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HomeMy WebLinkAboutBLD2007-00056 07 4)UILDING PERMIT APPLICATIC)N MRL Review Ty 072 ype Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00056 Received Date: 2/14/2007 SITE ADDRESS: 1102 LOVE RD BRINNON, 98320 OWNER: ASHLEY EMERY PHONE: (206) 284-3147 3601 24TH AVE W APT 104 SEATTLE WA 98199-2126 SUBDIVISION: Block: Lot: TX 7+ PARCEL NUMBER: 502094011 Section: 9 Township: 25 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR REPLACING MFH 300 SQ FT HEATED LOFT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 800 VALUATION 110,000.00 ADD'L: 300 HEAT TYPE: RAD CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 16 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 1 Prop: 2 Total: 1 Total: 2 Routing Date: r� 9/ '*,, Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,049.75 KAS 02/14/07 87279 APPRVEED Plan Check $682.34 KAS 02/14/07 87279 State Building Code $4.50 KAS 02/14/07 87279 MAR Zt 2007 Potable Water Application $58.00 KAS 02/14/07 87279 Total: $1,794.59 Jefferson County Planning &Buildina Deriartment CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD07-00056 SITE ADDRESS: 1102 LOVE RD Issue Date: 03/21/2007 BRINNON, 98320 Final Date: 8/8/2013 APPLICANT: ASHLEY EMERY PHONE: (206) 284-3147 PO BOX 354 BRINNON WA 98320 SUBDIVISION: Block: Lot: PARCEL NUMBER: 502094011 Section: 9 Township: 25 N Range: 02 W PROJECT DESCRIPTION: NEW SFR REPLACING MFH 300 SQ FT HEATED LOFT THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 8/8/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 8/8/2013 Jefferson County Building Division Permit Numb• BLD07-00056 Applicant: EMERY 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 Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks Erosion Control Foundation Footing g'Z) t t ,L i_ S- x'Z b(d-- YW/ G Footing Drains Underground Plumbing ham' ci I ll Straps(hold downs) ,i3//OB Rough-in Plumbing :) 110�l `c' 1eA11VME`, Framing - � `\ SKIA Airseal Insulation: Floors ‘\,(5) �YJ Insulation: Ceiling9.)"14l Wallboard Nailing ' Zcio Gas Line: Interior Gas Line: Exterior S,. .C- % 13 : €. — NC) Pig) Or Awl >Qr is cs 411)0r1( Propane Tank -� Drywell/Alt Drainage Address Posted FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 301 - g3.ss y�o . zz57 V i c j- l.. ,�� �,. JEFFERSON COUNTY �I-h 1't.( L LiC-S� t'_�� ��P� \ DEPARTMENT OF COMMUNITY DEVELOPMENT ii 11 621 Sheridan Street •iPort Townsend • Washington 98368 A 360/379-4450 • 360/379 - • AN, t rFir) SNG p www.co.jefferson.wa.us/c1,' Master Permit Application MLA: O`-1 07;), Project Description(include separate sheets as necessary): L`i " /� �_ / .,, n Tax Parcel I JtFOh 1 UZ1L94z,i) ►111 LI trU 0 5 ce e, s (acres/square feet) Site Address and/or Directions to Property: J/p 2 isartre 6Q S / 16/rl)w ,,,.t Lc ji Property Owner(s)of Record: in (t ?4^ p-lny Telephone: ,1-a6 &4.4/—,�%4/7 Fax:J-g��-.� 3-17i� email:ielf o h/,,e6,,,e„,s' yt,/ Mailing Address: 4;c°> / .„2,9 /tyre_ lAi. ft//-4/ Se Me t c//f t</9 y Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) itluilding 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a), C(d),or C]** rkt Single Family ❑ Discretionary"D"or Unnamed Use Classification Garage Attached/Detached ❑Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ iviouuiar Ll Short Plat** ❑ Commercial* 0 Binding Site Plan** ❑ Change of Use 0 Long Plat** ❑ Address 0 Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments** X]Propane 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management ❑Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *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 requirer inspections. Staffs and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatiflrl ha he er she wants prior oticee ! Signature: (/ '` Date: l9 The action or actions Applicant will undert e as a result of the issua of this permit may negatively impact upon one or more threatened or endangered species and could lead to tential lake"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 e in compliance with the f"Tson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer e re por)sibjlity for adherirtto,and complying with the ESA. The Applicant has read this disclai er and s' ns and dates it below. Signature: 7''?'l--C-._.. Date: j 4+/ty7 i,--- C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc r-- • .. BUILDER STATEMENT The signer of this statement does hereby ce ify that they are the Owners of the parcel referenced herein,that they are not licensed c ontractors and that they will be assp/irlg the res onsibility a General Contractor for the proposed project v jf V [a`� "�;�n Signature: �./`�'" Date: �G� � �tl'�1� i�'A GENERAL CONTRACTOR OR UFACTURED Ho NSTALLER: PHONE: FAX; 1 , f ( ) E(' .):. 