Loading...
HomeMy WebLinkAboutBLD2007-00049 0 IDUILDING PERMIT APPLICAT Review Ty 057 N ML Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00049 Received Date: 2/9/2007 SITE ADDRESS: `)-\ YbOAJO� tom;6 ) PORT TOWNstND, 98368 OWNER: JAMES E EADES PHONE: (360) 385-5653 MARSHA EADES 105 LOUISA ST PORT TOWNSEND WA 98368-8714 EISENBEIS BAY VIEW SUBDIVISION: Block: 41 Lot: J+ PARCEL NUMBER: 948604102 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: HOPE INC PHONE: (360)385-5653 DBA HOPE ROOFING PO BOX 1199/105 LOUISA AVE PORT TOWNSEND WA 98368 Contractor's License HOPER**043N7 Expires 2/16/2009 REPRESENTATIVE: JOAB EADES PHONE: (360) 340-5752 74 HUCKLEBERRY PL PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE ChCiarb 11Os Ct ALSO A/G (2) 120 GAL PROPANE TANKS ' 1 fl l7iA l'TP TYPE OF WORK RES SQUARE FOOTAGE: -rt,r(IL' l -Hc V Ck iiF CH TYPE OF IMP NEW VALUATION 225,000.00 MAIN: 1,7281 C( CODE EDITION: 2003 ADD'L: HEAT TYPE: RAD OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: 5N GARAGE: 568 SHORELINE: CONST TYPE: DECK: 140 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CITY BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: i rd, 4-1 6-i,': , Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,693.75 KAS 02/09/07 87273 \PPRVEJ Plan Check $1,100.94 KAS 02/09/07 87273 State Building Code $4.50 KAS 02/09/07 87273 APR 16) 2007 Potable Water Application $58.00 KAS 02/09/07 87273 Total: $2,857.19 Jefferson County Planning & Building De9artment Jefferson Court. 3uilding Div'. Permit Numbe:OLD07-00049 Applicant: EADES 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 days 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 4 23 0-7Erosion Control Foundation Footing (6,4?C-? r,,,,k_ ran t 5 c. E)Qic Footing Drains ` e,w —Foundation Stem Wall qzr,7— '( C e- , r 7-07. 7 Underground Plum �,�a� K,n rui Under Floor Framing < t 1 0, Straps(hold downs) 1, Ext. Shear Wall Nailing ;.-" I' -i 7 -- 8' '4, �,)T 11 s`SPc'T> Rough in Plumbing 711°7 U4 Framing Blocking Airseal4\ 2-\ UI u` FY3 Insulation:Walls -viola), t---, Insulation: Floors Insulation:Ceiling 7-Z-61 rx+c{s` L 4J-\k. Int. Shear Wall Nailing Wallboard Nailing //41(9( Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION _t r' c._- FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00049 1.) 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: SARPA aquifer recharge area. 2.) 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. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) 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. 5.) The applicant is proposing to create or add 4030 square feet of impervious surface and 5000 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. 6.) 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. 7.) 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. 8.) 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). 9.) The revised site plan as submitted on April 5, 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 April 13, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) This approval is for a single family residence with attached garage and 2 120-gallon propane tanks 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) Not more than 2 unlicensed vehicles sibe stored on any lot unless totally screens 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. 13.) Minimum setback from Eisenbeis Avenue and Louisa Street rights-of-ways shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 14.) 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. 15.) 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. 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 17.) The building height is not to exceed 35 feet. 18.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 19.) The parcel has been designated as RR 1:5 under the Jefferson County Comprhensive Land Use Map effective August 28, 1998. 