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Home My WebLink AboutBLD2007-00020 IUILDING PERMIT APPLICAAN MLLA07N00p032 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00020 Received Date: 1/26/2007 SITE ADDRESS: 72 PETES SPUR PORT HADLOCK, 98339 OWNER: SEVEN BRIDGES PROPERTIES LLC PHONE: (360) 379-4947 PO BOX 1953 PORT TOWNSEND WA 98368-0067 ANDERSON COURT LONG PLAT SUBDIVISION: Block: Lot: 17 PARCEL NUMBER: 931300017 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: SEVEN BRIDGES PROPERTIES LLC PHONE: (360) 379-4947 PO BOX 1953 PORT TOWNSEND WA 98368 Contractor's License SEVENBP983JD Expires 6/24/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,580 VALUATION 180,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 528 SHORELINE: CONST TYPE: GARAGE: 220 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: Z. Total: 3 Total: A., Routing Date: I I aco 101 3 Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,441.75 KAS 01/26/07 87253 APPfl " JEEPlan Check $937.14 KAS 01/26/07 87253 State Building Code $4.50 KAS 01/26/07 87253 Potable Water Application $58.00 KAS 01/26/07 87253 FEB t5 2007 Total: $2,441.39 Jli(Mypp Comfy & Department Planning Jef,era.un Ca . my 1.uilcHng i, P.-rmit Nur�� OC 1 002v • Applicant: SEVEN BRID6[S PROPERTIES BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspecto- prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks Erosion Control Foundation Footing `„7 9/— Footing Drains //�- Foundation Stem Wall 172 070 61j4 Underground Plumbing Under Floor Framing 5LueD OFF BY C S/ 5/67 Straps(hold downs) -7/1/17? 0 K. Ext. Shear Wall Nailing tu—Z47—7 Rough in Plumbing 7/`l /07 ek' Framing 7//� 7///ZOI/iii a/1s Blocking //// a D Airseal 7/ 17 SP- Insulation: Walls 7/ I ;,? Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing 7/34/� a/ Wallboard Nailing 7/56/o7 Al ,04 Gas Line: Interior Gas Line:Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION 3 t 4 P$ Per CCirrGc.T-teAl FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VAL.ID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD07-00020 1.) H-NO OCCUPANCY WITHOUT FINAL OF SEP05-266. 2.) a) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. b) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on February 15, 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: SARPA& SUSC aquifer recharge area. 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.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1) All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit (4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit (5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 7.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 8.) The applicant is proposing to create or add 3052 square feet of impervious surface and 5808 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology 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. 9.) 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. 10.) A Stormwater Site Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 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 revised site plan submitted orakbruary 2, 2007 has been reviewed for coreency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated February 15, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 13.) This approval is for a single family residence with attached garage & deck 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 Pete's Spur right-of-way is 20 feet. Minimum side yard setbacks shall be 5 feet. 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.) A minimum of two (2) on-site parking spaces are required for the single family residence. 22.) The parcels are designated as RR 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 23.) This parcel was created through the Anderson Court Long Plat under AFN 457771, filed of record July 11, 2002 in Volume 7 of Long Plats, page 165-166 with Jefferson County Auditor's office. 24.) Jefferson County PUD #1 provides potable water to this parcel. 25.) A septic permit (SEP05-0266) was approved on October 31, 2005. A road approach permit (RAP05-0140) was approved on June 16, 2005. 26.) An address of 72 Pete's Spur, Port Hadlock has been assigned to the lot. Pete's Spur is a county local access (C634209). 27.) THE ROAD APPROACH PERMIT (RAP05-0140) MUST BE INSPECTED AND FINALED BY THE JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PRIOR TO THE FINAL INSPECTION/CERTIFICATE OF OCCUPANCY OF THIS RESIDENCE. CONTACT TERRY DUFF AT THE DEPARTMENT OF PUBLIC WORKS AT 360-385-9159 FOR THE FINAL ROAD APPROACH INSPECTION. 