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HomeMy WebLinkAboutBLD2006-00723 • • DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00723 Received Date 12/27/2006 SITE ADDRESS: 7351 OAK BAY RD Issue Date 1/22/2007 PORT LUDLOW, 98365 APPLICANT: CODY M PATTERSON PHONE: 360-437-7945 JENNIFER E PATTERSON PO BOX 815 PORT HADLOCK WA 983390815 SUBDIVISION: OLYMPUS BEACH Block: Lot: PARCEL NUMBER: 978900058 Section: 4 Township: 28N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: OWNER, CODY M PATTERSON PHONE: 360-437-7945 if different: JENNIFER E PATTERSON PO BOX 815 PORT HADLOCK WA 983390815 PROJECT DESCRIPTION: DEMO EXISTING SFR & SHED THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 1/22/2008. REQUIRED INSPECTION: FinalApproval: QX -Pot- -Pirla.-( // D7/6/ BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. SPECIAL CONDITIONS APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY • • SPECIAL CONDITIONS FOR CASE#BLD06-00723: 1.) The application was reviewed by the Jefferson County Department of Community Development staff on January 5, 2007 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: Coastal Seawater Intrusion Protection Zone (SIPZ). 2.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 3.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 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.) 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. 6.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. • 7.) 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. 8.) 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. 9.) The applicant is proposing to create or add 2152 square feet of impervious surface and 3700 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. 10.) A Stormwater Site Plan for medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 11.) 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). 12.) The site plan as submitted with the building permit application on December 29, 2006 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 January 19, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 13.) This approval is for a demolition permit to demolish the existing single family residence and shed and a building permit for a new single family residence with attached garage 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. 14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 15.) 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. 16.) Minimum setback from Oak Bay Rd right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. 17.) 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. • • 18.) 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. 19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 20.) The building height is not to exceed 35 feet. 21.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 22.) A septic permit (SEP06-00268)was approved on November 27, 2006 for a system of 360 gallons per day. 23.) Oak Bay Rd (C569908) is a minor collector road. The road approach is existing and an address of 7351 Oak Bay Rd has been assigned to the parcel. 24.) This parcel was created through the Olympus Beach subdivision, filed of record in Volume 3 of Long Plat at Page 19 with Jefferson County Auditor's office. 25.) A minimum of two (2) on-site parking spaces are required for the single family residence. I:\F_BLD_Permit_Propane.rpt 10/29/19 MLA06-00687 ILDING PERMIT APPLICAAN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00723 Received Date: 12/27/2006 SITE ADDRESS: 7351 OAK BAY RD PORT LUDLOW, 98365 OWNER: CODY M PATTERSON PHONE: 360-437-7945 JENNIFER E PATTERSON PO BOX 815 PORT HADLOCK WA 983390815 OLYMPUS BEACH 62 SUBDIVISION: Block: Lot: PARCEL NUMBER: 978900058 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr DEMO EXISTING SFR & SHED TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM VALUATION MAIN: 850 CODE EDITION: 2003 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 1 Exist: Prop: 0 Prop: Total: 0 Total: Routing Dat : D Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $51.00 LYK 12/27/06 87033 \ State Building Code $4.50 LYK 12/27/06 87033 �� ) C1/77[_ Total: $55.50 JAN) 2007 el'® i ,.