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HomeMy WebLinkAboutBLD2007-00041 BUILDING PERMIT APPLICA ON ML vT Reviewiew Ty 055 ype: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00041 Received Date: 2/7/2007 SITE ADDRESS: 1094 BLUE SKY DR PORT TOWNSEND, 98368 OWNER: ANDREW J MC GREGOR PHONE: 907-586-3353 SUSAN B MC GREGOR PO BOX 240945 DOUGLAS AK 99824-0945 DISCOVERY RIDGE PRESERVE SUBDIVISION Block: Lot: 2+ PARCEL NUMBER: 947200002 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: BISHOP CONSTRUCTION INC PHONE: (360) 676-1293 1217 POWELL ST BELLINGHAM WA 98229 Contractor's License BISHOCI000QB Expires 1/21/2009 REPRESENTATIVE: JIM BISHOP PHONE: (360)676-1293 1217 POWELL ST BELLINGHAM WA 98229 PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE ALSO A/G 500 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 430,000.00 ►bt MAIN: 2,860 CODE EDITION: 2003 ADD'L: 490 HEAT TYPE: EEE OCCUPANCY: R-3 HEAT BASE: 3l� o� HEAT TYPE: HTP OCCUPANCY: UNHEATED:Re. SeD 840— # OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 800 SETBACK: DECK: 1,055 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 4 Total: 3 Total: 4 Routing Date: .0)\\C; Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,841.75 KAS 02/07/07 87263 APPROVED Plan Check $1,847.14 KAS 02/07/07 87263 State Building Code $4.50 KAS 02/07/07 87263 MAR 2007 Potable Water Application $58.00 KAS 02/07/07 87263 Infferson County Planning Total: $4,751.39 n°narhnent Jefferson County Building Division Permit Num.: BLD07-00041 Applicant: MC GREGOR 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 tha: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 3/Zf/�7 Erosion Control Foundation Footing , 314� — f"Ut - Footing Drains ,*(97 l Foundation Stem Wall ' — �cro _ Underground Plumbing l Under Floor Framing 611 Straps(hold downs) ,t — 1Zv"` Ext. Shear Wall Nailing Rough-in Plumbing 7/2. /07� ' Framing Blocking Airseal 7/30/07 Insulation:Walls 7/ 3c/ 7 U� Insulation: Floors Insulation:Ceiling Int. Shear Wall Nailing Wallboard Nailing ` Gas Line: Interior Gas Line: Exterior \`—61_1 VA) Propane Tank 0_1 n svo UlfOI a Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION _ — FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00041 1.) PRIOR TO OCCUPANCY--FINAL APPROVAL OF SEPTIC PERMIT, SEP06-310, IS REQUIRED. PRIOR TO OCCUPANCY NTT FOR BEDROOMS MUST BE RECORDED. 3.) The parcel has been designated as RR 1:10 under the Jefferson County Comprhensive Land Use Map effective August 28, 1998. 4.) The application was reviewed by the Jefferson County Department of Community Development staff on February 20, 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: wetlands. 5.) A setback of 100-feet from Wetland PX measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 6.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 7.) A permanent physical separation along the upland boundary of the wetland buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 8.) The applicant is proposing to create or add 4855 square feet of impervious surface and 20,300 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. 9.) 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. 10.) 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). 11.) The revised site plan dated February 28, 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 6, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 12.) This approval is for a single family residence with attached garage and 500 gallon above ground propane tank 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. