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HomeMy WebLinkAboutBLD2007-00331 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD07-00331 SITE ADDRESS: 665 PINECREST DR Issue Date: 07/24/2007 PORT TOWNSEND, 98368 Final Date: 6/27/2008 APPLICANT: KEVIN P SHORT PHONE: 360-204-6878 MELINDA G SHORT 665 PINECREST DR PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#7 Block: Lot: PARCEL NUMBER: 965000262 Section: 27 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 120 GAL PROP TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes S THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/27/2008 I:\F_BLD_Occupancy.rpt 10/29/19 MLA07-00345 OBUILDING PERMIT APPLIC ON Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00331 Received Date: 6/19/2007 SITE ADDRESS: ( 3) PINECREST DR OWNER: KEVIN P SHORT PHONE: 360-204-6878 MELINDA G SHORT 24022 248TH AVE MAPLE VALLEY WA 98038 KALA POINT#7 SUBDIVISION: Block: Lot: 404 PARCEL NUMBER: 965000262 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR W/ATT GARAGE & A/G 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,448 VALUATION 237,233.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 700 CONST TYPE: DECK: 56 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: KALA PT BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: (,01, DP-i Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,766.55 LYK 06/19/07 91242 APPROVED Plan Check $1,148.26 LYK 06/19/07 91242 State Building Code $4.50 LYK 06/19/07 91242 JUL 24 2007 Potable Water Application $58.00 LYK 06/19/07 91242 Jefferson County Planning Total: $2,977.31 & Building Department Jefferson County Building "ion Permit Nu,: BLD07-00331 Applicant: SHORT BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2 033International Building Codes To schedule inspections, call (360)379-4455 no later than 7:C0 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 ID_15"—O7 •� Erosion Control Foundation Footing Footing Drains Foundation Stem Wall Leo-Li.,-0/ 4f-- Underground Plumbing Under Floor Framing ' --u? � r � E2iw�5 Straps(hold downs) Ext. Shear Wall Nailing /& e 9 �L Rough-in Plumbing t, Framing '112? Blocking I Airseal 2i i Insulation:Walls l Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing S/Z1/06 Gas Line: Interior ; C� n� Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00331 1.) The application was reviewed by the Jefferson County Department of Community Development staff on July 19, 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: SARPA aquifer recharge area. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit (4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 5.) 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. 6.) The applicant is proposing to create or add 4626 square feet of impervious surface and 9506 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. 7.) 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. 8.) 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). 9.) The site plan as submitted with the building permit application on June 19, 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 July 19, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) This approval is for a single family residence with attached garage and 120 gallon above-ground propane tank only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 11.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) Not more than 2 unlicensed veh. shall be stored on any lot unless totally itned 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. 14.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 15.) The building height is not to exceed 35 feet. 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 17.) 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. 18.) 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. 19.) Minimum setback from Pinecrest Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 20.) PRIOR TO OCCUPANCY& BUILDING FINAL INSPECTION FINAL APPROVAL OF SEPTIC SEP07-155 IS REQUIRED. 21.