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HomeMy WebLinkAboutBLD2007-00304 tit ILDING PERMIT APPLICATION MLA07-00314 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00304 Received Date: 6/11/2007 SITE ADDRESS: 3892 LINDSAY HILL RD QUILCENE, 98376 OWNER: MATSUBU & INAMINE FAMILY PTNRS PHONE: % HENRY A MATSUBU 8304 30TH AVE NW SEATTLE WA 98117-3831 SUBDIVISION: Block: Lot: TX17' PARCEL NUMBER: 701321020 Section: 32 Township: 27 N Range: 01 W CONTRACTOR: VAN BEUZEKOM CONSTRUCTION PHONE: (360) 821-9285 161 CENTER RD CHIMACUM WA 98625 Contractor's License VANBEBC964QS Expires 11/10/2008 REPRESENTATIVE: JODY CLOVIS PHONE: (206) 356-5680 7742 32ND AVE NW SEATTLE WA 98117 PROJECT DESCRIPTION BATHROOM ADDITION W/DECK AND RAMP(NOT OVER 30" ABOVE GRADE) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 185 VALUATION 25,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: SETBACK: 23 DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: Exist: 2 Exist: 3 Prop: 0 Prop: 1 Total: 2 Total: 4 Routing Date: Z//a log Type Amount Paid Bv: Date: Receipt: A proved/Date Permit $391.25 KAS 06/11/07 91148 APB L.. ; ED *4 Plan Check $254.32 KAS 06/11/07 91148 State Building Code $4.50 KAS 06/11/07 91148 AUG 9,2- 2007 Total: $650.07 Jefferson County Planoing &Building Department • Jefferson County Building Dion Permit Number: BLD07-00304 Applicant: MATSUBU & INAMINE FAMILY PT BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks • Erosion Control Foundation Footing Footing Drains Foundation Stem Wall Underground Plumbing Under Floor Framing t lk-t✓ -o/ ADD uteri-4.19 v" Straps(hold downs) dicker RoLb oowu BEiI a-tuE D�t� r t� Ext. Shear Wall Nailing (/ v 008 Rough-in Plumbing / �$/� � et_ Framing 10-" )40.0 j � � y rAi-,a s icae,s '/✓ n,I-Rrc.. Blocking Airseal //13/P g # Insulation:Walls i/ta/og /JJ Insulation: Floors Woe ly/+ Insulation: Ceiling /M gyp Int. Shear Wall Nailing N A Wallboard Nailing Gas Line: Interior A)/A Gas Line: Exterior / A)/A Propane Tank Ne A Heat/Chimney Clearance /1I/A Drywell/Alt Drainage ��A. Address Posted /i/,t Pfr FINAL INSPECTION /,�pg D ' G, FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00304 1J . ALL COMPONENTS OF THE SS TO E LE ROTECTED FROM VEHICULAR TRAFFICEPTICSY ORTEM ARE MECHANICALB DISTURBANCE.COMPTELY 2.�� The application was reviewed by the Jefferson County Department of Community Development staff on July 24, 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: Conservancy Shoreline Designation, Unstable and stable Shoreline Slope Stability, Eagle Habitat Area, Wetlands (mapped along shoreline), Moderate Landslide Hazard Area, Erosion Hazard Area, Susceptible Aquifer Recharge Area (SUSC). 3.) 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. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) 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. 6.) 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. 7.) The parcel is located within a coastal 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. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 8.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 9.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC) Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 10.) Among the native conifer speciesalkh may be used in buffers or for re-veget. 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 (Salix lasiandra), and Scouler's Willow (Salix 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). 