20.) The lots were created through the Eisenbeis Bay View Subdivision on April 3, 1890. A boundary line adjustment was completed that consolidated lots and portions of vacated rights-of-ways on August 31, 2006 under AFN 515101. 21.) The parcel is served by the City of Port Townsend public water. 22.) A septic permit (SEP07-0028) was approved on April 3, 2007. 23.) PRIOR TO FINAL BUILDING INSPECTION, PROPONENT SHALL HAVE THE ROAD NAMED AND APPROVED BY THE DEPARTMENT OF PUBLIC WORKS AND ALSO HAVE AN APPROVED ADDRESS. THE ADDRESS SHALL BE POSTED AT THE SITE PRIOR TO FINAL BUILDING INSPECTION. 0 0 )' ,��i °....._ N ��G, JEFFERSON COUNTY RIN'EIVEli W ' 7'j DEPARTMENT OF COMMUNITY DEVELOPMENT ~' '4 621 Sheridan Street• Port Townsend •Washington 98368 FEE - b 2637 360/379-4450. 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment ./s Ne') Jfffitio ,.(ii l Master Permit Application MLA: 0 '1- 1 Project Description(include separate sheets as necessary): ; 61 -e �4 ."- , j yr /2 e e, I'd e,-7 c c: t,� I fiT c-t,eel 64.14.9: -2.Tax Parcel Property Number: t D(� (r7 01 107— Size: 17t -(Z- (acres/square feet) Site Address and/or Directions to Property: /-1 ,L -2.,U - 1- i\/l't 0,1 Fk.edfl (L L- o LOu,'c,4 To e Id Property Owner(s)of Record: �u,AA, . y ' 4_. A40 R 5 Ne 1�aele. 0 v 1/1 t Ar Telephone: 3 60 •-3S i -51,'i3 Fax: 3t70 376/-Ss454 email: Mailing Address: / D S /v I i 5 t( Pa(l-T ;ri r t/ A Geo) (A/ # ''g 369 Applicant/Agent(if different from owner): J Or(1. e�ti d•e 5 Telephone: 3 (o U - 3'to - 5?o, Z Fax: email: Mailing Address: 7 r'( i4H /.e tg e,R P L Pa R To L4/✓t Sce, ty (.V 4-- 9.3(2 What kind of Permit?(Check each box that applies) OBuilding ❑Variance(Minor,Major or Reasonable Economic Use) lj Demolition Permit ❑Conditional Use[C(a),C(d),or C]** Single F.II' ❑Discretionary"D"or Unnamed Use Classification Garage Attached Detached OSpecial Use(Essential Public Facilities)** Q Manufactt -.. . e °Boundary Line Adjustment Modular Commercial* °Short Plat** 0 Change of Use °Binding Site Plan** 0 9 °Long Plat filAddress 1,Road Approach °Planned Rural Residential Development(PRRD)/Amendments-- Propane ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑Shoreline Management Substantial Development** OSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance OTemporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment OWireless 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: r / DESIGNATION OF AGENT I hereby designate QQL 4'o1 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE i���11 Cu,�,—' X/97/ X2.4 Date: 4-7 o260 7 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 a or sh s nor notice. Signature: Date: 7 " 16- 0 7 The action or actions Ap cant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable respo sibil�r hVi o nd complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ( Date: 2 — Q 7 D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc II • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: /4-aPe C. - (3to) 3g.h—51,g3 (3‘12) 379_ LI5 G MAILING AADDRESS: P, v e B D`1! 1 t q e(` EMAIL: CONTRACTOR'S LICENSE 1 ! WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: lit.New Wood Existing: 0 Sewer ❑ Addition ❑ Steel Proposed: Z Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: 7,- Height: f ,N Individual System ❑ Repair 0 Masonry SEP Permit# 0/- O Demolition 0 Other: Bedrooms: Water Supply: Existing: Setb ck: 0 Private well 0 Two Party Ty a of H at: Proposed: Public .p� t o I A hi- F f . Tota: Name of stem: '-73I 0 iIy If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners.tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 0 Underground Tank`Above ground Tank Size of Propane Tank: Z 1 ZCU Meat Stove 1 Cook Stove 0 Woodstove ❑Fireplace Insert 0 Hot Water Tans 0 Pellet Stove 17 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes I to 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 H Bld App Review: 1& i Vek 1 -- 140 8 vfl 2"°Floor Heated C' !. ' ; Consistency Review: I Other Heated Base fee: y L 53 Mezzanine RECIBIR Fl (0 6. 