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HomeMy WebLinkAboutBLD2007-00351 • • 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 #: BLD07-00351 SITE ADDRESS: 3892 DOSEWALLIPS RD Issue Date: 09/6/2007 BRINNON, 98320 Final Date: 6/25/2009 APPLICANT: FORREST G TOWNE PHONE: 360-796-4708 SHIRLEY L TOWNE PO BOX 694 BRINNON WA 98320 SUBDIVISION: Block: Lot: TX 25 PARCEL NUMBER: 602292014 Section: 29 Township: 26 N Range: 02 W PROJECT DESCRIPTION: NEW DETACHED GAR/SHOP - NO HEAT - (READY FOR FUTURE PLUMBING) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/25/2009 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building Million Permit Nu, BLD07-00351 Applicant: TOWNE BUILDING PERMIT INSPECTION APPROVALS applicable 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 ; ,J —t t: Erosion Control Foundation Footing I 1 "cam 7 C Foundation Stem Wall Framing ‘129t-- �-Cll' (( cic Miscellaneous b Z-•ac FINAL INSPECTION (p Z`5' 0 9.,.._ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR ItUILDING PERMIT APPLICAAON MLAO7 00364 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00351 Received Date: 6/28/2007 SITE ADDRESS: "").641 DOSEWALLIPS RD BRINNON, 98320 OWNER: FORREST G TOWNE PHONE: 360-796-4708 SHIRLEY L TOWNE PO BOX 694 BRINNON WA 98320 SUBDIVISION: Block: Lot: PARCEL NUMBER: 602292014 Section: 29 Township: 26 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW DETACHED GAR/SHOP - NO HEAT - (READY FOR FUTURE PLUMBING) TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 37,712.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 1,600 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: (Q/a2(0--1 Type Amount Paid By: Date: Receipt: Approved/Date Permit $522.55 CJZ 06/28/07 91403 APPROVEID Plan Check $339.66 CJZ 06/28/07 91403 State Building Code $4.50 CJZ 06/28/07 91403 SEP co 2007 Total: $866.71 Jefferson County Planninc &Building Department • CONDITIONS for Building Permit# :BLD07-00351 1.) SEPTIC APPROVAL BASED ON FUTURE WATER AND SEWER TO BE STUBBED OUT AT LEAST 10 FEET APART 2.) The application was reviewed by the Jefferson County Department of Community Development staff on August 3, 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: elk/harlequin duck; landslide hazard area 2; erosion; SUSC aquifer recharge area 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.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 7.) 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. 8.) A Geotechnical Report dated May 16, 2007 prepared by Northwest Territories Inc. was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. Based on JCC Section 18.15.275(7) a minimum setback of 15-feet shall be measured perpendicularly from the top or toe of the geologic hazard to the proposed development. Under no circumstances shall the buffer be reduce below 15 feet. 9.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN Jrl LETTER FROM NTI (BILL PAYTON &/OR STEVE LUXTON) WHO PREPARED THE IAt GEOTECHNICAL REPORT DATED MAY 16, 2007 STATING THAT THE STRUCTURE . AND/OR FACILITIES HAVE BEEN CONSTRUCTED IN CONFORMANCE WITH THE REQUIREMENTS OF THE "GEOTECHNICAL REPORT." THE LETTER SHALL BE STAMPED BY THE LICENSED GEOLOGIST/ENGINEER. 10.) 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. 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 area buffer. This includes the storage or preparation of materials. 13.) The applicant shall permanently Orate the boundary of the Landslide Hazaerea 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.) 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. 15.) The applicant is proposing to create or add 1618 square feet of impervious surface and 6850 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. 16.) 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). 