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HomeMy WebLinkAboutBLD2007-00281 lit: ILDING PERMIT APPLIC�"!JN ML Revviewiew Type: e: I pe: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00281 Received Date: 5/31/2007 SITE ADDRESS: 41( N BEACH DR PORT LUDLOW, 98365 OWNER: ALLEN HEWITT PHONE: (801) 949-4200 JEAN HEWITT 19223 NE 127TH ST REDMOND WA 98052 BRIDGEHAVEN DIV 2 SUBDIVISION: Block: Lot: 11 PARCEL NUMBER: 934200011 Section: 9 Township: 27 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOt NEW SFR W/ATTACHED GARAGE ALSO A/G (2) 120 GAL PROPANE TANKS (ALSO WOODSTOVE) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 883 VALUATION 193,775.00 ADD'L: 958 HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 516 SETBACK: 30 DECK: 185 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BRIDGEHVN BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 3 Total: 2 Total: 3 Routing Date: (6' h 0 7 R2 Type Amount Paid By: Date: Receipt: Approved/Date Total: API ROVED JAN - 2 2012 Jefferson County DCD Jefferson County Building'ivision Permit Illiter: BLD07-00281 Applicant: HEWITT BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next 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 I z/ /1 j- �,��k`� Erosion Control `/ Foundation Footing I2/y /p `,1 ) tP ()(Y Footing Drains � � .. b-Ib Doywe/is 4., de 1.),-mailed Ar pig Foundation Stem Wall .1_i6d �� t 01'/4-'S .TI4, r 11 e,,,,e .,,.,,f' L/dh J i+ tiewa. wA-k- s:de Underground Plumbing 77.Z/it 7 1.tr Under Floor Framing U/ ///4 � . Jet rrG Straps(hold downs) . /� / _11 Gc Y. -,big 4-vrA-AK OK 9/'/', Ext. Shear Wall Nailing ,/ Rough in Plumbing ! ,)C A WAI:Gr2 L��5 &t Lr', O L Framing ` !I/� - Airseal 1/ f/ fitet- � (� D�''rL /UVe , Insulation:Walls ///,0j/I IMAI ?, . a ,/,,r Insulation: Floors I,(7'3/-/ t-'147sj (()U Insulation. Ceiling /06 (et t Imo ; Int. Shear Wall Nailing ,} �/ ot-,- (3 .54eAr..4 JA ii_6 0 Y:--/Pp 7/(7 f/ Wallboard Nailing ,3 , / g �� Gas Line: Interior D tq 17 2 Gas Line: Exterior �yt HeaPropanet/Chimney Clearance Tank , t _ .j f l � �YI q Drywell/Alt Drainage �t / C Address Posted �l *l ��J'r!� re s ., --q/ / 7,�t- �v tvr'' e ✓ir,'-:_ �r lid0 ( klAl Y4*/),fri1-:•_.nl 0C 1 de/L.-it/1 . --(2'`*''.. '04 Miscellaneous 12/ /2012 ` - AA,A , D,, , ...., WA'? 0 \54'''' N'it i .x1.-) FINAL INSPECTION 1 i /eyiq L, / qOd'? FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VAL ID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00281 1.) This building site plan is approved for septic review on the condition that the clarifier and pump chamber B are not located any further east on the parcel than parallel to the sand filter location. e-mail sent to designer 12-27-12 2.) 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. 3.) 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. 4.) The project shall adhere to the Best Management Practices (BMPs)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. 5.) A engineered stormwater 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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 automobile 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 requirements 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. 8.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Building Setback from North 410,h Drive right-of-way is no less than 20 ft.,411 and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. Building setback from the shoreline OHWM is no less than 30 feet. 12.) 