Loading...
HomeMy WebLinkAboutBLD2007-00165 O • 193 BUILDING PERMIT APPLICATION M eview Type: I Review I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00165 Received Date: 4/19/2007 SITE ADDRESS: 11 MADRONA VISTA PL PORT LUDLOW, 98365 OWNER: ROCKNE P VENTIMIGLIA PHONE: (206) 713-4446 CHERI A VENTIMIGLIA 4022 140TH AVE NE BELLEVUE WA 98005-1128 MADRONA VISTA 1ST AD SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 970300003 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: STRUCTURE NORTHWEST PHONE: (206) 713-4446 4022 140TH AVE NE BELLEVUE WA 98005 Contractor's License STRUCN*982C1 Expires 3/26/2009 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE ALSO A/G 250 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,055 VALUATION 309,605.00 ADD'L: 1,211 HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 560 SHORELINE: CONST TYPE: DECK: 1,127 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: 1 4 Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,169.75 KAS 04/19/07 89793 APPROVED Plan Check $1,410.34 KAS 04/19/07 89793 State Building Code $4.50 KAS 04/19/07 89793 JUN o27 2007 Potable Water Application $58.00 KAS 04/19/07 89793 Jefferson County Planning Total: $3,642.59 & Building Department �,pN C, • �4� o, JEFFERSON COUNTY ' DEPARTMENT OF COMMUNITY DEVELOPMENT `' ` •:f " lw 621 Sheridan Street• Port Townsend • Washington 98368 • 360/379-4450 • 360/379-4451 Fax .gSNG�p www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Oil 1 C(3 Pr j t Description(include se rate sheets as necessary):/ te, /,14.446,e_ tAy r , Tax Parcel 17 0 3 00 a o •� Property // , Z v N Number: J (acres/square feet) (�i ' n•.0 vZ.Site Address and/or Directions to Property: , r Akix2b1.1 I Property Owner(s)of Record: 'R oc...1 L1J IIJEjl.ka /i416-l—(A Telephone: 2D63._7/3 `'S I9 6 Fax: 4/2S._ t>�f -.2097 email q4-v—g• LSE-Airy Lie jON Mailing Address:/fD�Z— ,tre)-t!f q� , JC ALA f/Y/�Lc, u /) 9 - ,dki -r Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies „1215uilding ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a), C(d), or C]** .B`Single Family c3arage(AttachedDetached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home '❑ Modula ❑Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑Short Plat" ,0'Address %Road Approach ❑Binding Site Plan** ❑ Home Business ❑Cottagelndustry ❑Long Plat** 2'Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ,I2rStormwater 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 ❑Wireless Telecommunication* ❑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 whi h may in any way accrue ag inst J ers n County as a result of or in consequence of the granting of this permit. I further agree to pro acc an igh of e t efferson County and its employees,representatives or agents for the sole purpose of application review and any req ' lat inspe n . St s ccess and right of entry will be assumed unless the applicant info ms the County in writing at the time of the app 'on tha s nts p or tire. Signature: Date: The action or acti ns Applicant will and rtake 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 "Endangere • s Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit ha been iss ed ill not violate t ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s) yen if y are i compl nce i the J fferson County development code.The Applicant acknowledges that he,she or it holds individual and non-t n fer le res ' ili for a erng and complying with the ESA. The Applicant has read this disci mer signs dates it below. Signature: Date: _/ ( K '- C:\Documents an tings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.