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HomeMy WebLinkAboutBLD2007-00134 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 #: BLD07-00134 APPLICANT THOMAS TUCKER PHONE: PO BOX 328 PORT TOWNSEND WA 98368-0328 SITE ADDRESS: 65 CAPE GEORGE RD Issue Date: 05/31/2007 PORT TOWNSEND, 98368 Final Date: 6/16/2014 SUBDIVISION: IRVING PARK ADDITION Block: 35 Lot: 1-5+ PARCEL NUMBER: 963303501 Section: 17 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NEW DETACHED GARAGE- UNHTD, NO PLMB (BLD07-00134) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION:SPRINKLER SYSTEM yes Q THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/16/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 6/16/2014 Jefferson County Building Divvon Permit Numk BLD07-00134 Applicant: PALMIERI 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 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 ((! Cb IfP7 Erosion Control Post Holes Foundation Footing * P t 3— 1) Footing Drains Foundation Stem Wall Straps(hold downs) • Ext. Shear Wall Nailing Y' > J 014 i610,(. 77?e-/CGIA Framing I i Blocking Wallboard Nailing Drywell/Alt Drainage Address Posted FINAL INSPECTION .c iS r-f FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD07-00134 1.) The application was reviewed by the Jefferson County Department of Community Development staff on May 8, 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: Susceptible Aquifer Recharge Areas and Special Aquifer Recharge Protection Areas. 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.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 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.) The applicant is proposing to create or add 4966 square feet of impervious surface and 8050 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. 8.) A Stormwater Site Plan for a 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. 9.) 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). 10.) The site plan as submitted with the building permit application on March 28, 2007 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated May 8, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 11.) This approval is for an accessory dwelling unit, a detached garage and a shop 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. 12.) Outdoor residential storage shall teiaintained in an orderly manner and shall411/ite no fire, safety, health or sanitary hazard. 13.) 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. 14.) Minimum setbacks from the edga of Cape George Rd right-of-way, Mediterranean St right-of-way and any ingress/egress easements shall be 20 ft. Minimum side and rear setbacks are 5 ft. 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.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) The building height is not to exceed 35 feet. 19.) A minimum of four(4) parking spaces are required for the single family residence and accessory dwelling unit(ADU). 20.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 21.) A septic permit (SEP93-00186) was finaled on June 6, 1996 for a 3 bedroom system. A septic permit (SEP06-00302) was approved on Novemner 1, 2006 for a 2 bedroom system. 22.) Cape George Rd (C622808) is a minor collector. The road approach is existing and an address of 65 Cape George Rd has been assigned to the parcel. 23.) A building permit (BLD96-00205) was finaled on June 12, 1996 for a new family residence, 24.) This parcel was created through the Irvin Park Addition under AFN 337104, filed of recorded December 26, 1990 in Volume 6 of Plats at Page 144 with Jefferson County Auditor's office. 