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HomeMy WebLinkAboutBLD2007-00262 ILUILDING PERMIT APPLICAtON MLA07-00275 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00262 Received Date: 5/25/2007 SITE ADDRESS: 756 CENTER RD CHIMACUM, 98325 OWNER: GARY BAIRD PHONE: 360-774-0352 SALLY ANNE BAIRD PO BOX 591 CHIMACUM WA 983250591 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901143007 Section: 14 Township: 29 N Range: 01 W CONTRACTOR: HILINE HOMES PHONE: (360) 379-8600 94 KALA SQUARE PLACE PORT TOWNSEND WA 98368 Contractor's License HILINH"981 BT Expires 2/10/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW SFR W/ATTACHED GAR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,112 VALUATION 201,743.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 528 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: Isc: 51 0 Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,564.95 CJZ 05/25/07 89999 APPROVED Plan Check $1,017.22 CJZ 05/25/07 89999 State Building Code $4.50 CJZ 05/25/07 89999 JUN c 2007 Potable Water Application $58.00 CJZ 05/25/07 89999 Jefferson County Planning Total: $2,644.67 &Building Department Jefferson County Building Division Permit Num.: BLD07-00262 Applicant: BAIRD BUILDING PERMIT INSPECTION APPROVALS kpplicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that:day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks f0 Erosion Control Foundation Footing ' -1 Footing Drains *07 d` Foundation Stem Wall Underground Plumbing Under Floor Framing �/ _ � dI�_ 17EQp►�EN ED`E IIJAic,A6 /NSp of }-fie Straps(hold downs) /i/zq/0 v- �K Ext. Shear Wall Nailing it/Z9/D'1 //e Rough-in Plumbing , Framing Blocking Airseal './1 L)c Insulation:Walls Ytrdu5 Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing /Zf./G$ �y,L Wallboard Nailing 2/AgA,R Gas Line: Interior 47 Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted 'A „ FINAL INSPECTION AL ,)-" FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00262 1.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. 2.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on June 20, 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 II Stream (Chimacum Creek), Conservancy Shoreline Designation, Winter Water Fowl Concentration, Seismic Hazard Area, Susceptible Aquifer Recharge Areas. 4.) A Wetland Delineation adn Analysis Report was submitted in conjunction with the application to address the Category II Wetland. 5.) 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. 6.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 7.) A Type 2 Stream (Chimacum Creek, Fish and Wildlife Habitat Area) has been identified on the subject property. The stream will require a setback of 150-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. 8.) Stream and Wetland 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. 9.) 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) Sala! (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). 10.) All construction activities shall not encroach upon the stream and wetland buffer. This includes the storage or preparation of materials. 11.) A setback of 100-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 12.) 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 contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 13.) A permanent physical separation along the upland boundary of the wetland 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. 14.) Critical Aquifer Recharge Areas. require special protection measures to Hite 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. 15.) The identified Fish and Wildlife Habitat Area (Type 2 Stream), shall maintain a vegetative buffer setback of 150 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the single family residence. 16.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed single family residence. 17.) A permanent physical separation along the boundary of the 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. 18.) 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." 19.) 