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HomeMy WebLinkAboutBLD2006-00730 BUILDING PERMIT APPLICATTUN MLLA06-00689 Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00730 Received Date: 12/27/2006 SITE ADDRESS: W KINKAID ST PORT HADLOCK, 98339 OWNER: ZACHARY L PANNI JR PHONE: (360) 275-2546 51 NE CAPTAIN HOOK DR BELFAIR WA 98528-9249 IRONDALE SUBDIVISION: Block: 74 Lot: 14-17 PARCEL NUMBER: 961807404 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: HI-LINE HOMES PHONE: 253-840-1849 11306 62ND AVE E PUYALLUP WA 98373 Contractor's License HILINH"98113T Expires 2/10/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW SFR WITH ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 165,213.00 MAIN: 1,716 CODE EDITION: 2003 ADD'L: HEAT TYPE: EEE OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: 1 CONST TYPE: 5N OTHER: GARAGE: 484 SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: 12 /2S1O(ji Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,363.35 KAS 12/27/06 87106 % , ( 1 \ r� Plan Check $886.18 KAS 12/27/06 87106 i State Building Code $4.50 KAS 12/27/06 87106 JANa(e) 2007 Potable Water Application $55.00 KAS 12/27/06 87 106 Total: $2,309.03 ���_ .�.. Jefferson County Building Division Permit NumbelkLD06-00730 Applicant: PANNI JR BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 c� Erosion Control /6� ?Elk Srit i�sc /3,tar5 Foundation Footing '/l7/b7 Footing Drains ` Foundation Stem Wall 0,/,7 OK Underground Plumbing Under Floor Framing (f L5 0l / nottgp6iLS O )er c LPfun-�. Li tOP�✓A't Straps(hold downs) I �/ Ext. Shear Wall Nailing 5 JJoi N,1I Yu 15i s e Rough-in Plumbing I Framing 6✓,;l- �./ Blocking v Airseal (rt - C2 Insulation:Walls Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing . f-yuu 6tJA.) Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted \ . FINAL INSPECTION -l)_c 7 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD06-00730 1.) The application was reviewed by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the property DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 2.) The applicant is proposing to create or add 2400 square feet of impervious surface and 4930 square feet of land disturbing activities. JCC 18.30.060 and 18.301070 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. 3.) A Stormwater Slte 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. 4.) 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). 5.) The site plan as submitted with the building permit application on December 27, 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 6, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 6.) This approval is for a 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. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) 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. 9.) Minimum setback from W Kinkaid St right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. 10.) 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. 11.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 13.) The building height is not to exceed 35 feet. 14.) This parcel has been designated a aral Residential 1:5 under the Jefferson Cc41)y Comprehensive Plan Land Use Map effective August 28, 1998. 15.) A septic permit(SEP06-00675)was approved on Decemter 28, 2006 for a system of 240 gallons per day. 16.) W Kinkaid St is a local access road (C674609). The road approach was reviewed under RAP06-00247 and an address of 321 W Kinkaid St has been assigned to the parcel. 