25.) The proposal is to develop across separate parcels. Setback requirements will not allow for the development to span over lot lines. For the purpose of meeting bulk and dimensional requirements and minimum land area, a Declaration of Restrictive Covenant has been recorded under AFN 517127. 26.) MUST MAINTAIN BUILDING SETBACK TO RESERVE AREA. 27.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN DRY WELL AND EDGE OF DISPOSAL COMPONENT. 28.) PRIOR TO OCCUPANCY OR BUILDIGN FINAL, FINAL APPROVAL OF SEPTIC SEP06-302 IS REQUIRED. 29.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 30.) No plumbing has been reviewed or approved for the detached garge (BLD07-00134) or the shop (BLD07-00135) by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. 07 ItUILDING PERMIT APPLICAN MRL Review Ty 156 Trt) pe: I y Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00134 Received Date: 3/28/2007 SITE ADDRESS: (pSCAPE GEORGE RD PORT TOWNSEND, 98368 OWNER: S JHON PALMIERI PHONE: 360-385-7432 12 MEDITERRANEAN ST PORT TOWNSEND WA 98368 IRVING PARK ADDITION SUBDIVISION: Block: 35 Lot: 1+ PARCEL NUMBER: 963303501 Section: 17 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: RICHARD BERG ARCHITECTS PHONE: (360) 379-8090 719 TAYLOR ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP NEW DETACHED GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 30,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 858 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: 328 or1 Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $441.75 LYK 03/28/07 89663 PPROVEPlan Check $287.14 LYK 03/28/07 89663D State Building Code $4.50 LYK 03/28/07 89663 MAY 200? Total: $733.39 Jefferson County & Building DepaPlana;rtmentng 0 44).' e06,� JEFFERSONIUNTY lt_s' al ,k DEPARTMENT OF COMMUNITY DEVELOPMENT g ' 621 Sheridan Street • Port Townsend • Washington 98368 fr 360/379-4450 • 360/379-4451 Fax R r ^�+ 7 �tt C 0 �u .qs HINOHO www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: O" 15140 ll Project Description(include separate sheet as necessary Kje w Garac61e uAk,ear e YLo v�� in ..) Tax Parcel ��--7� Property Number: ll03 .3 0 3� I Size: (acres/square feet) Site Address and/or Directions to Property: CAVE_ (a F-0 tr--t--1 . 1Z-1). ?f, et-6w sF,A)2 ( Oks 1 q;1- (6& Property Owner(s)of Record: • S{"FO N ?AL 1,1(f'2...k Telephone: 385 - 1 Li3 2- Fax: email: Mailing Address: l - Ra) 1 T'ER.RAt.EA ll.J Aki e AA PoJzr Tbi..,)N SC-tD( Nn(#4 ci g 3 6? Applicant/Agent(if different from owner)._F l(_.k j.n t r f Telephone: 5?ci- 86?() Fax: email: reatei_r 1 @- MailingAddress:')11 TAYLOR- ST: PORT Tow IJs / W A 1834g vl`ciAarel aercjarcki s. coo What kind of Permit?(Check each box that applies Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]** ❑ Single Family Garage Attached Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry 0 Long Plat** ❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑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: 1_ DESIGNATION OF AGENT I hereby designate G 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 required later inspectio Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the aetcati r/t at he or she n s riot notice. )71-1(:)." Signature: - Date: The action or acti pplicant 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 w' he Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans able e oonsibility for as hen to and complying with the ESA. The Applicant has read this disclai r and si ns.and dates it below. Signature: f- /!