5 Additional Section: Heated Basement Plan Check fee: r - C`- Unheated Basement State Surcharge fee: - SO Other Unheated tll,IFFF10110 t. I ►h i'I Pot Water Review fee: Garage/Carport �� �F 1^ SUBTOTAL 5-6 1558,7, '7 3113. 1I Lb; ()L. Decks �Rd Approach fee: L„ cF--ed r �i v 3a 9�$b t3a.Ct Other TOTAL: $ ` 1 `Thi c Receipt Number: 1a-13 t t_' LA -1 Cash/Check Number: 103 0, .S�-.i- ESTIMATED COST(REQUIRED) 1 7! i 51c62 ate: S F'-� .Fair market value of all labor and material o i [ �� 2 Z 5 00 Initials: D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc I >6 1 9L Stormwat- : ? 'rs , • o Required 11.�_.i,. _ , APPROVED ,sNca i JEFFERSON 'O : NTY STORMWATER PLAN DEPARTMENT OF COMMUNITY DEVELOPMENT 4,i4ii,, ,o 621 Sheridan Street • Port Townsend • Washington 98368 F E B 2 0 2007 1i)Fin_G`tO 360/379-4450 • 360/379-4451 Fax 'a t1V http://www.co.jefferson.wa.us/commdevelopment/ JEFFERSO OUN STORMWATER SITE PLAIN SUBMI 1 hATU'• I , .,� J\ )_ Ti��1L ,tT MLA# _ 1 - PROJECT/APPLICANT NAME: TG 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. i l� � l P e w ,ZB ad " -r t ✓� w �(� di �a„ Ci Existing Conditions Summary 2. Describe the existing topography.n � Indicate contours on the site map. 1 i 4 iL o /n 1 • I. 4 10 1 C -� • . /D` C 7 I 1 i 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. eI •.SQL u/. / n_ R_ /4.e I. 4. Describe the existing soils. Indicate soil type on the site map. t1 Z i � / 1 ' e i 5. Describe the existing site hydrology(i.e., drainage;behavior of water on the site—above,below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. evc2 h mi / C P al 1 r i1 , N\ (j : j 1 6. Describe any excess levels of noise generated by the proposed use or activity: r r, h[.n - -: 71 ;;t1 I t t , stormwater site plan template—rev.10/1/2003 5 111 I i S 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 o/n' the site map. / 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.). 11/,, ,�ev1(, ;�y 4UE 1,;`sA- A- i(e n I ; rif To 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. S To R Nv IAI CriTe B ; c, p Pd2 c?.i Thi D ,;ry D hT c D 4 14- /14A4 ; 1 (4 >Gi 77 k5 r., TN 60 ;� n Seou.as �a To lt°oX 2 ylc � ft-y , �>o_ G( 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.] p 12,e S c, u Re A o,n 5 e 1`c- 5 y sr-e • 11. Describe th perfo ance als and standards applicable to the project. Pp-e ,1 ( e.(R 0 S i `-^ `f P C 2 n C t,, P p1 1T '0- 5Dl ( l-� � IILIid ✓1 04' hi�,'5 in1 - 4//o1),-) p14, t7ie4 `41-- S .rI2 € T 5 12. Describe the flow control system. Nu y ; ( s . RECEIVT111) If f ffISU ► oIIN�� +lilt stormwater site plan template-rev.10/1/2003 6 • 13. Describe the water quality system. (.1( 14. Describe the conveyance system analysis and design. il/A-- 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 16. Proposed methods of p acement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. 18. Describe methods for restoration of the site. vl p e_01 e r 2 (,) j 411-9 + S 0 Ark 2. ( R-a 5 5 19. An Operation and Maintenance Manual is required for each f,ow 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. 1/( 11// 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. iv/ A 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals i ;de conditions that affect the drainage plan or contain more restrictive drainage-related regi.I rtit�de n1 e c ons or restrictions here. � 1 '� i/ - J�E�ENSUN�IlUN1V O�f� 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. wi711 61—u(Le5 f R_ p 2. Establish Construction Access. A u 5`E) `-t, (( E e— r iT k e n IL I v F wc-t \f 14/ IP 3. Control Flow Rates.