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) Not more than 2 unlicensed vehicshall be stored on any lot unless totally soiled 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. 15.) Minimum setback from Blue Sky Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If an ESA is present, then the more stricter setbacks shall apply. 16.) 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. 17.) 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. 18.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 19.) The building height is not to exceed 35 feet. 20.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 21.) An address of 1094 Blue Sky Drive, Port Townsend has been assigned to the parcel. Blue Sky Drive is private (P278). 22.) The lot was created through the Discovery Ridge Preserve Subdivision on November 1, 2004 under AFN 491110. The plat is subject to Notice to Potential Purchasers. 23.) A septic permit (SEP06-0310) was approved on December 26, 2006. 24.) The parcel is served by PUD#1 public water. T cLl. JEFPERSI OUNri !:\�V \ DEPARTMENT OF COMMUNITY DEVEL P NT, `� • 1 621 Sheridan Street • Port Townsend •� a toi 833 $I lI )) 360/379-4450 • 360/379-4451 Fax gS, N41 �p� www.co.jefferson.wa.us/commdevelopment {_ 2007 Master Permit Application MLA: 07-55 Project Description (include separate sheets as necessary): �� �I�r)lll\i ir�lll��� AI i IV C '';t N c, L E F=-. —►►•►I L. I (Z c5 I 1) C"'N 6 C" LA)// /1 —I )'rt-q g 4 CO 6 A--R/1- GE.. Property Tax Parcel Number: .1 L ta 7 - .2 00-0 bZ Size: 1 0 t 3 ?),:-• 3 (acres/square feet) Site Address and/or Directions to Property: fI d 9 LI 13(.... v SKI D L 6 r'F D i S Co\/6'i 1 lid l�6 Property Owner(s)of Record: $ t C P N O 1im L c i i-c R I Telephone: Cj 0 ' ' CZ <. 1 3 S - Fax: email: Mailing Address: P,0 • 8 G Y. 2....9 r, ci -j 5 V G t---0 5 'I- }c ci ' ?-2-1 Applicant/Agent(if different from owner): . 1 Yvr ('36 tit P Telephone: 3G0 , &) to -1 Z"9 3 Fax: p email: Mailing Address: i 2-11 i �,y .-tc I . CZL.I W ii fti - vt 4141 What kind of Permit?(Check each box that applies) &l Building ❑ Variance (Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** IP Single Fa ay_.. ❑ Discretionary"D"or Unnamed Use Classification 0 Garage ttach.esj1 I Detached ❑ Special Use (Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment u Modular ❑ Short Plat** ❑ Commercial* [1 Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address 0 Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments** Nf-Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions ** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* C] Shoreline Management Variance ❑ Temporary Use C] 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: 7• DESIGNATION OF AGENT I hereby designate •J/it I.f41vr7 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE C' ' /�f`:" rCl Date: t�_ � L7 • 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.Access and right of entry to this property shall be requested and shall occur only during regular business hours. ' , /�.. Signature: �" , / Date: ,�"- - lC✓ <' 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 Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non- transferable respor,ibilit fo adhering complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ,'" -,1- •' y !�' Date: i") ��/�1�'7 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc - i •. • BUILDER STATEMENT • — The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: tGENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 3I .S i>> CoivS (i.VCflON J NC. (1(,0 ) l3 ? (.:- Iz..I3 ( )q'5 Y'F MAILING ADDRESS: j ` i 0 L.)Ct_l. s'j'. EMAIL: h y s k Z I l r c £ lc i QA 4.r.