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Home My WebLink AboutBLD2007-00006 BUILDING PERMIT APPL ICAltN MLA07-00015 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00006 Received Date: 1/11/2007 SITE ADDRESS: 1131 THORNDYKE RD PORT LUDLOW, 98365 OWNER: RICHARD M CARNEY PHONE: (360)437-9925 FRANKIE L CARNEY 1131 THORNDYKE RD PORT LUDLOW WA 98365-9529 TRAILS END 2ND ADDITION SUBDIVISION: Block: 13 Lot: 19-20 PARCEL NUMBER: 950101319 Section: 15 Township: 27 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP ADDITION - 2 BEDROOMS, 1 BATH, STUDY REMODEL - REMOVE 2 WALLS AND REMODEL EXISTING BATHROOM TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD VALUATION 122,681.00 MAIN: 1,000 CODE EDITION: 2003 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: DECK: 978 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM. BRIDGEHVN BEDROOMS: BATHROOMS: Exist: 1 Exist: 1 Prop: 2 Prop: 1 Total: 3 Total: 2 Routing Date: I lig% logy Cr- Type Amount Paid Bv: Date: Receipt: ed/ ate Permit $1,122.55 KAS 01/11/07 87130 APPrC�VE Plan Check $729.66 KAS 01/11/07 87130 State Building Code $4.50 KAS 01/11/07 87130 MAR 12007 Total: $1,856.71 Jefferson County Planning &Building Department • Jefferson County Building Division Permit Number: BLD07-00006 Applicant: CARNEY 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 Erosion Control /d/O p 51L7' FEiUe.E /NS-774i Foundation Footing Z/lR foe Footing Drains /hi* Foundation Stem Wall / 0e 4/1/ Under Floor Framing 3/0fc' EAn ENn oL 3/3/08,W Idt.SI qua) QM- 3/47Q Straps(hold downs) silt-lob Ext. Shear Wall Nailing 3/i3/o8 Rough-in Plumbing //16/00 �lC 5%-ien -e FNfJ Ctik��InJC�P� j f' Framing SHISS Airseal 010 # 6� Insulation:Walls 5/i9708 Insulation: Floors //zo /tea Insulation: Ceiling Int. Shear Wall Nailing //3 US Wallboard Nailing , ... 7 tet-B Drywell/Alt Drainage /6NrL/Ne Ot 3/376 3/3�0 8 DieYWEGL f iuSTActEo TAP 56 dpi Address Posted ,/ /`1 /,ll FINAL INSPECTIONIt I l t't«r cm" FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD07-00006 1.) PLEASE CONFIRM ABANDONMENT OF ROCK DRIVEWAY BEFORE FINAL OF BUILDING PERMIT. ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on Janury 29, 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: Level II Landslide Hazard Area, Susceptible Aquifer Recharge Area, High Risk Seawater Intrusion Protection Zones (SIPZ). 3.) A Geotechnical Report dated July 28, 2006 prepared by Geotechnical Testing Laboratory was submitted in conjunction with the application to address the slope stability of the subject parcel. 4.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 5.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 6.) 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. 7.) 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. 8.) 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) Salal (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). 9.) 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. 10.) The parcel is located within a High. SIPZ (seawater intrusion protection zon, according to the County GIS map. There are 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 High Risk SIPZ is defined as: areas within 1,000 feet of a groundwater source with a history of chloride analyses above 200 milligrams per liter(mg/L). 11.) This parcel is served by public water and a well will not be utilized. If a well is required for potable water the applicant shall meet all of the Aquifer Recharge and SIPZ conditions. 