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HomeMy WebLinkAboutBLD2006-00638 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 #: BLD06-00638 SITE ADDRESS: 363 CHASE RD Issue Date: 12/14/2006 PORT TOWNSEND, 98368 Final Date: 2/15/2008 APPLICANT: AARON J MC COMAS PHONE: 310-815-5313 3918 LAS FLORES CANYON MALIBU CA 90265 SUBDIVISION: DISCOVERY RIDGE PRESERVE Block: Lot: 11 PARCEL NUMBER: 947200011 Section: 19 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NSFR W U/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 ';no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 2/15/2008 I:\F_BLD_Occupancy.rpt 10/29/19 4 0 BUILDING PERMIT 4 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00638 Received Date 11/9/2006 SITE ADDRESS: 363 CHASE RD Issue Date 12/14/2006 PORT TOWNSEND, 98368 APPLICANT: AARON J MC COMAS PHONE: 310-815-5313 3918 LAS FLORES CANYON MALIBU CA 90265 SUBDIVISION: DISCOVERY RIDGE PRESERVE Block: Lot: 11+ PARCEL NUMBER: 947200011 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: NELSON CONSTRUCTION INC PHONE: (360)385-3062 31 COMBS PL PORT TOWNSEND WA 98368 Contractor's License: NELSOCI972C1 Expires: 6/8/2007 PROJECT DESCRIPTION: NSFR W U/G 500 GAL PROP TANK CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: t/ UFFER: Footing: 57Q 07 i Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : 5-TRAPS dK 0-4/07, Sheathing: Framing: FL - yti.Ifr ? --A-SS11 2ucor,rc,-rv,1 Plumbing: - -T-0? -"r---r-0 i'- Z-07 Propanelank/ Lines: (t- - T - Ic . U(9- IItJ t`Z.5 J0? Insulation: .4,•a"..._s -`1-2-1 -1 ) Sheetrock:C}� 10--IS-C-7 Septic Sytenh Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: _ Zoning Final Approval: Final/Occupancy Approval. � I -\c HEALTH DEPARTMENT kID PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE SPECIAL CONDITIONS FOR CASE t BLD06-00638 1.) This approval is based on the WAC 246-272 requirement of 240gpd min per residence. The septic system serving this residence is sized for 480gpd leaving 240 (or 2 bedrooms) for future use. 2.) 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. 3.) 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. 4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 5.) 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. 6.) 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. 7.) 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. 8.) Minimum setback from Chase Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/19 06 BUILDING PERMIT APPLICATSI MRL Review Ty 662 ype Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00638 Received Date: 11/9/2006 SITE ADDRESS: CHASE RD PORT TOWNSEND, 98368 OWNER: AARON J MC COMAS PHONE: 310-815-5313 3918 LAS FLORES CANYON MALIBU CA 90265 DISCOVERY RIDGE PRESERVE SUBDIVISION: Block: Lot: 11+ PARCEL NUMBER: 947200011 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: NELSON CONSTRUCTION INC PHONE: (360)385-3062 31 COMBS PL PORT TOWNSEND WA 98368 Contractor's License NELSOCI972C1 Expires 6/8/2007 REPRESENTATIVE: RICK NELSON PHONE: 360-385-3062 31 COMBS PL PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOI' NSFR W U/G 500 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,584 VALUATION 158,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 436 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date: \ I \q CX0 Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,318.55 LYK 11/09/06 86854 Plan Check $857.06 LYK 11/09/06 86854 State Building Code $4.50 LYK 11/09/06 86854 DEC 1.1 MC Potable Water Application $55.00 LYK 11/09/06 86854 Total: $2,235.11 .soN C • / �r,� JEFFERStitCOUNTY ` DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368kiiiit NOV (� 0b 360/379-4450 • 360/379-4451 Fax 4gsN��p'� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: uo_L pl a Project •Descripf n (inclyde se arate she is as n ss ik).;-- _. Cit -7 f Property Tax Parcel Number: 4- 1 -3 '-- I t i Size:I ,� ,'ify,i `;;fi Ii A -'(�c s/sq re feet) Site Address and/or Directions togroperty: I I t[�.