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 assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFA TUF PHONE: FAX: MAILING ADDRESS: 2L _/ ) „s' I' EMAIL k �4' 1 r CONTRACTOR'S LICENSELA /4- cj WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: ,� '� ` 1.7.- PHONE /2jrZ5.2...)37 fAX:( ) MAILING ADDRESS: . V 44._ 9,24 Mr QJ c75;44: Project Type: Frame Type: Bathrooms: � Shoreline: Type of Sewage Disposal: > New `.Wood Existing: J Sewer J Addition Li Steel Proposed: z Bank J Community System J Alteration/Remodel U Concrete Total: 1 Heig : individual System J Repair U Masonry A A SEP Permit# `7 -F'7 ciQ, Oa) Bedrooms: J Demolition U Other: Water Supply: Existing: Setback: U Private well U Two Party Type of Het Proposed 1 Total: �'-ublic 44Name of System`rt.)Pam- 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: °Underground Tank fikAbore ground Tank Size of Propane Tank: ❑Heat Stovetlii(Cook Stove ❑Woodstove`Fireplace Insert ❑Hot Water Tank 0 Pellet Stove ❑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 ibq Bld App Review: 2r Floor Heated r _Consistency Review: ;Zi I I if p4/0 155 Other Heated Base fee: a 1 .75 Mezzanine Additional Section: tU Heated Basement Plan Check fee: 410. 34. Unheated Basement State Surcharge fee: 4 Other Unheated Fot Water Review fee: Garage/Carport SUBTOTAL Decks Q f 9 ,543.-+g11/Rd Approach fee: 15a c Other E, �', ' 1 TOTAL: $ L. ( �,.� � �3 L.� c5�c.5q Receipt Number: c1 ri ? Z ) Cash/Check Number: I I • ESTIMATED COST(REQUIR ) Date: t I •Fair market value of all labor and materi foundation to finish67 C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc Jefferson County Building Dion Permit Null: BLD07-00165 Applicant: VENTIMIGLIA 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 -V3 An jJl �f Erosion Control Foundation Footing 7/3/6 7 ERV ok' urrik IpsTALLED Footing Drains 101/6' GA` Foundation Stem Wall 1,/e7 (/ Crr AeL-b lwwA iN PL..Aer Underground Plumbing Q f4 Under Floor Framing 1fl4/G7 OW G�ol1d PeOvlv6 *eras .or fieRREe7lo1 -re EA") ol,► 7 Soi5T Straps(hold downs) t., Lt N�' Ext. Shear Wall Nailing ?� rti)) wu,r3c, Al /V� , I oh:;u,s t. ��,�5 DK p7 I rf Z 1-L�.7 9t_ ��� Rough-in Plumbing WO o4, Framing q/iq/� tit OK Blocking 714107 OK Airseal gib6/ - Insulation:Walls V26/€.,J a� Insulation: Floors A/7141 'f�`//� me Insulation: Ceiling Int. Shear Wall Nailing II`ik; '9J o li B 0 lL Q/(R/61 Wallboard Nailing N \,1 VA Gas Line: Interior Thf/67 el d y Gas Line: Exterior ///41 o� Propane Tank ,f/O 8 %f . to Heat/Chimney Clearance Op g 6>k Drywell/Alt Drainage ,�/408 �/ 61. Address Posted 161°8 !/,�jlT/�'�_ bk. Hydrostatic Test FINAL INSPECTION Wiz����`5 A -ar 44a FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR I O BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD07-00165 Received Date: 4/19/2007 SITE ADDRESS: 71 MADRONA VISTA PL Issue Date 6/27/2007 Expiration Date 6/27/2008 OWNER: ROCKNE P VENTIMIGLIA PHONE: (206) 713-4446 CHERI A VENTIMIGLIA 4022 140TH AVE NE BELLEVUE WA 98005-1128 MADRONA VISTA 1ST AD SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 970300003 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: STRUCTURE NORTHWEST PHONE: (206) 713-4446 4022 140TH AVE NE BELLEVUE WA 98005 Contractor's License STRUCN*982C1 Expires 3/26/2009 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE ALSO A/G 250 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,055 VALUATION 309,605.00 ADD'L: 1,211 HEAT TYPE EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 560 SHORELINE: CONST TYPE: DECK: 1 127 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $2,169.75 