12.) 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. 13.) The applicant is proposing to create or add 1915 square feet of impervious surface and 1850 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. 14.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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. 15.) A Stormwater Site Plan for a 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. 16.) 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). 17.) The revised site plan as submitted on February 12, 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 March 1, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 18.) This approval is for an addition of 2 bedrooms, deck, bath and study 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. 19.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 20.) 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. 21.) Minimum setback from Thorndyke Rd right-of-way shall be 20 ft. Minimum side yard setback shall be 5 ft. Minimum setback from the foundation of the addition to the top of the bank shall be 15 ft. The proposed new deck areas may encroach into the landslide hazard buffer as they are considered as expansion of a legal non-conforming use. 22.) Lighting fixtures shall be designed.hooded to prevent the light source from big 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. 23.) 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. 24.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 25.) The building height is not to exceed 35 feet. 26.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 27.) A septic permit (SEP93-00391) was finaled on November 4, 1993 for a 3 bedroom system. 28.) Thorndyke Rd (C418708) is a local access road. The road approach is existing and an address of 1131 Thorndyke Rd has been assigned to the parcel. 29.) This parcel was created through the Trails End 2nd Addition under AFN 133824, filed of record September 5, 1952 in Volume 4 of Long Plats, page 1 with Jefferson County Auditor's office. 30.) A minimum of two (2) on-site parking spaces are required for the single family residence. 31.) A Geotechnical Report was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A minimum setback of 15-feet shall be measured perpendicularly from the top of the geologic hazard to the foundation of the proposed addition. The proposed new decks may encroach into the buffer area.. 32.) No drainage of concentrated surface water or significant sheet flow onto the sloped areas. 33.) Understory growth on the slopes is encouraged. Trees located on steep slopes may be removed only if the stumps remain to deter erosion. 34.) All ground surfaces, pavements and sidewalks should be sloped away from the residence and associated structures. 35.) The applicant shall fully adhere to all conditions and requirements of the submitted geotechnical report. 