17.) The site plan as submitted with the building permit application on June 28, 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 3, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 18.) This approval is for a unheated detached garage 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. 19.) The parcel has been designated as RR 1:20 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 20.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 21.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 22.) The building height is not to exceed 35 feet. 23.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 24.) 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. 25.) 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. 26.) Minimum setback from Dosewallips Road right-of-way shall be 20 feet. Minimum west property boundary(rural forest lands adjacent) shall be 100 feet. Minimum north and east property boundary shall be 5 feet. If an ESA is present, then the more stricter setbacks shall apply. 27.) A septic permit (SEP07-0055)was issued on August 31, 2007. A well review (USR 07-0005) was approved on February 7, 2007. 28.) An address of 3892 Dosewallips Road, Brinnon has been assigned to the parcel. Dosewallips Road is a county minor collector(C250008). 29.) PRIOR TO FOOTING INSPECT*, THE PROPONENT SHALL SUBMIT A COMPACTION REPORT PREPARED BY A SOILS ENGINEER TO THE BUILDING DEPARTMENT. III �ON C, • /� JEFFERSON COUNTY _ DEPARTMENT OF COMMUNITY DEVELOPMENT •a 621 Sheridan Street • Port Townsend • Washington 98368 • 360/379-4450 • 360/379-4451 Fax N'''''--.11,'—'6,,c.O* www.co.jefferson.wa.us/commdevelopment JU!Ni 2 8 ;r,n7 r.,u, Master Permit Application r MLA: Project Description(include separate sheets as necessary): Build Shop&Equipment Storage Metal Building Tax Parcel 602292014 Property Number: Size: ^20.25/-886054 (acres/square feet) Site Address and/or Directions to Property: 44g4 Dosewallips Rd., Brinnon, WA 98320. Just before 4 mile marker on the right. I•4,44,xs"it> ate054 W/acc C ) Property Owner(s)of Record: Forrest G.Towne&Shirley L.Towne Telephone:(360)796-4708 or(360)396-1354 Fax: (360)396-1165 email: TowneFG©Hotmail.com • Mailing Address: P.O.Box 694 Brinnon,WA 98320 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ✓ (Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a), C(d), or C)** ❑Single Family ZI 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 0 Binding Site Plan** ❑ Home Business ❑Cottagelndustry ❑Long Plat** ❑Propane ❑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* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑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 entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspecti taff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicati o prior Signature: Date: 6/27/2007 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 compli ' e w the Jeffer County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer n erin complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: . Date: 6/27/2007 C:ADocuments and Settings\caral\Local Settings\Temporary Internet Files\OI.K86\Master Permit Application 12-19-2006.doc • • BUILDER STATEMENT The signer of this statement does re certify t they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assumin es eneral Contractor for the proposed project. Signature: ' Date: 6/27/2007 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: Chandler P.Nangia P.E. PHONE (830 ) 372-4266 FAX:(888 ) 377-4267 MAILING ADDRESS: 7423 Hollow Ridge Dr. Houston,TX 77095 EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New H Wood Existing: 0 ❑ Sewer Li Addition lf( Steel Proposed: 0 Bank C Community System Li Alteration/Remodel ii Concrete Total: 0 Height: Individual System ❑ Repair C: Masonry N/A SEP Permit#SEP07-00055 E