KAS 04/19/07 89793 Exist: Exist: Plan Check $1,410.34 KAS 04/19/07 89793 Prop: 3 Prop: 3 State Building Code $4.50 KAS 04/19/07 89793 Total: 3 Total: 3 Potable Water Application $58.00 KAS 04/19/07 89793 Total: $3,642.59 Directions to Site: SEE MAP QUEST DIRECTIONS AND MAP HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY - SEE ATTATCHED • • CONDITIONS for Building Permit# :BLD07-00165 1.) The application was reviewed by the Jefferson County Department of Community Development staff on (date) 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 Area, Special Aquifer Rechareg Protection Area and At Risk Seawater Intrusion Protection Zone. 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.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 6.) The parcel is located within an At Risk SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. An At Risk SIPZ is defined as: areas within 1,000 feet of a groundwater source with a history of chloride analyses between 100 mg/L and 200 mg/L (milligrams per liter). 7.) 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. 8.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 9.) VOLUNTARY MEASURES OF •STAL &AT RISK SIPZ: . Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 10.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 11.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 12.) MANDATORY MEASURES FOR AN AT RISK SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirements: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. b. Installation of a flow meter. c. On-going well monitoring for chloride concentration. d. Submittal of flow and chloride data to the County per monitoring program. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 13.) 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. 14.) The applicant is proposing to create or add 4467 square feet of impervious surface and 4817 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. 15.) A Stormwater Site Plan has beelbmitted and approved by the Department 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. 16.) 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). 17.) The revised site plan as submitted on May 24, 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 31, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 18.) 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. 19.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 20.) 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. 21.) The lot has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 22.) Madrona Vista PI (C504209) is a county local access road. The road approach was review under RAP07-00055 and an address of 71 Madrona Vista PI has been assigned to the parcel. 23.) The lot was created through the Madrona Vista 1st Addition Subdivision on October 7, 1963 under AFN 177207. 24.) A septic permit (SEP98-00263)was finaled on January 12, 1999 for a 3-bedroom system. 25.) A Declaration of Restrictive Covenant was recorded under AFN 523826 placed a notice to title regarding the dwelling and its on site sewage disposal system have been permitted for limited bedroom capacity. Any use in excess of 3 bedrooms will result in violation of the permit and affect occupancy. 26.) 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 524161. 27.) The parcel is served by PUD#1 water system known as Bywater Bay (ID# 02043). 28.) 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. 29.) 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. 30.