/1 ✓t Date: . /3—/ 7 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc BUILDER STATEMENT 0 0 The signer of this statement does hereby certifythat they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assumi g t responsib.. o the eneral Contractor for the proposed project. ,, ry Signature: C )' 1 � Date: t�l jdf .. GENERAL CONT OR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: e--( Ciwtitt•0( Ar ( PHONE (36O)31'( 'O jOFAx: ( ) MAILING ADDRESS: '7(q " Q,, 9 c-- St 1 56� EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposall: New ❑ Wood Existing: 0 ❑ Sewer ❑ Addition ❑ Steel Proposed: 0 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: p Height: Individual Syst ❑ Repair ❑ Masonry SEP Permit# O/ .� ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 6 Setback: H Private well Li Two Party Type of Het: Proposed: 0 0Public WI. � Total: 6 - Name of System:VoitifortI If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants (includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove I Fireplace Insert i Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: U3/ A 2n0 Floor Heated Consistency Review: W) AjU Other Heated Base fee: 1 75 Mezzanine Additional Section: , Heated Basement Plan Check fee: , i. I Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport q 51 pUi 22 SUBTOTAL Decks 911/Rd Approach fee: Other 4-� TOTAL: $ r733 Receipt Number: 9 to I_3 Cash/Check Number: cotO1 ESTIMATED.COST(REQUIRED) c90o?a3'06 Date: 3121c I cri •F et value of all labor ali materials foundation to tinisn ai 301 oQ6 Initials: C G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc , . . . % • • _.., REA, 'Eilv 11-1,11 ! w� ¢S�N c°°� JEFFERSON COUNTY MAR 2 g iG � ti �� - DEPARTMENT OF COMMUNITY DEVELOPMENT [p�\ �I �I(}{ 4. ...--.— 5 ,A. 621 Sheridan Street•Port Townsend•Washington 98368 ,� ��[(1,)�� a41��ir'! � �� ,./ (v.O 360/379-4450 .360/379-4451 Fax LINO http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# Q'7—I PROJECT/APPLICANT NAME: V YL Ch ef)0,.-1 i'e r I 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. rs Project Overview 4411ciW enliptTef DYp 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site ma . i oca a d 5 i}-e 0.("e. Gt.^ ex i$t-i n ci re Side.tee w tt4-tt. a.+ackv-d c. a 24_IDra- / 0-444 Cy'cope-I art ve tao�y ) ail Imo- `t P1.c • tO v\eQ✓1 c>c.)-F1err.) eKd o -I-I..o proe,f Q- pi/'apasea( i AA.prat-evrA.-ev%t5 include ay. 1A P•Ll. t Sw.aU Skopt a..tici arm 4? .f v�o. tie o rh Qtn k -rIA d w i{+t.. o. w d . vorI'Lrewol ceAIISi . Existing Conditions Summary ,fro- Cape Ge-.r1* Roo. , 2. Describe the existing topography. Indicate contours on the site map. s t k 1(*pie r dowA ttcdt.'4 rrdun,c au1 Awe 0.-4 a soc)fk ALA. evvi• T In.ar-f-i,.AA W at-f 0I 'Ff..e se‘ft. is ►eio-fit..s-ly .(-'tad-I droppt`n of nfT o- cuupk e -f' arm c‘,`s•'s h'ri9 s t,Ja-/t etf 1& we s f-e,'n edle o? *t-* p'l 4o t,, 3. Describe the existing vegetation. Indicate native vegetation areas on the site ma . Tit e t L -o(-E 1'`O r1't&thii\ i-t' O T i Si t't i 5 a v'.. akkei o f vla.. .)`t. V e ctc+a-+i e-r. 1 tu i f t^ a vim►t X ii, C fir, ke M I o ck 1 a u.at a 1&ALT -i-re4e s a.A...k v et.'4 v-e U v\d.✓.h ry sly. 5ov4&e trt e5 k&L..e. 104..c 1 re ce&n.1-(1 ('eM.e v`e A. 4. Describe the existing soils. Indicate soil type on the site map. ' oil (oc 5 irLd;ca Drin.(aril•.j 1.-64.rvty Sa.Kc crY Si I-fy Loris& ;it +Le. +v r 6 -r'2." / otrtX e o L-oa.ru../ s et aet9 �'ne Sn•nd. 5. Describe the existing site hydrology(i.e.,drainage; behavior of water lon 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. Lia.'fer .5aak5 eei ,.'I i....4u 5,6i1 . Se if Inn.►'c(raft 5 a..f oft I i f w o u (d vh o ve +o w ar d 1 -E-t.ee s uU Ld a o...i- U-e 'kie s i e r r\ -Eck i e o 'L..t Pro f -er 'c4 . 