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BLD2007-00209
BUILDING PERMIT APPLICA N MAL07-00228 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00209 Received Date: 5/10/2007 SITE ADDRESS: DUSTY RD BRINNON, 98320 OWNER: JOHN W HARRIS PHONE: 206-783-2178 SUZANNE FAITH HARRIS 7726 28TH AVE NW SEATTLE WA 98117-4538 SUBDIVISION: Block: Lot: TX 30 PARCEL NUMBER: 502103008 Section: 10 Township: 25 N Range: 02 W CONTRACTOR: SEAHOME SERVICES, INC PHONE: (800)405-SHED 7425 THORNDYKE RD QUILCENE WA 98376 Contractor's License SEAHOSI077KS Expires 11/17/2007 REPRESENTATIVE: GREG BARRON PHONE: 7425 THORN DYKE RD QUILCENE WA 98376 PROJECT DESCRIPTIOI` NEW SFR W/COVERED PORCH ALSO A/G 250 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 760 VALUATION 170,000.00 ADD'L: 240 HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 140 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 1 Total: 2 Total: 1 Routing Date: 5 iu o1 Type Amount Paid Bv: Date: Receipt: Approved/Date Total: Jefferson County Building Div on Permit Numb* BLD07-00209 Applicant: HARRIS 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 Erosion Control Foundation Footing 22 v 7 ?r 0.47ND 0 Footing Drains Foundation Stem Wall G/Z877 46}/�/ O� Underground Plumbing Under Floor Framing &J DrfioEJAt 116,�/07At Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing (` _Z 6—off Framing Airseal Insulation: Walls l�r ''r i Insulation: Floors Insulation: Ceiling 11_,_ "i-01 9g. Int. Shear Wall Nailing Wallboard Nailing t2-1("0:91 ?Fat-- Gas Line: Interior Gas Line: Exterior (l _ i 7 Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted I I FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00209 1.) The application was reviewed by the Jefferson County Department of Community Development staff on June 12, 2007 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Type 5 stream; elk; landslide hazard area 1. 2.) 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. 3.) A Type 5 Stream (Fish and Wildlife Habitat Area) has been identified on the subject property. The stream will require a setback of 50-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 4.) Stream buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 5.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis), Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar (Thuja Plicata), and Western Hemlock (Tsuga Heterophylla). Among native tree species which may be used includes: Vine Maple (Acer Circinatum), Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa), Bitter Cherry (Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara (Rhamnus Purshiana), Pacific Willow (Saliz Lasiandra), and Scouler's Willow (Saliz Scouleriana). Among the native shrub species which may be used are: Sevice-Berry(Amalanchier Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean Spray (Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark (Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus Racemosa), Snowberry (Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry (Vaccinium Parvifolium). 6.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed single family residence. 7.) An additional setback of five (5) feet is required from the edge of the stream buffer area to the proposed single family residence. 8.) A permanent physical separation along the boundary of the stream buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 9.) Stream buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer - Do Not Remove or Alter Existing Vegetation." 10.) 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. 11.) The applicant is proposing to create or add 1065 square feet of impervious surface and 3500 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 12.) A Stormwater Site Plan has been bitted and approved by the Department o• 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. 13.) 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). 