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 31.) The building height is not to exc./35 feet. 32.) Minimum setback from Madrona Vista Place right-of-way shall be 20 ft. Minimum side and rear yard setbacks shall be 5 ft. 33.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 34.) THE ONSITE SEWAGE PERMIT ISSUED UNDER SEP07-177 MUST BE COMPLETED/FINALED PRIOR TO FINAL OF THE RESIDENTIAL BUILDING. P. • • ���.¢,gO1V cC)6.4. - A� JEFFERSON COUNTY � h `� DEPARTMENT OF COMMUNITY' DEVELOPMENT If,�,' i\�� #_`\'` 7-R I ii 0 621 Sheridan Street • Port Townsend • Washington 98368 �, q�, NG�O 360/379-4450 • 360/379-4451 Fax t e ti „ E,k:4i� http://www.co.jefferson.wa.us/commclevelopment/ ./ I+ 4iic f't STORMWATER SITE PLAN SUBM hi.�ii� �'1 � ` �`��, i ITTAL TEMPLA MLA# 01 1°Z PROJECT/APPLICANT NAME: VEJ i (AN 1 &-t_i A 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. 0i - 0 ' Project Overview rirrn-r._ 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. Lo rOe vim;c-Yl b aJ ©r 3 ZOO 1 e- wU L -e \ck c e 1 e t r e i 1 Existing Conditions Summary STORMWATER PLAN 2. Describe the existing topography. Indicate contours on the si•:e ma.. -+7-- Se Si o 1 e.. 11.11111111.111111 migii 3. Describe the existing vegetation. Indicate native vegetation areas on the site map � �T�T�����1:tiicll.or'ism vJ k\ & _'c ef7Yt1 r-e- _ DEFT Of 'MMU 1 'Z..�,�iriy it."MI III:4NIVII'ILI 1�Pq.:14't•1111.11746 4. Describe the existing soils., Indicate soil type on the site m p. hc) i -T6p5e) 1 I 5a.Y1Ci Yi2 -7 P) Meataw Sco0 5. Describe the existing site hydrology (i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the•site map. Depict separate drainage basins on the site map, if applicable, and indicate acreage of each. ' 'J1/�7 to eA 4o t— e h I i 1?c.�►� — no do�e rved k c1 �.inc'. y- lA n ; r1 W Ge ls- act- G l t) +) vn- --DiTr-r1( 111p c + .64-i-e 6. Describe any excess levels of noise generated by the proposed use or activity: —TylVA ‘ 1re,S ) e.n4-is l pi "Alr ict 10h ✓bo15e_ stormwater site plan template doc—rev.10/12/2003 5 v . • 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. 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.). C9e,,Bred o144-\,e,r-1 4 e oSu v-e_. on c PyCtU P cAope it LA in a -42 541reAw Ov1 E'er S4 0.tiI uJ€ + ckprd,e. 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. lr sV and roucliectm r U VI o-c-P- vAA i v► h d �5 pars e- v cx cry- ell ;tea u-�-h er4- i►v,� � 4 P P � 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. mow CI at 1 arty IA CD cf k a r i 1 r-b't1(7Y, 12. Describe the flow control system. +_ stormwater site plan template.doc—rev.10/12/2003 6 • • 13. Describe the water quality system. Of\ 14. Describe the conveyance system analysis and design. klfr 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. c ir,nt'� r!� 1 `S n o0.ie1f 4Jo,.S kro k_ -ODr in i uJ , 1 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the propos d surfacing material. 18. Describe methods for restoration of the site. 1e' ec i V13 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. WIC 20. List h re and include any special reports or studies conducted to prepare the Stormwater Site Plan. 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. stormwater site plan template.doc—rev.10/12/2003 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. Mc+ 1r opt\ 'Pt eAe1 2. Establish Construction Access. P t -t- 1 V1 e C3i<r _ 3.N/ _rol Flow Rates. 4. Inst II Sediment Controls. - rv- t--i hp c-Sra ri� 5. Stabilize Soils. kirk 6. Pro ect Slopes. 1J 7. Protect Drain Inlets. ILVik \. I' 1F-4 .41 -1 ; ) r ! 