'Y "' MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE y - WAINS JEFFEISDN�'('IINli 000 NUMBER: / / NUMBER [rr[n�1J �IJ )'u [ Ij �5 P/t 1,1Y.vi'rnl LLit! ARCHITECT/ENGINEER: 2, j 6131`LA %nr(i/�l,(h�' PHONE (GJv,) 72 I_67 FAX:( y�3 ,2d_!� ,s. MAILING ADDRESS: M �5 j i_ r s� , jcr }, EMAIL ��v iv, ee,ih r. , c lir f/ Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 3<New ❑ Wood Existing: /0 ❑ Sewer ❑ Addition ❑ Steel Proposed: 2_- Bank ❑ Community System O Alteration/Remodel ❑ Concrete Total: a. H igl t: Velndividual System ❑ Repair ❑ Masonry j 'SIP Permit# �/=IQ r C 5,� y 67 ❑ Demolition ❑ Other: Bedrooms: i Water Supply: • Existing: 0 Setback: pCj Private well ❑ Two Party Type of H a Proposed: �_ � 0 Public 4 koze-47s} Total: / Name of System: 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 IRr,Orrupancy IBC Type of cons+ruc'"on: MI you have Food Service? Yec / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: ❑Underground Tank Above ground Tank Size of Propane Tank: f Uttt) ❑Heat Stove 0 Cook Stove ❑Woodstove 0 Fireplace Insert Hot Water Tank 0 Pellet Stove Other H- S tit,- Is this appliance being installed in a Manufactured/Mobile Home? Yes / When applying for a permit to install a propane tank you must also submit ite 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 �EH Bid App Review: / P . �� -� kciry C ad-14 2 Floor Heater( 1 Consistency Review: Other Heated Base fee: , / 049 .115 Mezzanin( 5, e Additional Section: S ki NE�° Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: 4 Other Unheated t Pot Water Review fee: 95. OCR Garage/Carport SUBTOTAL A/x7 31, Decks ', 911/Rd Approach fee: Other(r)tl giJ Pc> /6 -37', TOTAL: $ .' f Receipt Number: r Cash/Check Number: ESTIMATED COST(REQUIRED) i Date: V •Fair market value of all labor and materials foun ' isb `/1 /CSr(*."5 7'. f/�� V r Initials: C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc • • CONDITIONS for Building Permit# :BLD07-00056 1.) PRIOR TO OCCUPANCY, DEMOLITION OF THE EXISTING RESIDENCE PER BLD 07-56 IS REQUIRED. 2.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on March 2, 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: Type 5 Stream, Fish & Wildlife (Mountain Quail and Elk), Level 1 and 2 Landslide Hazard Areas, and Erosion Hazard. 4.) 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. 5.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 6.) Stream 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. 7.) 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 Plicate), 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 (Sambucus Racemosa), Snowberry (Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry (Vaccinium Parvifolium). 8.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 9.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC) Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 10.) Prior to and during approved cons tion activities, the perimeter of the landsliOiazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the constructicn area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 11.) All construction activities shall not encroach upon the lands ide hazard area or stream buffers. This includes the storage or preparation of materials. 12.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 13.) A Type 5 Stream (Fish and Wildlife Habitat Area) has been identified on the subject property. The stream will require a setback of 50-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 14.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative buffer setback of 50-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed single family residence. 15.) An additional setback of five (5) feet is required from the edge of the stream buffer area to the proposed single family residence. 16.) A permanent physical separation along the boundary of the stream 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. 17.) Stream 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 be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer - Do Not Remove or Alter Existing Vegetation." 