>i'Left. `;7 Gnaw 01/22/2007 15:33 FAX 360 491 6308 ORCAA 003/003 01/00B!2007 12: 58 360417. • PAGE 0" 01/08/2007 12:02 FAX 360 491 6308 ORCAA p01 EC`"WE D PER,JAN ZOQ7 v' %VT* -tiv APPROVE() . f CQNp�ONatLYApplgt p Rib-AA «� NQT 1�ppq(�Ep� FOR CQMPLIANGE Wr�l TY.,, r_tA. Notification of Demolition Permit It is u iJa' u1 for any persons tv cause or allow the deoxontlon(Or major renovation)of any structure unless ail asbestos- containing eta Dave been removed num, sun to be demolisher- Work abaft,not Commence on au asbestos project ore deosolltit unless the owner or operator has obtained wanton approval from ORC JJL. A Written eleOsolition Mall include a certification that there b no known rtsbc9tos-containi material r n the far u structure, ^� y ,r� �1i1<Dittg inn Ar4at 4f Llte Project Sitc arfSS: ! J'7I fed �a ff^ / Cf�. county, 6' •74= 7 Sit Stathng•Date:3 ` _ lttr: Gl - di !r3 foes,^ Completion Date:. !Q (ThcR-e is a 10 working day advance noriEcation period from receipt of permit application) PretPrirtY Ma,1, Over7 ai Jr/9e Tblephorie:3'6Q"43,,`_79 ax: z Address. c 2 r,0.t-� .,r5- State: e! . _ Zip- Vg°S�' . '' Demolition Contractor: State License#: Maiii Address Contact Pcrsan; - Telephone:__ paK: YES NO Demolition by Wzecidng or Dismantling? ($25.00 fee)check# Training Fire Demolition? (If yes,attach Are department relitiest for taming fire) Renovation,Alteration,Remodeling, Maintenance, or other Construction? Asbestos found or suspected* *An ORCAA."Notice of Intent to Remove or Encapsulate osibestosnfona and appropriate fee muse be eubMittcd prick Io troy asbcs removal work. Acbcatos removal secs lgvwlvittti demolition must to?RP:m cd by a emitted Asbectoe 9atertnally friable asbestos nmost be removed before am�;�additi cj �1Y demati4wt ins- R,rtbs to ORCAA Rag�tj �3 j for additional tequirerocnis that may apply_ sbestus Survey Completed by AR ERA,Certified ruspector � /' y�v•-" J AN 2 2 200? Cerdficatioit#- / (3� .7 �(- Tyl13 3 OV�,d �e 1 \��P 1�� 1 '��� pPt Permit must l nrlasa g25 ('.ertification oflhe A.boawR!-Survey must be available at the jab site. Processing tee accompany this form 244013 Limited Lane NW,Olympia,Wasblttgtou 98502 borne age:V * orca4Z2 5523 • fax 3604416306 kev,b711 t/02 1lomtpage:wunv.otos3org enT911: infgCalQnt2arg , PAID DATE ¢SON c.6 JEFFERSOF OUNTY W DEPARTMENT OF COMMUNITY DEVELOPMENT '- ` ' 621 Sheridan Street • Port Townsend • Washington 98368 III it& 360/379-4450 • 360/379-4451 Fax q�, Npp . www.co.jefferson.wa.us/commdeveloprrtent ,III Master Permit Application MLA: & �E I Project Description(include separate sheets as necessary): le/i/ > ;7. 1. �= gild . �, -; Tax Parcel 7 ... �//.�` f,� Property �' sq Number: v /r� Size: / c:�Gi"� f� c /square feet) Site Address and/or Directions to Property: 73 3-7 �sQ�j ,iie•-ry. 7?d ?,,,,/ G,v�©6, (✓i./., yc $6. Property Owner(s)of Record: 3-6-iv",17`r'•^ t/r7-1 ;76/9-' /*a'/,fc-"j a;-7 ' Telephone: 3 rcL-�' /7- 7 �"ems` Fax: .Su,Yr7,- email: 5/-71/.64)6-VyPerI•Gve'rsa Mailing Address: /D 6-2 /c2K _ '/S %�>,,y- /7',+�Y/�l4:-, (I/ ' c%.57 j j cf Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) I Building I Variance(Minor, Major or Reasonable Economic Use) Demolition Permit i Conditional Use[C(a), C(d),or C)** I Single Family I Discretionary"D"or Unnamed Use Classification I Garage Attached/Detached I Special Use(Essential Public Facilities)** Manufactured Home i Boundary Line Adjustment Modular I Short Plat** I Commercial* I Finding Site Plan** Change of Use 1 Long Plat** I Address I Road Approach I Planned Rural Residential Development(PRRD)/Amendments** I Propane I Plat Vacation/Alteration** I Allowed"Yes"Use Consistency Analysis I Shoreline Master Program Exemption/Permit