17.) This parcel was created through the Irondale Division No. 6 subdivision under AFN 30490, filed of record June 28, 1910 in Vol 2, page 139 with the Jefferson County Auditor's office. 18.) A Declaration of Restrictive Covenant was recorded December 27, 2006 under AFN 518980 with the Jefferson County Auditor binding lots 14 through 17 of Block 74, Irondale Division No. 6 for the purpose of meeting bulk and dimensional requirements and minimum land area. 19.) A minimum of two (2) on-site parking spaces are required for the single family residence. 0 N coe„ JEFFERS.COUNTYill w 1--- DEPARTMENT OF COMMUNITY DEVELOPMENT �� �' '� 621 Sheridan Street• Port Townsend•Washington 98368 4. i"` �� / 360/379-4450 • 360/379-4451 Fax q`31/ING�O www.co.jefferson.wa.us/commdevelopm c 2 7 NOS u Master Permit Application MLA: UL- i Project Description(include separate sheets as necessary): FF� �I 111 S 1 AJ6•-1-6 / 4 Ili 1L_y 4 E S / D, ! 1— ,�0 6 - Tax Parcel Property Number: q & / V T'/D 7 Size: 4 Ofty) ( s/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: Z L/I A-iz t/ L_ 10 7 ij, 2_,''/ .I S`_ Telephone: 3(D()` , 7 5 5 4!(c Fax: ! S—f-3 ; /V/ email:ik' 2; (4--'LEI Z> Q- ifri/4 Mailing Address: S/ NE LA irk-- f-/001< /)2 -L./%7//2 CiJ/-7 9 S: Applicant/Agent(if different from owner): 5 All/£_ Telephone: 5 yj F2- Fax: / /fi email: S 197-n Mailing Address: S 4?01 1 �W at kind of Permit?(Check each box that applies) 1dt3uilding Variance(Minor,Major or Reasonable Economic Use) Q Demolition Permit []Conditional Use[C(a),C(d), or C]** fit*gle Family -- , °Discretionary"D"or Unnamed Use Classification tarage Kttpshed/:Detached °Special Use(Essential Public Facilities)** Q Manufactured Home ['Boundary Line Adjustment d Modular ['Short Plat** ]Ccmmercia!* [Binding Site Plan"' Q Change of Use ['Long Plat*" Q Address i Road Approach °Planned Rural Residential Development(PRRD)/Amendments** El Propane ❑'Plat Vacation/Alteration** e °SDA owed"Yes"Use Consistency Analysis horeline Master Program Exemption/Permit Revisions** ormwater Management ❑Shoreline Management Substantial Development** ite 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: S Eli/71 ( i L:,- <_k_ cTit 1c_i-t L 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 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applic tion tha�or she wan or tice. Signature: -'K'-«r-t--c. „ )C,_.--.—.._._.u`" r Date:�_3::4,. v The action dr acions Ap ica will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable respo • ility for adherin c plying with the ESA. The Applicant has read this disclaimer>>and si s and dates it below. Signature: J Date: /2//p(,v t D:\PermitCenter\FORMS\DRI)FORMS\Master Permit Application 12-30-05-2.doc • 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 CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: r ,'iL,'4:' fie%/:3? Imo'- ; (�L �')l 14; j (_sit) -%ji `/�� MAILING ADDRESS: /l 3 tr,t, e_, C 1:a;441- r f/ EMAIL: � CONTRACTOR'S LICENSE WAINS NUMBER: eLefJ #s11 J i!T_94 GAG /es,-7— NUMBER ARCHITECT/ENGINEER: PHONE ( ) Fax:( ) MAILING ADDRESS: EMAIL Project Type: Fie Type: Bathrooms: Shoreline: Type of Sewage Disposal: Ild'New ra Wood Existing: '& ❑Sewer ❑ Addition 0 Steel Proposed: a Bank ❑Cmunity System ❑ Alteration/Remodel 0 Concrete Total: Height: Individual System ❑ Repair ❑ Masonry __44- SEP Permit#J Z) , " ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: - Setback: Type of Heat: Proposed: ❑ Private well 0 Two Party -L.-1'.