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HomeMy WebLinkAboutBLD2007-00122 GILDING PERMIT APPLICA•N MLA07-00149 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00122 Received Date: 3/22/2007 SITE ADDRESS: PARADISE BAY RD PORT LUDLOW, 98365 OWNER: FELTON LLC PHONE: 360-394-3974 17011 LEMOLO SHORE DR NE POULSBO WA 98370-8728 NO CENTS SHORT PLAT SUBDIVISION: Block: Lot: 3+ PARCEL NUMBER: 821351033 Section: 35 Township: 28 N Range: 01 E CONTRACTOR: FELTON LLC PHONE: 360-340-3512 17011 LEMOLO SHORE DR POULSBO WA 98370 Contractor's License FELTOL*962D5 Expires 3/25/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE Rr.VC=4. '71i7 Jo g. AL:3C' AIC- /GG , yr0Vole, 1Qnk C'U1111PCIrn TYPE OF WORK RES SQUARE EbOTA3E: A 2 f l(94 CtC'd TYPE OF IMP NEW MAIN: 3,034 VALUATION 300,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 660 SHORELINE: CONST TYPE: DECK: 260 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,113.75 KAS 03/22/07 89482 AP 'R \JEED Plan Check $1,373.94 KAS 03/22/07 89482 State Building Code $4.50 KAS 03/22/07 89482 MAY q 2007 Potable Water Application $58.00 KAS 03/22/07 89482 Jefferson County Planning Total: $3,550.19 & Building Department In afferson County Building DivOon Permit Num. BLD07-00122 Applicant: N LLC 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 BA s►c FEets46-mot 4 C koSS F1 S Dk ` 4/0 % BE DINE wrrp FGLa .ATta.� 6J LLS, Fbsr FrcS -reFooting Drains 4/// !_y At 0 . TosT p=tGS OK 014/67 iff Foundation Stem Wall 4/t4/117 Ai< Underground Plumbing Under Floor Framing 7��o/v7 Straps(hold downs) ,/ yln/0 c I Ee rgriac reQps DN(-Y .6K 2//2 A 9 AI Ext. Shear Wall Nailing �( ��/Z/AP Ul £rEri� Dit1LY Rough in Plumbing YnfrAt�/ 774Framing / 0 .,�aMe�STtf� L�i4yi�,��rr�S !�( 4�1 a� #17/4 itY/�n/te/� Blocking lan /Stl 11141.1.- AMY &AILS PEC ARCk) 0;, iilZ/og Airseal 0 n,/ Insulation: Walls =• j�' .,_, ;..t-_-- chlag - Insulation: Floors Insulation: Ceiling -- 7_q Int. Shear Wall Nailing Al_ Wallboard Nailing 51/4./Ob g eo A/ecl1 rZ-/v>t IZEPcse 6",e ED oN «1ci Gas Line: Interior 7/-g0 t�i ad-ri l ideirr &A t. Gas Line: Exterior '1-7 Propane Tank Heat/Chimney Clearance ,Q t 'y j /s--1 -1,( -. Drywell/Alt Drainage /',n IIMMI-� -if 1 . FINAL INSPECTION 4-k7 c t-1(, /7 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR �ON 0 ' /•k,-4w 06. JEFFERSO•OUNTY • W i-,,k ,a DEPARTMENT OF COMMUNITY DEVELOPMENT `' v ' 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax yyS, N0, 0 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description (include separate sh ets as necessary): SIN Ste. } Q IlLa QIn �,4t T N umber 2 "35 — 0 33 Property �t �, . :4' i! `\i , i ` Size: (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: ``�� Telephone: Fax: I1'.f if ���IU !� Mailing Address: Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]** ❑ Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification 0 Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)** 0 Commercial* 0 Boundary Line Adjustment 0 Change of Use 0 Short Plat** 0 Address 0 Road Approach 0 Binding Site Plan** 0 Home Business 0 Cottagelndustry 0 Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** 0 Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management 0 Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment 0 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 quired later inspect ones. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time v e of the a lica'ory{hathe or wants prior notice. Signature: J `^'� 1y— uu\ Date: .9409401\ 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 tie 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) if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and no -trans ble ryethsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signat e: Date:3/ Ok G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc •CONDITIONS for Building Permit# :BLD07•122 1.) PRIOR TO OCCUPANCY: FINAL APPROVAL OF SEPTIC SEP06-62 IS REQUIRED. 2.) . PRIOR TO FINAL BUILDING INSPECTION MUST RECORD NOTICE TO TITLE - REGARDING SQUARE FOOTAGE OF HOME AND LIMITED CAPACITY OF DRAINFIELD. 3.