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HomeMy WebLinkAboutBLD2006-00554 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00554 Received Date 09/28/2006 SITE ADDRESS: 172 EBB TIDE CT Issue Date 11/27/2006 PORT LUDLOW, 98365 APPLICANT: RANDALL J VERRUE PHONE: (360) 437-2101 SANDRA E VERRUE C/O 70 BREAKER LN PORT LUDLOW WA 98365 SUBDIVISION: LUDLOW COVE DIVISION 1 PHASE: 2 Block: Lot: 17+ PARCEL NUMBER: 968800017 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: PORT LUDLOW ASSOCIATES PHONE: 360-437-2101 70 BREAKER LN PORT LUDLOW WA 98365 Contractor's License: PORTLAL994L8 Expires: 5/2/2008 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE ALSO A/G 120 GAL PROPANE TANK CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PJECT. SETBACKS: __IuQYEYEp tom, P PLAIN 4,5/07 OFFER: 7,41z.:EZ, 41311/ Pen' FIGS Ok 016141, hustALL IuTer. ✓=-01.5 �jBCk FT4s OTC I'I�I�I A A4ite4taxi vs• Footing: 4yi e.0' eNIN&/)AILS even. 14 h+pl� GtiicfmRre,"4 413/a7 n!C i.�rnitiitan 4�3oto Foundation: WALL, u, p 'ZS,-O7 gpx �i►�g5f 5 Ok 7 la/07� Stormwater FINAL Approval: fi ue1MD 4Ga fu& OK 4/3/67, Flu*, a 03/0 Underground Plumbing: Underground Insulatio Shear Wall : Ox // //a7 Sheathing: � Framing: . : : � •. �Cli': GA ' - u' D ,T 7 0,17% - ix /�/47 fr Plumbing: /)k 8�14/o7 i rxr rfrIbrlitig LrNr-s 01 ,4401✓ o Propane Tank/ Lines: /N?£RAuz &PA/ASEI/ C DK // 07 7 ••1( n+� t� 7✓ Insulation: 1t�/!cti5 rr��r,+ ► (.' i-1Nc'` 04. it c;/& it SEAL-0 //5p Sheetrock: // /Z 7 07 Septic Sytem Final Ajr val ST/be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: .� Final/Occupancy Approval: -4 v_1.; V 1 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 AGNED epeen94. /NSP: se ken(Q* SrEa_ By Kr.4ZAu Si9sS41c (7-5.-57)6a is/(ea9Y An. SPECIAL CONDITIONS FOR CASE BLD06-00554 1.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 2.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 3.) 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. 4.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 5.) Per the Notice to Purchasers on the Final Plat, "Mechanical apparatus rather then chemicals, shall be used for brush clearing maintenance wherever practicable. Herbicides used for maintenance along roads and drainage systems shall follow the performance standard outlined under"Chemical Application"of the"Forest Management" Section of the Jefferson County Shoreline Management Master Program. 6.) Per the Notice to Purchasers on the Final Plat, "Truck Route and Work Hour Restrictions - Construction within this plat is subject to Truck Route and Work Hour Restrictions. All construction activity shall be conducted between the hours of 7 AM to 6 PM Monday through Friday and 8 AM to 5 PM on Saturdays". 7.) Per the Notice to Purchasers on tne Final Plat, lot owners shall be aware that Jefferson County has approved the Ludlow Cove Archeological Resources and Traditional Cultural Places Assessments (Dated 6/30/03) and should be aware of the contents of said report. As delineated in the field by orange painted 1"x 2" stakes. No earth disturbing activity shall be allowed in sensitive areas unless witnessed by Larson Anthropological/Archeological Services (LAAS). Approved Construction Drawings designate this area as a Sensitive Area rather than "Shell Midden" in compliance with State Law (See Special Note#1 on Sheet 5 of the Approved Construction Drawings). No earth disturbing activity is allowed within the sensitive area unless witnessed by Larson Anthropological/Archeological Services (LAAS). In the event Archeological items are discovered during construction, builders and lot owners shall observe the following protocol: Stop Work. Do not further disturb the area or remove any materials there from. Notify immediately the Jefferson County Director of Community Development 360-379-4450. The Director of Community Development will immediately notify the Washington State Office of Archeology and Historic Preservation (OAHP)(306-407-0752). Protect the area from vandals and collectors. Obtain services of a qualified archeologist to evaluate the site and make recommendations for further work in the area. If further excavation or disturbance of the site is necessary, obtain the appropriate permit from the OAHP. Proceed only in compliance with the terms and conditions of said permit. 