14.) The revised site plan dated May 10, 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 June 12, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 15.) This approval is for a single family residence with covered porch and 250 gallon above-ground propane tank 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. 16.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 17.) 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. 18.) 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. 19.) 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. 20.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 21.) The building height is not to exceed 35 feet. 22.) Minimum setback from Dusty Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum rear(stream) setback shall be 55 feet. Site plan identifies a 152 foot setback from proposed residence to the stream. 23.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 24.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 25.) An address of 802 Dusty Road, Brinnon has been assigned to the parcel. Dusty Road is private (P410). 26.) The site is served by an individual on-site well. 27.) A septic permit(SEP03-0166)was cancelled on July 25, 2003. A well review (USR 05-0032) was finaled on May 24, 2007. A septic permit (SEP07-0081 was issued on June 12, 2007. 28.) The parcel is relatively flat and gently slopes down to the south and east. The landslide and steep slopes appear to be located at the western boundary of the parcel to the immediate west, based on the county hillshade and contour maps. 29.) PRIOR TO OCCUPANCY--FINALDROVAL OF SEPTIC SEP07 1 IS REQ D 30.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. 31.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 01/17/2007 10:56 3603794451 JEFF CO PERMITCENTER PAGE 04/05 ()1/17/2007 10:00 FAX 360(65S1 SERMON❑ SERUICES ING • a 002/003 otos,s �� JEl;r;rwR50N COUNTY ' DEPARTMENT OF COMMUNITY ID�VELOPMENT 1 00S yy B21 S e ,�h rldan Street•Port Townsend W�shiN T n 98388 �'�i � , � 3sor�79-ease • 360/�37A•-�4�h� F�lx ,, .� � � 3 O www.co.Jefrerson,wa.us/commdevelopment C_ 0 Master Permit Application MLA: C. '] -,J(),S' Project Description(Include separate sheets AS necessary): 6u.r /d e G<S 1 Tn (-:. t,, iI biz/0 '&y, '. ,L /�2.a • — rrcTyC� C''.a.,.Sf�m• c �r jl Tax Parcel ,) /oI Property ;;'` '� �cr�� Number: c�C3 C �� Size 5 .�. fc c .�5 acresauaro feet) Site Address and/or Directlo tvterty: t C.r f a r- 4.47,V, i�f's e�g/ S.'6 4 r oYt l41 TIP,14la/ 25' iSc;Z,./ Property owner(s)of Record;. _ 1(',ii n v- S c r-Z c,A n c-_, ,,,,,c4i Telephone: Z C(c -J,.,3 � Pox: email: tf/tQ2 r s..��oh n Cs,t!'34.neE' Malting Address: 7 72. e- f-i.Z, AI t'.L' 15 S'4 lftc l t2.I;• c1_,, I 1-1 Appllesnt/Agent(if diffmmnt from owner): G^r� (,S0G,,,1 Telephonet:. 60-7 65—37 r-r•1 Fax: .9 -7 6 S- C-P email: Mailing Address:_.. ES /1t pr- ,tl f3 L- / �� What kind of Permit?(Check each box that applies 9ulldina 1 \ � p Variance Minor Major or Reasonable Economic Use) ❑ Demolition Permit ��\4 V ILI, !) A \� ❑ conditional Ltee[CO),C(d),or C)"� ,Single Family ❑ Discretionary"D"or Unnamed Use Classification n Garage Attached/Detached o Special Una(Essential Public Fealties)** o Manufactured Home 1V r r J ❑ Bounds Line Adjustment 0 Modular 1 IH1 �, Lut)( q Short Plat"* j ❑ Commercial* ❑ Binding Site Plan" ❑ Change of Use 1 0 Long Plat"" ❑ Aeldrnne t Road App I ❑ Planned f2urel RQAiden4A1 Pavelopment(PRRb)IAmandmenta"• ❑ Propane �` . `I 0 Plat vacation/AlteratIon"" ❑ Allowed"Yea'Uso Consistency Ana�tsfs ' 0 Shoreline Master Program Exemption/Permit Revisions" 0 Stsrmwater Management is Shoreline Management Substantial Development" 3 $its Plan Approval Advance Deferrnlnatton(SPAAD)" ❑ Shoreline Management Variance ❑ Temporary Use n Comprmhnnnlve Plan/UDC/Lnnd Use District Map Amendment o Wireless Tetecummunrcetion" ❑ Jefferson County Shoreline Master Program Amendment ❑ Fnra:at Practices Act/Release or Six-Year Moratorium "May require a Pre Application Conference -Requires a Praa.App/fcatron Conference Please identify any other local,state or federal permits required for this proposal, if known: /-�'r DESIGNAfON OF Aag'NT I hereby designate_ .,,, _ to act ea my agent In matters relating to this application for perinit(s). OWNER SIGNATURE' �_---7j _..