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 4.) The application was reviewed by the Jefferson County Department of Community Development staff on May 4, 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: Blue Heron Habitat Area(list here). 5.) The Department of Natural Resources investigated the property for a potential stream. A letter from DNR dated March 1, 2005 which concluded that a Type 5 stream exists on the parent parcel (prior to the short subdivision), The stream enters the parcel near the southwest corner, more or less follows the property line for two to three hundred feet, then turns south onto the neighboring parcel. There is no stream on Lot 3, which is located at the NW corner of the parent parcel. 6.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 7.) 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. 8.) The applicant is proposing to create or add 6350 square feet of impervious surface and 8700 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 Slte Plan for medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 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 site plan as submitted with the building permit application on March 22, 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 May 4, 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 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 vehic.hall be stored on any lot unless totally scill,ied 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 Paradise Bay Rd right-of-way shall be 20 ft. Minimum setback from private internal platted right-of-way shall be 20 ft. Minimum side and rera setbcaks shall be 5 ft. 16.) 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. 17.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 18.) 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.) The lot was created through the No Cents Short Plat, filed of record September 9, 2005 under AFN 503274. 21.) The parcel is served by the Bridgehaven Community water system (ID#08330N). 22.) Paradise Bay Road is a county minor collector (C503609). An address of 4994 Paradise Bay Road has been assigned to the parcel. 23.) The lots have been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 24.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 25.) A septic permit (SEP06-00062) was approved on May 9, 2006 for a system of 360 gallons per day. 26.) A Declaration of Restrictive Covenant was recorded under AFN 522438 that the dwelling and its onsite sewage disposal system have been permitted for limited bedroom capacity. Any lease, rental, sale, or use in excess of 3 bedrooms will result in violation of the permit and may affect occupancy. 70 II /0 co, • n ,(;.,,, 1 ,.. cc w c,'-• 1,:....= / -4i5, 7.:-- - -- — c:c.) c...:3c,...„,___---......\\\\,...:2\...1, CCI ,1"-..i>". .,, .) ` 'Nc'... :*---\.,.,N' N: ,,. to .. \ ck4e:›7-12r ---. / ) ''/' // ft0 CA. 41,eve i_vic ! t..7_, c� J _ 0) � o u 9,), ., , (,.. 6 r.r ,;,) J c., c 1 oci )1 0- 0' - C¢ A a- ›. -c(' a 1E4C--) aw 1 u. .§ r 6.9 if 4 A o , y a.) co o Sr 0 0 I. • _.� r-- 1 0 11 Si t� iT W� Iti1C :1 \1�.g.�`a :EU � U C r � y am'_\ ��✓`I .71. , � � ' •• ! � CV ` s;_: ; -f• K Cox C YZ_, • 11111 ""'"N .,:.:S.:','!.,,' li , I : . ���U.. .1.,c3t.-4 a r... _ T , 1 FG�' - - a , 'R, irk a •-1 . . . . . — ..— - ' ' • .. .. ,. ( ♦ 'fro:: L o • , •t_v.• .„L----111 i :4-,;(1 __, .... ... , n r- , - 1.4 ' Lt.--- - : 3 V g Ne---0.-.‘ wow / �p 4 i " -1 -.1-..,-. M...�,.. gqg I 1 is '* ■ 1.an •:E- ;. 1 O xg a Al „� , I e' ! 1-. /� •. = ;_- .- •N r, ' , C iiiiii'la*...1 - t- 1 r ` ,---,---0N--- * '111 -VT14 11 „i) c°As JEFFER COUNTY I \` `� ` 44, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax * • 3 IIING,,0� www.co.jefferson.wa.us/commdevelopment , ,iffitti Master Permit Application MLA: 07- 14 9 Proj ct Descri Lion (include separate eets as necessary): r _�) G J 1 �� / Property Tax Parcel Number: Nw� 3 j6-�•)3 Size: c-' r . (tl RCf`erc (acres/square feet) Site Address and/or Directions to Property: S.ON,�i�P'?t,'is t.. i,t� "� ' Property Owner(s)of Record: r'A-,'k.;v S, , Telephone: .-5 .lti 0i4--t, -76 i'a Fax:3t-S--`;(i - #bb1 email: Mailing Address: i 7Cil 1..0•111-Af✓ SIvist £r. 4 cjK. t F Applicant/Agent(if different from owner): t\,/ N Telephone: A;) A Fax: jy 1 '.