10' minimum separation required between the water line and any onsite sewage system components including sewage transport lines. \\tiriamark\data\forms\F RI Il Parmit Rlrin rot 1/9/9(111 10:4401- 1611. O o JEFFERSOtv�OUNTY 411 4 ,�., I DEPARTMENT OF COMMUNITY DEVELOPMENTT } 4, '4 621 Sheridan Street • Port Townsend l ,�_ -1 '�it 1� 360/379-4450 • 360/379-4451 Fax qS, p www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: DI- �c1i Project Description(include separate sheets as necessary): Li�Nlp,l 'i�f A1��li�`i r/ll�CU . sy /P 40-- , � C ri /f -Itt 1 ItU Tax Parcel (g �/ Property Number: / j / O Gr-0 ii Size: 7O g"eit, yam'/ (acres/square feet) Site Address and/or Directions to Property: ' Property Owner(s)of Record:—4 �C Lr Telephone: '— 9<9 00 Fax: email: Mailing Address: /9 L_3 . i / 7- cj j , Q _ i��1,>I7 ( 9 ?C/ 5.2 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit - ❑ Conditional Use[C(a),C(d),or CI** 0 Single Family arage Attache Detached El Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry ❑ Long Plat** f�Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑ 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* 0 Jefferson County Shoreline Master Program Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right o entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any requ'ed later inspection . Staffs a ss and right of entry will be assumed unless the applicant informs the County in writing at the time of the appli t he or sh nts prior ce. Signature: Date: Ul ' 3e) - '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 A. Any' dividual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you :re in compliance h the Je rson County development code.The Applicant acknowledges that he,she or it holds individual and non-transf r :onsibilit adherin and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: c\ 36 - D 2' G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 0 I BUILDER STATEMENT The signer of this statement does here y certify th t they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass e responsi i y of the G eral Contractor for the proposed project. Signature: 'al-'( C Date: of -3>/ - 07" GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: MAILING ADDRESS: G EMAIL: occ1`t / q a 7 f //, ty CONTRACTOR'S LICENSE /'¢.COX(o/(a/ a 9 Fe_ WAINS NUMBER: /� NUMBER ARCHITECT/ENGINEER: G,r'7 ;f OCQ I< PHONE (36d f'7s '�6 54FAx: (3Lo)}7 'g 957 MAILING ADDRESS: Cr/q /4'iilP/h./t-....5 Th Yt fjtEMAIL Project Type: Frame Type: Bathroom: Q a 3 9 3 Shoreline: Type of Sewage Disposal: New le,-Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: 3 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 3 Height: 4r'Individual System ❑ Repair ❑ Masonry SEP Permit# Ok-Th¢-c o t5 3 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: r Proposed: IX Public re a(Y- Total: _I_ 0 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 Ta k and/or Appliance Installation permit,mark all items below that apply: Riki,,,A,IF,vviizii Undergroun nk Above ground Tank �,�9�*�' Siz f Propane Tank: ���a I� i Heat Stove rook Stove i Woodstove (i-Iireplace Insertot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submi site plan showing all of the building,aff`prtoperty 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,Onlly; Amounnt ision, Main Floor Heated EH Bld App Review: F83r �-51g1b5, a (o .co 2nd Floor HeatedConsistency Review: Other Heated Base fee: ' /lvzc J ova. �� Mezzanine •�• • c " j !