- _..._..___ By signing▪ thin application form,the owner/agent attests that the information provided heroin,and in any attachment°,to true and correct to the best of h$r,her or It's knowledge, My motorist'fetsohood or any omIsslon or a material fact made by the owner/agent with respect to'his application pocket may result In this ponntt being null And void. I further agree to save,Indemnify and hold harmless Jefferson County agnlnat all liabilities,Judgments,court costa, reasonable attorney's foes and oenensen which may In anyway aaeruo against Jefferson County as a result of or In consequence of the granting of this permit. I further agree to provide ceesee and right of entry to Jefferson County and Its employees.representatives or agents For the sole purpose of application review and any required later Inspectlons.Access and right of entry to this proporty Moll be ralquarted and their occur only during regular buatrie s lLSignature:_ /G .tar _.,. .._..". rG 1..7/ a Date: The adtibn or a'etions Applicbnt will I,irldartake as a result of the Issuancn of this permit may negaUvety Impoot upon one or more threatened or , .ondnngilNnd rtpaa)en And could load to a potential"take"of an endangered species as those terms ere defined in the fedora,law known au the 'Erxisnga e• d'Specios Acr or TSA.'Jefferson Ceunly mallet eta assurnncea to the applicant that the actions that will be undertaken because illspermlt has bean ISstiod wilt not violater the ESA. Any Individual,group or agency can file a lawsuit on behalf of an endangered species regarding your aclinn(rr)-nvnn If yeti ern In oortlplLtnee with the Jefferson County development code.The Appllcant acknowledges that he,ahg or It holds Individual and non-trnnrfenth(er re ponrtblllty hertng to and complying with the ESA The Applicant has read this disclaimer and slylns and dates it below. SIgnahrra:_,_ rr4d t...? Sdyd . --- -- Date:_u �•"t-Q -_ . __ (;1T)eenitltinN nnJ Sektrlpr\lrnrrla)w.AMf nerd tiuttingn\1 ornpornry intro, a i'itur\I)7.K111\hasty I>ermle Appllerulon 6-304)04,duc 01/17/2007 10:56 3603794451 JEFF CO PERMITCENTER PAGE 02/05 01 (17/2007 10 :00 FAX 360765.1 SEAHOME SERUICES INC 1110 fi003/000 OWNER 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 corantctora and that they will be assuming the responslblllty of the General Contractor for to proposed project. Signature! ... U ; er)f1.-A' pn{e: '71Zt( or 07 _ t Gt'-NRrAL CONTRACTOR OR MANUFACTURED HOM IN TALLER: PHONE: Cl'►'t'T�''rrk- Cu3 r Ca�ih. 'd ha G �' r'�iC. V112- koty� �)/�Zt r , S S m .>1 '' ( 1f.6.4--.3 ti r� (36,0) '/�6, -37'1 7 t,V MAILINcAoijRESs: 11,4 1 k Sn,ok psi- .8/41 1•T11L /'r'p+ndYk�MAII.: )dj CONTRACTOR'sLICENSE /4i4(ISo-•Il-1 r L.M 4 3P 11 ..ram/C� WAINS r)J NUMBER: LJ ,-76 7 p77/S 411�,'7. NUMBER �/ ARCHITECT/ENGINtER: ` PHONE ( ) Fax:( ) MNLING AbORESS: EMAII. Project Type: Frame Typo: Bathrooms: shoreline: Type of Sewage Disposal: New X Wood Existing: 0 Sewer u Addition ❑ Steel Proposed: I Bank 0 Community System O Alterdtlon/Remodel 0 Concrete Total: / Height: it Individual System ❑ Repair ❑ Masonry SEP Permit#_5C,1'O.� 1�� O Demolition ❑ Other: Bedrooms: Water Supply: Exhaling: c c Two Party Type of Float Proposed: 14:01((,,isr,r4; -,, IrliFf:ai,te,,,,o.tll , �' Total: ' me of System: If thla_is a Commercial Prpleelvou must aneWer_thelpllolgr.gi Number of Parking Spaces: Current: Proposed: Number of WA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current r rry-1 t fi.reposed IBC Occupancy: IBC Type of construction, Wil C it have iRibd Service? Yes / No If this is cyrop$pe Tanlapolor Appliance Installation nennitolaflricn iJ1 mh below that aapplY: i U round Tank • lave ground Yank• Size of PrTank: o u i eat Stov I oo. - t,00.s eve t Fireplace Insert lIiot Wat k i Pellet Stove 1 Other to thJe appllAllq b�(gg_i(letalled Ina Manufactured/Mobile H4[ni Yes / When Applying for a penrtlt to lnsta/l a propane rank you must also submit a site ghee Rhowf ig all of the buildings,all property lines,rank location andslze,distances from the propene tank to nil property lines,buildings and septic system components, Including the reserve area, -- Square Foote e a� r�f� r r,4 y, ,-^r t t Footage firti� c U'i 0 •,Ir ,,l r k�+r,. �y t t1f'f,43,t .,- -"tx.