: h � Septic Syter'i Final Approval MUST be obtained before final of ucture can be attempted. Road Approach Final Approval: Zoning Final Approval: _ f Final/Occupancy Approval: ! v l 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 41 • SPECIAL CONDITIONS FOR CASE # BLD06-00530 1.) A setback of 50-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 2.) Wetland buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 3.) A permanent physical separation along the upland boundary of the wetland buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 4.) 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. 5.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 6.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) A 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) Not more than 2 unlicensed vehicles shall be stored on any lot 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 Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 10.) Minimum setback from Adelma Beach Road right-of-way shall be 20 feet. Based on a site visit conducted by Greg Ballard, SPAAD project planner around April 1, 2005 the rear setback shall be 45 feet from the edge of the existing wood bulkhead. The existing wooden bulkhead was utilized as the point of measurement because it is a easy identifyable mark. Minimum setback from wetland edge is 50 feet. Minimum setback from south east side yard is 5 feet. 11.) 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. 12.) 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. 13.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 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. 15.) The building height is not to exceed 35 feet. 1 16.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 17.) THE ROAD APPROACH PERMIT (RAP06-0183) MUST BE INSPECTED AND FINALLED BY THE JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PRIOR TO THE FINAL INSPECTION/CERTIFICATE OF OCCUPANCY OF THIS RESIDENCE. CONTACT TERRY DUFF (360) 385-9159 AT THE JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS FOR THE FINAL F:OAD APPROACH INSPECTION. I:\F_BLD_Permit_Buildng.rpt 10/29/19 bUILDING PERMIT APPLICATION ML Revviewiew T Tyy 513 pe: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00530 Received Date: 9/13/2006 SITE ADDRESS: 110 LOWER ADELMA BCH RD PORT TOWNSEND, 98368 OWNER: DONALD B CRIST PHONE: 602-920-9596 ANGELA A CRIST 110 LOWER ADELMA BEACH RD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: TAX6: PARCEL NUMBER: 001324020 Section: 32 Township: 30 N Range: 01 W CONTRACTOR: Q _W 1ER1RUtriSER PHONE:3(4(j-43'1_C.I544 11.3 Ti lt.) REPRESENTATIVE: ANN RAAB PHONE: 360-385-5614 606 ROOSEVELT PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOI NSFR W/ A/G 500 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,177 VALUATION 205,000.00 ADD'L: 691 HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 569 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2-.-- Routing Date: q I 1-ki(0 Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,581.75 LYK 09/13/06 84906 Plan Check $1,028.14 LYK 09/13/06 84906 - 'J IJ State Building Code $4.50 LYK 09/13/06 84906 Potable Water Application $55.00 LYK 09/13/06 84906 DEC II 200 Total: $2,669.39 • • Co P. ox oo6 JEFFERSON COUNTY t tC ' \ ,o r3 DEPARTMENT OF COMMUNITY DEVELOPMENT SEP I' 621 Sheridan Street• Port Townsend • Washington 98368 c7EP 360/379-4450 • 360/379-4451 Fax ` ii`' ..Q"��� www.co.jefferson.wa.us/commdevelopment 1Master Permit Application MLA: 0 Co a l Project Description(include separate sheets as necessary): 3 Z_, I'w f,i q:)t i 'gA1,461 e Tax Parcel Property — Number: CO / 3-a-Li 6 ZO &7,57 Size: (acres/square feet) Site Address and/or Directions to Property: I I O 1-0 w G 2 A r.t=!_ 's il. 1 A( i-i Property Owner(s)of Record: I]O N N.n " ty.C-1t r rLt - -- Telephone: :-:;. ,D ' .`> - 0 7) Fax: email: >t'" 4", 'air, Mailing Address: i i O Le\y a Q, ,.�•00:1-..t i A 5 -4. -4 2 D , P, ;. Applicant/Agent(if different from owner): As N i`i 2a A r3 Telephone: (eC7 3 5--`5-6 )4 Fax: aes-- Z53e,. email:arm voi�,,,,f„Lt(cSl�th nc Mailing Address:___6 0 6. r ,Of;S e v r-iT P. i C''Cc rn i Viat kind of Permit?(Check each box that applies) Mt uilding ❑Variance(Minor,Major or Reasonable Economic Use) f j Demolition Permit ❑Conditional Use[C(a),C(d),or C]** tingle Family ODiscretionary"D"or Unnamed Use Classification El Garage Attached/Detached OSpecial Use(Essential Public Facilities)** Q Manufactured Home °Boundary Line Adjustment El Modular °Short Plat** Q Commercial* °Binding Site Plan** El Change of Use °Long Plat** Q Address i Road Approach tlPlanned Rural Residential Development(PRRD)/Amendments** Li Propane ❑Plat Vacation/Alteration** DAllowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** °Stormwater Management ❑Shoreline Management Substantial Development** OSite 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 OForest 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: fiN n4A0 DESIGNATION OF AGENT I hereby designate 'c to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE �j - -45 e � Date: 6/Z.