�ct Cr Gi ' 7 T 1 e u /je eJ d "i 4. Install Sediment Controls. fr2 Q o e ( G trt_ p¢c G-P 5 5 (/t o f c Ll '42—o 2 O �;`T�c R e_ S. 5. Stabilize Soils. , -,� boil S o f 1-6 fir P-y ear' out D Ile A_ L qi1Ae.d Sei t'f 5 6. Protect Slopes. d 57 f�e D4-� Q � 1 0 f o P IL L ,-;T A-6.2e y 5 7. Protect Drain Inlets. /1/0 Q u v1 (e 5 a IL P(2-e -e rn I ' � 'MTV'1) Ef . irL v �H ffiNI►t IIII111 1Y I)CD stormwater site plan template—rev.10/1/2003 8 • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 4./z// 9. Control Pollutants. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices,(BMPs). 12. Manage the Project. N/A- 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). f 6 d?-r:i V P f I�- o a d; e *r e y c e )(will co, LA 41 uc;f (?) (-1 -� b. Description of the downstream drainage path leading from the site to the receivi i bo of s nce of 400 yards). 1' \� 'a1 1 a ?. 3. Environmentally Sensitive Areas. 3HtiStIN I;U 0111 UCl} a. Description of environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template—rev.10/1/2003 9 • b. Description of special requirements for working in or near environmentally sensitive areas. /(7/./4 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). /A- 5. Construction Phasing. a. Constr tion sequence b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. ti7 c� iZT M v� ,✓1 CA IL C C r l—� e II. Wet Season Construction Activities. a. Proposed wet season construction activities. cA y—* ( q b. Proposed wet season con r tion activities for environmentally sensitive areas. c./(77 - 7. Financial/Ownershlp Responsibilities. a. Identi the prof erty owner responsible for the' itiation of bonds and/or other financial securities. Cn C property ft /1—f' b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. /1/7/7- 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. i 1[1 \iEWEI) /11b. Diversions. �{ )l /1//4._ c. Waterways. d. Runoff/Stormwater Detention Calculations F .%, 9. 2rj IFFFth i �;[IUNIVOCD stormwater site plan template—rev.10/1/2003 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 also certify that this application is being made with the full knowledge and consent of all owners of the affecte property. (-'V CI 2--4 ^06 (LANDOWNER OR A RIgD REP zENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: RECEWE!) FE" -- P. 2"1,17 JEffti iu IGUUNIY jcii stormwater site plan template—rev.10/1/2003 12 `�S n� O i IN- Q L • NO D 1"J 141 +�;_ � � III �. � ��/j IL LA il. _jr-Clj I-S3 I o :w__ w (10` -T\--- CIS _ mil � •\ ' V LL• N O C�1 Q > � \ •1. p.i ��� nvi- w M W cd. Q Fa �j`d c�c o Z o d 2 1 els:Q 116 C m '�`a 4k O 00 m M v' (� 0- ti + c O � � z Z ..-. .. xO < - . Z a c=i fa- o o a � J i. � � s esno :....4 129.43' p ! o S1°04'20" E `� r d Q (O Q 3 S 42r �• � �� 1 1711 r Icipqr .:1 spoL,1 -G, Dv. wy_ii__K „.______ 1 —o .C?: -(-- s -4 ct Q g. -c L• �n rt 7 U L� 4.4 > ,(� `y f O r, �/ �s aC d- • ?�D' Building Setba9k` �r co al N. CN TN . v, � c\ :74.1': i:s . co C,100 2 Z O. rc �� o CO c„ '� k ., -00P 14• .,eclt r 4) .�.._ _ . t- .- -')".. ' IIIII.4114t \ AVi*# ' ^ 4# - 0:000" : 41 ' • CO c �;10"'i -----::› .• 4:111 I � cn as 4- cc cn o m lIlI1llI AG'5. AA AVM, � � ,� A , VO ,�� f Nlip w ♦♦ Q f`C .N N• `\I ♦ c ,E ,-` N 1 04 20 c, f ,� CO r S `� 129.13' o � � v .9 �00374 � �� E co CD cr) CO 4-I p� V7 NVD z N I v 11 d O. Y A Q a '✓ 89' di 1 IR K( ,sKil\V (1,II Ve..,T,.,,9 (o ge z n wa ct JUN 2 7 2007 A-B 5 q-TT,14,) To. Vt..ywe / .m'n G2�TP�- _ `�� y /J1.<d ll \- t,; ctu,.zN I ,,,, __ „.)12,0 ✓' OOP 6.Re447 CZ.©o i4/1 CRa j� � - I po„ l -mil .. - O d - -� �' ,,o `�t„ ,v, $°- Q q' a ', e s o - _ 0 a v. _ I Pa„i 1 .... .61,01S6Y V 0 p . i1irP li gy CI- CZ fvo TnTh L N Jrph < 4. .. -rSC',cN` )'F- • ullwaY ,fr. a `'` C °i 2 Gam 2 21-11 j=5,.3 V 03,. 's 'Os'. 11.- i t, _A .. po„R rW.. :. W/ZRS:a1►:75 V ( ' .,. •"-`' iIild. r S`o" t • 4\X , , �iogf�t✓It 1 Ga-rGM-e01- 3ILc 55 �r / c m e m Lo✓IrQLI ,TO a� E PCB �.2{� vVl I�r (J `j — 001-( � :Z A naN 1 Sg IIDDReSs; Z ) befisG p b -1,� i s N PoilT Towhsc„r// (r�V� I`2V IO II o F S Flo tp Sac e 3