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 22.) An address of 665 Pinecrest Drive, Port Townsend has been assigned to the parcel. Pinecrest Drive is a private road (P130). 23.) The site is served by the Kale Point water system. 24.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAIN FIELD. 25.) The lot was created through the Kale Point#7 Subdivision on April 14, 1980 under AFN 264770. 26.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND SEPTIC TANK. 27.) WESTERN MOST EDGE OF BUILDING FOUNDATION TO BE A MAXIMUM OF 115' FROM EASTERN MOST PROPERTY LINE. 28.) A septic permit (SEP07-0155) was approved on May 29, 2007. 4S6 NJJEFFERS•COUNTY • kti .A DEPARTMENT OF COMMU$140 NITr R Ia i To n 621 Sheridan Street • Port Towna a .ton 8:4 360/379-4450 • 360/379-4451 Fax q O� www.co.jefferson.wa.us/commdevelopment S` NGrS itill I a 2007 Master Permit Application MLA: c(7 � Project Descr' tion(i cludseparate sheets as nec ssary): ttlisilk+:IIII -!fill +c112, I y [re5'i at'11 . Tax Parcel a/ Property Number: /t2 c0 0©-ZG Z Size: . /7/ 2 o'�wd (acres/square feet) Site Address and/orr Directions to Property: } / Lot Li 2,7' e_ ` S/ /:. /`ia a Poii►. f !�r"- ,447-cn5-t',-11. Property Owner(s)of Record: Y,„ car- ' / 624/C 4t 15h0r f Tele hone:2670 - a IJ (/- fa 8 7 S' 0l 3 p �ar.Fax:�3lon - 2.c.w-6; 2S3 email: /7Ik9e) %/i/4.i'yG,h�,U.[crh Mailing Address: 24/C72 29t' A eti/e "Vt '/e tic,1JeV Oa 98' ? Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies 03uilding ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]** $..Single Family 0 Garage Attached/Detached 0 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** 0 Home Business ❑ Cottagelndustry 0 Long Plat** DKPropane ❑ Planned Rural Residential Development(PRRD)/Amendments** 0 Sign 0 Plat Vacation/Alteration** 0 Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management 0 Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance 0 Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* ❑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 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 right of entry will be assumed unless the applicant informs the County in writing at the time of the application t______ or she w ss for ice. Signature: !�? ✓Ol%//�ll�;�< //fL•i/� Date:——4/I- � d 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 t e Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfers sponsi 'jad ing to and complying with the ESA. T e Applicant has read this disci i r and igns and dates it below. Signature: .Cti+.. Date: l) / 7 7 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 0 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 t sponsibility e enera ontractor for the proposed project. Signature: /c�Date: 6 / ! / 7 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) &-hy/neP/ /C//'X 8 i'Ke, EMAIL: tor - t4TRAe OnS LleENSE -WAINS N ieeR:ene-iiii.'urc l,, eeIe;). 6-ar•/4 Sint ' 9,936k NUMBER ARCHITECT/ENGINEER: Leturle. 51--eW4N PHONE (33Q ) 3 F5-IINL FAX: ( ) MAILING ADDRESS: f ,nil u llrna-/,/1a �`e Ad-- 7 w,cer)C1 EMAIL S.1-et �-7s ( cctbles p-eec/, ne7- Project Type: ! Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: '% New ,�' Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: .S Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 3 Height: X. Individual System ❑ Repair ❑ Masonry SEP Permit# 0 7 4,0/3" ❑ Demolition 0 Other: Bedrooms: _� Water Supply: Existing: Setback: 0 Private well ❑ Two Party Typ of eat: Proposed: 3 X Public sue)/ ru�P Total: 3 me of System: 1aict -Cirl.