•, 1 Currant Proposed ��r!� •�. , l= , n O „,,,I,'1'" :.�w_:aid rr Main Floor'- r , ; ` �1, ea}7 iet',iti;y,Revi w,";Y ' '!' '`e� �' . , ''4, . '!6 :.Ii. 'iihi I±�I .'a � .:,4 • r,�•� •�,:4! C 4LL i� ���ir ,''J;W,Ii.�,�ii 2""Floor r�t f kf�igcl ^Bane"fee 7' ,. -s` t :rCY: -�- �"" {'id r� • ' �' :G ., I•I. :+�./ ��',ri, ,fir,:i ; .III ',11'; ro V Y _"t_ t 3 Floor FttlditfAnai,�5+saotlont'y. � ,:� {k'r:�, '� I•�, ,;: �',�:,w' .,. ,. Mezzanine: r!,. '.kr, Plan'C11edk feO'.' „ ,� � ;.:+„ ,3',:'' ;, ,r , Heated Basement ,• , {� 5tata;Sbrc�ar�$''f>s®: Unhettted Basement , ' ' 'Pot.Wdter Review tee:' "lp"'•3T•4; ,?r',r' •ir Other Unhemted 11fal/Ptd�p,A,�..QQ��rob h fee: ; ?;"' r�•. b n rrs8r/ are , I VP3 C- r ,, • rl p , TOTAL: $' �7Lr�. . 1'9 ,, •.. ' Decks _i_lAver,./ por•dIt 190 r� 2cceIptNumber: 4/ l< ', r other „ C:ac:h/Chock Number: `�j ' • „ ESTIMATED COST(RE f,7P-� j Dal,: }� lLLG .,Fair market rinds dation to finish .I ' G,•7 • • • • I104OM' Initials: C.:\I ocvmants and Setongs\moclill\beaktop\Maatcr Permit Application 7-8-04.doc • • ,A . (-1-00 RE& EIN 'r ' 01-54 JEFFERSON COUNTY' �` 7 3 2717 DEPARTMENT OF COMMUNITY DIEVELOPMENT rielirat . i4. + 621 Sheridan Street•• Port Townsend • Washington 98368 itttni )U\9 cJ���) i li-,�9 360/379-4450 • 360/379-4451 Fax l`...... http://www.co.Jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 01 6/ (� V PROJECT/APPLICANT NAME: ti!, • 1Rj 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 gene-al 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.Th S iM (S C Lj-O2*-1) eL.,) i +n ,A'R*.._ G-(034 6 Existing Conditions Summary 2. Describe the existing topo raphy. Indicate contours on the site nap. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. Nr2..0�2 G�0&Gz 1"t �1P L.. ...` Ss �1,,AAA, ./ iSc r r y L i c_ 4. Describe the existing soils. Indicate soil type on the site /map. ii,•' ' ' wca( At rr, -E 0 6.1Ilv.2A L p its. 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. Stl /f►I - We-Awl 0 ti S r. of f't"`i In f Z /4'fc- 1i iz- Al- %Z:w S7 ram-/-An 6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED Ai fpt STORMWATER PLAN Stormwat-r : •'s JUN 1 2 2007 stormwater site plan template.doc—rev.10/12/2003 Require. ,,1`�. Als .1EFFER • 0 Y 5 DEPT.OF I t DE OPME! SIGNATU' : f1�g' / J • 1.4 ,,,EltAr) ET) 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. , .:� , ryry lri/ 1 G SG 2 p L D i P t rJ ift-%t i) LUU :111-ttiNtli Ao 6(111V IC0 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. . Fps .till S R%..40 k S 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. tt. rf jEj< 'Fr den Iv c w ,' / q o q raj in CI 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 o j C Grri2"411--- 11. Describe the performance goals and standards applicable to the project. 12. Describe the flow control system. /✓ 0 r".�UVA/ C 0 A-41 a stormwater site plan template.doc-rev.10/12/2003 6 • I 13. Describe the water quality system. N h. ciOu? t. ov-t<,i r ,y a. )h OtOci(- 14. Describe the conveyance system analysis and design. ktsS 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.A /Y 17. Describe the proposed surfacing material. g/A- 18. Describe methods for restoration of the site. 2a- Q e &S 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. N 20. List here 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. N16 stormwater site plan template.doc—rev.10/12/2003 7 0 • 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 Maanuall(beginnin on page 12 Required Elements Construction SWPPP R V,4CEINTA 1. Mark Clearing Limits. �} �4 pp � }lif LI L�uU. �e� �J.S 1. 2. Establish Construction Access. � 1 �\, 111N1 liCtl QriJRI wes- - "xtYfiv wH-f✓ ©'^ ' - i� "t ch 1ttE. i-/ A-'d 3. ControlAtr Flow Rates. 