8.) Buffers shall remain naturally vegetated. Where buffer disturbance occurred during construction replanting with native vegetation shall be required. Minor pruning of vegetation to enhance views may be permitted on a case-by-case basis with prior approval by the Jefferson County Department of Community Development. 9.) The building height is not to exceed 35 feet. 10.) Call Jefferson County Permit Center, Development Review Division for inspection of erosion control measures. (360) 379-4463 11.) 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. 12.) Construction of structures on these residential lots are subject to the following setbacks: A) minimum front yard setback shall be 20-ft. from Ebb Tide Court Right-of-Way, a private road, B) minimum side setback shall be 5-ft, C) minimum shoreline setback shall be 30-ft from OHWM or 30-ft from top of bank if bank height exceeds 10-ft, and D) maximum impervious surface on any lot, shall not exceed 45 percent. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) The minimum shoreline setback shall be 30-ft from OHWM or 30-ft from top of bank, if bank height exceeds 10-ft. 15.) All noise emitting machinery that cannot in any other way operate below the maximum permitted noise level shall be housed in a sound-attenuating structure. 16.) 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. 17.) Motor vehicle parking between new structures and ordinary high water mark (OHWM) is prohibited. 18.) Per the Notice to Purchaser on the Final Plat, no fence, wall, hedge or barrier greater than 42-inches in height shall be placed or enlarged nearer to the water than the building setback line (BSBL). No fence, wall or similar structure shall be placed waterward of the ordinary high water mark (OHWM). • 19.) Geotechnical report ('Report') dated 3/22/95, prepared by GeoEingeers, Inc. has been prepared for this plat, A copy of the report has been in the file for this project in the office of the Jefferson County Department of Community Development. The report contains information and recommendations relating to site work, construction activity and related matters associated with soils and slope staiblity. All construction and clearing activities on any lot within the plat shall either(1) comply with the recommendation set forth in the report: or(2) comply with the recommendations of an alternative geotechnical/engineering report. In the event an alternative geotechnical/engineering report is proposed, then prior to commencement of any land-disturbing or construction activities on any lot and prior to the issuance of any building permit, the alternative report shall be prepared by a licensed geotechnical engineer, a professional geologist or a licensed professional engineer knowledgeable in the regional conditions with professional experience in landslide, erosion or seismic hazard evaluation and submitted to the Department of Community Development- Development Review Division. The geotechnical/engineering report shall illustrate the exact location of all proposed residential foundations, reinforcements, rock walls, etc., based on the recommendations of the report. An inspector working under the supervision of a licensed engineer shall be on the site during subgrade preparation. 20.) Herbicides used for maintenance along roads and drainage systems shall follow the performance standard outlined under'Chemical Application' of the 'Forest Management' Section of the Jefferson County Shoreline Management Master Program. 21.) 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. 22.) A Small Parcel Erosion and Sediment Control Plan Erosion and Sediment Control Worksheet 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. During construction, the applicant has proposed the use of silt fencing and straw to control sediments and stabilize soils. Restoration will be through landscaping. 