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. 20.) The applicant is proposing to create or add 3240 square feet of impervious surface and 5240 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. 21.) A Stormwater Site Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 22.) 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). 23.) The site plan as submitted with the building permit application on May 25, 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 20, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 24.) This approval is for a single family residence only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 25.) The parcel has been designated as Agriculture under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 26.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 27.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 28.) A minimum of two (2) on-site pa, spaces shall be provided for the single 1lp1y residence. 29.) The building height is not to exceed 35 feet. 30.) Minimum setback from the edge of Center Rd right-of-way shall be 30 ft. Minimum side yard setbacks shall be 5 ft. 31.) 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. 32.) 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. 33.) Center Rd (C931507) is a major collector. The road approach is existing and an address of 756 Center Rd has been assigned to the parcel. 34.) A septic permit (SEP89-00353)was finaled on June 4, 1993 for a system of 360 gallons per day. /.SON c JEFFER COUNTYi - ("6, DEPARTM OF COMMUNITY DEVELOPMENT i t -8 '.4 621 Sheridan Street • Port Townsend •Washington 98368 r ------- ' ` •a ' 360/379-4450 • 360/379-4451 Fax ! "'— .qS, rSp www.co.jefferson.wa.us/commdevelopment i �trrrG MAY 2 5 2007 Master Permit Application I MLA: ��_�� OC h Project Description(include separate sheets as necessary): A ii�.hl CALS f Z/M rriLti ke_S lOC-rvCC Property Tax Parcel Number: I O) 14(3 O v 7 Size: I-" • 30 /- Ac/LC S (acres/square feet) Site Address and/or Directions to Property: 756 C e- /J CHI r ir1,C.UM W n y $3 2. J / Property Owner(s)of Record: Cr•"1-/z-`-/ t3Ft r>o Telephone: :3 L� O ---r-1 4- O'er Er, Fax: 36G -.3it y 1 4 2,`:‘ email: c.1 eti.-f-bo.i rc)(Lf u,4Qe.tom Mailing Address: Po Go x 1 y- i ci-i,rv,A c or'n ) L,) ci S 3 2-5 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: �What kind of Permit?(Check each box that applies) ] Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** \�E] Single Family ❑ Discretionary"D"or Unnamed Use Classification L+7 Garage cffached'Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance ❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and Void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a 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 inspecti ns.Access and right of entry to this property shall be requested and shall occur only during regular business hours. c Signature: `J Date: 5 — .,2 y - 2 o v 7 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s) even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non- transferable responsibilit for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: _.-- _..___> Date: 5 ' Z i f 00'1 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc • BUILDER STATEMENT . The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: C_. --� r. Date: S ' 2-'1- - `Z p c� I GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER :, ,.... ou,L. 1 Q PHONE: FAX: C1:.-ri1 (3 A tR-.9 Pc Gam› )y , ciAli ,kc.4'1vA irJA lcm.s(3b0) -net- 035 L. ( 3bo) .311 ! -ZS MAILING ADDRESS: EMAIL: Pi /aAi C' //clvtC— CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: !