141 /ft- 4. Install Sediment Controls. Si I fic l ( - s i trtL ,,,,N SLoef. 4.WV•- .+s� .2:1Q- 5. Stabilize Soils. 6. Protect Slopes. N a 4i-0 (6- Te Ot a -1-ea 7. Protect Drain Inlets. 4i PC stormwater site plan template.doc—rev.10/12/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. R ECFAn�-F—) 4 MAY ? L P17 9. Control Pollutants. JEffEUS'UMUIVUCII j 11\- 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). / �1 11. Maintain Best Management Practices(BMPs). i L aft T./Av./ a .✓ 6-iak/#4- 12. Manage the Project. Sr 2 l nk�LPL fh rid S%lA-u-ti ate. lJ7c�J�Z 'T irx /►'l te'ri'-,, Tyr; •vEel C \kaA-r ( 1-/or Lein), 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). (�- c Oi [ \)2& PENCE t\n'\'iS i pfrito b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). r 1 S 2' - j,(Vt S (z �e sr {e 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template.doc—rev.10/12/2003 9 • • b. Description of special requirements for working in or near environmentally s� iv - .q9A, �I 'LABl NED Nl Or It Aoki,/ 6./ 111 d 4. Erosion Problem Areas. Description of potential erosion problems on site in the cc iRf. ,ch f t ii the on-site soils(e.g.,erodibility, settleability, permeability,depth,texture,soil structure). / t , N IN 5. Construction Phasing. a. Construction sequence C IC C AO "- �v� kNIvA,± t6—Z J ioJ CZ ' ::: , f a .-) z ! Pj . I( b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed corystruction schedule. S% AR-T JJ /4C a7 c4 St.Frt 07 II. Wet Season Construction Activities. a. Proposed wet season construction activities. E.- b. Proposed wet season construction activities for environmentally sensitive areas. NDN . 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or ther financial securities. /`I / Soh 0So n Ia r n s - O UL n - G�--{q{ " r r'00 - C.,eraia Ck-y' b. Describe bonds and/or other evidOte of financial responsibility for liability associated with erosion and sedimentation impacts. /PC 8. Engineering Calculations. Provide Design Cal lations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. A) / Pr b. Diversions. /V c. Waterways. A f d. Runoff/Stormwater Detention Calculations /v /P stormwater 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 Con truction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the bes my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners o e aff d property. 5-7//0*-) (LANDOW R OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: R ECEIVI MAY 9 2137 .1ERHS 1 lUlu�‘ fin PERMIT RJJi 0 2Oet JFFFLHSON COJ STY BCD stormwater site plan template.doc—rev.10/12/2003 12 t 14' 10' --i^ 2' 10' - 2' .--.- 1 4' • 3 4030 6X6 �,/ t HF#2 HDR V i 1 11° <2. 10' BEDROOM , 3' 4' _L._ 3' -,- /--- 4030 co W r_ / N 6X6 V ( f��C6 HF#2 HDR I i 2 1A•F*ti--� 2' 2668 20501 <. � =co r o i _ 2' BEDROOM = 6' 10' 6040 I _ LIVING ROOM 03 2' ' � y. � x • 2050 co _ I `��12' 'C-tQ" - (LOFT) - ---- - — 1 1 24' .L 4'-6" 4' 24' ilA kJ I 1 Z / 3 0 2 0 i 3030 X cc„ S� U :• i'� 5' COVERED GARDEN CO • ~ -�_' 5068 6' 14' I \_ Y =' ,``` FRENCH PORCH co 5068 DBL\ t I �' - � ` ® - ' I LOFT E I LADDER ® 4'-6„ 4 i w -- PT 4X4 POSTS -\ 1 nlY \y— `1 30p8 '. 1 I 4lL 0 I__, , 10'I 4' 2" e b 3' I Y c~» ( 890E ( � I 10, PARKING �� VENT FAN 4 SLAB 2' cD lr (A /'50 CFM 5-1 2020 OBS � = Z g © I > • - 1 p � � A I 1 • 6X6 A HF#2 HDR ` �` 3'-6" 3030 OBS - 3'-6" -� 2' - 10' 12' -O- 70 1st FLOOR PLAN C fV ! 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GREGORY I— FAX (360) 765-4551 S I T L A N BRINNDN, VA. 98320 E-MAIL/WEBSI1E 01/21/07 MAll06EAHOMECOM OF PAGES WWW.SEAHOME.COM PROPERTY LINE 327'-5 18' S89. 12' 08'W D O m D Z fl m o O r (-) O Sp a DJ1 Z 0 Z a N x x ro £ C m ii ri CD in t7 £ ti N b v, (o D Z m 3 i-' C QO Z in m o �TJ a) m m 0 coo W I 0o m N -'l -1 0 coo D A I MI n = -+ ry m 1 0 t7 2 -o D D ZI 7:1 Pi xi o 111, Hrn O N a m ITI H -o Z A m D ZI CrZ -A i v) r A z :. MI A Z) 0, D ..o V Xrn o ko CIN ti x O v Z -o 0, !*1 IU ap ""' -o O com n rn o m 0 rn rn Cil , ( V N.I 50 FOOT BUFFER `A' 30 FOCT BUFFER . 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