6. Describe any excess levels of noise generated by the proposed use or activity: Tk /L.e- ( _____ _ SoM noise O. c.SSQ cJ.e LtUi t�0oAt.Jert--L ti -1'015 in -i-Lx me w s f^o p. APPROVED STORMWATER PLAN stormwater site plan template.doc-rev.10/122003 MAY — 8 2007 I 5 DE!' 1EFFERSONM COUNTY TOF UNITY„t) V ryN SIGNATURE. i` 'KT V /< 1T , • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as Vvetjands, streams, steep slopes,etc.)on the site. Indicate location on the site map. o✓Lem. i { 8. Describe the general vicinity of the site, including adjacent land uses and structures,utilities,roads,and sensitive/critical areas (streams,wetlands,lakes,steep slopes,etc.). 5 rttair — 'D i c co trcr y R-o of , ter ki c f.& bo E-k support rvt /tor- co i _ Load, s. TUC Surro ur61 i.tint) pre pest- j s at( r S i d e t-i a I. MLA-IL arc n.o — �j i K i 'Ca rn'F t"irl f7 c cJ� J 0.1\4 GIJ� V o rt K1 — Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. 9. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 in the Manual)or, if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. Tkg roti.. Sod Cat S fr v c-fi A-n t..-r t 11 into 51.9 r•i r'c avt.fit C k a _- -{-t,.�a, 5 eft! h y c�r o (o a tt 4." -{-e.a.� -tut t'1t'7 t � (At i.pert'r o us 5�rf-c.e . 1 'vtoft wI11 be. 10111 disfer,ed #h 'o �'gqfi drys -e!!s a,t.tcL — a stole." tAs f�.+ cc, (Ai It (i roc c dritole Ujc11 rv�.o fF fo t"�-� ek rchket — fr1MVrm. Bove-24t 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.] N/A . ._ 11. Describe the performance goals and standards applicable to the project. T -Po 1(y d i SP-Cf3-e flew roof a-nd dh'tk 1,00-4_ rc.i!o 4' i v- .4 ft. . 12. Describe the flow control system. �// ��[[� •T�9w//i,es ? m.Yr root Co`iec icrt '�o(r1T$ �rcr cvtl�S. • 5A.eatow sGV S aCow✓1 It // e el?e rr't.4 a. . stomnvater site plan template.dos—rev.10/122003 6 • 13. Describe the water quality system. (A 'i:011ttilU CI) 14. Describe the conveyance system analysis and design. N/4 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. Very rjiJ/ft- a"'" €KCeSS /tea &rear CAr.li iac /n dolvved. 4-(( ld%h4s apt slab -on - "ado art reta-Hue ty (r tee( Stir. Aeed ed it be semi or Pear ?ram.( 6,1,-,14 a (oc.a.J cQpp /kAy erex55 AtaOrra.Q Lao:u Ile spread o-)1. Att-e. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. pa( S&4-a i1e fs)...-P,Le e1 146 el"e d`fit doe rm de.i$. as dusty;he.t i,, ill 7 04c 33/3. Li, 17. Describe the proposed surfacing material. iSfieo' r'Dr-4.- 174 # 18. Describe methods for restoration of the site.7,17 7I 4-4.it fw :., txi s %.1, 11.---es a..^-di brvS4 a-s /uc4 a os S r 61G. 5C f et.5r ate -A? co r/ et red oc. c/rSfiro.ec,' a.-Ile- 5 dur r'!1 1.i%SA J rac/i . ?r - L✓ i f ti n 4 f ll,.t q r-o Prr� turn« �(a,t. ,f7 s • 19. An dperation and Maintenance Manual is required for each ficw 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. /k//fi 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 5e e 5ep/r.c Des-/ et c4 S�i'l L 7 S. 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. / Cc SCr U St �Yr✓yr. /�la,���• n 9 it r.0�►r (fe 1irss>. Co) 5tlo r�� �e rrr/�'f lk1-e FFPrsa,�, c-., stormvrater site plan templab.doc—rev.1071?I2003 7 • RECEIVEI._ ) . CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) 2607 The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated byrthe -�•'cant,b OD template that follows must be installed on the ground during all construction phases of the project. The propo preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Cons' ` • Water 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. G/ta r,ir.9 L;M , /s £'Jl i/ h.e /*t.ar`c ec/ Gv •II et d Sir' t''e>or5 ' ape 2. Establish Construction Access. 1 CoriS1`Yv -1' v% Acce sS L✓:// b-e te/cr / perm 44.ekJ or'ri vc w a-y. 3. Control Flow Rates. U 7r`/ I b��� jitJi Gt'o /t.D� e)(Foe �� -P1•o w d c/re:j f C oYt. s Mu c 7/7'arn • _ 4. Install Sediment Controls. / GJc /o aS< a sill Awe D✓' S/n-fr�t'ar 5td.4Yt� can / r•t r/'h o d a•f fka v f la.