36.) Consistent with JCC 18.20.260, the proposed addition meets all applicable environmental and development standards. Though the proposed new deck encroaches into the landslide hazard buffer area, however, the additions will be constructed at a distance further away from the existing structure, which decrease the nonconformity of the existing structure. The administrator therefore allows the expansion pursuant to JCC. if ggoN cps JEFFERS OUNTY , 1 ' . .lt v'A ' !f'�T)) DEPARTMENT OF COMMUNITY DEVELOPMENT t 621 Sheridan Street • Port Townsend •Washington 98368 �� 360/379-4450 • 360/379-4451 Fax iffHi aro www.co.jefferson.wa.us/commdevelopment ,,II ja4� l p Master Permit Application MLA: ()`-1- n Project Descriptionln^cMlud seDarate sheeth , ec ar ,ay /1,`?d CJ1a 9 1 y 9.'i <<--771J22 'y' ) i. '17 &. J5; f G tCa ..r ZZErGE':G=, / /6CG ,bC74�'ZZ-i ,7a t !:.) ._jazti: Tax Parcelq , Property Number: I`J O (� 3 I Size: / ° ter r (acres/square ) �(Z 1 �� rfeet Site Address and/or Directions to Property: ' 1�,1 tZ 41-Q�[\>41�ti tcd .�� (,�,c-�t.cw U:'A 41` ,'>(4- Property Owner(s)of Record: <<�+kv.J, . t-U a, C A t,rq a 1-; Telephone: ::C;\ 4431 ri' 2 ) Fax: email: Mailing Address: 113t -TA,t-rt.ttl-,.fv_c a ci 1?uti\- 1.-<11--0 L-A `36 36 Applicant/Agent(if different from owner): ----- Telephone: .,-' Fax: i email: Mailing Address: ,- What kind of Permit?(Check each box that applies) Building I Variance(Minor, Major or Reasonable Economic Use) Demolition Permit i Conditional Use[C(a), C(d),or C]** 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 Binding Site Plan** I Change of Use I Long Plat** 1 Address I Road Approach I Planned Rural Residential Development(PRRD)/Amendments** i Propane 1 Plat Vacation/Alteration** I Allowed"Yes"Use Consistency Analysis i Shoreline Master Program Exemption/Permit Revisions** i Stormwater Management i Shoreline Management Substantial Development** I Site Plan Approval Advance Determination (SPAAD)* i Shoreline Management Variance I Temporary Use I Comprehensive Plan/UDC/Land Use District Map Amendment 1 Wireless Telecommunication* 1 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 later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she w nt rior notice. Signature: Date: /'' //-40 7 The action or actions Applicant will undertake as a res f 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 responsibility for adher' to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signatur : Date: /"//-se,7 G:\PerrnitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.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 th General Contractor for the proposed project. Signature: Date: /-//-2 7 l�Jl _ GENERAL CO TRACTOR OR MANUFACTURED HOME INS LER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: ^/ NUMBER ARCHITECT/ENGINEER: t'I f 6 (14, 3 Spr 1,, ,„ Av,JA,1 (.}a PHONE (' ) q5L,61 Its FAX:( ) MAILING ADDRESS: -51 C1 J C •-)c r cL k i k� �A� 'e, EMAIL fj`; L Project Type: Frame Type: fathrooms:< Shoreline: Type of Sewage Disposal: ❑ New .-K-Wood Existing: _l_ Li Sewer •,'1 Addition CI Steel Proposed: 1 Bank ❑ ommunity System ❑ Alteration/Remodel ❑ Concrete Total: 2 Height: individual System ❑ Repair ❑ Masonry SEP Permit# .�( � (/. .5 CI I ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 1 Setback: CU Private well ❑ Two Party _Type of Heat: Proposed: 2- , : X Public rL6 C� �.