11.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 12.) All construction activities shall not encroach upon the landslide hazard buffer. This includes the storage or preparation of materials. 13.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 14.) 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. 15.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan signed by Edna and Henry Matsubu on August 4, 2007. 16.) 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. 17.) The applicant is proposing to create or add 303 square feet of impervious surface and 185 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. 18.) 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). 19.) The revised site plan as submitted on August 20, 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 August 21, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 20.) This approval is for a bathroom addition 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. 21.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 22.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 23.) Not more than 2 unlicensed vehi4hall be stored on any lot unless totally sc ned 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. 24.) The building height is not to exceed 35 feet. 25.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 26.) 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. 27.) Setback from Lindsay Hill Rd. right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. The bathroom additon shall not be any closer than 38 ft. from the riprap bulkhead. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 28.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 29.) The development will be serviced by public water and a well will not be utilized. If a well is required for potable water the applicant shall meet all of the Aquifer Recharge and SIPZ conditions. 30.) A Medium 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. 6141. THE MINIMUM SETBACK FROM THE BATHROOM ADDITION TO THE ORDINARY to HIGH WATER MARK IS 30 FT. 32.) Per the Memorandum on page 105 of the Shoreline Management Master Program: Setbacks shall be measured from the waterward most edge of the structure, excluding decks and eaves. 33.) The proponent shall notify the Jefferson County Department of Community Development at (360) 379-4450 forty-eight(48) hours prior to commencing construction in order to allow monitoring and ensure compliance with permit conditions. 34.) Work within the jurisdiction of the Shoreline Master Program other than as described above shall receive separate review from this Department. 35.) The Development Review Division finds that this proposal is consistent with Shoreline Master Program Section 3.402.5, which exempts the"construction by an owner, lessee, or contract purchaser of a single-family residence [in shoreline jurisdiction]for the owner's or owner's family's use..."from the substantial development permit (SDP) requirements under certain provisions. Exemptions from the substantial development permit requirements do not exempt a proposed development from compliance with the applicable policies and standards of the Shoreline Master Program or other applicable Federal, State, or local permit or license requirements. 36.) No fill or other material may be placed in the waters or intertidal areas of Jefferson County. 