Demolition H. Other: Bedrooms: Water Supply: Existing: 0 Setback: t/ Private well ❑ Two Party Type of Heat: Proposed: 0 N/A 1 Public NLN�i Total: 0 Name of System:Towne 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: ❑Underground Tank 0 Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 0 (D 2nd Floor Heated Consistency Review: 0 153 Other Heated 0 Base fee: 5 55 Mezzanine ' 0 Additional Section: Heated Basement Plan Check fee: 0 331 ,tgt° Unheated Basement State Surcharge fee: 0 Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL 1600 �1 1 j Decks (it'll'? 3 -d Approach fee: � � 1 0 ISDN Other 0 TOTAL: $ 1a3� .7I Receipt Number: CA HO3 0 Cash/Check Number: F 00� ESTIMATED COST(REQUIRED) Date:- 9 �10 *Fair market value of all labor and materials foundation to finish ` ).1 000 �`I11 �nitialst,... -a C.ADocuments and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master PennaiYApplication 12-19-2006.doc • • SON co °%1. JEFFERSON COUNTY - ►-7 1.4 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 G�a� 360/379-4450 . 360/379-4451 Fax �& N http://www.co.)efferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# () j -3(04 PROJECT/APPLICANT NAME: rek(ec4 C, Tow,1Q -I- SL6dey 1.„—ain'e_ 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. ,pZ 7 O t rF'sr'...,.'-,,- Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. 6,u.1 A, c, y 0)040 S—ee Ixv i td t N:, - Use. o.S S c�c3'2 LAN , €;.S c.. S L e . Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. "—tn. Srf e q- t S r+fie. 5o v' Side_ c 1 /�1U0 Ai ► r&. 'fie_t%�o�d d io.s aS -tomi1`� �Voi-es4- �rci des, Nc..4-rct N.4°N=.I a , lt'(aJ� of- 4-L- _ poopec bcceeAs !oO T � ;tope, 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. Trk . • ) x.?d i s Eo,e c4 L.,�rd 4}-t,..c4- �.)u.s k' v e +- '\rov�cl \9'tQ' . L�'v� we-.s/ efrili4 ;AL O0:.: k v, f r,r 1 L c e. �ti� �'Sc' ,ti A"o W/� 1 ,-t'jo l e..5 i cv is 4d. r- * es v,JA co�:e=v ; �.:1,...L, y-t,.c)le 4&0AJJ 6I�kb e cu y/ coil c r e A/ v,,.f e , 4. Describe the existing soils. Indicate soil type on the site map. S,n i` i Pi ' c cc-- i 9 zc Je11 S; tt- iAri �a01t, goc t rc.Af5c. tit/ S`2e_ tCI tfe_q Sn1�tt T-d �,X eneel ItivSe U1'i — t ` ;; s I�.,sal t . c. iteAti t t i, Yt rock. 5. Describe the existing site hydrology(i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage o_feach. ) 'Le_ e C\-e -1-vi,) Aif'W,tic� (JksL !SNe., N V{- �e�- c& /J 0uNc A r A qN e ti e...4- �>e tom es-(-erns o u N c,41 E,l e,-./ At) t^; .v tle4..t/y, IV S ke_ �IL s F,Act-- ye,-t-t V424 1 1 e. 0--<t'e.c 1 S S env t A-4,-e . W e et).../ wc.si-., `T1„e� EE.sA-- j t its�� �NetrG.� L. t4 ev- s 2 et�Ys etr e��r ��i:,cs , 6. A ►Describe any excess levels of noise generate(`�y the propoed use or activity: M Nof ,- i'v( ,yccCss O t' kb &cti1 rotfe �y 0? �A' ,ROVED is I STORMWATER PLAN Stormw Require AUG - 3 TrA stormwater site plan template.doc—rev.10/12/20 5 JEFF OUN Y DEPT.OF C I 'Y DE .L MENT SIGNATUR . • • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as we Ian , streams, steep slopes, etc.)on the site. Indicate location on the sit?map.11 p Ue 3 7 7 c 4'- ,s�S-rd c i S (.s -ed s e ,zc} rJ c�c' s1Ae (nv2 4-R-Q..- Te�j e;,.. 2 •Nd€ Ncie 1 6-€0(o \ S-{- e�rJcl 4N_ S{'e .c.+-eae ck ?rCIe.ss,pus.I Ens i Ai eel, 44— wck5 4_1-e_c/� r✓- re_ Wes No S�I A✓S e .0S`�5 j or evade i@ e a4 s t c[e , 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.).'Ik ss e, �'Ce`--. t` a e=s c C. V 'C'� ).4-.k 1n) i#� ©tie s-e c e tl€n/C. " pc tl- aU �CceV. I26-iAce‘S 4-o +Le Sou — ctikrt e !'14 ``I 6 1(`�cty(- uv,l l/J L k e U 2v Al^ e.1$C' i S CO -est t��d , ' c., \i"-e J l C T .44, PcA.,i-is �ti-1,.; J e._ eS c e,iCe s . Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious • surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual)or, if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing faciliti s. U c , A s .rv5 V Wet!I ,.,,,Q d -C,e.c e l s e�e•,r ii 01- gleu c' 1� 4-ti I(y C�4 s ,- IT-0 I-AA_ W'—eed- . o i c L co,J+to lc :be_ �-�. y t x e S Al' u - A v e_c t_A-c-1 an/ a..^1 cL ti'',,c[ clot,J,c I .4- S i:-t-� Q' rJ r `) Y 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large"projects Pr projects that in olve the potential for dispersion of contaminants.] 11. Rescribe the performance goals and standards applicable to the project. rJi� .,;�,` �$� N�Sc_ (Ais 11 be. �'ser. e.s s , /Uo i �e s /: 1I-; r.v-eck 12. Describe the fl w controls stem. USA v vNI&eor V k 1vze N4-u \ dte„,vAr���- sL ( d_ ccO c_e /�C t e. -t, c N e-N4 JtS 1 �1a C�/`-) �c. I 1 stormwater site plan template.doc—rev.10/12/2003 6 • • 13. Describe the water quality system. I II -rLe__ a ; I i 4 S o c,,=t u e \ 6;r•O 4trk e- s; (`i- c o ne-e s .so 1I 4J +i - veity t• e a, cc: nk.e - 'Sc pUe..cN. dic),,,/.4t'e( Sus c wa s `. -Le Soil `his v S �C u �e_l(e, T�(4et,`N 14. Describe the conveyance syste analysis and design. .. 17,\T N._ w s 0 S I,.o e w i t( b I co Uccle b y qu 1----es-cs ov4 d_ N eCA-e A to d o L ,v, -tr--c A.(40 (,..-{- / i } Q\ e i��^e J- Q K i S-�t N: w c.`S NF'c (s v nld �'C c1�1 N d ctl.(��t •�I 15. Describe the lIsource of fill material, physical��i chars teristics of fill material,and deposition of excessS' material. At �t` ll ! S \oc'�, To ao c t r, Il i c coMe,,c4eA Lr 1etrer Nc+ e (ceHcleN I t CIecP . 1 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. Ttr.k c c� A ck-Lcecs -I--c SLR e t„1 v ( !De "tot/i kvq1 , Exts se, 17. Describe the proposeg surfacing material. /� f'‘`N I., S `- k 0t 1 tt do e�-� W'tit be_ n1CSU v'r` v'ecsA 5�� e,,i. gc.4. (.1 4 he co ve re k_ t„f i ti..„ /LI,t ctt-.)S,e& Trent,TL` 18. Describe methods for restoration of the site. 14VAS° S ck 0`. Mt x— o-c- ���-� ki.� v et--v�-; ,J w2 tl 1,€e vs€ P , 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. fU04-- A fe L C,..i0( f 20. nLi�st h re and incl de any special reports o studies conducted to prepare the Stormwalter Ste Plan. tvd WQS `A/- 1T24U'Li-oll' t, eS C- 04. PO�S"i'" ►�+N`e'eS/ 1J� Cus-P`-.4e `Ctl 4t'e a6 . " 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. I �+ i S Q?+i C (Pew n1t `t J(= PO 00 U SS S' fet�Y N) stormwater site plan template.doc—rev.10/12/2003 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. All I�'(�a i ti J :S Ct M{�tz e! u \o��i e? Pe S`-A.0 , !Vc� c a� 1 cU/ua� C�zG.vi ti t 1S Ne_ces5c. y, 2. E tablish Construction Access. Eats+,N ",cress ;--5 w� � e-c-L_bLsl„ S-1--Jole +o,; k c.tly ir7n1 a1CC r IW Nn "�sGnf5—et, 0C- Sn� 6t Ve��9 � c rJ O S 3. Control Flow -ates. c. i U V tJ L.;; N �:T cy e c.•.V (\C A o C e �'J�/ �'o c .S 4. Install Sedimen Control s. 11 T�.-e_ k eti o d i C�.eS rnrJ WAS C6 c i4 oe- o.N Ute . '\ tonJ 6se ectv e o t' Jt Mdt;en .e 5. Stabili e Soils. \ I H y ckro S ec-d (Ali • /�1'�Tt U .. V e �. cc��°^i 1..1 . -c. b � e _co F w� l rive� Old cc'J w I 6. Protect Skimps. 'f\u tJ o k i S k 1 s e d (Jc\ to P es nrd__ 7. Protect D`ain In ts. l Nrr i e,tu vim` c-c _ �� >�_ w ae ._ m_a� n; �c N� �� .�! 1()-€`-11 E;e.. M1;3 e stormwater site plan template.doc—rev.10/12/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. abilize Channels and Outlets. + g.,f .CN� gi 2 6, fa Ckc (A); I k tI€ p(A.Ce� I.‘Ai deTC &es fn Cotad-(.3 ( ' •(O(J 9. Control Pollutants.--1( ecks u v e t. 6 !sc, et s ;1'eft() N'e `-0 _to lAcs. ,tkitI ,rros + i - lecc( c (( 10. Control De-Wat ring(the act of pumping group water or stormwater away from ap 9 ctive,construction site). N0 de.w� e.ty. im-5 1`s' & f ic pr.'-e . S Lou tA e Nfcet I optor-- t -- 1t( b ru pee No, v � ckcsress�d a(ic "t`., (}�c t,O Al t•-e , 11. Maintain Best Management Practices( MPs). - w t;kr( b e •►ur e&e—i'd a 4 c " co t,fs uI v A i n,✓ d ' 00 aILI!!SC • Al - Amara C 12. Manage the Projelt I_ vet li er4 ticQ- c-0�r it un4ee (A)1 aes� M-.ev-t e e;,1 _ fi�'ck_c$t CQSS . 