1' PIT l)IR ilia; 4 F ; stormwater site plan template doc—rev.10/12/2003 t. 8 • I • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. I'VA 9. Control Pollutants. PA\ 10. Control De- atering (the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Bet Management Practices(BMPs). 12. Manage the Project. Mb ►-Q r cc bq iiv\-r&c. v- 4 c 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential are s, roads). Nboe b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). V AtdT 1--k-14% 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. )1,A/A stormwater site plan template.doc—rev 10/12/2003 9 • • b. i Description of special requirements for working in or near environmentally sensitive areas. 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). 0�, jE. 5. Construction Phasing. a. Construction se ue cQ s- Mo, kiati_e ,, Q v c(ck-k-% b r , 3e &t- dkVV.)cq b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30 (page 2-21 of the Manual). I. Pr vide a proposed construction schedule. r 1 t .2ZDVA1 itD II. Wet Season Construction Activities. a. Proposed wet season construction activities. /. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a ntify the pro rty o``k�ner respo Bible for the initiation of bonds and/or other financial securities. 11111 b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation y i pacts. 3 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. t d. Runoff/Stormwater Detention Calculations l `��� �� �"� storrnv✓ater site plan template.doc—rev.10/12/2003 10 • • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes, and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems, treatment facilities, flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts") when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Cons uction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the b st • y k •wledge. I also certify that this application is being made with the full knowledge and consent of all owners th a ct=• •rop=f . . / V—(7_ o 7 (LA DOWNER 0 AUT •'4! D 1 RESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: f stormwater site plan template.doc—rev.10/12/2003 12 • rrt k"...: C\\'' k a _ ., 71. .. • -. \ ..." ..7.— ...- ..._ '4 :4 > 4 .T t_ 0 X - , 71 r .C. 17": 0 1 .el I ';', f 1 - 16 ' I , r. R. i .• i t I *I it I 0 .,00,01 Vv.: -±: liZ.1. . I . • - c 6 ° 0' 0 p‘0 • o o , : 1 L -i Ap 0 0 A V.twilicre P_I: . •J 1 ) —I i 0 q— •i . it, J, . i .. , 1 1 1'.t< 0 9 ,..4 • N _ -- r*:- P, , kji F, i i ( Z 111 i?, 1 . 6kr Lli I ,1 z ! (-11 , " 1 , . 441 N....D i, (* 1‘ ) T , , ? . i ro&I i. s' ll 0(YZ' 111-1 4 i to V it ' 1, 'il • i • i T, ir; i i !ill 1 '', 1279 I • (16 ..1 ir-"N'• )** VI e• i DV r • i ; I ...f‘ 11 ;'1,il V...i. ' i.. .., 1:• > \4) 0 ' VJ i 0 1 ; 1 r:5 r\ 1 fk. to '.., ,k.0 •_.. , ,• ._A T). ...‹,. _.4„4 ._._______ . . —4 7v -'r ' ' 1 ;: , • • LiLls _ ,,,i, . - . rj 5 Z_ f`;; • , j , N..' • 1.1 X n) 0 -ICI • ;1 4 ,,, ...,,,, f.kr, ir 1 ,R • I • I • . . 1 . . (--1 .... • A ( 1. Z,. • .... i,; =' '(?° / . '''V)••. ' l' ' ' 0 —:; K•3 .' --, . --: -. I , 1 • I .11 ‘- ..---................., t• , IQ •) \ . --r - — • / • • *- • • r 1 . 7r,.. . . ,..,.., f . ' '' -r-q , .-7-1 .1 / Porn '''ef 7 . ,, '*.s ) , , • co rm. d kt, - E--- . ,. . . • co: .= 4_,....... z , I in Z1 . - - • •• - •.-.-th •.•.: -..• .:,. _..„1. V ii, "I. -- '"' 3 •: Fl r - ,, • . ! V : -P ---tl - ..41 .. , ' • Ix i 3 , .. e•-.2 . c:::: ' 1; . 4 t .. .= , .....: . (.-2. ,L. kii ,,,... . ........ 3i.... _ tr.., mar.. ., . r.-- kir \ --d 1\1 .../,v4..., t= N *1\3 r 1 - • • . \•, it, .. . )k p I. ,i= L.:..1 --- kv ..... • c-: C)01 ea-P . F.,-; il ' ' - 2. ,-. z. ,127,. ...- c=i ' \,.., Li4 -1.p: _ i. r : r -1"-C7 ' V - • I N. N 7- 01 . • i - '31 \ • -c • Ik 1 ) -. , . 