(r 0 - Ar E T CONTRACTOR'S LICENSE _ WAINS } NUMBER: 51 S t'�- O C. .� ©O 0 c (j NUMBER V FtCHITECT/ENGINEER: �0 is C``�1 5,NI ov G, PHONE (j( Z ) 35< (s-F y FAX: ( ) MAILING ADDRESS: Ci'H ( E 6 ki)G oz, RA). Lt ltN 5C ,:A . EMAIL (Project Type: Frame Type: Bathrooms:' 'Shoreline:' :Type of Sewage Disposal: ip New RI Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: Bank Height: ❑ Community System O Alteration/Remodel Li Concrete Total: : / t Individual System ❑ Repair El Masonry SEP Permit# C(r' CO3 i0 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party 'type of Heat: Proposed: , e Public r L.TF-cC Total: i '' i'• Name of System: P l D If this is a Commercial Project you must answer the following: VE V �1� j� Number of Parking Spaces: Current: Proposed: Number of ADA P i -bpaces: i II Number of occupants (includes owners,tenants,employees,etc) Current Proposed IBC;Occupancy: IBu t ype of construction: Will you have Food Service? Yes / No'I'1 7 IIf this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: ❑ Underground Tank 4-'Above ground Tank Size of Propane Tank: TOO G-t- i Heat Stove 4 Cook Stove ❑ Woodstove ❑ Fireplace Insert 01 Hot Water Tank ❑ Pellet kl l# Is this appliance being installed in a Manufactured/Mobile Home? Yes / Jo 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 1-PanTalr For Office Use Only Amount Revision late t') Main Floor Heated EH Bld App Review: 2- $ (06 a% i.Pt lc E .cc 2nd Floor Heated Consistency Review: 9 9 o 43cl15.7L 153 - CC- Other Heated r Base fee: Ab13. 15 a-$ /35 -I/08.CO ,40 Mezzanine Additional Section: Heated Basement Plan Check fee: I 4.1 I LI- ^t..Unheated Basement Weo"p0 State Surcharge fee: 0 Other Unheated I Pot Water Review fee: Garage/Carport •� �O '• l�l���,l SUBTOTAL 5, �Q�` �� 4 C q Decks 0 © ° «I D ct 911'iAPDro c t iCr) t Skt�J Other r o ID GG�� TOTAL: $ 5 t ,,,01.2J9 I: b\Ikl� i'L.I`cN Z S t • J Receipt Number: S"1a0 DA0 -1,:Ksh/Check Number: `-lo 5-5 STIMATED COST(REQUIRED) Date: �s��� iFair market value,of all labor a enats'foun a i n tr- a 110 7 l`� /�1"I M� ) Initials: 00/ . / 434)T4:4LC) 6 ti — G:\Pe nter\FORMS\DRD �Masteri eri iit Application 12-30-05.doc 7e.\k- vonV)) ''36)( c-t .N- TA.Wp'U solo a D%OCR+-.4_k_tr. '8t-Dr+� 155E Peft-- • • � RECEIT1TD � ozv C 4410k%, JEFFERSON COUNTY F `' 27,37 p DEPARTMENT OF COMMUNITY DEVELOPMENT JLlILIWU aJL7U 621 Sheridan Street • Port Townsend • Washington 98368 0 4 d 360/379-4450 • 360/379-4451 Fax NQ` http://www.co.jefferson.wa.us/commdevelopment/ nituSUN COUNTY JCD STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# O1-55 PROJECT ..__QAI(TNAME: ,w. (3 s 1 (jt� oe CJivsT. 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. T-rl MC I S 4 N rl X 15 i 1`nl cz R o Fl c 1 L t b('v c- 3 6 0 5c 3 0 0 ' ,11LO ri-f-; '. it-5 cLCARr'P ergs G0 , rN wt`cL vsc' /}-Aft) (w,fco\Ie- t? <i, 1-xN Ko (to . ivy 4Jrt_L f3viL6 0- iv t w s,PR.. 33 $0 iN i7tE Cat Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. U ())b\)c. s i 7 s L 0 P L`5 V E&V 5 t_I G f i L 7-O ' -( n5 T H-t Kt01Q lu tT Pt f N- S i T�� : 'Fife c 1 'N GELS 7-6 r4 1) ' I Ai ki O ' ' S i'T /9 F-2 o nA o u /t 13 v � ry G- S i rite c o r i ltc�v `vt-'Z s v v7 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. TO—C.1 J,S /��P Lv iS A h' !X 0 fi Do UG FlR f N/t7)Vt PL1N)3 k X C t T N 4-N iv d I t, a N 1r'F 5 MT Pc, -N• - 4. Describe the existing soils. Indicate soil type on the site map. (-OwNJ L0H-rn f`%N6` 5& fl5 Q V Coro P"-CT C✓64"/ 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. T)tf s IT(' (f;c,E-mac s w'3 i r ik a nti 6- - t 1 s f TC3 R,i W E ) Al D( t PRdPt-'Nizi Y L, Nt . L_or sLoPCS Tbw/1-K 4i tY 6. Describe any excess