-1'u.'eII sys-er)i 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: / i Underground Tank )Above round Tank Size of Propane Tank: )20 yQlleA i Heat Stove kook Stove AWoodstove X.Fireplace Insert. )CI-lot Water Tank 1 Pellet Stove t Other Is this appliance being instal`ed 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 :Fpr Office Use Only,H ; Amount Revision Main Floor Heated 2 'Pi )Q)1tJ L)_ EH Bid App Review: 2'Floor Heated Consistency Review: i di; Other Heated Base fee: I Thdp 5 j Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: CT w Garage/Carport j(Aqq SUBTOTAL 31 7170 32 3- Decks S� 1"3ic iz ,,,,; 911/fld�kp roachfe : Other TOTAL: $ 5� I Receipt Number: q ' ? � Cash/Check Number: 1 t ESTIMATED COST(REQUIRED) / � :is: Frkt flllbdtIs foun to finish4 / / 777 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • r I QN RECEIVEI ) JEFFERSON COUNTY rikl's 140,c1. P31-4 DEPARTMENT OF COMMUNITY DEVELOPMENT JUN I. 9 2007 .:. � ► „ • 621 Sheridan Street • Port Townsend •Washington 98368 jIN�`� http//3/7www co.je50 •ffe s/on wa4us/commdevelopment/ "*�' i: II `D OED STORMWATER SITE PLAN SUBMITTAL TEMPLATE IMLA# 07 Dy PROJECT APPLICANT NAME: f/(e , cA it.'f 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. 77) cc.ns1,r(,�fac a 9 f ' 1 Ff, •5'irt /� �am,'/y reside d� a . y7 acre �Q %n_ /`et a ! o;.r f: Pr) f'reWay' Will .F.�e= c;Dh c✓� cz 4 ver^S �Ppr i( S-e�'x.20 'Go;c/ Existing Conditions Summary 2. 2cribe the Jex'sting topo aphy. I�}dicate cqntours on the site map. Gnlrar�y flit +�IJi � 5/� `l�• S�6 mIA— SOtA_ S�cle. r 3. psclibe p the existing vege tion./'Ind' to native v get ion areas on the/site/map. / apt�u� ail_Gi iu.. b lid�- !n /G�! CGcY t'i' ", ►�3 eve yzrrz s s 4. Describe t¢e existing Indicate soil type or}the site map. , _z D� ) pZ-72 �Pe.11y /4Jitrtin 5,,j 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 ap licable,and indicate acreage of each.ere 5-. a a'n^ p ect, ` 1(V e_ fprrlyr i nt-Cris" .7u�- 5 a / cOr[ i �fl6 ava s /Th So1r cwtGr.- prof it- ,e_F t,ctekett 9-4 6. Describe any excess levels of noise 9enerated by the proposed use or activity: APPROVED -ekev &f GOms tic-1-On- II01SL, STORM WATER PLAN Stormwa s JUL 1 9 1007 Require ant JEFFERSO UN stormwater see plan template DEPT.OF I DEVE. !WENT 5 SIGNATUR : 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 maq. I pro rr y 5 0- Yev rn i,v. l st e. T�rock eats _ j aj ac dk Iems f iP P r4, eri-i-es Anv;� 6;rn11 ar C)to+ fork-,/,cS_ � f 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads,and sensitive/critical_ _ _ areas (streams,wetlands,lakes,st ep lopes,etc.). h� t �' 'Fl —Z S i�e is / ca I a Ka I rt-i-- �ct.13 e1 I tJ is t"o n_, .� .errerill!y "El7: (4,,46 h-e soar x-F Pepper y / and A s/ lam-- '14, iy� hn r-h- 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 sit . LocfrA k ate th se facilities on t 1,27/ h site pl n and diffe entiate proposed facilif es from existing facilities.G /1-4 /_ tii T r y`_e_ a �,"I'bn 11 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 of projects pat involve the potential for- disp io f contra nants.] PlI 11. Describe thp perfo a;goals and stand rds a licablejoth project. � / �� `N/ /P J Q sioi in- r799,c___ l / �j/ h.e nd Q -e✓� D S ✓`r2 W r- 1/YI o`Y-��1 12. •Desc ibe t flow co trol stem. t / ��i c. i - �Dt� �a n S al . - ,fie dc> r-eSe� eji a� `� tLda ;pte . . wa J c) _ y' tt r''') r,f J,`x 2 t 'I.stormgrangsitepfah} ytettintiN.UhY1 3 :4 -'`'r 6 III • 13. Descr a the water quality systen3. f / / ,/,9 1-ty ec- 14. De ;be the conveyance sy tern analysis .nd design. t f /o -e- No a nz i „ GO 5 /D ex ,5I�'� el-WI/evil Oi-. _/ 0 c D rKd.AMWr - 15. Describe4nellib the s urce of fill fn aterial,phy ical aracteristicspf fill material,and deposition of excess material. (/l ,r d 0 h7'14' i9,�eQ �(`-/3ZG17`'-e►^r`� , 5 f ne- 51Ye IFS FA-14- 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. �A l©rnf4r0n- t' t7/ he_ de ,/jle_ -e,`�'/t-er- -'-wacker' 0 c/- & 17. !Ascribe thg proposed surfacing matejl. d ,r to aytd paire�rs .{�r 4�ovtiA ? --dry►� 0L. cA2 c Tbi e.tDS1o,. 18. Dmo�ibe methods for restoration gf the site. // T!/ C[a /a eri ts/`!'.9 f?a fi ive r/e eile l``bi tJ Bx5",V�e ) and r� it �- ,`n irrta Q rny��� D Feiie9,e r-�p cv rc/--_ 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. N 20. List here/ include any special reports or studies conducted to prepare the Stormwater Site Plan. 4 21. List other necessary permits and approvals as required by other regulatory agencies. If i._ e conditions that affect the drainage plan or contain more restrictive drainage-related requi r-•,': . 