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HomeMy WebLinkAboutBLD2006-00615 • • 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 #: BLD06-00615 SITE ADDRESS: 746 VAN TROJAN RD Issue Date: 02/12/2007 CHIMACUM, 98325 Final Date: 2/23/2009 APPLICANT: MILTON TAYLOR PHONE: 360-301-6432 KATHLEEN TAYLOR 46 VILLAGE WAY PMB#105 PORT LUDLOW WA 98365-9762 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901153003 Section: 15 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NEW SFR W/GARAGE ATTACHED BY BREEZEWAY(192 SQ FT) ALSO ATTACHED CARPORT (PORTICO) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5-1 HR SPRINKLER SYSTEM yes Cno THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 2/23/2009 I:\F_BLD_Occu pancy.rpt 10/29/19 ,W-- Jefferson County Building Division Permit Numb BLD06-00615 Applicant: TAYLOR BUILDING PERMIT INSPECTION APPROVALS kpplicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks 3/=- 7 t/ Erosion Control Foundation Footing / !,/IEEE hoSrAs.1lD / 3 07 1414.t- r.C2JA IE.P csr."-'/ULS DAILY Footing Drains Foundation Stem Wall n � � fe, 4/1a/t7(4AeAxli are)* Underground Plumbing 4,:gity2 r,Am_utiot_r Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing )0 _n Rough-in Plumbing ((--i —o7 Framing f(-- 1-0. 2 J bC. Fi.00rc. PL-'1 &Azov, ,) i3.,K C 2t Blocking Airseal 1I-f_0-7 9<- Insulation:Walls i �q Insulation:Floors ll t�Grcnr► for-sty, rFSL�t3 f#t1s k}C—rirTtJ�tT 4A0-1 willo <c.A-R ruOcT ISE; R-10 tN5JU Insulation: Ceiling / Int. Shear Wall Nailing Wallboard Nailing Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00615 Received Date: 10/25/2006 SITE ADDRESS: 746 VAN TROJAN RD Issue Date 2/12/2007 CHIMACUM, 98325 Expiration Date 2/12/2008 OWNER: MILTON TAYLOR PHONE: 360-301-6432 KATHLEEN TAYLOR 46 VILLAGE WAY PMB#105 PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 901153003 Section: 15 Township: 29 N Range: 01 W CONTRACTOR: LD RICHERT CONSTRUCTION PHONE: (360)301-0543 PO BOX 127 PORT TOWNSEND WA 98368 Contractor's License LDRICC*066L0 Expires 5/29/2007 PROJECT DESCRIPTION: NEW SFR W/GARAGE ATTACHED BY BREEZEWAY(192 SQ FT) ALSO ATTACHED CARPORT (PORTICO) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,448 VALUATION 550,000.00 ADD'L: 144 HEAT TYPE: RAD CODE EDITION. 2003 HEAT BASE: 920 HEAT TYPE: EEE OCCUPANCY: R 3 UNHEATED: 352 # OF STORIES: OCCUPANCY: CONST TYPE: 5-1HR OTHER: 192 SHORELINE: CONST TYPE: GARAGE: 1,180 SETBACK: DECK: 704 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $3,471.25 KAS 10/25/06 85141 Exist: Exist: Plan Check $2,256.31 KAS 10/25/06 85141 Prop: 3 Prop: 4 State Building Code $4.50 KAS 10/25/06 85141 Total: 3 Total: 4 Potable Water Application $55.00 KAS 10/25/06 85141 Total: $5,787.06 Directions to Site: 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 ATTATCHED CONDITIONS for Building Permit# :BLD06-00615 1.) The oil tank proposed must be located 100' minimum from the well. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on October 30, 2006 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Type 5 stream; Osprey; wetlands; landslide 1 &2. 3.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 4.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 5.) A Type 5 Stream (Fish and Wildlife Habitat Area) has been identified on the subject property. The stream will require a setback of 50-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 6.) Stream, wetland and landslide hazard area buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 7.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis), Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar (Thuja Plicata), and Western Hemlock (Tsuga Heterophylla). Among native tree species which may be used includes: Vine Maple (Acer Circinatum), Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa), Bitter Cherry(Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara (Rhamnus Purshiana), Pacific Willow (Saliz Lasiandra), and Scouler's Willow (Saliz Scouleriana). Among the native shrub species which may be used are: Sevice-Berry(Amalanchier Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Sala! (Gaultheria Shallon), Ocean Spray (Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark (Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry (Sam bucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry (Vaccinium Parvifolium). 8.) The project components are more than 600' from the identified wetland. The requirement for a wetland delineation and report is waived based on maintenance of a 225' buffer from the wetland per UDC Table 3-3. 