levels of noise generated by the proposed use or avtivity: APPROVED T1(Pic (o &IDNTit5 of NoiS6` w ATI d1 IAAiSJ77jZN (A)ILL t Mo La iwtoArvin! Us woAK . F E B 20 2007 StormWat JEFFERSON U stormwater site plan template—rev.1D/712W3 ire DEPT.OF T EVI ENT F1 SIGNATURE: • 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. M I ry o ►2 we T /Nz-5 1~x; s T 0 77 w 0T-6V P&01)(V 1►' 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.). -7-141S 5iT IS ►N j j P1) 6Y3LN 01' F} Ac ZE LiJrmA1 , I L07-5 ft-12 I ftc (tc5, Rot)b ► s P/9v To Trt/S L.oT tui bos7At6. Po w m ,-.J n w E-0- • 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. (,U F W I L-L I—j-$ <• u 71--k g S D ►'&U I N G I N —b y . G ) 1 L i N ES . T7 ` T 6itT ZiNEs waLL pfzII Ai INTO r0 /A i3Rusit / S 1 i S L.0 P t ' --u i-20 ►'tA ri1- i - i t f /JMik' FI€t D. 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.] ?'h-►S s ,T 1 (A, (..J1 i'-i 0 /1- 't/--LLLy L��Srt-V.s1;) p 2I) 6 10 F O R 51oRrn u-A 02. con> 7—go L , 11. Describe the performance goals and standards applicable to the project. w t Lr, f u 7 PIT- ( u rJ G R/)-N/t z o n/ T7t�' �y( VVr( 156 L 611\16- INI`a l�V {Lf�ING S ► lE • 71-17S U fV►LL r..poi DQ S j 1/1 3 ��70 S -1-A! C. SO f C D d' D j ri o N S b J R I (. C 0 ry s j 7? U C.ri ON- 1- W(LL_ LodN� SoILS bJIeIN& F-6,/IJORiIUN woRK • 12. Describe the flow control system. r--71 --.'...e..X , S h'w _,_.c.L fZl N G- Ir I L' No-- Q 6 LT-t-r o Sa WA' 1w-11-T€1 i t 8 (A.)S w I L L ry o q f 4 1�!�/)1:� e 11 `' i Ar �3 rig f �7 . • 4 rr JUFELi .B\ l,otow stomnvarr site lan tern tq—rev.10/1/2003 • • 13. Describe the water quality system. - TI u L O S I T& f S o' r O �O o v f-w 19--if F-Xo N�1 tiY��i2 w>� 21R ('Lows ccu(Z urtk c j/+i S%M(C . 1i iK rb ClVeYz AtS ruRBEt /1-2F 'f wtTlf SiY-A-'u1 , Kr`2`�P S 1 t e iki/7- Yk r=ta(.0 s V(- 6 y c L 'v 1 F>eC DF w)oh • 14. Describe the conveyance system analysis and design. I LtL DpwN sPd jr S wtt-L b/Zr97ry ! N7 Tt- rv /1-'j U/ZC` / S S Lo p i ry G. T-0 Z w T, w L b/}i i 6 H--T 1t y Q 2,9-rA) L l N C i r'3 c 2 G R h u&'L S 0 Trt-f t-'i? icy( i 5 P(.)2 s F Jr) i L_ w FLU t,v N/7- i v w f t) 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 0 r./ N I S L 1 L t_ 21 N , I N W i c.. (a at z 6,k/iy'A1 (z o c K /-iv t G R A-V ht F o,2 k 019- 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. N/ aieivc oA) Tit(' € XI5>>AG Ro/lP i f5 7z Tt}-c N Civ G-1 f'I cZ I S 1 N P C/)-C - , %77-a to� C t_ C 6 A'iaDD-c T is V cl2 n C o U R S t o 1+0 rt')e (3 U i L ,'j G, i') •� Q G F- 5 CAS c -1V 17. Describe the proposed surfacing material. 6C C D ETh) al 6,9-s C O v'A/-c rzn2. D1elVt c -t7 Wj LL 6 'i " P0 V2 c A.,c. 18. Describe methods for restoration of the site. k Ni(+S I) \ lr- R. /?n S Dial G C c- rtiinl G wr` �. R-€rn/1-0v , Sri 0-7 ; s 8 ,.);L►— 7-7-4- 2c-37- aF / c- L(.`0-9. rJ G i t L L I \( S o R(ts S 4 Ail) r ,i9-7- > I L TS I1 1)o Nor r g_rQUiR.F ►. )uc tt w tiv `L t< 13 r Pc/9-o111 19. An Operation and Maintenance Manual is required for each flow control and treatment facili : i ' •elig III e e f)) "large"projects only and only those for which facilities are required to control flow or treat ru lu a-t, is th fda uals here. N / �I tttt-�\�\��`` C: " 2l7 20. List here and include any special reports or studies conducted to prepare the Stormllvater Site } L t t f�tv ,N In' tvo (4.-ePo r 1 5 t -R r^ 4 VThIrL/H3 t.r o u i S10 E o rr) 2 c i F-o-a M `/0 v A s T ,y 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. e T 7 C r !figs /} L/Z 06k-DY Q F o Q 7-71-i:iv�-c� . W U.)i L.` ry a`r-- 1 R ?h R t-wt TZYz. T u 4Rel S stormwater site plan template—rev.10/1/2003 ;.