>QcF1� l�t tt. Total: J' /3 Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Pr osed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employ s,etc) Current Proposed IBC Occupancy: IBC Type of constru i n: 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 Eff Propane Tank: I Heat Stove i Cook Stove i Woodstove i Fireplace Insert/ Hot Water Tank I Pellet Stove i Other Is this appliance being installed in a Manufactured/MobileAome? Yes / No When applying for a permit to install a propane tank you ust also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the props a 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 144 Z ;oco EH Bld App Review: 2n°Floor Heated Consistency Review: '55 DC Other Heated — Base fee: — Mezzanine ~ Adtdit+ i I Section: Heated Basement Plan Check fee: 'lags . (0 r Unheated Basement State Surcharge fee: 50 Other Unheated — __,I/1.4 \1 t I`f lI livgj ter Review fee: U Garage/Carport SUBTOTAL �� aorn. i1 Decks ,. cr, r 911/Rd Approach fee: Other TOTAL: $ a c. T i r t Receipt Number: W`7 I c) Cash/Check Number: I j�� lJ ESTIMATED COST(REQUIRED) t 12 r( 6 i L 4 /r,.Lt..:Date: •Fair market value of all labor and materials foundation to finish • I I j j 1 07 C! D�0 L nitials- ( 7. l --- vody , DDD 51404 t 22,6 g1. 4CP G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc ♦ F . . rECEINT 3 Fa . aN �o s JEFFERSON COUNTY kt DEPARTMENT OF COMMUNITY.DEVELOPMENT - JEFFERSON C (' . , 4 621 Sheridan Street • Port Townsend-.Washington 98368 • 4011111Ca °41-Net 9 http:/360/3/www.co.jefferrson wa.s/ommdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 0 / v 000, ,PROJECT/APPLICANT NAME: CA Rid.C y Please answer all of the following questions to rthe 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 • I , ED 1. Describe the proposed developed conditions of the site. Indicate position and relatil NrWAXISlitaRIDAINon t e site map. Revs.otie. 1 - C ,s4ety 0 A.cida+,*M Al• 5 ,c1C 3S. ) g MAR S°1'` 75. de /G g z Z _ r+d A veQo,L SOM. -F.e.f-+ en-e w c14 JEFFERSON COUNTY Existing Conditions Summary DEPT.OF C . MUNI D FLOP �xt SIGNATURE: �� 2. Describe the existing topography. Indicate contours on the site map. Srf-e- h o s ?At el arw,N,4mly es�S+ eR,.� .eve,9LtRe. - St+ e eieva--lj',cMs r AP-4 _ efZO,Kwn►4:4-e1y fn.ow$- . �fO 7''0 vvc!t_. 3'00. •e,e4 Qt cvl. YYen�ec 1 ca.( A. - fo& n e 20 G 3. Describe the existing vegetation. Indicate native vegetation areas on the ite map. ✓eU eja4-tio 4 ., C/Lj,Ds L-j,? « ,4 wt>AdR one a A- d 4l cle :�7t-ee s ce,1ZKc br 14 G 6,1 lce104 A/*c jean y , Sala ( , A u Ck1.V. deLn.y , iu( CAodordow diw,i ,-Md g it.Ass.S 4. Describe the existing soils. Indicate soil type on the site map. d NS e. Irat)e_ny 54.,..iav /c v-^$., -CA 1JeR_c oo d ) 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. / 0fIAIA) A /s s t1l rkS-� ,i-JcL Sbcc.-�-ihwei`f �Pc>r^- DLA id),W4 Jc c4--I-IOM 1 - lbo Sr.tEt- cam 4loc.J / '3/o3 4M4 eta No &het e.,ue-e- 0-F S tta.-t .c.a- (..)it.4.e A. • 6. Describe anyn excess levels of noise generated by the proposed use or activity: Iw a9n!e..- k/i 1ft i4 v e- f o c._)e r? O A( S','f e - NO 9.Q aJ en✓.. 0 a Al o-e d ed stormwater site plan template—rev.10/1/2003 5 110 • 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. 51 oP e. 7 o fa o-F I ->*- d M 6A4 S►oi e GOA)c. i di n. &FRIA r,e-1 44-A.j-- to de.e.P -5 e,4 4-e d 4-4.1 I r r_a,Q- I if"s O!Z es QAfl Codo t .it A-414►r Q.erre<i- Leo RePon-+ Cxtgnrey (9alti zC. Zoo 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.). W e.S-1* $koxe //oocI GIAl s-I 5. 2 hA , /et wes+ 2o,,2 --t'4rnA/e . (.t.G�esse.d by d few e.wA.y fi'Lor. Tkva.MJLi `(4 Rcl. 3e,,/s.•Au.e. Cl rem etA,4- ,10( o^t sri-e. s)dev AAircd re oa•4' p xe OA.L C/.; C'14 P.N ei .r à " ï _2 I 1 1.z7 o 4 - Ail rw.