� / f) yf"a- Jr ,tA it MI r '' r J Y1 W Heated Basement Plan Check fee: ��-( q $e. I Unheated Basement State Surcharge fee: j t- `l t rf 6 `-i Other Unheated Pot Water Review fee: Gldz.e. gJ`CO Garage/Carport SUBTOTAL , F .57e tovd.ra 31 g:5: '-5 Decks / 5 16I EA Fv /Rd Approach fee: I Ja OD Other ! TOTAL: $';� `�,('J75 Receipt Number: q I t 00 Cash/Check Number: 3-14-1 ESTIMATED COST(REQUIRED) ' �� _ _ _ Date: fJ •Fair market value of alp bor and materials f ation to fini e f x / vo O D c i Go ,1,- tl nitials: �� / t G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc . , • 4 °,�, JEFFERSON COUNTY kiw,.. ,..4 DEPARTMENT OF COMMUNITY DEVELOPMENT ; 621 Sheridan Street • Port Townsend •Washington 983 , 1 ' 4 360/379-4450 . 360/379-4451 Fax '�FFFI l�I�,UUNIy�I). " N� http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 0.1 - C�3 PROJECT/APPLICANT NAME: f7j�j j /( v//// 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. i i /� >9� / ��-e (�T(/ C C/ f�Cfr Ceii1 '�I&r' 1� /./0C9't ei I O'-' Existing Conditions Summary 2. Describe a exi_ ing topography. Indicate contours on the site map. APPROVED l STORMWATER PLAN 3. Describe the existing vegetatiop. Indicate)/na'ye vegetation areas on the site nap. j I. „ )E• ' � NTY 4. Describe the e)dsting soils. Indicate soiltype on t e ite brrT.u• �`' `� of r .VELOPMENT 9 �� map. St(iWAT F: `�� c-Z�6 C y ' /NO c 2- ,r-7/,/ i op / 5. Describe the existing site hydrology(i.e., drainage; behavior of water on the site—abov-, se ow, 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 applic le,and.indicate acreage of ea h. , 7.1 i`�%(S ( 6. Descnbb any excess levels of noise generated by the proposed use or activity: ;/10 ,e Cij5 /G -(i irc1 ( • J% tT.Q- /Pv~'cP7 stormwater site plan template-rev.10/1/2003 5 ID • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes, etc.)op the site.-Indicate lop ion on the site m p.- /7)Or t 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (strea s,wetlands, lak ,steep slopes,e .). , // Jf/�G/ }� r / ! '��z�J Cyr �Cz�� /S 7� ` r !!,�. /`�/ 5_ Ile//e, e i I' --%//),/ ,((x(7//7-( .-/, ov--v (-72(-r (2J/.<,- 07 _ _,,, //t//�! 7/et' 7%/// c' '(?//// 5 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 th •site. Locate Vh se facilities on the s'a plan 5nd differentiate p posed faciliti s'from a isting facilities. ; r p¢-7�////�' r- _ZZ1V� •//CA.i- �!/ / //'i l/lJ-a/ /iv %G l//J C 001VO I'] ' A�✓ ' ✓.A,.111 I7!TAW/.i :ir.. 1 2 1 10. If t e project requires the us of stornslvater treatment facilities, describe the types of stormwater treatment facilities proposed for se on the site. Locate t ese facil ies on the site plan and differentiate proposed facilities from existing facilities. [This is no ally forr"Iar e"prof is proj, is that involve th,,e,�otential for disp rsio of contaminants.] 4 ,• ,,A,:.a tv U I irgliiMAU1<► it I In On 1 1 4; i 1 P4/01, 11. Describe the performance goals an standards applicable tot a proj c ` lt'. , j e. J 6. / //// �r Sk �.'! I'L,Yzf ( ^.�� et I,S ff lf.C(C C' f 1 . L7 _ 12. Describe the flow control system. / j/--i/< 7 -c,., ��'/ - ` c1 k'r P' 5 fy'/ J/"/C ;-' /,%cT,,07s!c L� Rf1fl itiNsw:tiliAmiiri stormwater site plan template—rev.10/1/2003 6 i • i "i R\v-p)J11 „, 13. Descrile a water qualit system. rs c ��r .sue /.v -// / n .,trAiaimilAltat4fes 14. Desc ibe the conveyance sy tem analysis and design. 1 / ' / "i /)-.J 077( -J i ' /OC/A i7 f t' '� , � 11 1/� � 1 .� �✓ kACWLS C431. CL411/ ilk AILS — rce_t (1 01 Cc 15. Describe the source of fill material,physical ca d rat nstics of fill material,and deposition of excess material. //e '`/1 / j/tc(�l4 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 1�✓ /Va: LL///!