^ • I 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. i 12r L 8 c Ur`RY Ft-AA) S o t3rcusty C t FTh . . T" N -3 k'0 Y 0 2. Establish Construction Access. ;nr e' (Jo i ti-L. , r P R '(e E7(,ST h\)G. R o fTh. 7 I s '1)f— Here; 51r /1s iS 3. Control Flow Rates... Tl S , Z T L i, w s ;��1�Z 1 i w 7- a ) c tl 1(Pr 1`-06Z,�Zt r iS 1 us N- 4. Install Sediment Controls. USCG 5� oN / ._ 1_>( PoS&p S rL / } 84t_.s To 5i O /1-$\9Q CAN OL S vY) movt'm T ` i 7-0 1171 F 2 T 5. Stabilize Soils. C o v t c..44 f s 1n O P G R-S t ie..L-7 I IV nit B LOr � ('2oL S Ct?n� 1 L CCU ''JoN 6. Protect Slopes. Wl� tJSLL Nu 61‘1 SLOP . 7. Protect Drain Inlets. -Rhs 5 /R bF ,RECTA-I CTA-I' ` � �� 601LniNG�. S c7E A FE3 — i2 7 3EFFENSU stormwater site plan template—rev.10/1/2003 q • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 1'11 E 6-Rt N a NC 9. Control Pollutants., wILL 1C ON St re' aiC. To PRoTCr lv► ?I2 Ji\c-r iJfl arn care 7- vL o SPiC_L5, 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). i1 siTl; w oPyv AJC- w> 0s 11 w0) So Nt1 P4fvvPuNG !S f , 11. Maintain Best Management Practices(BMPs). wIL(. 13( ON siTr ba OVe`!t caw57��c�-► o� R " s a N " PC a I` 601 Lta M (A) At O wwry o Y S. 12. Manage the Project. S Eir" Pti30 v F• So r A-r'L Q u i LOi n1 G r t•S P20 ATK:- 1-a,2• NS Ci-41z,4 ci Wis.30.5 pF- VY1tN1` Sa I WrL- L PRon i 'nt 1 1•.1 ' IAtT14- C3 1'1 Ps> 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). Q Cc pc-us op a u ft LOUR-,�aN 1- 7 17 5 L c s t T" 5 C a3 u t L+D i N G w t 1-tt o-J'i' Tom" N �i�a C _ WC wtLL 1+1ry ND ire‘`'I Y OA) Sus f(.0 .t-16-1\9� b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). w w ►L n Nt.T i rvt P&r T ti,S 7 N 6- P KA11V 9G B'L C' S �'F" 1-Fl k- 4 F(Z o IAA' TYI€ 5 r "R rErPN)) 3. Environmentally Sensitive Areas. ['. _ 2017 a. Description of environmentally sensitive areas that are on or adjacent to the site. , -n w 1- j>K1� Mill 41(50 N R 5 N 01M�� �NSbe)UllNly w r� D . S l"7C1 S t Th stomtwater site plan template—rev.10/1/2003 • • b. Description of special requirements for working in or near environmentally sensitive areas. N/,14 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). TF PA N S wes-1-( n-No ri 5 \ (/ Lt ,itt SLoPt , 5. Construction Phasing. a. Construction sequence p'G- NbLE Q/oN Po,AC`t') ��cK t , L( n razsThRZ 5J ) ])f 5" F>2 -cr,Nc S/o+!v< • lLoCs P-/Nr' fZ,rvrS It ]� I\(t y ,, 1_4.fvoSC:g9e. b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. II. Wet Season Construction Activities. a. Proposed wet season copstruction activities. Uek\ LIr-L E . b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. 01 Mc_ G--A-tr m b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculation on a separate sheet for 1\ wgj4 1 )� a. Sediment Ponds/Traps. n f ,Q lld b. Diversions. U " r 1 c. Waterways. F� d. Runoff/Stormwater Detention Calculations JEFFNRSI1 I N 1II;II 0stormwater 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 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. ...v4/ / 70 ? ?i'� na :,)V T'O'RESENTATIVE SIGNATURE) t,(y�Ttr) I THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: .0 OA IAA F Et° tk; , AkittiSUN MINIV OGD stormwater site plan template—rev.10/1/2003 12 G Co _S TUTS•% u L r f > J 2 6'4' • 1 i � f w r x+ i?D G1 8 ® v M / Y _7` • 0 e rl £{ P v T x . • _ S. o ,f�/ N_ r N., 4 3 ti j, ^ i ? p a` C N P S l X A N F _ _ E. e, r • rn o 0 r. r o m C., r on o-- - —a - ✓ 3 s S Eli' o D a_ T rn Eli z i n. yr • Z y d y�./ .. m ex-o" _ _ i N 0 /^r o a N m .7: r �,a 3'4' l L.=9' > t ., • Ps I rs 3 X 74 me'= t IT N_ ul 3 -C X iO r• x �_ x `° co m Tr,_ > ar_ S. 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