28.) The parcel is over 1000 feet east from Chimacum Creek where immature Pacific lamprey & salmon have been identified. s,„sozIl cod,• JEFFERSO OUNTY i1V �A TA\`f �� l �l ' 4' DEPARTMENT COMMUNITY DEVELOPMENT ' '4 621 Sheridan Street • Port Townsend •Washington 98368 JAN 2 6 2007 360/379-4450 • 360/379-4451 Fax " (-P' www.co.jefferson.wa.us/commdevelopment JEFfU EJI UNI) U El Permit Application MLA: -, Master pp � Project Description(include separate h ets s ne ssar �- (- — /'r74� G z/ Tax Parcel ) Property Number: ! 3/� 3�t�� t�f Size: 1 3 t1,17 (acres/square feet) Site Address and/or Directions to Property: 7 ..Q�—QS SP(9(— P ,"'r /!-e5 /c /'a - i- ' Property Owner(s,1 of Record: L ..ua (6 � � 3 7 Telephone: ' /"L °III 7 Fax: C/- • 7 email: /(!___ f f a Yi341..6:171-‘, Mailing Address: -per.,f i q p7. -rip( -i-vaIv-.C ) (i)A q'3&Ff Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: Wh ind of Permit?(Check each box that applies) lldyy'��99 i Variance(Minor, Major or Reasonable Economic Use) )f eyaolition Pe i Conditional Use[C(a),C(d), or C]** i,Stngle Fa . i Discretionary"D"or Unnamed Use Classification 4 Garage ttache Detached i Special Use(Essential Public Facilities)** I Manufact ome i Boundary Line Adjustment i Modular I Short Plat** i Commercial* i Binding Site Plan** I Change of Use I Long Plat** I Address t 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** i Stormwater Management i Shoreline Management Substantial Development** t 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 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 Jeff-• - County and its employees,representatives or agents for the sole purpose of application review and any required later• .•pection/staffs -_ -ss a•• • o - will be assumed unless the applicant informs the County in writing at the time of the applica ion t% • or she .•- s pd. otice. /2 _ Signature: .......I r -Date: v The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jeff County development code.The Applicant acknowledges that he,she or it holds individual and non-trans Table r onsibility adherin an with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: �� Date: / ...2 6 .�02 4 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc BUILDER STATEMENT • The signer of this statement does hereby certii at 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 CONT TOR R MANUF TURED HO E INSTALLER: PHONE: FAX: S'Qt/6.0 Or t �. L (36 32y - W 7 (. e) 37q-/7cv MAILING ADDRESS: -u 1" I' S3 ( EMAIL: N V�yc 160 a/y ` _ CONTRACTOR'S LICENSE u r _` WAINS J / LCJY(/� NUMBER: Srv11r8J99 S23s(f NUMBER ARCHITECT/ENGINEER: U PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Pr 'ect Type: Fr a Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: 'St-Individual System ❑ Repair 0 Masonry ��' SEP Permit# 05_ L44 Bedrooms: Supply: ❑ Demolition ❑ Other: Water Existing: Setback: ❑ Private well 0 Two Party Type of Heat— Proposed: _ tic -.r�i Total: /f Name of System:i40.10 vZ 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,mark all items below that apply: i U• nderground Tank i Above ground Tank Size of Propane Tank: I 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 • 5'L' u o , 24 EH Bld App Review: 21 Floor Heated I Consistency Review: c:cw _ 153.E Other Heated R [1:4(TiVFD Base fee: 1 41 1 15 Mezzanine Additional Section: Heated Basement JAN 2 6 2007 Plan Check fee: vl 3-1` 14 Unheated Basement ,j('(� State Surcharge fee: 5D Other Unheated wJ LI([l:�Sl I\"��IJl tJ U „ Pot Water Review fee: C45 OD Garage/Carport S�� `a 44.1(40 �� 1� SUBTOTAL Decks 911/Rd Approach fee: iN,q7, �av 5 t,5,4D yic51 in Other t TOTAL: $ a qri. Receipt Number: $ '1'a53 Cash/Check Number: 4ac31 ESTIMATED COST(REQU r<�j "� pPate: Lt/0-1 •Fair market value o abor and materials foun to finisl( ��P g7 ,f" Initials: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc 4111 • • Q IRECETP i 1.0seirk,kwq, JEFFERSON COUNTY ;. 1 DEPARTMENT OF COMMUNITY DEVELOPMENT JAiN 2 C 2C27 . 4. 621 Sheridan Street •• Port Townsend ••Washington 98368 , N 360/379-4450 . 360/379-4451 Fax �EFF�� It�,loillI i ll'ii http://www.cojefferson.wa.us/comm development/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 0 1 S a PROJECT/APPLICANT NAME: E t^/ `4�jy0 �Lc7 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 2 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. SF ie.