\ email: fv i jj Mailing Address: Ili/ i'1 What kind of Permit?(Check each box that applies) Building ❑Variance (Minor, Major or Reasonable Economic Use) 0 Demolition Permit 0 Conditional Use[C(a), C(d),or C]** 'Single Famij y _ ❑ Discretionary"D"or Unnamed Use Classification y,;Garage .ttached,/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address 0 Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** 14'Propane ❑ Plat Vacation/Alteration** 0 Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑ Temporary Use ❑ 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 *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 resul 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 lat r inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. 7-----.);) \ Signature: \ AftT ` o° \ Date: 3122.I0 1 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- transferabsponsibility r adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature 'I ;,i,I" �,Q\ Date: Q2 Q \ / f '1 See. R6s,h .. G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc • BUILDER STATEMENT • • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be a asj mingg/the responsibility of the General Contractor for the proposed project. Signature. ,/1(' ,>Q& Date: 3122 joh GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: A L�� C".2L1or ��� (3/4 )340-3512 (36o )6'12'47 MAILING ADDRESS: IRO I, URO e'�',A (t1_� bn EMAIL: era C Leh$c. T CONTRACTOR'S LICENSE �7 "` v WAINS NUMBER: Fe1.T01. Q ta2 0 5 NUMBER ARCHITECT/ENGINEER: `,en) Sw_ATIt. PHONE (360 ) 1ic_3102s FAX: ( ) MAILING ADDRESS: d4$12- NW E1dQCb p Olio r 3TPnAer1 O0 EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New A Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: 3 Bank Height: ❑ Community System Total: 3 Individual System ❑ Alteration/Remodel ❑ Concrete Y N�IA SEP Permit# ❑ Repairmo ❑ Masonry her: Bedrooms: Water Supply: ❑ Demolition ❑ Other: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: _ „1 t ,� X Public EleclriG Total: �_ ___ Name of System: WijaCter. - PuDs1.1 If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: C1 Underground Tank El Above ground Tank Size of Propane Tank: !cc)Cnu„ ❑ Heat Stove C7 Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ Other F;reprice (2) Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines,buildings and septic system compone ts, including the reserve area. 1 ek Square Footage Current Proposed For Office Use Onlyy ., c; 4. t44# "amount . Revision 1 Main Floor Heated EH Bid App Review: 3034- 71 a07.N a .CD 2"°Floor Heated ) Consistency Review: Other Heated r itli \k/ Base fee: Mezzanine ifiN ir) / Additional Section: - Heated Basement - Plan Check fee: ,y6+01,-- Unheated Basement,��� State Surcharge fee: /i a Other Unheated I!i�. �" � NI y U to I' Pot Water Review fee: ` Garage/Carport SUBTOTAL (DC00 155514.dc 3 cL .Ig I51u% Decks 11' d Approach fee: [5a. r ��-y /� Others,�`bS�Eti t rub 0 1r i43E1.0 TOTAL: $53 q56. tq 1{ I.IJC) ttQQtt Receipt Number: Q 9 4 Q a ) J''1 1 Cash/Check Number: 5 s3, V-5 -, -ESTIMATED COST-tREQUIRED) , iq ( ')/. Date: 2-11-Ti° � �'`„1 lam) •Falrmarket value of all labor and materials foundation to m s 1 ( t _ 5 Q Initials: �� l- G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc d. • • © IREC1ai1lvE1I f'` c, .;, iork JEFFERSON COUNTY � � �. f n ;, DEPARTMENT OF COMMUNITY DEVELOPMENT p,_ " " ' 621 Sheridan Street • Port ToWnsend • Washington 98360E f fFHsjN�UUN1,d11I k y 360/379-4450 .360/379-4451 Fax �` http://www.co.jefferson.wa.us/comrndevelopmenv STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# O`1 — I CV 9 PROJECT/APPLICANT NAME: 10-1.Al MCI COOS QtaT- �o m u c 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. N.010 N``1 Qmili� p q e A! " Bill Existing Conditions Summary 0 7 — V 1 2 - 2. Describe the existing topography. Indicate contours on the site map. JEFFERSON COrTY 3. Describe the existing vegetation. indicate native vegetation areas on the site map. Fik,fl i RIL, � \ajij p % bl / w m., -11hAoot.44S- 4. Describe the existing soils. Indicate soil type on the site map. `t La 0. i (9'1C1Urnae. c1.1 th.V4nxmci fsin tcla,,,,w„ 6.Qr,nnc An A.em.e4 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,an�dd�indicate acreageea of each. Sn_pQ r\ p .A� la\.