(,JCJJ1.3 , It '1. s3 r%./ Property Owner(s)ofRRecord:-t, ,.1,(1N (_ �Y Telephone: •. i C��- �j Fa : '- email: — Mailing Address:s L L'I - 'l( u mNi,' , ' it`ia_ .�,() .tt Cy r� Applicant/Agent(if different from owner):(`VLC.,' :-1C�sLOA p'�C •- "kQ�* ,n (- )Utt iAlt414 Telephone: ' ; - = C (e Fax: email: _ Mailing Address: - ''' - . /r '1 c.( ,L-c . (y T o-koi r-t--uot . Ci" (C Wi�At kind of Permit?(Check each box that applies) Building ❑ Variance(Minor,Major or Reasonable Economic Use) ❑Remolition Permit ❑ Conditional Use[C(a),C(d),or C]** re5tn _gle Family ❑ Discretionary"D"or Unnamed Use Classification Garage Attached LQetached, ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** 0/Change of Use ❑ Long Plat** RI/Address ❑ 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: — rikk_ •— 1 DESIGNATION OF AGENT _ � - \ I hereby designate ' to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE IC Date: 41E' '1 _C L 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 required I tams ction .Access and right of entry to this property shall be requested and shall occur only during regular business hours. � ���q !y hours. 1vv1L"W�^j ('�"Cll`J�cY 1 K/ 1 C Date:+ 4 : 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 - - compliance with the Jefferson ounty development code.The Applicant acknowledges that he,she or it holds individual and non- transfera• ;sp,nsi lit for p ntb n aft lyi yt h the ESA. The Applicant has read this disclaimer apes signs d clajes it below. Signature, _ .A.t, , i��t. \ r��`�l (,e1G,� Date: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.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 the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CO.N1RICTOR OR UFACTURED HOME INSTALLER: n PHONE: FAX: Lc z,i �tY‘ . � I�cr � C f �i t (M ) -± -3O d.. ) MAILING ADDRESS: 31 C1 ►'J .j�x'.6. 1 tPrat. EMAIL: CONTRACTOR'S LICENSE 98.3 WAINS NUMBER: NE La cI9r 1 aC 1 NUMBER ARCHITECT/ENGINEER: /\/)AT'�'I(X- ,,,4 - ' I11'( ,'� ,i\[sag PHONE (3 )'8 j_5 jr-? FAX: (^---- -4— MAILING ADDRESS: I&IS 4 k•1 , (tick ti �C) w4. Ci��J e EMAIL — __.__—„--- PrOect Type: rrajne Type: Bathrooms: Shoreline: Type of Sewage Disposal: ge New [D./Wood Existing: ❑ Sewer ❑ Addition ❑Ateel Proposed: t Bank Height: ❑ Community System ❑ Alteration/Remodel "Concrete Total: I _ /�'� ©/Individual System �.. ❑ Repair Masonry _��i1_^ SEP Permit#SL (4"tiv-Xi j ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ rivate well ❑ Two Party Type f Heat: Proposed: t A l [./Public 1.4 1414,`, K& Total: __A___ NI\ - Name of System:PU4O ` l If this is a Commercial Project you must answer the following: —NA - 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 T9rik ❑ Above ground Tank Size of Pr ane Tank: "jX IQ i ❑ Heat Stove eCook Stove ❑ Woodstove ❑ Fireplace Insert C3"Hot Water Tank ❑ Pellet Stove ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / lo) 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_ Revision Main Floor Heated 3 .\ Vo3Lti(�552 EH Bld App Review: t4:1 2"°Floor Heated _ NA -' Consistency Review: ia3(1) Other Heated a Base fee: - 11011e 13I S Mezzanine _'jA- Additional Section: � Heated Basement , NA - Plan Check fee: �� 0(P Unheated Basement State Surcharge fee: - A- so Other Unheated Pot Water Review fee: --n oye - . of . Garage/Carport SUBTOTAL reS , I ricks A43103*.tou d Approach fee:. Other TOTAL: $ ) ' I Receipt Number: S.(054 Cash/Check Number: I-4-(41� ESTIMATED COST REQUIRED) ) l' ^ Date: q •F ' ma all labor ana-i rat ' s foundation to finu1h" I p � r oco •�� Initials: jv ! -- ermitCenter F 1S\Master Permit Application 12-30-05.doc • • sQ ]RECE1VEI) IffriV,' JEFFERSON COUNTY .DEPARTMENT OF COMMUNITY DEVELOPMENT NOV O 2006 621 Sheridan Street • Port Townsend • Washington 98368 ��� �����` orri NG 43 360/379-4450 . 