18.) Washington State Department of Fish &Wildlife commented on the SPAAD application on September 26, 2003 with the following: "The landowners need to understand that they will be living with a resident elk herd. Keeping gardens and fences could be a problem. Also, elk can be aggressive during August- October due to breeding season. Mountain quail also show up. Shrub and wet areas should be protected to provide necessary habitat for the quail. Development should be concentrated on already cleared portions of the lot, while preserving mature conifer habitats onsite." 19.) At time of SPAAD review, the applicant requested a reduction of the setback from adjacent forest land along the Northern parcel boundary due to the existing established home site and topography of the parcel. The Administrator approved the setback reduction to 10 feet subject to property owner acknowledgement that the county will not consider to be a nuisance any inconveniences or discomforts arising from such forestry operations which are in conformance with existing laws and regulations.. 20.) The applicant is proposing to create or add 800 square feel of impervious surface and 800 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construct on 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. 21.) 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 stormwate-and drainage control systems. 22.) 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. 23.) 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). 24.) The revised site plan dated March 2007 has been reviewed for consistencySler 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 20, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 25.) This approval is for a single family residence 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. 26.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 27.) 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. 28.) Minimum setback from southern parcel boundary is 20 feet. Minimum setback from western parcel boundary is 250 feet. Minimum setback from northern parcel boundary is 10 feet. Minimum setback from eastern parcel boundary is 5 feet. 29.) 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. 30.) 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. 31.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 32.) The building height is not to exceed 35 feet. 33.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 34.) The parcel has been designated as RR 1:20 under the Jefferson County Comperhensive Land Use Map effective August 28, 1998. 35.) An address of 1102 Love Road, Brinnon has been assigned to the parcel. Love Road is private (P388). 36.) A SPAAD (ZONO3-0056) was approved on October 10, 2003 and finaled on February 14, 2007. A septic permit (SEP92-0467) was finaled on May 21, 1993 and and EES was completed on June 9, 2003. A forest practices application (FPA2607754) for a 4-acre timber harvest was finaled on June 26, 2006. The FPA was under the previous land owner. 37.) The parcel is served by an individual on-site well. 38.) Development Review staff conducted a site visit of the parcel September 24, 2003 in conjunction with the SPAAD application. The site visit and topographical maps identify the buildable envelope a significant distance from the Type 5 Stream. The slopes and buffer identified in proximity to the buildable area are well vegetated with fir and alder. • • r ¢AT e RECEIVED = , JEFFERSON COUNTY °�' DEPARTMENT OF COMMUNITY DEVELOPMENT FEB . 0-4 A lii i i # BID ti,, 621 Sheridan Street • Port Townsend •Washington 98368 (' h� ( N http:/360/3/7www.co.jefferrson wa.s/ommdevelopment/ JEEFER �N I;UllN�4 I�L�" Q STORMWATER SITE PLAN SUBMITTAL TEMPLATE1TYE MLA# ©'-1 — cl 2 PROJECT/APPLICANT NAME: 7 2. 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. ,^ nn q e,k1. aft �' J Existing Conditio s Summary 2. D scribe the existing topography. Indicate contours on the site map. i de. �b f ram( a .( c i - r U / lip 3. Describe the exi ting ve etation. Indicate native vegetation areas on the site map. t i 5 J G 4. Describe the existing soils. Indicate soil type on the site map. %r(trr►� tid ifyra, I pr eu,,A b rj<� _ec...,,t Y"_it/4-d wrk/- U 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 appl'cable,and in 'cote acreage of each. .171 -.� %_- & ,s--ri l � v i( v - �Lt°i�.lrr�,c�y� �t�i(n�v(O :� 1).( rna n `lm/as 14 - r< 't `J. n'4 APPROVED 6. ''Describe any excess le Is of noise generated by the proposed use or activity: Q rizi'' '\ ./itin-,a t c jfio-cc ,i cLuil c,,r 7et44 Tl� ;M TE l AN Gv`� (he 6 hvR' -L; ! L( ii r t Pp 6 :fro ,r MAR - 2 2007 Stormwat Required .14M N ou stormwater site plan template—rev.10/12003 DEPT. O U IT D V P N 5 • SIGNATI• • • • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, st p slopes,etc.)on the sit . Indicate location on the site map. / 61 rrcj) ./o t/a, aa---,-a---,- r � `i I^-er � /hr v-ec�� �-e—. sW.L.