`C-C:.f' CAir-nJC -+4-oniti 6c,.Sv‘-1i.s.r, INCPHONE (sec ) S't") 90%7 FAX: ( ) MAILING ADDRESS: t,-{20 5 S., ,c. r L-t , rN Sc.. . .41\ l i 30 I EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New ti Wood Existing: ❑ Sewer O Addition ❑ Steel Proposed: 2-. Bank Height: ❑ Community System O Alteration/Remodel LI Concrete Total: Z- �h3 Individual System ❑ Repair C1 Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: Private well [1 Two Party Type of Heat: Proposed: ❑ Public ilCA p. p (E. i C\ Total: 3 Name of System: 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: Il Underground Tank i i Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove CI Woodstove LI Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove LI 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 [ k y Amount Revision. ._.. Main Floor Heated ,1 EH Bld App Review l 2II2_ i q$" ' t Consistency Review: 2i°Floor Heated 1 r) Other Heated Base fee: Mezzanine Additional Section: Heated Basement "--....,` Plan Check idol` )-- Unheated Basement . State Surcharge fee: '1, 5D Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL r^ �� Decks -- t " 911/Rd Approach fee: L) tL X14 “Xt' Other --- - kx0ris TOTAL: .. i Receipt Number _ .- ` Erqrl Cash/Check'2 Nun}h r; t iJ ," L 0 r_tJ�l ESTIMATED COST(REQUIRED) `.I 2 '7 zJ Date: .Fair market value of all labor and materials foundation to finish - � Initials: G:\PennitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc (.. • • • JEFFERSON COUNTY I ; DEPARTMENT OF COMMUNITY DEVELOPMENT i 621 Sheridan Street • Port Townsend •Washington 98368 1 DEVELOPMENT Q� 360/379-4450 • 360/379-4451 Fax s http://www.co.jefferson.wa.us/comrridevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPLICANT NAME: 1� &fri/''L,/-/ Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. Unto Li._ *, n N C1 SI th O 5'--CP6o 1r1 /MLC .3 ►"0-IL P/ PO-CC-0 /Z&—s /4- - 8'a f- 'roriAL. eye-- c..vt /3 -/- IS Furlr. Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 13 y- A C..12-c-S Lv,e,e-- (j cr. .;u�+IPG-o mt& v L-/- ! -rC G&v7e fh t� L ) - / G Jfi- II f o2apesc-'"+7 /L�Sf/X-YV C 13 iSiliLr' LIP ON a 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. te;.Ar--e13L-yr.a2Y d a,)s�-f' 1-i° i�ra">— NF- :S c.e,P C� 14-it-&,t 0"ru C1t r,.i i SET ►2 ors�1 S,..rl" ;'b t ,;fir cy- _s jTi; L-6 x,i, e ,t—LF_ Cs•ii-c.ra 4. Describe the existing soils. Indicate soil type on the site map. az 1r-- -z ,4 t c S 7-n N -S • o.,i S r-oP frzG t FA-11 A-lc.c-14 Is m/+;iv "MAN AS fx-->L ea:..rr e-x4r- oav ,Leif arc., 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. 06 e I es.fs L i+,10.4rz YL /Jf?ri i, 7-t) vCt2.S - 0/v1-1 7o4 os e 7-it c-74- 1.4+La,-0A-5 in, -i c VOs4 tact aim at_ Pfl G Pr 11 L ( KA ira3 Tl& C-vQ N Ihl(fl4 $a-J&i.-� t..,t(-a' 4 F.-K4 n4 G--R, O pnfo :� S APPROVED 6. Describe any excess levels of noise generated by the proposed use or activity Ad)0A;Cr " STORMWATER PLAN JUN 2 0 2007 JEFFERSON COUNTY DEPTstormwater site plan template-rev.10/1/2003 �� UNITx, SIGNATURE: i / 5 • • 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. el-C�i S C- 2 C-f rL 'TO #1 e 4 C-t..i N eivl O 14-6-°0 rt.r C L€,A-2L L--1 O6-r-t/i 1 N S p jG-TZ-/ -N 0 C-,fG ^ -"rztC- /t-&PGYC.� O trz-e v- 'T14ArT "Mt C C-'V N i"/ W 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.)- i go ry PfePe (-TZLS ,tCfr e- 2-icN i c7� sirs H.aJ& fa-I VArtI -sioe-rvCv7S S0LI S 1'Z A-L-S r) HAS % iz-A1 Fc-n_ /i-1A V A-S. 14 t: I-1PtS CA rrtL • 42'R4 ,SLOG 3-10N-S fj ✓ACisN' Corvkmc CiA(_ QG-IL.CeLIc--r 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. HA-V MGP4IrO 2J ) T14.e S(re- S(NC-ti" Pull.-Ci.[A-sf.;‘) /N 3 LI1 j cfr&s W16L /3CC • ciCJ $ `La CF /MPE-ez-V10r)S .SJr2fRC C-/ZEAL. w t'r14 Tcc(_- Pn_onvse0 v3ur�1�►�,��vN�r,rt.vCr) a, STart-M iSc>ej,SicfJ e-n/r 3 PErL 15(v+P 'T 5 . 30 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. MMr^L-7-71--Pri i S -a`1w S tit? 12. Describe the flow controlIwsystgrp,._,..- ...; • i 1 v l .E Y1 t.11fO)YI(b u.;I'tit st Wa, i 4t► 1610-llWeviiide J tc► t^t i(l 6 tr'.• • • 13. Describe f t water quality system. rF h R r- I ��� I 25200I I �� i MAY L.,/ J 14. Describe the conveyance system analysis and design. DEVELOPMENT 5P L F S.�) .&l�c,C.