360/379-4451 Fax a r !1f I http://www.co.jefferson.wa.us/com mdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# (.9(0 PROJECT/APPLICANT NAME: WA.41,1 11AC �d� r • 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. Existing Conditions Summary 2. Descrip existing top ;q aphy. II' ate contours n the s mia �l Jn� eVodrtL,-sJ1� q��-��— 3. Describ the existing vegetation. Indicate native t eg tation ar: n,the pite map. 4. Describe the xistin of icate soil type on thp site map. C CrittAOL-Lar� 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,andiin{iratea reeaggg�at each.'' , ��Ul lk:� afie _..j : ►`.lar i►k 4 — d � ja., nAlo, APED n i, 6. Describe any excess levels of noise generated by the proposed use or activity: j RO r - — MOIL — STORM WATER PLAN Nov 1 7 2006 Stormwate Require. JEFFE OU Y stormwater site plan template—rev.10r12003 DEPT.OF N T DE F.LbP: EN SIGNATURE: • • 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. 1 ` �- 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (streams,wetlandQUA IA p lopes ptc) r 1 2- _ &>-Cy ' , C lf9 c j tc r Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation.of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. 9. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual) or, if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas wit in the site. Locate these facilities on the 'te plan and ifferentiat oposed facilitie rom existing faciliti . , 4SL tC t +k' 7 1( ..)V+v -- fry' 'iL-ii €(?j�Jos- lAacO , � , 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"I r 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 fcontrol system.] fJ flo G►z, cJJ +►vt es&iiiis.L.k- - j c� 12,4:143..L4 (s2,-,4ic Givoco -- 0 pfxtc-kty,. Gv i vi kkl r . 1f,„itt,i,,,,' 9 1 a�ur ti:k :yam ,t ''AAAw i stormwater site plan template—rev.10/1/2003 6 • • 13. Describ e w ter quality system. 14. Describe the conveyance system analysis and design. d 15. De AI tt�e so ce fil material, c racteri tics of fill material, deposition xcess rpaten 4" -tu CA) al 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposql surf cing material creux.y... avto kA.04-‘kmArtilk.) ...... 18. Describepetliocls 49r res ration 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. _AI _ &/0 4).6 l , O TA8 ga4d * V i (111-rxtiti* 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. ,...-/V,k.. 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 hereA 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. r ! 6 6-7 2. ELstablish construction Aowss. .. LIA.KAJ& COO.AAACLAILAN GUA-1/4S-y-N.\ CTS) VA \ (114U.Q .c ,� . 3. Control Flow Rates. L � a 4. Install Sediment Controls. PP Aka' t u aat 10(.) tort ` ��sit/ _ 5. Stabilize Soils. 6. Protect Slopes. r� ...(1,,c,\2")6 7. Protect Drain Inlets. stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. N � 9. Control Pollutants. pajtiVid 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. W lJ 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). rvui b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. Y C/M stormwater site plan template—rev.10/1/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). cyci vyy—rtcu 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). Provide a proposed construction schedule. 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 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. 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 stormwater site plan template—rev.10/1/2003 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 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 own of the affected prop rty. ao —OL WNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/1/2003 12 594.34' rn ___ f- zV(P ,11C2)1C1716)7\) rr,, rn 1 1 - L? 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