� J�'� /G. Total: � ,4 - Al Name of System:A,1n If this is a Commercial Project 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.rn ry 311 items below that apply: I:I Underground Tank 0 Above ground Tank Size of Propane Tank: ❑Heat Stove ❑Cook Stove ❑Woodstove ❑Fireplace Insert ❑Hot Water Tank ❑ Pellet Stove In 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 Ord Amount Revision Main Floor Heated / EH BId App Review: 17/& 153 5.C/ (L 5.CC 2na Floor Heated f/� //�/i Consistency Review. t �} Other Heated / h1 1 5�" ' cc Base fee: ArA- 4,/4l 3/ 3, Mezzanine Additional Section: 4/74- NA Heated Basement Plan Check fee: /1/if- A/ c'S(0 1q Unheated Basement State Surcharge fee: i Z' yr9- 4 .5c. Other Unheated J Pot Water Review fee: �/ Garage/Carport N/ yA `D "0° / SUBTOTAL ti 11 ys<y [) 40-1- � a Soa.05 Decks 911/Rd Approach fee: Other iv/� k`PP(t L a irc // TOTAL: $ ,9‘56j r;�, Receipt Number: C� 1D �.L Cash/Check Number: ESTIMATED COST(REQUIRED) c� a( }te: Fair market value of all labor and materials fou tion n)sh `4 21 I(AO D:\PermitC-enter\FORMS\DRD FORMS\Master Permit Application 12-30-05-llEt°L 2 7 2 U6 JHitci uI\ CNN11 JO'0 I . • • ",SON c JEFFERSON CO IR (FA lE lvF in (INA UNTY.1 DEPARTMENT OF COMMUNITY DEVELOPMENT DEC 2 7 2006 A , 621 Sheridan Street• Port Townsend •Washington 98368 "4S ,s0' 360/379-4450 • 360/379-4451 Fax fINO http://www.co.jefferson.wa.us/commdevelopment/ JEfFEHSUf faUUIVIY UCD STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# Dix)- 6'6 a PROJECT/APPLICANT NAME: -i}`/-tR-�L n 1 I IA-7t//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. /7j 4754 L( S-Li _1 fit' 7R a Os ' s/AJG-LC F,g-in fLy A5/ ,`-/Vc- } 7`�7ff D 6-,9wi, c;-�,, q r v,� wp-y A-&)O y4L/L 0 �o-6-rl Iry s_ Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. ,G4:7— Y ci`�Ti�lP1L/V A&i/1/sa,..c Lc_ -I F i 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. _5 / r� cf via n n '8 &sz 0,5-AI-7,- ✓&� anti' 772 -s c % D i 6) /-/-i rh LL L(c f- F/ 4. Describe the existing soils. Indicate soil type on the site map. 5 / T E i S SAy4 Ac,�,f./ •'o A-✓ riff-s 7 - b' 5 A-"v/)y L-6'1-i- 5. Describe the existing site hydrology(i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable, and indicate acreage of each. - At 7-6 2- 0 /1- i L% .4-1,c.; d9 y 6' if-.v4y L 49 1W>/ ,ti,9 i.L.)*-•-w 2- c.c 44 4; 6-2 6) Ill ty l-74. _,-2_. ,7 A dX , 6. Describe any excess levels of noise generated by the proposed use or activity: C p z 3-FP-ifc 7-/0 n '/L'6 / .6 2 © 4.:--' c APPROVED S FORMWAThR PLAN stormwater site plan template.doc—rev.10/12/2003 J A N - 6 2001 5 , JEFFERSON COUNTY DEPT.OF ' MMUN1TY I)F. ELO EQA ri'R SIGNAT1iR .• -. �� • • • 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. fr/VA- 8.8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas streams,wetlands,lakes,steep slopes,etc.). ,r- 4 /dnf2 /-/o o / c u 7-7/ �C i/lr -?--/z o 4/7- Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 in the Manual)or, if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. 11.)B N S'-j) t>117, •-t Jc J�J? �T_i�- lei L /2_42 jS S'/�A. / / a rfivot 01 2 4 5 12./,4'Y L L2 ) t -4��- w / L L /2 l= /2 1 5 5 •l- Q L ivT� t.A, I't`c. if him i9 V f 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. c) )J' L L /J r?T S / / i L , Z.4 c f� S ) r [- t_. / 4 it�4-.F,W 4-LC_ 12. Describe the flow control system. L 1E('EIVE1) DEC 2 7 2006 6 stormwater site plan template.doc—rev.10/12/2003 tIEFf kiSD �;IIUNI'i11C11 • $ • • 13. Describe the water quality system. 