°-" d 6 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatio� a wants rior no Signature: e,z,...7.7 Date: $1Z ei,o 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 sibility fo d rin o an mplying with the ESA. The Applicant has read this disclai r and ig and dates it below. Signature: Date: � d D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc • i BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming lhara sibility of the C t ctor for the proposed prole Signature: ��— Z Date: 9z/U6 GENERAL CONTRArT^'n^MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: L:„‘l-}fjl,l,,f Ci rz..• tv G:. , INC' PHONE (3G6)24 3 _ `lvd FAX:( ) MAILING ADDRESS: 31 i C6+HM-tere..c.AA1.r A's(G., S�,TE10a' EMAIL uwwL0• `SChc-vv, ,r`e_4(1.( ' C.O►Y) Pr9ject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: g'New Wood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: Z Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: Height: Rindividual System ❑ Repair ❑ Masonry i-4 SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: _ — Setback: El Private well 0 Two Party Type of Heat: Proposed: _ L% 5' El-Public Total: Name of System: 0 If this is a Commercial Protect 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: In Underground Tank In Above ground Tank Size of Propane Tank: SU(} ❑Heat Stove ❑Cook Stove L 1Woodstove 'Fireplace Insert 0 Hot Water Tank 0 Pellet Stove p Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only ,Amount mt ''ReVisioh ^ Main Floor Heated I ' .7 , 345494 s EH Bld App Review: C OD 2n°Floor Heated Go q f4,1q 54 z*3 Consistency Review: I` ,_ rst7 Other Heated Base fee: 1581 .15 Mezzanine J Additional Section: Heated Basement Plan Check fee: 10a8 •I`I Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport _ SUBTOTAL a9 a a 39 Decks �� q �� 1133 911/Rd Approach fee: L I-1 n P nNCA� 0- I G� Other TOTAL: $ ag I(�F�t' Receipt Number: aL-Pcu Cash/Check Number: r-1- ESTIMATED Q BI @ (42_ Date: .Fair cet aide of all labor an materials dation to finish d b I .,r -.:--) Initials: (-___ ) D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc • • ar 111 I I ki, JEFFERSON COUNTY ri:1 -`' .1 DEPARTMENT OF COMMUNITY DEVELOPMENT r DEC 1 2 200 a L '1 621 Sheridan Street • Port Townsend • Washington 98368 •q fi0 360/379-4450 • 360/379-4451 Fax "rt.[NC http://www.co.jefferson.wa.us/commdevelopmenU STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# e (i j!3 PROJECT/APPLICANT NAME: �.-j i% 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. {�` L jE Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. Li L' `" 1/4 4 f 1 t G;L_c.? T' ,_ 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. `/," I i / 4. Describe the existing soils. Indicate soil type on the site map. 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: STORMWATER PLAN DtC 1 3 2006 stOrli-l` JEFFERS C UNITY p U\reU DEPT.OF CO Y EV . PMENT f��+Q � SIGNATIiRE: r&f stormwater site plan template—rev.10/1/2003 '� , 5 I • • • 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.). 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. 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] • 11. Describe the performance goals and standards applicable to the project. 12. Describe the flow control system. stormwater site plan template—rev.10/1/2003 6 1 • • 13. Describe the water quality system. DEC 1 2 2006 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. 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. 2. Establish Construction Access. 3. Control Flow Rates. 4. Install Sediment Controls. 5. Stabilize Soils. • 6. Protect Slopes. ..ma 's 7. Protect Drain Inlets. 8 stormwater site plan template-rev.10/1/2003 • • 12 Required Elements—Construction SWPPP(continued) 'F 8. Stabilize Channels and Outlets. DEC 1 2 2006 9. Control Pollutants. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices (BMPs). 12. Manage the Project. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). [V b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). qA 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 special requirements for working in or near environmentally sensitive areas. Pict - ' , • f ,' 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). 5. Construction Phasing. a. Construction sequence 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. (Q\ � II. 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 re onsible 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. 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. (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: c nhOotiMe, je ('511 grdUp-(-O'►"' /` / ,/ • �c /' �r\e . , O ~e � '. 12 stormwater site plan template—rev.10/1/2003 CD p �d x . ,..,,. _ ... �.: ., �. _ ....r-T ..S 8*91 M a t' .0A• cn iw 0 b / N / `, ;Or V/ ,- N \ ptt s ir \ J \O \ rN 1 A xl)>\ / '_ \i d� w� � i jr oP / • k i,� hi .' . '"IS \ 4' /0:, . 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