Revisions** Stormwater Management I Shoreline Management Substantial Development** Site Plan Approval Advance Determination(SPAAD)* I Shoreline Management Variance I Temporary Use I Comprehensive Plan/UDC/Land Use District Map Amendment I Wireless Telecommunication* I Jefferson County Shoreline Master Program Amendment I Forest Practices Act/Release of Six-Year Moratorium *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate 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 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 lam nspections. Sts and right of entry will be assumed unless the applicant informs the County in writing at the time of the appl t -16t he or she w eticfe Signature: Date:/r� Of 61 7 The action or actions Applicant cant 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 kes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will plate al SA. Any i ' 'dual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you . ompl) rite with t evelopmeniGogle._The Applicant acknowledges that he,she or it holds individual and non-transferabl spons• I r a n lying with the ESA. The Applicant has read this disc) imer nds s it below. Signature: Date:A - G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc al BUILDER STATEMENT • The signer of this statement does rtify , at they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assu • the responsibility eneral Qntractor for the proposed project. Signatu 2-/ Date: / —� 7 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Li New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank Cl Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: [:I Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: Li Private well [I Two Party Type of Heat: Proposed: Li Public Total: Name of System: 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: i Underground Tank i Above ground Tank Size of Propane Tank: 1 Heat Stove i Cook Stove i Woodstove i Fireplace Insert I Hot Water Tank i Pellet Stove i 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 Revision Main Floor Heated e':' EH Bld App Review: , k) 22 Floor Heated Consistency Review: Other Heated Base fee: _ ; Mezzanine Additional Section: ___ Heated Basement Plan Check fee: • Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: _ _ Garage/Carport SUBTOTAL , �'jU Decks 911/Rd Approach fee: Other TOTAL: $ _D -----' Receipt Number: Sf1 0 Cash/Check Number: .i I lC'J ESTIMATED COST(REQUIRED) Date: ' •Fair market value of all labor and materials foundation to finish 1- :_L / Initials: ( G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc Pr • QI17 1RECEVED 44 c° JEFFERSON COUNTY DEC Z 9 2006 DEPARTMENT OF COMMUNITY DEVELOPMENT y o �� 621 Sheridan Street • Port Townsend •Washington 98368 [�ifHlilk ljuNT COo ,: : 360/379-4450 • 360/379-4451 Fax JC fL d !� k, !J !t O` http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE I MLA# G -( PROJECT/APPLICANT NAME: a / t'i° fr 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. z{6-0 f -P !S A 4VVA4C 1+ ej >e ; p.cr j f 11 .. /•j �Pv�f�./ 63�'?,!f4'J�' ,�•� D� r / i�/'/Q ar-1°iCail �.��s/�f/r �p-.-s H?-%!.j3t�,�,,,5/der' e-•tr. � 4... '> �'�R 0��r//tee rt p�it A/�r"�'ro r`�',r'r// �*r�►�"Kr , Existing Conditions Summary 2. Describe he existing topography. Indicate contours on the s/it�e,,map. 19/ r// ;/'21 f i` i,Di� l</r,,s,I.- /', Cq',S- 7 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. LP 4. Describe the existing soils. Indicate soil type on the site map. ZOPO., ,�-=.:,torn ./12ttl v4ir . e, / IEERSON CC TY 9t 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 ap livable, and indicate acreage of each. ,yy 41 1 t 04 46:0 ,,,,,,, ,,. :.';.o-igt'ote I 1 d APPROVED 6. Describe any excess levels of noise generated by the proposed use or activity: STORMWATER PLAN LAN 1 9 2001 JEFFERSON COUNTY DEPT.OF O�. MUNITY DEV . T stormwater site plan template—rev.10✓1/2003 $tGNATUR� \J � 5 1 • 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 (strea ,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 prop sed facilities from existing facilities. �° P '• ' - -air 4,0.7 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 nor al y f "Ire"projects or projects that involve the potential for dispersion of contaminants.] 