57124. w &A/ 6-A P1,iv . 5 d1 o.i2., 1/cfn,/ „ , L L f /1-4ri/2 L 0_ 3 70 sL,-1.c /`T e/L.. 14. Describe the conveyance system analysis and design. 6-t/'T"tTl£r2..i + lJ eg uJ-rt/ 5 ,p (9 f/ 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 1 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. J) V w A w t (_ L 4, e'_yz-v 51 t ;4 f,D Lk ru/1 f en tv//Lc' L.l' t'�/� %iB Lv'�C L. c- /vL p Yt e-T -) - s E`T r.' c-1.0 E_ 17. Describe the proposed surfacing material. Fay 2 4 IL_( /, u..,.+� 6-1 5 -d-&JLO 0,44 C.-r9 ljL Fo7/L y 18. Describe methods for restoration of the site. l 4 // J 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. Ay, A_ 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. /L/W 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. DEC 2 7 20a6 stormwater site plan template.doc—rev.10/12/2003 7 lEffffl +MUNIY �JC • 1t • • 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. Le).7) S / % /b J c9a9 5 2. Establish Construction Access. &AA-(//FL d)/zlv 3. Control Flow Rates. ---y- 5 T,Z r -2v' ice' / L l_ Pi r= pz C_ L !,Y' 9-2 / 4. Install Sediment Controls. a 5 /` L- 11-7— 5 /7 -Gc✓ (.9 5. Stabilize Soils. S7 z/y 7a / 6. Protect Slopes. N C S L £2/9 - t1 r2/ > r l E- 7. Protect Drain Inlets. ,l-' !:L /� ! /tom' i r a L— ir'3 /d->� �`- R ER ET) DEC 2 7 2006 stormwater site plan template.doc—rev.10/122003 JEfaEU�U UUNIV OCD • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. / v 1- 9. Control Pollutants. S 7- 12//-v✓ i_.c.} / L L /3 E ra iv 5 fl 72, ‘1,X13 x4-7i/x 5/ 1 L. L f /A ' ig 1-/AC.it /0 A-5 :t/'A.. .0'=/' 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). P-D it tii/9 1-f i9 L /J S " /v17 s `T/94//9 /iLi`Cr 1.4,4-77 ,% 11. Maintain Best Management Practices(BMPs). & O. lr/ AY L- G al x.'-i_,/-c tP je_ i.,✓i 4-‘- 4 Jr___ o n-- 5 ,---r_ '-o 0 v . S X;. 5 4,-'43 12. Manage the Project. 'T y�1 It " L4T/L I- / - /Z-I`DfL `✓1 4 S/ 6.- /C/: C� 7e 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 2 0/9-0 )S l e, U//�t/7` l9/n '7—p'2ft-c./<. S f�o�d-1) rvo '- 6,at- 9/ls 2g A 0 v -no c_a.zrs-7'— D i I V g-- r,JA y ) AV 5 r A L l --- 5 TA-/I-k./ -Fe S 1-/ rL ; z_a_ ,49/�- b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 7 fh=� iL,q- / 5 )f %/2--e_/1)( v ri- C, . (c ( /L,,.:, 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. A/ fi RRET ) DEC 2 7 nos stormwater site plan template.doc—rev.10/12/2003 9 1iEfilSO rUUNIr lico • 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). AJP ' - '�' f=o /Z-r5 ' 5. Construction Phasing. a. Construction sequence 11-iz- P IorL-` F 1/r'67/2- O 1st✓ / /fr/J a iL/ cvz- f1--N/l i c: hf-p i 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 l r-schedule. � `� p � ti 1 T7 Ert),(%�Ai C7X-' J ,t/ -F-4 t=/z Ai�1 i�u�yy / 2 > vV ivc- t4A-2c{ft/+P l=� ssFf /,t7�rL;Ao. M/ 19/J/1/L"Li}p�rj/ II. Wet Season Construction Activities. /� a. Proposed wet sermon construction activities. 5 ,,p V) Po v /0; /? ,aate F/ b. Proposed wet season construction activities for environmentally sensitive areas. '/ 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initi Ion of bonds and/or other financial securities. Z r6 /V 0-7/--)7 L 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 It ((( j �(s `�r' 1) DEC 272006 10 stormwater site plan template.doc—rev.10I12/2003 1EFft ll\ (WIN ' Oro • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities, flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. 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