4 es t s iti ns or restrictions re. e--e ff c- s krn- etA fr✓rYx; eic/ JUN 1 9 2007 iiiii0501:111INDIrl 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 Cle ring Limit ' " / C We, I/ Z�!` mar/^ 1A mi2i'rquhL rariM/dU,7— D 1 v'ee 4 / - Jt pro do�E YiL- /0c4 I-le �� L) o reS7c-rr2Ge- anot 'Life0/r W • 2. Establish Construction Acce s.`7e � dr/fe w / Got// co467 u d& 4 e$s, Alt) Q�fAec access' LI(( be iecessavy, 3. Control Flow Rat s. ' ijr i hS dltra lt / 4 no�7 1^0e671 Co n e✓" D F tnD 4. Install Se iment Control4. ltd taw Ol 0e - l"rand- Cot/e✓' � Az161 Leah' f 5' i VVz -SSaA. Y/it,e tabiljze Sp / / / 1-" etr'7 ) 5 4 1/zqY7 �ve Co7 o raD ,( fur`/1 I07' .CG1°ScA�y Soe4?rt7 w (/ '/ 4'M P tJIyJ►. rnepe_ > t;tic tree ta �.� 6. Protect Slopes. /� 72,e►-e_ a r� sApc< diet?) ei tc7/ v eq lei r-e fvS l e dieit 7. -Protect Drain Inlets. / //ere 4 e /t p sI"ai, i;a lam stormwater site plan template—rev.10/1/2003 8 , , • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize 9I?annels and Outlets. �� /� C.i^'e- Al itkeS 1�/f{L a 5d t'0c/- Aid keep dear Of °le i.tqs. 9 Control Pollutants. / Co Gh `0 i/ 4c ,iL;A- +0//r24/611_ CQ J , 7-1e eer d - _ f— hnf) - a • M / e Qr / Ar tot' A ©As - • C eak pc en fa to- i Of / e , s, 10. Control De-Wate ing(the��f Dumping gropnd G er or stormwater away frp an active construction site). s & ne_ces . A JS_ur�!'1 uf�-�e►�I .- 5/ e_ i n, ct eve/'(, D tvin jorr $ ri2 wac C cr- 5 • .e ce5 4r tcl'// A.e �> 1 ,� yu o-e_ IsQ�-e ,.. - o r-- L'u ye✓r D *s-� Maintain Best k w Managepent Pyactices(BMps). F c.c but-bc-o czCtv.r �h2// r-ccpet/v,� /vts tkeA-S o� S l�Z� friGt.het,et�heez i/i Q./Art7 C�t`t`� -f��[✓' /il/'M,,.CT/d�S 16 Stec us ►r�1 fre 'en.- dice, ? con c71►^u ct lcfr._. 12. Manage the Pyo ject. / �// .1. i �il/ /J p SerL7` al--; al(/ /,✓lies dal'f'1 ,. cdnsY1rkLjdi._ 42 i-r` S u.rt� e iC �nce m e,-/,re- © N - a c c.MinglETZEiner►L. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). fj ' ter-e. 115 arte, aGiZ►fft /4- on. owe Srde of / . a4cJ D/l,e S%h, € _Llyi-e Je c oh. `- o er 'e, Ale) r^a�r isdi// be�+ � fro f is p -�eC b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). n l 7' e_ C u lvc,"�a 1� f% Cccc1Lle1 Ca rr-t ee5 / e. I r r w r' n th.___ r r4/6-1-it, 1 ( y zr 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the sIF4(11EIV j IN ��J A///4 JUN 19 200? :iEff tDtiIIW+:OoN1Y OCD stormwater site plan template—rev.10/12003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. JO 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e. .,erodibility,settleability,permeability,depth,texture,soil structure).A-e r~C- a 4, r t•c S-e- e S rob b k tit_Q 1e.Q-s s ue___ 4 L ,e - , "'' 'ng,L. • 6•, '-AMEN' 5. Construction Phasing. Constru tion sequence fi r 7( eparaf/oh_ Of SI'f e) 1 OundediOn, I ,Trat'►t 1V1 r1901 I ) 1 11, 1^lla 1ot51 f"YliAtir IIG1netscer►ll ) J ✓, v2 WV- b. Construction phasing(if proposed) A/t 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. , ;ride,a pro osed const ctio ched le. 5'(�✓ SLL ID) d ell-tdw �fLJy Fr arj1 p� C 1l(�e /-. / )J � �hCr/ If i „ct- oGC�/ Ie• /�PlArr1b) o-Sp r.eWe.), p _2V J } II. Wet Season Construction Activities. a. Pr osed wet season construction activities. Ai A b. / roposed wet season construction activities for environmentally sensitive areas. Al A- 7. Financial/Ownership Responsibilities. a. tify the pro rty o ner responsible for the initiation of bonds and/or other financial securities. AAof% o(_ b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. ` // ersalta./ 1 pd45/ t `ry 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. A/A a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d.•' ,Runoff/Stdrnidvater Detention Calculations to storrnwater 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 property. ØØ7 (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: • stormwater site plan terrplate—rev.1 0/1/2003 12 E f • , . r-rt1 —r I• • • • i , • , rr • "VS • i i . ., t\j. ,.sew. 1 .. ' 4i'4 1 -� ,. ► , ; ; t j.,. ; \I m'i�. f .. C: Q y :- , • • • • I .• �• . .. . • U � • g•- i ,. : , i-. ',.... .:... ' . 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