9.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 10.) Landslide Hazard Areas and theirrociated buffers shall remain naturally veg ed. 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. 11.) 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." 12.) All construction activities shall not encroach upon the landslide hazard area, stream, or wetland buffers. This includes the storage or preparation of materials. 13.) 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. 14.) The project is located in close proximity to an identified wetland and is subject to the delineation provisions of Section 3.6.9 of the Jefferson County Unified Development Code. Based upon the proposed location of the project in relation to the identified wetland, the applicant has agreed to maintain a buffer(setback) that exceeds the standard buffer requirements by fifty (50) percent. The applicant acknowledges the additional setback and agrees to maintain the extra 50 percent buffer, therefore, waiving the wetland delineation requirements of the Unified Development Code. 15.) 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 and garage. 16.) An additional setback of five (5) feet is required from the edge of the stream buffer area to the proposed single family residence and attached garage. 17.) A permanent physical separation along the boundary of the stream 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. 18.) Stream 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 be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer - Do Not Remove or Alter Existing Vegetation." 19.) The applicant is proposing to create or add 6268 square feet of impervious surface and 20,100 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements #1 through #5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 20.) 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. 21.) 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. 22.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 23.) The revised site plan as submitted on February 2, 2007 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated February 12, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 24.) This approval is for a single family idence with attached garage and attache•rport only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 25.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 26.) 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. 27.) Minimum setback from private ingress/egress easements and Van Trojan Road rights-of-ways shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If an ESA is present, then the more stricter setbacks shall apply. 28.) 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. 29.) 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. 30.) Maximum lot coverage is not to exceed 10%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 31.) The building height is not to exceed 35 feet. 32.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 33.) The parcel has been designated as Commercial Forest Lands (CF 1:80) under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 34.) An address of 746 Van Trojan Road, Chimacum has been assigned to the parcel. Van Trojan Road is a county local access (C520009). However, the site has legal access from a private easement accessed off of Van Trojan Road. This private easement for the Taylor's was granted by Citifor, Inc. under AFN 463510 on December 19, 2002. 35.) A septic permit (SEP06-0353)was approved on February 9, 2007. A well review (USR06-0076) was finaled on November 13, 2006. Three other attempts for a well were conducted under USR02-0103, USR06-0008, & USR06-0037. 36.) A well review (USR06-0076) was approved for use of potable water for the proposed residence. 37.) The proposed structure is greater than 600 feet from the wetland located in the northeast corner of the parcel. The steep portion of the parcel is just to the east of the existing DNR road. The proposal is greater than 30 feet from the toe of the steep portion. The proposed structure is greater than 600 feet from the Type 5. The proposal meets or exceeds the buffer requirements for the Type 5 stream, wetland, and steep landslide hazard area. • IR" SON -el' �CA I , aI 0'' COS. JDEFFERSON COUNTY 4 DEPARTMENT OF COMMUNITY DEVELOPMENT � j i;,W 621 Sheridan Street• Port Townsend • Washington 98368 4 $ 360/379-4450 • 360/379-4451 Fax .,11 gati 11 www.co.jefferson.wa.us/commdevelopment '+ � ` �( FTIN� �Ef Master Permit Application MLA: 0(0- 5q5 Project Description(include separate sheets as necessary): "I----IC v`-/ A r7.4kthe A4 .;" Tax Parcel 90 I I S 3 CaC:x) Property Number: Size: a ". (acres/square feet) Site Address and/or Directions to Propesr-ti:\/4-0Tie-0 jt s, Z) (71-k) Property Owner(s)of Record:`�- AA I t r 4- h.cj {- �t Telephone: 3L 1 "�`f"1 2— Fax: email: Mailing Address: 1`j'" iI.LL*(G> ' --1 Prii6 -1 - (c( I Llii)Cik, G$ - Applicant/Agent(if different from owner): L.D g ici-f jG-T Telephone: "3(r.c 3 7 i 5 77 Z Fax: 3 7 Lj 2Z Z Mailing Address: M b 1 2 •j 1%''F Lc,'t 4j r•;�,� email: Jar IC 1 'T"�'[-Nrh6•CG lit What kind of Permit?