€r n c•n d or -fi; ,P ro osea/ set,/lc. ..lC, a/pl 'f» / e0 Se d &'-yt-r 'QVt/r(L q .Fvr?''ke4 I(ot,/>% - -f t+e Px�'t f:�•� n a it i,.J stAia.ke 5. Stabilize Soils. Tittlte a.e'c no i/rt.s/a41'e soy•/S apt 7 -0 6 1-.-r74 6. Protect Slopes. 7ht�t� a/uL rl,o slope5 S7tre/oer 1&44.., ID% iit 7 Coets frocic4A. cre sr.. fvr// d a rse a s o F 74- r ife a, he ra-T i ve ly — /eve/. 7. Protect Drain Inlets. 5w ra •'.I Ita 64. le/4/7 S'Leel /-d st nnwater stte plan template.doc—rev.10l12/2003 8 • • 7k4.4)- MAR `a: � 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. �r-itrcwa.� /2 ofiC: sh4-l/000 S4%)a4. e PXpecf (Ara er- Ta fve,,f e eks...c( -1 t re IS AP o a t fe l 7/4n,te of F emu. S w 9. Control Pollutants. /f n /� r -LU /-vr,oc SwA-�. C.J. (( 't'iCr �[ r tec 4.0 /•//�,t-ribtf f�...be,51. yrc ss ern, Sczad. f 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). irlcr vcind.cfi s et.•ne 5(46 -on- eado, 'lc, dP-6..,ofP�,' Lt.) // Ile 1c y 4.4/."e d iy Sik al! a of-.u A f- a water n.eeee - {v be re_At 0v.ea(r D /f Pull( I'e- dereei ee) 7 ex-es.fr%�, n4hie swalte 11. Maintain Best Management Practices(BMPs). kill or s•'/1 3�Pn cP, See All 5c.serc /-/o . 12. Manage the Project. 5fry n1 &v..t rr a.s c aTs oT 7 e cod a7/ c.t i!/ 4 a.. e 9 e d b y �-G.o 47h e ro-e C. n c tar. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). 1 The. bo_,,// `m Or -4 fta11 rc�P SWa�e IS on Sub eeF protiperl y t 5'.� adJ a ce"t 7' ioco per ,e es:_ G..s '`l/ /'lo7L be ccfd. 1 b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). Tic Halos-( Swet-le A(oAt,7 -f to Vrcclern ec(gt o[ L pr'ofrer -5, f loc.. very cl enl/y down k.'!( ita fQ SL�J corner- et.et 1 7'4-Ert cenfinties at. tree/ 7enfl'e S(epe wesfer/�/ /�o r ci((e/ Y-sa I d, /erroc.l ecs n A '- of CG pe 6 co!-�e /t2e.d. 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. aw� st3mrvrater site plan Oemplale-doe-rev.1(U12l2003 9 • b. Description of special requirements for working in or near environmentally sensitive areas. None_ r V lJ�!I'IlI1ij 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). No✓tre- 5. Construction Phasing. a. Construction sequence (7) 6a a?c () A0v ( stiop. 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. GAic fr&e : f-9.4-r-TO L y 200 VDU SHvP . .rL - - -t13cl-a 2067. II. Wet Season Construction Activities. a. Proposed wet season construction activities. 13vl1.DIAl6S sH-vc ,O /735 G -oSeO en/ , 7 Gu67- St=A gereJ _ r/iVAC. AA DE /'jA y p C'GU(2 pop I SCA5oA) , aUT eovc.p i?6 Lt b. Proposed wet season construction activities for environmentally sensitive areas. SirJ, pit Zoq� /J q-/A ,f / eGctSt/l yr . 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. S• T?ion Pa/{'-ticii b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. h04e_ 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. _ b. Diversions. �/j J/A c. Waterways. _ d. Runoff/Stormwater Detention Calculations stormwater site plan template.tloc—rev.10/1212003 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 affected pr rty. TM ''.3 i 7/q-/GC-4-- ( DO E OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: storrnwater site plan template.doc—rev.10/12/2003 12 o LW 7 sio01i49.osJogp, ,...epic iv p g9SQb bM 'ON]SNM01 11Od 1 o tzo-w_c(09C) °xdA 3l�`d N'd3N�fZlZl�114�W ZI r Ob09-bLC(O9�) '3NOHd '(1� I�(� m m Q968b b M"aN35NM01 1?10d I:0 11 I Y C4 N O I i I m to 1332J15?JO1J�b1 bIL NV 1 �lQO1 ]°,��,¢O :210d 11Nf1 ONI113M4 1VN0111009' I o o 4 . d 'S10211HOYV 9139 CNV1-1912 z_ w LI aQ - Qz 0 d tQ t� tX z a_ 0- 1- 0 — - - - - F- / 0 I \ / Q \ 11 --I1 II I I // I rz 0 \ 0 o / cfl ry iii\ 8 I" OnO // \ cv= Y CZ 1 , z N i 0 pL Li k iii vQF - rncv it x0u.. 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