37.) All lumber and other materials treated with preservative shall be sufficiently cured to minimize leaching into the water or shore bed, in accordance with the Best Management Practices approved by the Washington Department of Fish and Wildlife. 38.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 39.) This projects meets or exceeds aalrformance standards listed under the Shone Management Master Program (JCC 18.25.410). „ ON c • �w O . JEFFERS COUNTY Wt • � � a DEPARTMENT OF COMMUNITY DEVELOPMENT .\`•.., `4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax 11`STITNG`Cc3 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: G"l', i 4 Project Description(include separate sheets as necessary): 0n441 r o am a pt A i ion W i-i'h d'e c(,- 6+4-4 r Ati M P Tax Parcel Property Number: 701 3? 0 2.0 Size: )./3 gr.r'S (acres/square feet) Site Address and/or Directions to Property: 3S9a LI'nds•iy }•hii Rom , akilc'na r WP, 98'3 Property Owner(s)of Record: Htn1rN $ 6lnq /V1Afisk 'st J bin Afl o . C I d viS Telephone: )0(, 35(�- 9(,40 �l Fax: -- ✓email: G(OVIS'F4/'naGdrne-10,rtt.t Mailing Address: 77+2 32,A-A Avg hi‘Ai 5L4y-1.e VJR 9 T I7 Applicant/Agent(if different from owner): J Od✓W G I OV I,S .Telephone: O(/ 3 y(,-5(.F0 Fax: email: Cl 4`fl s'fa ra e C m CA -i”.n t„P Mailing Address: 7741, 32 nil i '-ii tVV'I 3e4t 4}'(,r, Yvrt 1 it(I What kind of Permit?(Check each box that applies building []Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit [J Conditional Use[C(a),C(d),or CI** Single Family ❑Garage Attached/Detached [] Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* []Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑Road Approach ❑ Binding Site Plan** ❑Home Business ❑Cottagelndustry [] Long Plat** ❑Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis CO-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 U is p� n LI Wireless Telecommunication* ❑Jefferson County Shoreline Master rartr j tI 4t1 ❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request i \.‘ ), %r n - ,ti` A 1,i *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: i;,t,, a 4' ='' .I. i L. . DESIGNATION OF AGENT I hereby designate 0 0 d 1 C I(JV I s� to ct as my agent in matters relating to thi 0 OWNER SIGNATURE G.7)t6t�aeor -Date: 0 � Il'r Jlu � 1, 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 attomey'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 inspections. Staffs access and rightppT'u't of��entry will, be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice. ��d1'Signature: 1' � � t Date: G /i o/07 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 Count evelopment code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complyi h the E� he Applicant has read this disclaimer and signs and dates it below. Signature: �g/ tZ_ Date: 1,1t0107 C:\Documents and Settings\carat\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 MANUFACTURED HOME INSTALLER: PHONE: FAX: Srio dnn 0. 141.Gk.ordl (300) TA I - IAS5 ( ) MAILING ADDRESS: I`( Ct!/r1')'N Ito A4 Ghirn Acum wl! EMAIL — CONTRACTOR'S LICENSE WAINS NUMBER: VafM 6ee.4 91,4 6,5 NUMBER ARCHITECT/ENGINEER: Golf. 7hewein PHONE (3k) 794. 