23.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 24.) Per MPR Code Section 3.17, Accessory Dwelling Units (ADU's) shall not be allowed in the MPR-SF Zone. I:\F_B LD_Perm it_Bu ildng.rpt 10/29/1999 •ILDING PERMIT APPLICATPN MLLA06-005537 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00554 Received Date: 9/28/2006 SITE ADDRESS: EBB TIDE CT PORT LUDLOW, 98365 OWNER: RANDALL J VERRUE PHONE: (360)437-2101 SANDRA E VERRUE C/O 70 BREAKER LN PORT LUDLOW WA 98365 LUDLOW COVE DIVISION 1 PHASE 2 SUBDIVISION: Block: Lot: 17+ PARCEL NUMBER: 968800017 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: PORT LUDLOW ASSOCIATES PHONE: 360-437-2101 70 BREAKER LN PORT LUDLOW WA 98365 Contractor's License PORTLAL994L8 Expires 05/02/2008 REPRESENTATIVE: DAN HOSFELDT PHONE: (360)437-8336 70 BREAKER LN (360) 437-2522 PORT LUDLOW WA 98365 PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE ALSO A/G 120 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 4,633 VALUATION 700,810.00 ADD'L: 1,738 HEAT TYPE: HTP CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 576 SHORELINE: CONST TYPE: DECK: 950 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 4 Total: 3 Total: 4 Routing Date: ci J �� a oco (i Type Amount Paid By: Date: Receipt: Approved/Date, Permit $4,187.60 KAS 09/28/06 84888 Plan Check $2,721.94 KAS 09/28/06 84888 NOV a,i 2006 State Building Code $4.50 KAS 09/28/06 84888 Potable Water Application $55.00 KAS 09/28/06 84888 Total: $6,969.04 • III ff,- 4436 JEFFERSON COUNTY r DEPARTMENT OF COMMUNITY DEVELOPMENTkito, 621 Sheridan Street • Port Townsend • Washington 9836k �� �� � 360/379-4450 • 360/379-4451 Fax P � ���F���(t�� C������ U�� www.co.efferson.wa.us/commdevelo ment t Master Permit Application MLA: OLD- 537 Project Description(include separate sheets as necessary): New SIc9e ear* fcsi �'/c . tick g rag e Tax Parcel Number: 9CD75 g OU OI 7 Property Size: p214 (9 Q, (acres/ ware Site Address and/or Directions to Property: •! a • T Property Owner(s)o Record: ?.1Z varam.v ;4 w s:: per- t :k L.., L •.,-,4, A. 4, 1 • . Telephone: LQO '1 • )(Q0) Lf?j1_ - !a email: Mailing Address: • A i/. A, , r� ntillI.v, Ito 1 g83(a5 Applicant/A ent if different from owner): 0 Telephone: Fax: 37 email: Mailing Address: d 1f t Key / (i--L, jL) (_,,)* ?r .r What kind of Permit?(Check each box that applies) Building ❑ Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or CI** X Single Family ❑ Discretionary"D"or Unnamed Use Classification Garage i /Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment El Modular ❑ Short Plat** El Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑ Address I 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: �1 DESIGNATION OF AGENT I hereby designate (�j (S�'" 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 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 and any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business ho Signattn . Date: Q r2-13 10 G 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 n -transferable resp n •bility for ,`.b Date: S adhering to and complying with the ESA. The Applicant has read this disclai r and sig/0-6 s and dates it below. Signature• �Y r 4 1�1 C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc6r e 09,28/2008 09:55 360379445kk JEFF CO PERMITCE PAGE 02/02 08/23/200003:21 FAX 300407232W PORT LUDLOW' ASSOCIATES 1111Pt PERMIT CENTER IZI002 RiEC1EjivjD a OWNER atIILDER STATEMENT The at nor of shirt rtote+mcnt dorm horeb certifythat theyare the Owncra of the parcel referenced herein,that y n I n eontreelera and the they will be asxurning the r spo big of the Generic ntex:ter for lie proposed»reject. I �{\ f ij � l i .1{ (� BiOnetUlia .. Dale: T i iILU I GEN1 RAt"'CONT ACTOR OR MANUFACTURED HOME IN9'MLLER; PHONE: FAx lower . 4 (Sit) 'r.'7-ai o ( ale 3 a MVIAiLINOAi]DRE,SS; 10 ilx'ea Lt 1=MAIL: CONTRACTOR'S LICENSE 1 i s,,t113/QS WAINS �� NUMBER:: ?ot- r' t , , 93 9 LQ NUMBER ARCHITECTJFNCINEr=R, `r PHONE ( ) FAX:( ) MAILIN6a 4rinn'RS; EMAIL I Protect Typo: Frame Type: Bathrooms: Shoreline: Typo of Sewage disposal: 15(New I jQC Wood EXisting: '-e" ._ j$;Sewer I: Addition 0 Steel Proposed: .