11. Des ri e erformance goals and standards applicable to the project. 12. Des.7 b flow,control system. Yt4�1u',�rill 1=it i 4.ritA,:A? if.ird9anv:lt1 YfE'r.,?rV.b:1.I t') 7'1a�1 6 tOririW i • IR:WC FAV Eil ) p vsky,4 13. Describethe quality system. t -; cj 2116 lifit.1111tRfiv Ali un iilliNit Ili_ 14. Descri1,2ye c nveyance system analysis and design. ei, 15. D scribe the source of fill material,physical characteristics of fill material,and deposition of excess material. ..fie 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Des the proposed surfacing material. /"e? .° ' 18. D scribe me hods for restoration of the site. e-00-474 . t "it 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. P/42 20. List h re 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 ns h�r restrictiog p o ir. # I , . stormwater site plan ternplate-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 leans Limits. ef('Ce'rel Construction A ess. 2. Establ h %lG?f j y '/ ' rer -rid .. G• 41# ,q^p' %lid , "Wee 3. Control Flow Rates. �^ //' , / 4"� / �7 ��S S��'t i� �/'c�Cr✓! c!/is�G y ' 4 -�'y✓"1.:�„�'J°i ;/ Lr gel 4. Install Sediment Controls. t'"✓ ) 4,4eier .,� �°' „s; ,.� r e✓//? / 5. Stabilize Soils. 6. Protect Slopes} 7. Protect Drain Inlets. T7 t (' erea' - 8 stormwater site plan template—rev.10/1/2003 1 • • - :, -1:3TV E1 r) 12 Required Elements—Construction SWPPP(continued) 8. 7,17 Channe s and OOut jts. �t��y /p �+ // / _ I-�,, name. � C�i // id"�GA� S/i✓ A� J 1/7 ,40,Ny~— •o? F) ! I n 9. Contro Pollutan s. 4./' °t Or ' ayr '.w'r ` p:►r e ,'i ri e�,•py a-.", ..!� ..0/ ..-'rrele- G', e-,,,, c Cu.', 7/ /6-e, C.,/ :," „le, 10. Contr I De-Watering(the act of pumping groundwater or stormwater away from an active construction site). .►�-- 09P,rr 'r' ge## , f.A.—,/.119 .4..``.ter eo,�re a...1 , Ale ,,��'-f 11. Maintain Best M anagement�P�rsactices(BMPs). . c -r ileie -4,?j.► ae.✓,40,-0 47 ld/ '' �^'' .0 r'"S • ' �/',�/. /t/Y 9 v ,,'/�-'/1 a m►�.sy.//.�1°e ,�r�-/'v,h :.s' C"4e„►7f",e�+f A- . ,t // 7`r/y7.0 G.'e7.4.,a/se' ^r,S 12. Manage the Project. ,c. N"r L./ Ville" �'A♦ :le40 e4--, ..4,,,:,,, 04e:"' 4-,--,n':. '" — / ' h! r/,sr/o /isarClt "Ore'r9/- r�-e)r 'v,s� 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 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. ,� � iT -64. BAD stormwater site plan template—rev.10/1/2003 9 Elk 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 , bili ,settleability,permeability,depth,texture,soil structure). 5. Construction Phasing. 9 } '�' a//� 't ct quencIep�i��/ !41 'r�' Ct,� s/' '` f7G 3 #$ b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). 1. Provide a proposed construction schedule. -.,1. 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. i�enti the pity ow per 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 to stormwater site plan template—rev.10/12003 • • • 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 cdlbtructed. 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 be t of my . I also certify that this application is being made with the full knowledge and consent of all owners of th ected property. ""g 1-;C:96- ( NER ORI REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: 12 storrnwater site plan template—rev.10//1/2003 rn n I { I 1 1.1- !,r i I 1 I m . _r, • L' . I ,, 4 r v. ! 1. ,I t •14., ,% ;., . . --— ' • i — -I:-—1...—if—'1 ; --- .,.. , ; % __�_, _ kil .__..i s ---1_._..-_ .1 . I ;- 1 : 1 I. I 1 '-'{ 1.- - -- • 1 • ' }I I �q I. I .: 1 - .., I ! • ( m ( i 4 I 1 . 1 i 1 f.. I � • I 1 i 1. • i I i • �I, i •5 l: R • i : h i! f I f , 1. :.. t. I .` 3 i. - Iv. 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