3 p5 T FAX:(a, ) 79G_3 058' MAILING ADDRESS: )p Ir 5 IA r� Qo j nr)4 oar ,n n ch W ft EMAIL Project Type: Frame Type: Bathrooms: t Shoreline: Type of Sewage Disposal: ❑ New pc Wood Existing: XIA 0 Sewer Addition ❑ Steel Proposed: I I Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 3% Height: xlndividual System ❑ Repair ❑ Masonry SEP Permit# 9)- 35A, ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: 'S Setback: l l Private well ❑ Two Party Type of Heat: Proposed: 0 GIGC{YIL Total: �, 23/ 1( Public Name of System: from dcc44. Lr� r 4)A ( If this is a Commercial Protect 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 °Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove ❑Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured/Mobile Horne? 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 11i 67(o EH BId App Review 2na Floor Heated ,'7s 0 D Consistency Review 153.cZ Other Heated Base fee: Mezzanine 3q). "a5 RECEAV Heated Basement Pan Check fee: Unheated Basement 1 1 2007 State Surcharge fee: Other Unheated 'S� Pot Water Review fee: Garage/Carport 5�� IFFff � '=�IIINI�+ICD SUBTOTAL laaS' Decks 911/Rd Approach fee: Other I DI AL: $ laps ri t Receipt Number: q 1 l q g Cash/Check Number: 741,11 ESTIMATED COST(REQUIRED) Date: @Fair market value of all and materials foundation to finish 1p 1/i l Q 7 �4 00 Initials: Q C:\Documents and Settings\carat\U- it Settings\Temporary•Internet Files\OLKS6\Master Permit Application 12-19-2006.doc PERMIT # • �tD . .030 4 sIEFFERSON COUNTY DCI JEFFERSON COUNTY '_ DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend • Washington 98368 O 360/379-4450 • 360/379-4451 Fax �30t http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 07- 0 0 3 1►•1- PROJECT/APPLICANT NAME: l-kiv1 rN SC G4ru1 M A t3 Lt 6 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. farce.) is Apprt( A.Gy acres ( 12.01 ` X lao c) v1i44 A "Ft rs*4 at4V;ok441 I4. l.t. A sinks 4-Ann,il rssi &ercv ;s13 on •ww po(+ien 4 4 Pnrcd) 4t Is tG$t dF 44,6 C+wn ro wIt• tilesrursa. I vn P co,'a nc .45 et b Akh ro ayvr a d.dlt 1'L on •rt/ et 4=N4. AVN& rime bHi l} on 4ti }m„ 44.i s find hoaav Aolot.4o n p p rrK. 303 S?. ft.) . Existing Conditions S mmary 2. Describe the existing topography. Indicate contours on the site map. PArcvE 61opc.s v►phiII ` 1) -I'lw Wtsf oil 1'he. �o1.r,q YoA4. . Tow e�Ci's}in� rtt i 4 c n c o av441, o s.cAlt s m The, (rl cat f krt PF -11rw pArcre I Est 4 41 . (-dwelt ro ILA. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. J t fi cell {I) -lint. West ay 4'4.. Cols wt tee aL.o( A fi+ a t L6)1.•4 r .1•h COY ) fretst vr/ nnti\- shrttbS • ptAnts an -Yt.,v ,Asfi 6t�Iv Or -YIN.. tA-vInt road Ark, pool tlm A r 111n lire(eV+'4A no" /hvctis a-► 'k s h Yin b s \Hi I Auuvh 64-A-4 4. Describe the existing soils. Indicate soil type on the site map. pt rc n n i Al s. so i I ell 41,4, t i►s k $ of v o cr road. C rAic i s f•i rc s is dL.n(am) I s -fi•(l tuv-t v-t.4t. I„ pa r13 v/ fry sot 1 wrest o41A.c.r pove3 WI-Fv, 5 r'tu,(, . 11,c. soil cm ft r, -frNr-cS{zdt. Ws s f s i Li, Cbwr.fM Yo&A is n ut1Vb fh A r4 h vt,* )f%- ) w•4- 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, if1 5 applicable,and indicate acreage of each. tvr /1 O R Inn d if firm sl c cdl a(4.4 -tn W(.3 t of cARAsun rer-ok is t,o(I t.t4-r- iv; o(41-caws C4MiSArti�!h AIo- 44 ro•-$d. u.n Garri-ro) h� `(.ncL<-( /1444Q fipc, Aluruo Sov.W� SiIfi. St(Lt. 0k Pot roil oL hvo }4 •11tw b a uJ . R v►n o l• 1Yrt stvtn awry- c n alb 1- of QI►rut• is r nrri 4. loita olgwr s P o 413 i tnnotAn'ytnm 4. ti Fyvn h 44104, drAiri 6. Describe any excess levels of noise generated by the proposed use or activity: ®Lt fast 54 d..4 o(' IOAra,1, gone.• NO stnnaU►,n 1rJa4vi nccctrS . J 1 ?' APPROVED STORMWATER PLAN stormwater sde plan temPiate.doc—rev.10!12/2003 " '� �, � 1 5 J ' ' AUG MaafFir U ',i/if firr ON U �tr� ,i DEPT.ofJEFF CoZI fill;• .