__- Rank ;I Community System ❑ Alteration/remodel LI Concrete Total: Height CI Individual System 0Repair LT Masonry SEP Permit IP ❑ Demolition ❑ tOkher; Bedrooms: Water Supply: ExiLvting: 'r' Sotbeck: 0 Private well 0 Two Party pt�ororHe�� Proposed: af "Public Total: '� Name of System: "v'17 I 3 _ _-, • - — If thin Isla Carnmercial Project you must answer tl+e foilowincj Number of Perking Spaces: Current: Proposed: Number of ADA Parking 9peaf+s Number of occupants(includes owners,tenants,employeee,etc) Current Proposed IBC OoeiIpeney: IBC Type of construction: Wiil you have Food Service? Yes!No If thisA.15 p. ttpane Tank.andforAppliance Instalbtion permit,mark all Rome below tpolapip i UlIdergiround Tank i Abo cyouradIeak Size of Propane Tank Q iL( i Heat Stove i Cook Stove I Woodstove Fireplace Insert i Hot Water T k i Pellet Stove i Other is this nppIIien r_, ,keInb installed in a Menu ctu red/Mobile Home? Yes No When a/11plying fore parrnft to Install a propane tank you must also submit a site plrarP stowing all of the buildings,all property floes,tethk location and size,distances from the propane tank to all property lines,buildings and septic system corn..neat-, _including the revive urea.e. 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Describe/check the Best Management Practices (BMPs) that you will implement during land disturbing activities or construction to control erosion and prevent sediment from entering water bodies (marine waters, streams, rivers, lakes, or wetlands) or impacting adjacent property or roads. Please check the measures you plan to implement and show their approximate location on the site plan. You may also propose measures other than those listed. Attach additional sheets,if more space is required. [) Stabilize construction access route. Limit construction vehicles to one route, if feasible. Provide a stabilized construction access by applying quarry spalls, ballast, or crushed rock to minimize tracking sediment onto roads. (See attached illustration from Stormwater Management Manual.) If sediment is transported onto roads, they will be cleaned thoroughly. [] Minimize the extent of land disturbing activity and preserve existing vegetation. Preserve buffers of well-established vegetation between disturbed areas and property boundaries, roads, water bodies, and desigute'J rrif—1 —tie- fioh aed wild ife habitat areas,landslide or erosion hazard area, : .- ApP Q y t`t ED STORMW 1,4 SPESC Instructions—Short Form OCT L 3 Revised July 17,2002 3 4 n Eri.OF 6 , �, DE'V LO' 1:4, ► $TGNAnrn>k 1177 _1 J. • • EROSION AND SEDIMENT CONTROL WORKSHEET [] Phase clearing so that only areas that are actively being worked are uncovered. [] Start and complete land disturbing activities and stabilize the site between April 1 and September 30. Stabilization means that disturbed areas will have well-established plant cover or be landscaped to minimize erosion. [)Q Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between October 1 and March 31 and within 7 days between April 1 and September 30. [ ] Cover exposed soil with a minimum of 2 inches of straw or hay or other material approved for this purpose. [ ] Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads, and property lines. [] Place gravel base on roads,driveways,and parking areas after clearing and subgrade preparation. [ Protect adjacent properties and water bodies from sediment deposition: [] Place straw or hay bales in ditches and drainage ways down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies.(See attached illustrations from Stormwater Management Manual.) [ ] Install a filter fence down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustration from Stormwater Management Manual.) [X Regularly inspect and maintain all BMPs especially after storms events. [] Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. Site is very flat with sandy soils . So I helieve the above measures will be sufficient, p SPESC Instru4tiohort Form Revised July )7, .._.. �_.._ .. .._... ..., 4 JLI t j� i!. .rli iY tiED fTJ))T,Y-lti=,7a�• • • EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped,apply gravel base to roadways,etc.) Areas that are distrubed will be landscaped with natural type vegetation and lawn to property line 3. Describe how runoff from impervious surfaces will be controlled (disperse to vegetated areas to infiltrate,dry well,infiltration trench,route runoff to existing drainage facilities,etc.). All impervious surfaces will be run to roof drains and catch basins as designed into the plat requirements . SPESC Instructions—Short Form Revised July 17,2002 • � i EROSION AND SEDIMENT CONTROL WORKSHEET 4. Specify your construction sequence. Describe the timing of all land disturbing activities (clearing and grading, construction, installation of drainage facilities, landscaping, etc.) and Best Management Practices. Describe proposed maintenance of BMPs. After excavation the soil piles will be covered and silt fence will be installed. Silt fence will be left in place until we are ready to landscape and all roof drains/ catch basins are in. Landscaping will be installed as early as possible on the exterior of the building when all exterior concrete work is completed,(( , The Best Management Practices proposed above will be implemented to control erosion, sediment, and stormwater runoff. I will notify the Jefferson County for inspections as required. Signature of Owner/Ag t Date �f ' Ir4 � T� SPESC Instructions--Short Form Revised July 17,2002 ' '' ' f .)rn L1 0 • Yy it ` -<i ' 9% JEFFERSON COUNTY , ,ei. i DEPARTMENT OF COMMUNITY DEVELOPMENT ,. q to! „� . _;, . 621 Sheridan Street • Port Townsend . Washington 98368 : ,, n ` il Q 360/379-4450 • 360/379-4451 Fax d,. S14o� http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet MLA## G(C) '"357 PROJECT/APPLICANT NAME: Yoh LxicA`ow n55cc ck4e DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E.,SITE) Size of parcel k S 0 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet a lS CA, sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover (both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock, western red cedar,alder, big-leaf maple,and vine maple; shrubs such as willow, elderberry, salmonberry, and salal; herbaceous plants such as sword fern, foam flower, and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION, AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded, filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: 5a09 Does the project convert%acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank, etc. 10/fr sq/ft Circle: Yes o Well,utilities, etc. ` 2 C) sq/ft Does the project convert 2'/2 acres or more of native vegetation to pasture? Driveway, parking, etc. lot to sq/ft Aisf- Circle: Yes iir Lawn, landscaping, etc. 2 sq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 1 sq/ft Cut Fill (cu/yd) [over] stormwater calc worksheet doc—REV.10/12/2003 1 • 0 i ' 1 Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under nttmrat conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limite roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, graveltoads, packed earthgn '11- rials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS—IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) 5 230-1 sq/ft Structures(all roof area) sq/ft Sidewalks 1 ZD sq/ft Sidewalks sq/ft Patios 6'5 sq/ft Patios sq/ft Solid Decks ijfr- sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway /O�p6O sq/ft Driveway sq/ft Other "U/' sq/ft Other sq/ft Total New 11 l 7 sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* 72(4 / sq/ft 'This amount will be used to check total lot coverage. The following questions will help determine whether the+proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation 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. ..e.....- \ Ct 1 ...f3lb C (LANDOWNER OR AUTHORIZED PRESENTATIVE SIGNATURE) (DATE) Si lr t M t.1u4 1 0 5 t4-t:. 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