+•1 4.es oN 710044 d.1 ka_ Rd- Permanent Stormwater Control Plan —This portion of the Stofln`kater'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. j ],,;,"Medium size projects ar required to have the totals calculated of all impervious surfaces, pollution-generating impervious rfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. 1 t # 9. Describe the developed sitg hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 t in#h. e•Manual)or;irrtift, at types of stormwater flow control will be utilized for the site or specific threshold discharge areas withlrl'ttiesifef Locate tiiese(acilities on the site plan and differentiate proposed facilities from existing facilities. 1 t.t Y i !`9!4- ,': 8 c cI t `' in.) 1 *+-L ,rj a�tw K ra I r c.-s.' o-r: - S o c...4-fh. ..1 e t 71. = o x i s l,„../ C 14I/fn..4- . /►le s 4--(. .c..4-tA.r A. - rum. a-Ff. -'2o w.. ro or L.) , vi- 6.4.. e,,IN 4.44,0.4e.l _ctie.c f-.a d.c- c.)c.// . S N R't'Lff�AL-2- R'M eYf S •C'HO - Ct..2as a 6 ed..)).s d as thq Jt G SG 4 /e.S Axot" dtiA/1 54*// he- Aust-Ailed 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 projectsfthat involve the potential for dispersion of contaminants.] . 11. Describe the performance goals and standards applicable to the project. Pr-e.v.e-m+ a R p 1 7G.ti 1 `I?ra 1.)em-1- -N a +0 N e-i cj\o w s (j )4 • Pc.,.0em,-1- Ctc.•r, v-=F otit S(,oQ-J°- 12. Describe the flow control system. di stormwater site plan template—rev.10/1/2003 6 0 11110 13. Describe the water quality system. UD ti." aS 1`• G.• (Ai A.4 Q—t1- - a dt‘ ,c-A)4 c'eM 14. Describe the conveyance system analysis and design. /1/4 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. , D^I9.4- c_ Soil ' m Ai b-o... ccNzIJC ec . to+A- ,u am..►-l�:e.a,_ well -91AS.d s.44.4c I Md yaaue-/ Je6s '7 r c1eIkS A/; ioa Or1 - wel4'4-GkQii.. - /t►91 en, Jo 90 -4)14.a. coM+.0A14 16. Proposed methods of placement and compaction consislent with the applicable standards on Appendix Chapter 33 of the Uniform Building C de. if 17. Describe the proposed` surfacing material. ,t ` ' 18. Describe meth•• for restoration of the site. ti 'l . 4ReA .S. aF .1. x00S'-e: cJ 50/7 - wi/( h-e- 02 /*-444L , w t 4-Q1. Q/14Sf oft_ 10c4( ffei 4441 7CK.. .¢►Lol S (o,4) C e u-kco l 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. ///4 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. • C14Riii_ay - JcA .�-a , Zo04 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. W . stormwater site plan template—rev.10/1/2003 7 1111 w 4 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 1Q 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. J 34-)1 �i, k.l�1M Ems' • .ILL 4 ko M.c- t- Pr- a Ai 4 FO Grook.dia-+ )I �itJ4g; w r9-d'd,-!-,o�.� w< I.L. b e e I �r�a c� ,4. �-b „. , r,✓ i�►t,. d Q-c.k /yoo S ee.-F- .. 2. Establish Construction Access. st)L G is ,u 4 a aL a ►4 rd..) •1( .4 A AI cl S LA) , A-Se •`41 4- �Ad q rcw1 e/ - f 3. Control Flow Rates. H/n 4. Install Sediment Controls. Pos $ e02c- Sil+ 'Fa,Ai e- yV Anei S ! -cd4,41cs-Ais Qoss,d1e Si ,a,/ L r - St LQ - -2x cr�- .s4-)Aly ' vere ,N LA-410 L� Li u✓LDIQ..A J-1 �d S.e� sb. 1 rwM eyL' S+c,�.� b L4 . 9 o iA.1-3.. e Md +-0 mho f e� 90,a.44„►:i rcAM D C 5. Stabilize Soils. ++ 54r ,,J - 5 J4.,Lc'b 144 S - PoSS ,d/e. Seid- ice Aac41- Artve_ S4t-f..v aM ci+.e. ,q4-- th,-s -/-i , -4 ,.s ee„ ..S .a L.,va'J wQ t 1 0 e.�.e✓.e x4-4 s-e cl, ...eM4- r uµ a f'f A 4- tAis 1, m e . 