•.0 r l' • • 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 rn�. pioYit,, 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. . R Q P rt)(l111la4Lc{ 4i?-0 n.11 a fil n r.c5; (kill cc5 I t'rw 441 61.44.A1 ) Ga�.A art') 1043 t do f fr. 5ro , (AA'd.L. `/ T iw Gatnm ft6 ro-x t p raw d-c 5 a c zesty }a 4114.)v 04.31 tAx.f.cc s avv,,Q 4.n14.-Jer4 WA 4- o¢ ,Pt v P nrr4A 5 YJ, {'tnq 144 k.►4A ' t4 c a, Ovfl-c-A.5 4"► -114-ei W 1..c 1' o-Yl4. V a.1' 6.14La, a yc4, 3 j''r vl GIV V Gs }-o fh.0 y..4i 5 t-. 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. Indic to 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. Th.o s'f,rm wa mill bti -f►,.I to cLr's rr ry?.rQ.. '[r..c a.d-d-e t err4.1. 0o1- a-f1./-,i W is t h. a d "4 n s fa L4 4" fr r 4I rr f i�i }. ram I fi II-u4 kw-r wvf nommemailmommemumoidial 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.] rton c, rtvi V t'cQ.,. kkit i # DAD 11. Describe the performance goals and standards applicable to the project. 0 7 . 0 3 0 4 NI selnestm e1- rL.tn44. 12. Describe the flow control system. Da tnrrl s r a'wY In n AA-t 5 kirvi14. P ivyt.. t° .rrwcA fi 1 J mil. 4-1-eA►rA". . 11111111 RECEIVED stormwater site Wan template.doc—rev.10/12/2003 AUG 2 0 2007 y,'4I'V,gt: .£4. r�amx�,,,, ap 8 JEFFERSON COUNTY OUT 14 l+ �� link ' §i'' 3 • • 13. Describe the water quality system. • Ncni vX C412 r fit t en. OLD 14. Describe the conveyance system analysis and design. 3'0 4 iMr... 4r*fit tic �;ODNTY 15, Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. rio.,",. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 1I0 x cl-44-T t dr'►00i 1( rn a ktift At W t ll bz LA?r-,{ o,.t -1 hr.. s I j=v1 4.74 Cell- 61 p o ss(.64A, b'w Ylot cu{-c-✓t At, hi .44,.i tcf rm s vn arr- .lM-- fvtxul, P VYf o b 0%-141 r dam ot.041.1.t , . 17. Describe the proposed surfacing material. Prrt dd;s har►ri-k ]A wrn v✓►tI 190 Iv p A rvits 6f 0 r-A U-e4 of-d\ror x J Wttl ► f, r1a.,?tdt t y.tc,(ssc►K , 18. Describe methods for restoration of the site. c1 �, Pr s f -(41s4- 4 c csvri ra.a-d is (:t4.frc""' ;J r�c�v�C°�-t-�Q . Pr os . b a-IM r e am Will Y�-wi rti r rrrr.cu�-+'. a a `s rvs p Mi o le a�.1 "` of W h • lbw r ar4'1 e vI►l i Kea- t t- aZk:;. it-ry IA. it r d j A c rirA �+rv�-1Mr wilt t� r 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. f�(oyw 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. BvtiiMvj pvYrnti' RF ( f:f\v I E stormwater site plan template.doc—rev.10/12/2003 {�` I'� I 7 AUG 2 0 2007 `i 1 1 ! • • 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. Gon*ntah'tNt ajf is bovraW on .I'h✓ Wtr4- Y c s�h1 t�•tsv) on -(1� Y.+ts b� a'Wi r;p rat10) 0,1 ,b l 'kh -fin cu , 61144i eh S 0 U-1411 AA, .fJ)LC 3 1-t ten cm-1-0 e it,- 8. 2. Establish Construction Access. • Ptcu c -F0 ►s4"Yvta uvi St 4"L i s ii t-o r' q n ►3"il n V-MXA kfl\trdidit . 3. Control Flow Rates. I fl tr cU ,,.true^ r`14-z-bt t4 ,)kb f, r� 4. Install Sediment Controls. In5`Txtl S i ti- 4=141w CA-n(1414 p " ✓vv1 J vb 51 ' � ! # W1 5. Stabilize Soils. Ca-cd -try. iU-2-A S v►I W l Yh b I nett. i a.s n • 6. Protect Slopes. 01,1 i tet-t\ri 81 iv t 5 4t a#- . tJ o 5.1 {-. P ro 7. Protect Drain Inlets. Rtisi�( y`;*t � ,. owes t}� �}, t t'3 Y+�.f C4rn hvt v}-t on s I}c, ,4 i 1.„ t4: t;u;i € +ter ,CEI� s stormwater site plan template.doc—rev.10/12/2003 8 iffEHSON CO NTY PCP PERMIT # aft 12 Required Elements-Construction SWPPP(continued) 0 7 03 0 4 8. Stabilize Channels_ � and Outlets.tto iJ1�T r` .b (in-(-( t3'44-4-13'3 .A MilliNTY fir 9. Control Pollutants. Cfrvh.