- 0 0 Existing Conditions Summary 2. Describe the existing topography. Indicate contour on the site map. JEFFERSIM COUNTY Hilo r 4 3. Describe the existing vegetation. Indi attiv vege tion areas�he site maps.' 4. Describe the existing soils. Indicate soil type on the site" )zy 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. � / p._„„ja G llJ� „ r - .mil/X� APPROVED 1 6. Describe any excess levels of noise generated by the proposed use or activity: STORMWATER PLAN Stormwat 9 � 6- FEB 1 5 2007 Require JEFF • 0 ik'UN, DEPT.OFC,,, 'I I'j ITiD VE IPM,NT stormwater site plan template—rev.10/1/2003 SIGNATUR.. C 5 i • 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.l 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.). .- ,.5;1/14,0e- 4;4 61 ii_e4,i diryLeit, Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation.of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. 9. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual)or, if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. 7 (.,(.1,41 ' /./(47j.„,. c c-1.h 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.] i 11. Describe the performance goals and standards applicable to the project. �� "r� 1 L4�� No JN 2Cn Z • 12.' Describe"tfiQeliovii:,cpntt Tsys'Tem. RUMS!!!�IJUl11Y1 r t 1 • 4/P— ! 1 Lonmvter site plan teroplate _tev.i0/1/20oo Y t�. „)1 = 6 • 13. Describe the water quality system.. 7 4 t- RECEVE I ) 14. Describe the conveyance system analysis and design. /1/// JAN 2 V lip, 17 ii V I7 ONSii1113iiINI 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. o6D(tj7__ 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. 6)/ 18. Describe methods for restoration of the site. /-4411-7 /R4/AA(1"--1 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 req ' d to control flow or treat runoff.] If included,list the Manuals here. iti/r/ 20. List here 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 restrictions here. kb/ stormwater site plan template—rev.10/1/2003 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and.erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual (beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. 2. Establish Construction Access. b://ivAllotcycj 3. Control Flow Rates. 67LIC IRECorq'Alf) 4. Install Sediment Controls. 14/1g7VC JAN 262U1/ 5. Stabilize Soils. JEFF BSR MP 0 /Yietzida, 6. Protect Slopes. ,a /- 7. Protect Drain Inlets. 6. fJ stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Control Pollutants. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). SOIL n/i/C4 • 11. Maintain Best Management Practices(BMPs). cliAqyatx-rni Nu oL,16LiiJ • IRE EAR ,,111) 12. Manage the Project. ( f -c; JAN �IFFF- S1 �� +; 1)1 1(:1') 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 41/ //26a- b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). /4/1 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. ---77 stormwater site plan template—rev.10/1/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. Avow& 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). /V&1 5. Construction Phasing. a. Construction sequence 57 41 / /‘///1/14 b. Construction phasing(if proposed) 2 /i 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). 1. Provide a proposed construction schedule. .7./V II. Wet Season Construction Activities. R E CE1J'T1 [ a. Proposed wet season const ti activities.//), JAN 2 b. Proposed wet season construction activ'ies for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. //f/z2 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 th following,if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations /1/ stormwater site plan template—rev.10/12003 10 . . Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the 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 !so certify that this application is being made with the full knowledge and consent of all owners of the ted p rty. 6 &7 ( NER.535AUTHORIZ EPRESENTAT E S T RE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 1R ECEIVED JAN 2 G 2007 JEFFEBIP +:iiur ' stormwater site plan template—rev.10/1/2003 12 i S2-o ' 't z_o„ SO o" �.' 7_0„ 6_,.. G,o• 3-a' 4:0• 2=G" i-c" L-G• /-G" G-o' .f_p. ",) 44> . =MI 11 a•••1-•'•-ox Ell> ` E CIARSS i r .G Rn55 Z. 40, L° z j+3 N \ N- �7�o o , o71 x o ~- o O a - ` *inz d _ `1 — ' 6 l c I a 1 �1� ,�. \v p m s` 2 L G• 7. � _. .. 0.1 O. o T m r o m` i. y r . o 4 0 rm \*,.-.d,. 04 m x c e . ; -- 6. r o At N, d \ t1.om , z%L P i 1111 Fzn °, ,.P' � w • ‘ m L 3. N?� —Tt/! 3!/f.ALiwJJ_rA'�/.�/_ �rteU » _ /` — - pp ,_. 1 . z y � �� Lr m 1- ,- z .Or* ...c'.f LU`o1c. 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