6. Protect Slopes. ,5/e .s,s L.1� ; aa-04.emil- LA, : r-L.t S+cct.w — f it;kit, A t4rL»? - Sol t-/t- �.Q hie.e.�/1c'77 d4-o /7 f- A.ue_ 9-Fis4-,..:q ✓ ie71i 1- a,) w LPL A.cf S!a$e. - /24 9¢44.al,x Lc):/1 e-Cr sr,-4-- sk i,-a- 7. Protect Drain Inlets. / ,,,..,,,e_pn€,..,4 Ai,d AA, d C`A)Zt d:4- Ys 4o 5-I-n Lws ci.4.1.M. e. FFe.r id stormwater site plan template-rev.10/1/2003 8 0 0 b. Descri tion of special requirements for working in or near environmentally sensitive areas. no Al e Ali14 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,to ure,soil structure). �.•40_ Soil i3 /4/deaw ao r1 9gAUe./h9 5 fly Af4-wi. .4 do ,5/o ul ly p eK,rrl EJ4dl� f e wA. a M $ /A.y ea' a...* a. d e.p it o i o lD "ID ...4,461' - MsD- ►9n.K f�ym.e.4� ha-yeft- -co tpt,.c4 9164t7 /J CO I, µd et h4 L .t 4mcJ Co64la Si•ONes „ 414 z,4Ad e-Fu�A-4-en.. ea-65ioN i y 5 /,9 .- 740 in bete r x►.1.--a- 5. Construction Phasing. a. Construction sequence 5 t'he.. Pee. 6?,J'112 t4+1 D(I , - s 4-1244 d- ..ram l fc 11 • c 4+ ,9-i4d - it 510eo5 - / (/O41O/4 -,oM L7�l To*4..J "/ -�Ig.' s� s(AfirD4 �' re"}4#.#�I/r{�/ it)Ali b. YConstruction phasing(if proposed) V r v Y / 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. h9id fr, AiM1 - 4z,/ l 2oa 1 II. Wet Season Construction Activities. a. Proposed wet season construction activities. $,+e. P re-P ,4 a,r4 f i rs xi -'o 110&—' i di ii.e.0*e L Le P o 24- b. Proposed wet season construction activities for environme tally sensitive areas. e�0, Lc- c lid.r2 o / As /79-e- e e a�. 7. Financial/Ownership Responsibilities. a. Identify the property owner respon ible for the initiation of bonds and/or other financial securities. Dcv-rt eK F,u, IdeA-- by. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. Uwe B(A.. I d4 -. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/I-raps. ,lSrI'�- b. Diversions. )4./ /4 c. Waterways. 11j1" d. Runoff/Stormwater Detention Calculations A//A stormwater site plan template-rev.10/1/2003 10 • w 0 ( 12 Required Elem s-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Control Pollutants. w:// A.v¢_ A /i4 ail.e- it A 0,4 C o M,1-71-14.).)-t e x 04 S8-le . �, // im A ix ,41-4 A cue*,.t &o,ek Ss;-I-e ,s iruccA A S e o Ss.J/,,� U f// .� 9_,vr<,e,,,0, t pX.4- SA.-C'.G ?42.6 d,A.G+.l. . Q 10. Control De atering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Bet Management Practices (BMPs). • . , T2,A-3t (Oh44 r }wle/t- � v ��e� f-del c c�l4-ra ri e e� S e. ,...eAd- re.-vv..° d e.cl. 11.o'E- .e 24L.o s e..."- Pao % e-eA-s V Ai 6 14-�k r� b-i-- /e-C4- � ��.e d a e1. 12. Mange the1Project. MOm.e- 0wMert_ Wtl ` Or0J St A-�d 4, b o ti,/, A-IA et , N 4 S i+ Q.G t 0 ,1-; a.s 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, ro ds). r_s /3 a re N,A.o d I fU- , - CR M d P -ei //, �(4--� ;�-t D. A> aJr e £Q[ S4—)ri to f /, A d w1.ai,W�d. S &Ij// 6� A t/`/4- �tt i-(442. 6 au c4 I A a /4,ci J A.c am 4- et retk.1 b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). No o q 4 a GIs C o tti,ti 4 d o Prat Al_e.._ ri t --ci 1C/a GJ J AL/ So-tA 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. E1t-S 4 rc ,s c S/a 02.e_. a . 1 o+ • stormwater site plan template—rev.10/1/2003 9 0 0) 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 the affect d property. ♦ K. /_vie- .26 v1.007 (LANDOWNER OR AUT RIZED REPR ENTATIVE SIGNA E) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/1/2003 12 . 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