( dMS'I`' h J L4 vih1ql Ck41 t-iC Lri 041 ro) 10. ,Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). f L t e- vv -t-fq ti s I.u'i" a% 4"- . i v t t ` 11. Maintain Best Management Practices(BMPs). c vnSdr a s Wrp r Will by PMf of 5 CIA. °f vrc.{lig, o� amkrnr.� wt 1°h Erl'c van 13cIA 2G Kdm c,rrry -x car. I qa gS . Owna ar ' W i i t Y)t ar►-s i - (4- r m Y►n.r�11� n Ot.�t,w of 13 M Pr . 12. Manage the Project. OWn-or c• a vtlit to are -stf-i) LW WO Pt1.4,14,n 4 W •h OMPs, 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). P d►.b d to Bay is -Mu ,t iuk -hew l)wi l ol.t�,v s i!T,, A s tr.)(v f en 11 j V is d crrui-zd n o tJ4' dr �1^-t, ?it cvJ b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). h.t; S)k Ds. r'24- -11-4) b-c.0 "), 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. drL ".^1 t' 1YI.+14.011 awl .41Nu JUi I RECEIVED - storrnwater site plan template.doc—rev.10/122003 9 AUG 2 0 2007 .ircrrASR; MINT( BCD • • b. Description of special requirements for working in or near environmentally sensitive areas. �� zr caw 1 41-v\sr. 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). cmw PERMIT # Rtf 07 . 0 u4 5. Construction Phasing. a. Construction sequence "elk-.yr Chu» -fp( ff ntil-MZvn C,ur1.3 ta,..- -trct, clr irtA..i 101.. n4t e14 ��i i 0,41,„Q. C c sti're '4,-n - 1°want b. Construction phasing(if proposed) Nits 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). t. Provide a proposed construction schedule. J tn..L13- f % '} I1`-r4 Y Sr, 1 vys,h-e-! 41 r!cv-crvn!mot I ad- Ka- 16-1-c k, II. Wet Season Construction Activities. a. Proposed wet season construction activities. 1 n i 7rtr * ct al-ct-i 4-1 n ,, /wv►.t sl.t l yn t c4 okttrLA ra-vn P, 3vr."l rc.3 fiv'u-{-i Lt1 n uk I imv-n b. Proposed wet season construction activities for environmentally sensitive areas. f17rw" 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. Jet Ctovls Nz+; eA - Mci 4-31A. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. -z,A-:Z 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. glik- a. Sediment Ponds/Traps. b. Diversions. c. Waterways. - C . d. Runoff/Stormwater Detention Calculations stormwater site plan template.doc—rev.10/12/2003 RECEIVED 10 AUG 2 0 2007 1\ ', fl ` JEFFERSON COUNTY DCf 0 Stormwater Site Plan Changes 41111 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. NAlitito G 1141 Oi (LANDOWNER } AUTI-I RIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: PERIIIT 07 . 0304 JEffERSUN COUNTY DCI ?RArEV_ 1 ) 1 0 4 i‘.1ti1:,-(L:kfl'\'7rTf- r- ittlifiv . . ow stormwater site plan template.doc—rev.10/12/2003 �I� � 12 1 t..-ri-4---------rp_,--- -4- ) W 1 ' TN-1 _N..-. • Cr, / ,\ oar* a (--- ca ...•-•..„ / N ,i4- C) isz 1 • 1------"..\\ i I ...,_...) ,••'11. j / \ : CLOSET / 4.. 0 _. / e/-15' 0 — f Y' \ --.:-.' _.--1P- \---1\__ r---- *1 __ J * N...3 _.... ; . v:-) ------ VI) .... / ,•-•----i•-• I/ •••••. <::. 1"• -- -. esP/1 ,•• sNio c4,....) ..i.:,,,.;;;,,,:::: .., . t.... v.:, .4 c. ...... -,4... ...„ _ .i.14:f " 241/ po C.) V\ • 44$ ' — — ; z WAX OMAN .4 ..- . .••• c . i q g i ,I = C i 4 ' . ,4t ... • t v . N1 N..1\.: .... (---- 4 I i.i ..-- \1 . I _ ,-----/— \*, 7 g. ''CLOSET ; . N.:4* a / , , - •.> - -, , _i. ,..:7:1 ,.______ _ _ . _____., i 4 r.7. 4 •V.;1'''''' 4 r 4 r /1' rig, ] CZ 16. 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