(Check each box that applies) ❑Building ❑Variance(Minor, Major or Reasonable Economic Use) d Demolition Per it ❑Conditional Use[C(a),C(d),or C]'" Ingle Fa • . ODiscretionary"D"or Unnamed Use Classification Ja6arage ttach etached OSpecial Use(Essential Public Facilities)** ❑Manufact ome 0Boundary Line Adjustment d Modular [iShort Plat** ❑Commercial* OBinding Site Plan** Q C ange of Use ❑Lon Plat** Address �1 I Road Approac OPla n ed Rural Residential Development(PRRD)/Amendments** �ropane 10O V 6)0(2A-O o OPlat Vacation/Alteration** DAllowed"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 OWireless Telecommunication* OJefferson 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: L DESIGNATION OF AGENT I hereby designate ` � `G •e r to act as my agent in matters relating to this application for permit(s). �'7 / OWNER SIGNATURE �(` `.�?� ea....,,,....,....... /f f , ��s Date: �7/_. 7/oic=. 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 provi•e acces n n ht of entry to Jefferson County and its employees,representatives or agents for the s le purpose of application review and any requir-• I- • i spec• ns. Staffs access and right of entry will be assumed unless the applicant infor s the ounty in writing at the time of the a,.licati.•• ap pr wants pL aotLc - Signature: •- f `i Date: /cD r° `�j` 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 ct"or"ESA" e e n County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issu ill not vi late the E A. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)ev n if you re n corn lance with he Jefferso tqt Velopment code.The Applicant acknowledges that e,she pppr it holds individual and non-tra sfer re nsib•ity for ad nd complying with the ESA. The Applicant has read this discrilner nd s g f s ncj,dates it below. Signature: Date: (�r Le. D:\PertnitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc ! • IT)\ 1'N. i 1 , ` \� A til 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 the responsibility of the General Contractor for the proposed project. . I Signature: Date: iit tr GENERAL CONTRACTOR/ OR MANUFACTURED HOME INSTALLER: PHONE: tf � �. L its t C t-(i✓-- % C 1-`5 1(t?j,C 1 Cs-z.. ( ) 6.4 T Z'�t° ter u .,c,--- MAILING ADDRESS: f , rr* ,1? rl 9 S(c�6'.8 - EMAIL: ICI(' i C it ei 1 t (r;;ititA-'Coa+- CONTRACTOR'S LICENSE ,+ ! 1 V WAINS NUMBER: Lc iill_c--'*oick,A.-L, NUMBER 1 ARCHITECT/ N NEE ' G"Z-t-yt,[`. (,()(I,, fL 1 E.:.'"I•k .1j PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Prat Type: FType: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: ❑Sewer ❑ Addition 0 Steel Proposed: Bank ❑Co munity System ❑ Alteration/Remodel ❑ Concrete Total: Height/j � ndividual Syst�.m ❑ Repair ❑ Masonry I I7/ SEP Permit# 714 /7 t&) ❑ DemolitionBedrooms: 0 Other: Wate pply: Existing: Setbac : rivate well 0 Two Party r-Ae of Hot: , , ,� Proposed: -- ik. El Public jVI°C4-;i (_,..,}(,.-r. Total: Name of System: If this is a Commercial Project you must answ `r the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,ten ployees,etc) Current Proposed IBC Occupancy: IBC Type of nstruction: Will you have Food Service? Yes / No If this is a Propane Tank d/or Appliance nstallation permit,mark all items below that apply: 0 Underground Tan Above ground Tank Size of Propane Tank: ✓ /1 �^ d Heat Stove I.�.k Sto oodstove ❑Fireplace Insert 0 Hot Water Tank 0 Pellet Stove ii Other Q I L T-��_ /�� Is this applian - being i s II ina Manufactured/Mobile Home? Yes / No i V�O � talc �er'C 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. 3�� Square Footage Current Proposed For Office Use.Or�ly, .