�-twl tWiy-- I.Otil /i f , G.t L . . 8. Describe the general vicinity of the site, including adjacent land usil,,,es and structures, utilities, roads, and sensitive/critical areas (streams,wetlands,lakes,steep slopes,etc.). .171: s l;AAa, A is -�? fir( ire.tee:, -v /, /4. h ?Ar4 1`� I Xn.a..� t /� 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 wit in the site. Locate these facilitieson the site plan and differentiate proposed facilitiesj from existingst� facilities. die_.40.1,M�.4,e_l 1.Piuz-r ) hI t. ik. /� � �J� Arai Ii., - Q,�.Y.. rt p _�J &Lives .J f c _ t att\- Gad �rc `�`"1 al-rte){A ,.,..-k cI fit- d�-€ 1.., i -i�P.G- .4/ . J MO t ,04 aL - s4 ,2 � ,�..A_c4..Y, ��% - - - di tc�a � m, 4.- zviii l.uu.e ,i ems;,. 6 a-. e., , y- . 10. If the project requires the use of stormwater treatment facilities,describe the types of s ormwater 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.] 13(fl . . 11. Describe the performance goals and standards applicable to the project. IoLjOM) 7MP' 5 12. Describe the flow control system. RECEWFD r N s 1 . A.l': . ... :.,' 1 FEB 14 2fB? 1 F ,IE EERSUa allIP ill) i x s stormwater site plan tern plate-rev.10/1l2003.' '-i 6 • • 13. Describe the water quality system. RIBIVEE) '/, ry r EEC' 14 '1.1 14. Describe the conveyance system analysis and design. 11Hitga01NI110C0 k/ ( 6-- 15. Describe the source of fill material,physical characteristics of fill material,and dep sition of excess material. _.0,-(A-eg-, c..044..ruk.117:4-44, Lf• :01 ie CA-2-P_4/ fig. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. /� Adi � Y P-h f r-s,4«c- .n. (Jp / -66 fit hj 17. Describe the proposed surfacing material. o , l J Let 18. Describe methods for restoration of the site. -ee0wS/Y-erl-dui Ceilvad. • 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. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. l 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. stoimwater site plan template—rev.10/1/2003 • 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. /(,/o doz.,_c7 .cd 4 J , 2. Establish Construction A 'oss. AP (.Eze.e. a IT: tri GV rx c t Cn a� U- 'lac o�, /� .?j fj /0ag>2r` cu b-e 0n,a,4 Ao /lna f. Id �o r5 ,5lre may. 3. Control Flow Rates. i°871- 4. Install Sediment Controls. )5,01--1 (,,-. ,:dif.,--4,;,, in /41.- 6/72.R / //-e-1 ---(4-Le (---3-46-k) z4p,..zi e-.44,,..4 v.,..14..4, - • I Stabilize Soils. uJ 21 diA � .ilKam, , . 1 �,,,. � 6. Protect Slop s. �� . -(--r„,„)., di ,542..e, 1.0-e: .,e7( otz,,t..,Lic,i i4r) ,l_rtairiv.etti ,4 tze.,tercrad .()re- _1,,,t/Lets,,...t 42.e41 I fr\ it-4, 40* •e---r-A-k 4-, 7. Protect Drain Inlets. ti ECEfflF1) 0 4s----- -FEB 1 4 007 - Ofta(MVO stormwater site plan template—rev.10/1/2003 8 • • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. — KCIEVED FE3 1 4 2FE3 I 4 20117 9. Control Pollutants. •1tFWINUi10;ilUNIY IJCI1 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practic s(BMPs). SC 12. Manage the Project. dLj r 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). ArA — c . "ter �l/l�o�vy 1 Ott�CXa.,d nh crt 7/jr 1 n a j/..tea rLR.r+7 b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). iLircza2.,4 51P2 ��^ ✓/ rF 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the ite. C= IS > t ✓� t P stormwater site plan template—rev.10/1/2003 9 • • b. Description of special requirements for working in or near environ entall sensitive areas Q o f r ...i.. ,,1 tea,* , J 6N-Le by✓► ri ti , 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 s ructure). // i J � "74 °it fuy- cud ,, 614, lfreA - .4r 5. Construction Phasing. a. Construction sequence "frfil- 1 _5/r—e-ify f63-4-)fry irA4‘)--7 41)1'444\ 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 constructiion schQdule. ) N , /171^-di 6A-611 neipt.-e ,C 5 — J II. Wet Se on Const ction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. l!art 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible or the initiation of bonds and/or other financial securities. • nab b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. -K1-;-- 8. Engineering Calculations. Provide Design Calculations on a separate sheet forlttr` ''lpl calel1 h a. Sediment Ponds/Traps. lle b. Diversions. c. Waterways. / FEB 4 21117 d. Runoff/Stormwater Detention Calculations WNW iltlINI‘4111.1 stormwater site plan template—rev.10/12003 10'r • 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 prope . 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