� �� ��>�Cl i/�C( ��`Z ' F �i� Ct( / e� / • (fir- - C `. 17. Describe the proposed surfacin material C7,21 -'1-11}27 18. Describe ethod for restgration of the site. //d_7/12/5(' 44_0 V 1 s?.77Z cd- J ( 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. 411 20. List here and include aqy special reports or stu es cy/nducted to prepare the Stormwater Site Plan. //e /f! /""i r G// 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 restncK7 i here. / ' 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. "Air 1-7/),Y e'Ve-afr, 2. Est Iish Construction Access. / 7/ 3. iControl,Flow Rat s. 7 / .jai-e (--.izz /-Fr- . .,z..s. /7 J-7 -, a4:- // 4. nstall pediment C ntrols. i .� 4 K4 j /7 /,„ i4e 6‘..,a7 5. Stabilize"Is. 4( A 1 --„.- 4 FA FAVTilf) ..,• 6. Protect Slopes./ 'ffftl 11lFIUUNrYiiCD 7. Protect Drain I�ptets. , ' ge.) (t'- l cz� I /I�/ 5 6- t, a 0/3 a ee r�/ 1 d/.7,a, T..< stormwater site plan template—rev.10/1/2003 8 • • I ' itl 'hit: y � k 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels nd Outlets/ // I f ittOMOn'II01;Ii 9. 'Control P 7 to yi, / /17 / 7Z1:;/ a; 7 --Y,,,,,,,-T_________ 10. Control De-Watering'(the i � �ct of pumping groundwater ctr stormwater away from an active construction site). 6' � /�// //7 1 ,� , leerr7 / ' il a-C�1s t;/ 11. Maintain B9st Manage t Practices MPs). 12. Mannage the Project. C- " !t,h,e�'<Lt /,'/ / , 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 / �/-( fill% /G'�1 1 i/,r ;�am �r /4- /v I /cr�,f `;�f.5 ./ %-'19.K QiCi—Z6)' /-k //`�� / Ed/� / v"E> > 7_ 4' I b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards) 7� /WY/! C e a-/4` r� // iv .lipztl/c x 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template—rev.10/1/2003 9 • • ' . b. De tion 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,sett ability,permeability,depth,texture,soil structure). 11,0/e el e-ai G( 5. Construction Phasing. a. Construe ipn sequence ` aYCeki ' )e,p, �1 r I J c' ..c; itc-yc ps�sc r' .5a. o , .44zv= 6-ye 7 1/S / ./ / A CI hF��'�7r/datr` ���� /7 /�r; m�,�� �Y- �./2C'�"/c�� /t ,/''�,f- g-�/ il e�-��?¢ oc b. Construction phasing(if proposed) /if s f 1_. tic c 1,%/� • n`-/g_i5I i l�1/Z;t2feW f� 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed con tru ion schedule. ti/� 7 �z — �ru<r'0.e,/ /ear _/CL�r7(�� C/ / �SQr���coz /5j��c�{.z4Y ./_) II. wet Season Construction A tivities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. ye , R ti,c E,4,r rfi 1 h 7. Financial/Ownership Responsibilities. a. Iden tj e property own -responsible fof tlp6initi? f bonds and/or other financial securities: 1 b. Describe bonds and/or other evidence of financial responsibility for liability associated wi 1 ero i n an edimen ation impacts. 8. Engineering Calculations. Provide Desi iI C lations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. / /A ` b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template-rev.10/1/2003 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 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 property, rf/ 4 (. (,// f5"' 30 —67 (L J WNER OR AUTHC IZED REPRESENT. 'IVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: mi:x(v/RIR(R 11) ,Ifffa€ollvimt:i stormwater site plan template—rev.10/1/2003 12 , • .arM ,y, .N:. s4, 3Y a 4Z c,' • i a ® ® ®4rx}�x i TF`MY- 7 ,;. 4 ' r ,� c of , :\\.\\\N\ - -6 I . g p N • �� # i — - - l • ®��t ©a �,ti\�\�,L7; D� �\�\\1 x�e»„.1 I it1/475. --- - '4 I t ›, ,,, ?, , . 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