� .�k lAh . _XI. 1�.i GULa�i APPROVED L 6. Describe any excess levels of noise generated by the proposed use or activity: STORMWATER PLAN NorlD MAY — 4 2007 JEFFERSON COUNTY DEPT.OF O JNITY EVC PME stormwatar site plan template—rev.iW1/2003 SIGNATURE: 5 f' 'fir • 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.�lwntz .t n .Ar °, 0)11 jB'[4c,J3 - 03._• ! [VA CIMII MCC! ctiK:v �strn�Cn‘ vb Pnof n�`i►1 . S E CO' lr .. ,�a a. ,Nallu},a 4 tulgiap. anti._ 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.). 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. 11] aQQ A a9crn Yl)tinra �1tici. i its U) 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.] • 11. Describe the performance goals and standards applicable to the project. ra- R ( EWED AV 12. Describe the flow control system. IffitH 'UN+;IIIMI(+►I;1l stormwater site plan template—rev.10/1/2003 6 M • • 13. Describe the water quality system. 14. Describe the conveyance system analysis and design. !1?(4 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. AlI r 17. Describe the proposed surfacing material. 1 VA" clualLA n cia._ Jskiu oz. wot da, ',K 3t1 afilkorka cQ C011 18. Descri methods for restoration of the site. M' mares 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. Wd 4 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. I1 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. IR I A v1aliAr ° f) MP �wti7 Itf ROAN IllifINIuJ 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. 1oh wI ?0,13(3_49 2. Establish Construction Access. 3. Control Flow Rates. h1 I n- 4. Install Sediment Controls. 5. Stabilize Soils. 6. Protect Slopes. RECEIVF1)) 2. 7. Protect Drain Inlets. JH-RHNUIV G IINI II(rl 8 stomtwater site plan template—rev.10/1/2003 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and OutIbts. n ' x 9. Control Pollutants. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 101% 11. Maintain Best Management Practices(BMPs). R Ti ) 12. Manage the Project. 141`"° '2, 1111.1 tagAi .IEFFFI*iifl\'111IP 111:1 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). Vaptult3- /LA)our) 08 b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). r\ct n),olc u\rt.9QA . at_,.)-', Ss� l� ct..,c"0,64) 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. CO Lt„..x.Q., INN Q (� (��� , n l / C J I= V nU►toA 1` (\D•t �h4^u"Qc %Q �� �1"CQ kq oe a LQryx ajar tw /\ t7Jlt1YM E h 9>dr ` tm4 @' �ur,��i,c>�, py E �, � P `� � stormwater site plan template—rev.10/1/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. (4-rn.2. OimuarN 1-04. c)C11 '(' a• 4. Erosion Problem Areas. Description of potential erosion problems on site in the context oft i f the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). I 'k� q�7 5. Construction Phasing. a. Construction sequence avatay.A LA bQ i^c A; 1 Sbnr iA .111y `� k c Teams_ .11 b. Cons ruction 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. (1 ST�ra.a &.b _i,,, . o.cit 4 oii S1A, , .ni V c9j 4.0\011Aelgi4 II. Wet Season Construction Activities. a. Proposed wet season construction activities. t(�� Lt�1 .r\ t1 IfA(7`N► it u um vU i t` " : U.QY\ 1t.t c2,p c AGOZ1 Li/cmp b. Proposed wet season construction activities for environmentally sensitive areas. g/(tt; It) auco cli1214391,21) 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. �� LLC. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. Qtu bow) via lk 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. 1 .( 1, b. Diversions. `l �(�y� A c. Waterways. 10 I A d. Runoff/Stormwater Detention Calculations 14 stormwater site plan template—rev.10/12003 10 i I • 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, revise( 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 BMPE (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project i; completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project a: 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 Qv44‘ f the affected property. /on \--k--CfQ&A)- ) 9,1\ S/220) (LANDO OR A�RIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: RECT./1171RP M.4ts G k L v IFf44011 �.IIIIIUP (� I stormwater site plan template-rev.10/120(13 12