-t.0 S N iAv AT A t__ U�1 G.Tr4 T i o e� —_._, 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. fi r-•-• M A rt"2J A- . IS .S mn,01_y *7"316 /u-g_o CA r-1 c,,%l 0 CAI r rl A t lti A L "r%) G nLe-o c- A-"J A-A-e- 1-t-it- ,-vt C- it-G-s t o c-n►cf • Flo - IS +7i4-1-/Src,tvC- • - 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Unifo7 Building Code. 17. Describe the proposed surfacing material. t20k'_L - ...C•ILI✓C-wAy Geet,JPJc:-30 "R' 0ISPC-ftSC-, A A7v►kili..L1 'Tb u E,cr c—'7'-A'r-t o r• i 18. Describe methods for restoration of the site. t(< - - S C-c--•-p 7 /L c-. S 0 o 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/ _ a 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. I1 ON) L 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. {•)oilL U nt tasS S y a\) +.I c t_uo( -rt.t cv )C1.4 N C--AT1 o of tQ.�Q,2 i stormwater site plan template—rev.10/1/2003 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. E Ara_-A 'TO ,'SCe• r;u r UP a tii 0 C-S rvc� N Cr.C.-O C.Le 1 tz-I"• W G t-u*AM A r.1 -t-v1 c1-r- t..).%S uta'Y '-i Fo-L& G f 3 tLvSN J r1?J S !n c,N1..1 fvrcc-0-5 -'to (3 Sr)." c.31 {LrcMovcnrey S✓+rvt.CY UN�V�-►+.Tlly� to-nt�S 2. Establish Construction Access. f�r '7 SC. r-1,c.% r-M'i-r -1L I-r to t:tn ,,1.4_ .r r_f, &fre.-0;A.& ILA k 3. Control Flow Rates. NVA 4. Install Sediment Controls. F r,..+_ A ILL-A 1..)l tom. f3 : Ct cN11-11 Sl-o'P C17 A-i o S C-5 Y-)ef) 5. Stabilize Soils. tL'r'/Srr,T/rr (Li."..-MP cr5 5 4-4 o 6. Protect Slopes. DI1J_ r/cr'a+-s. czr Plkcrc coa,r,eF . -gip Sa11i. a..fIv,.-_ .( A-0O 9 O S '-a oc 0 7. Protect Drain Inlets. stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. MAI 2 J tout 9. Control Pollutants. yn • DEVELOPr.1EN 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices(BMPs). (.�✓rniC /2-C-v r7 -7►J2cv cfvj -n L P"c- c.-r- r it-Ppe /Lc Tt i C- r°+v�a.. Sc-1n,St -TO J r-tP E-A./r Pr C P r Lt& c-NO rar7 f4 S Pr, r)r; 94-1 t o-*S Qt.)e-s ni S �$c,. � ILEA��n'l n,o-r)6 v$ p o rau f . TK tS fit-0 T• r--T 12. Manage the Project. S-v.+,►,•„i 5 A}- PC--11-r t.rT-- iS orlrrirNC-rs ns Soo+v R-s- PrsSr13i. _ T14C- ro2c�r�Cr 1"J 44 , - tos"PLC 7-69 11" molar 7141 _S Ni0 i ri o,J Do N 0;- n f 1 P/F rl P- HLL FtriLe- i-I AvI v Ci ro - NTT ptr 1 U.J i Tl.i ptl>` Mc sr->1-S oe PG-ftVrc-1rt /4.Ar.v•474 —. 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+t,,vt R c`I-E C'-K_- I S c )"3 c C -Tt C- &L 1 r_.a S MI, • •C,-vvr-rt V o i A-tL._-3 S To '-R16 S ere' b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). A s,:-. Acic. :A! / toh/r- CV 714 s!r iS l •f 3 4- F-,- 2 r w ti f 4-5 0 -f- r`1:t-r LJ nD S r-a-r2 on t„/a rtillt r S'fC -s H E2 C- Pm.GA_ Tv ,/Z�q c Lt +ry Cr T7'4 '- c✓L e C_.fc_ 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. l-J&1 Larva RS o C-a--toter /LE-F Cur.nn/►hurt^ L stormwater site plan template—rev.10/1/2003 9 i b. Description of special requirements for working in or near environmentally sensitive areas. n1 /Z 6-9 oit_:' ,►1/4-44c.S A-A-C-7 4 G^i C-N 0 W W,Co CC+/v S:11 a:C ri fl/4 0pc.vL,arlof-4 S' CA-iv/NJ c 11 oSS 774IS is /V(+vttLe-D Grv' 7L4 c- /'IL— ✓+rJc /S s-f 'ram c- fire 0/- -7-4 S c. 7-'E e,) ►1-7't 61 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). 2L 0 v C S N c,- P i' -it t v d f A-ax C/1 u S t c,�} ?,2D C LET,t S . & LA.,J J 'I-t/''n rS,ems L.t.F> 'Ai Erb 4.1N f L-1 AIN el C--0 S ,t. w t e,J C&i►J ;'t-rL A-4 a/A S P vr' 1 J --u C-t. i..r C-(t St e- C-4A.JCt S AT- *71A-AT 7-1 ems,-• 5. Construction Phasing. a. Construction sequence i/'t Ati C - t-vv Ti 0 r4 / t ./+� pvt t r�C-/ /f crab-t��►c, , / MT1.^-yl_r0 , LP."Jo S c PC • - 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. S� y C.-.x c-Av ra n u n1 / �v,�/v AT-.A / u t1 - 1r'Yt-n,�n t rJ el - (Ltro / e y r G'n'"n ,J 9 c T — l /v rvri l o(L II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. (�otvb 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. y A42 `1 &, t AL./9 Po I z,x Rt. / C u t w c-u M / W x 3 2 S b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impaq)s. Nor 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. ,��of ►.S. b. Diversions. c. Waterways. N44)1,1 d. Runoff/Stormwater Detention Calculations n0OrdV,~ to stormwater site plan template-rev.10/1/2003 ! • 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 erty. 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