`,`m- Revision ,l'Z' Main Floor Heated Zy a� as 38g5M EH Bld App Review: 9.0 1,nV At.2n°Floor Heated i�4 1 a9ob,- Consistency Review: 0, Other Heated Base fee: 54- '15 (3,4 bo jP- Mezzanine Additional Section: S' Heated Basement 9 2 a '2I 5j9.t.D Plan Check fee: 1 C., v�`�«'r— u Ai a€'i-''' m Z -y� Z State Surcharge fee: /� , Other Unheated • Pot Water Review fee: (� Garage/Carport 1 i B O a"'�$ja,(dp SUBTOTAL "'J(�, CIO /'� cam' Decks3 911/Rd Approach fee: �0 Jc7{ eseAnn Other 2_43TOTAL: $ (pti Lin(v ,,. .Q.tt it ta7aZC WAY /¶Z 45a15 y9 Receipt Number: 5 I 1-)- I Cash/Cheek Number: [ 1 4 1 ESTIMATED COST(REQUIRED) 111 Date: -��Gc�, � *Fair market val tion -, i'- I a11C)`(� _ 600 ' Initials: ' M' D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc Stormwater : t •'s, 410 Required �► �� APPROVED STORMWATER PLAN krco I JEFFERSON COUNTY FEB 1 2 2007 . . DEPARTMENT OF COMMUNITY DEVELOPMET 4, 621 Sheridan Street • Port Townsend •Washington 98368 JEFFERSON fat NTY I ztiNco 1 360/379-4450 • 360/379-4451 Fax DEPT.OF ° �1 EL ENT 'rtlly http://www.co.jefferson.wa.us/commdevelopment/ SIGNATUR U ' 1 l 4,1 STORMWATER SITE PLAN SUBMITTAL A TEMPL MLA# l�`+) - 5 PROJECT/APPLICANT NAME: ��`(L©L• 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. N D� 1 f C Ffv —ram. Existing Conditions Summary 0 6 - 0 6 •f 5 2. Describe the existing topography. Indicate contours on the site map. FFERSON 4uUM 3. Describe the existing vegetation. Indicate native egetation areas on the site map. 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 in'd�i"�ca�te acreage of each. 6. Describe any excess levels of noise generated by the proposed use or activity: 'I(' RI V ' • jf f R,t(u stormwater site plan template—rev.10/1/2003 5 t • t 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. P .10-w '—Desdtibe 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. Late these facilities on the site plan and differentiat rop d facilities from existing facilities. fll 4.1 (Pirkt- E-79 C11%4(9014 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. RECTA\ EW ocT n fit. 12. Describe the flow control system. L tv JEER Cutin stormwater site plan template—rev.10/1/2003 6 • • • 13. Describe the water quality system. /UV 14. Describe the conveyance system analysis and design. /" l. 15. Describe the source of fill material,physical characteristics or fill material,and deposition of excess material. Yv� -Lv 12 " 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proprurfacing material. 18. Describe methods for restoration of the site. 70C-twrp1 cf 1 tip s p, ' i p� M t�C�ih-tom [2,-, (53�`'F . 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 r a I) 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.. r 2 5 2,1U3 7 21. List other necessary permits and approvals as required by other regulatory agencies. If those perm 1 its or approvals inc ude conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. stonnwater 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. �I C.1 Ot--,,, c-c" 2. Establish Construction Access. to 1: 'c (c " 'T 3. Control Flow Rates. 4. Install Sediment Controls. 5. Stabilize Soils. 6. Protect Slopes. RECRIA 7. Protect Drain Inlets. 52L3 kApr ARM 1111111117 stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Control Pollutants. k/r- 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). b"' idt 11. Maintain Best Management Practices(BMPs). ‘YE * " V. 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). ielOrzt6 b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). /110'7VIC p4gliturri,( RECEIVEfl 3. Environmentally Sensitive Areas. CT Z 5 21::i a. Description of environmentally sensitive areas that are on or adjacent to the site. JEF F9 I C UNP`j =Cc� stoanv ater site plan template--rev.10/12003 9 • • b. Description offs special lrrequirements for working in or near environmentally sensitive areas. /6/071/ 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). ///01 5. Construction Phasing. a. Cons ction sequenc 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. ? /7e i II. Wet Season Construction Activities. a. P oposed wet season ft(41714 truction activities 1-2 rf 77 1 c7-7 b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsi le for the initiation of bondsand/or other financial securities. f t-T f >� —M7 Hwy b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 61ev Ai — , 8. Engineering Calculations. Provide Design Calculation n a separate sheet for the foil. ) 'VI eV F a. Sediment Ponds/Traps. 1 \ 14 1l 1 b. Diversions. i< c. Waterways. I 2 5 nn"Ft CT d. Runoff/Stormwater Detention Calculations ra ({T� stormwater site plan template—rev.10/12003 10 • • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Constru Lion SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the ••st • m knowledge. 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