3, • • 1 c. d i 1. x) I • PI , . II . r • • r .' ,9 P Z) I , • 0 I . ,r4;,‘H' 1 ,. tft -IQ 1 :, . ..< ..., f fil ' 17;' • ,,.. ; (ri , • . i .•„,...._) • ( , / a I, . r • ,1 2 ilk . ...1 . 1 ,/ I ki) ;• ---..... ' .' . 1 1 ..7 " I -):t: ' • , , i 1 i. ... i 4 / , d To; . , •-... -- —... • ".. -1 --- . _ ,. • , • ,. 1,, . . ,mkt . • ./.?0,444.,,. . 2:a4.....rc.44.... v' Vi .. /36 4,./44/ A'4,- ________....... ......i...:4 c_.....j'Zi . ,, •'7 • ...... 4., .... ......._ 1 . ' _.... • i°p ri 4" -.'‘ -- t • - -.......... , • g , , 1 • • ,_,.. :-t7F • • 75) - .F) , -- a — ti 0 • II P'!'i N • h.,„.,-c LI t.,-, tv . • . 0 . . • . • I . it: Ir . •. . • • . V • (N) 3 E iTi S N t< Vi 4--( m 6.X Wsz, , ._.. q'- (.‘,.`t • I. 2 ‘-' 1 . 1 r t ... g •••6 F ftD1 * • OJ II,. , , • , . ... ,.. . • •. -.. , . . - • (;‘,2, • . / 7 i I • * • ' k.if ^1, • ...) f ilic...".."'"' . ° Xif 1 fri." ..w.' .'".... 7 )=_11_ j'i 1)3( ''pl g FP < - 6.- - )t)RL . R 00 Tti , s P I , ,, ,,t...... 2 , T • 0 .: ...1%- 0 c. - . 0., r 3., <-• ''-4"'It • (71. ci'l if °II ri. n7 . x . \, . • 0 0'.. g . - K (Ai ;4 • t.••• . , 1 .;..---• ..-A,C1 6•• 4 i 0 .A. . n7 .... . 0 . . . 0, -4 iz) . . -.- - - . C14.) , . rT Xj__.. f . • C- .) c--3 CM 4==4,r(,_,_;:\ M 121-0" • 16'.(n 10-0" / . J' ''V I_%y 2r ' 'cor P-6" ,,.011 P-6" 'cal gr�rl 1- " 1V-0" /'6M • di 0.‹,-. ‹, -,41 , 0 ,,,.._, di • 15/-- f x,„ ./5°4° . / �sp � ..,:; t? )\\\/ / 0 I ! - I .m mom - I • am...............•1 I''.."' .. "'I I. ii. ..... 7.7 .. .Z .'" ....'. . ^ '' ."." 5.cG'�rr lAR . ... ••• .. - . . • • . • u ...,'Zs et V •O .. • • q _. O 'tt • • �O Q O • ii4 1:imi ' .......0 • • itj I X _, 1 r• � .li O. 0 _/1105___ t i • i N • � 1JV n c ..... __ . ,. . 0.... 9 l 1 — . ,, . . . -. 0.i . 1/4?. •, , - F=.---.——-' .\.--- ..,-- , , . gfe C) : _ .r : c1 _____, , • . 4,, •tNt altp:1 .. f x 1- r,„ .... ,,, ...„,--, JTTI • • . r _ I+ , E3AL. .. r �/� ,- �O 0 S' 0 • LI •r ► _ IIIII . • IIIII .. I .. l I . i _ . • b" 8r'6" • 1"4rr sr-6rr .. • /. `. . /9'-6" iron 4o'v" . • 1<crp Z -CT WTT „ , : ::: .11 .6sr 0 0 L tk r` `y op ›< 003- sgb u� � QO t.\ \ 4, 1 i • \ _'rl .Z-9 .64 .9 6 •N .r.G .p-,Z .Ihb `- � \ _ I___.,,) I I I I I v ,' Qo I 1 I I I� & — _,_ w LIP or , "6'` h w "i --�t� I I.� N -- �_ i r-T p \y ' ME MI - �� Imp k. a ‘E--0 IC I.1-tt :if. - , ��1 \ q o e J 7 �I .o-. . -4, .6.G ,6,c ,6,‘ .9•Z ° _ Ni, O • 1 x .1 �O N ,�F I P 1 I 01,1 laai 4 N • I X / / \ \ 1 F . -A 9-4. ,66 .9 �I 2 3 m \ •- Li ♦ 6a VO I `" op gb I b I \ I k' .514 4L A 000n1 F( et 1,1 Ir Fl 1. I... :1 — as ♦ _ I-UUI-I-I-1rl-1 t, P ` � N q�c �, 'e q �� 11111111HO 1 0 o U I '�- 11711111 I= —III 1 I I—I i' .r-z 7it .4.-4 .Z-,9 ,v,Z .9.1 "" .61 X". .61 'a'. :Yl .-4 J-4 A-4' .d-.i - b-,K .6zI .641 ,b-,c __ , . f:__\ \c.?.,) c"-- _..--- ( ).. ----- , .. . / / / / / / / / / / .9,61 • \ \ \ \ \ -----1---r---1- r--9 III I I ist I i I I 1 1 i. \ 1 I I I . ........ \/ I I I I I ... 1 ---....... _ ii li ti 11 d iti • \ zi, a: -___.---,_. ............:...: !I..' -————- -————- • I... iN • • pl 01111111•11111101.111 I . \ ;9 I; ._ Z a-a. % og ( • ____- , .041 k) !\ -.•\-- k I .... .ssemis.......I 4, •t, t... v .ri• \ rci ° ,•% • in _ 4 • \ \ ' \ --:. \ \ Z? iN =1.‘.. - 0 ‘.. c-t \- se 8-T 't 1 '4- - \ / •,,,• 6? ?NN, NV— • 9' ... • • 'I •,,,,iS4\D •‘ %I' - -9 — :11 . N \ t\ 21 N . N • , I. \ \ / 'I ,f ,f .0,9 --2- .9,4' •Il a 2-,r 8 N *-\.. -() N cy....-....- z•t, ..... QL0\ t4_ 111 1 ........._ il ,,, .1.-.9! \ - .__.:..___ ___ ______ •- • .9i 41 Z? ofr ,,S \ \ \ \ I .0 luMEM 1S,ei 0 ...- ' 1 MEM \ IN .-Iv.5 So I :N / / i_c_* sz----/ .9,4 .9,r .0,G Z64 .0-4 4,-J .9-4 .0-Z / / / --/ / .0-4 „9,91 .o-z / p