1 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). ' / ? 1 �� N' Jc-�-\ S(o oc- 4L .6.dA puo ec�--S etor t; `�e_S `r -0 a NIA. w' >J L., , tt O N" E �4 .� Sd 'e e-S nj I �/ fV o • �-C`- `�`- r �� `� C1 o •NI C.,.. ' Q€e t ' &t � q �. L16 e N^ -n et1. b. Desc 'ption of the downstream drainage path leading from the site to the receivin body of water(minimum distance of 400 yards). M aa 1004 o wc. .f . s 00c€wcI(�rs i-i vt.u. . I-+ t s ,, i q d`F-i c, tv-t An. - O t. - c1n1 /� c & kg'€.6,.S ' 'c... . J_ t l t` e 3. Environmentally Sensitive Areas. a. Descri icon of environmentallysensitive area that th^at are on or adjacent toth}e si e. .1,•e_ S P1e,s -�-t; . No " ' - t o,�cl Lj e s �.�- c.�. No 3fy. ) e_. cknrA( p fr.1 stormwater site plan template.doc-rev.10/12/2003 9 • • . b. Description of special require ents for working in or near a vironmentally sensitive areas. l k ce Cc M Me,.r �`o^r,s ii\f.! G-ec*N c_1,,1 r c..,\ co L-`i-- w t 1p . --,-c M ek e8 - , . 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,t settleability,permeability,(� epth,texture soil structure). Q<`S W L` 1 cp1 cci- 8i i Le'S e N e.Ce S.Sct U' _ u ..e g �/co G.9cNS) 23e c-TA-..e.: c,,.r6 �i+�M� w t, l( eats\(,3 P to w 5. Construction Phasing.a. JIrJS4d. ns truction sequence f 1 Ip 'A_ c t ) `� Cue qe. ec caves j 01 uvrJ �. �v� Cvice s « S b. Construction phasing(if proposed) No N 4. 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. ,,Pro`(ide a proposed construction sche le. (k cti pc t o CisMeit- Lc),; y M d —lil-usu4 0 II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. No NI-< 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible forte initiation of+bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. I + ( (fir 411 000, oo0 i�eNekt�l 1`.ti 111- Dot�ey avid_ Pc.e/ etI- re(tc, >1 71 1 r 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template.doc—rev.10/12/2003 10 • Stormwater Site Plan Changes II 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 knowl e. I also certify that this application is being made with the full knowledge and consent of all owners of the affected pr y - --- ----`-e 7c7/Or 7 (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE-) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template.doc—rev.10/12/2003 12 cn 14'-0" c t v cr (D x o- , C o- Q a) o_ FN N s. O C (D 0 O i 9. i y A V i m 410 -o w \ c m -\ g, O 7 a) 7 7 f r 14'-0" 13'-9" ''i' t 1 r73 R. \ 0 0 Nj Nj i 40'-0" C) < 2 CA '0m D - 00 -. - CD O 3 = o O -6 X = Q 7C (D p CA v -- O C(D W^ . X H Q n . O CA oo � 0) O a c� * cp o 0) - 3 v = � . . D * -0 OCCOO ~ CD oCDv 71 N �-0 0 O CD 71 13 0 C) j Q = r Towne Shop 4104 Dosewallips Rd. Brinnon, WA 98320 Tax Parcel: 602292014 Prepared By: Forrest Towne P.O. Box 694 Brinnon, Wa 98320-0694 Home: (360) 796-4708 Work: (360) 396-1354 Cell: (360) 620-1876 10 0 ft. 30 ft. _50 ft. 100 ft. Site Plan NORTH Elev. e40 S 88° 20' 34" E 902 4.113 Ow E 9.._- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - A6 - - -.-.._.._.._.._.._.._- A A A A A Adiacemwuaeny is A A A A A A. Tax Parcel s022oz000 A A A A A A I - A A A wbij, o.rad by U.s.A. A - A 'A*.. I A A A q OIyr P Watbnal Fareat A A. q A A - A A 97M ExMIs A A A I I A A A A, A A A A A I I A A A A A A - A A A A A A A A A I A -. 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A A A A A A A A I A A A A A A A A q A A A q A A A A I A A A A A A A A A A A A A A A A.(- A A' A A A A A A A A I A A A A A A A A A A A A A A I I A A A q A A A A A q A A A A A A _ i A A A A A q A A A A nt Pl Adjace—nyis -`A` A A A A A Tax Parce16022920°4 cook A A A A A A A' pnvatay owned by Donne �J A A A A A A A A A Zoned 630D-forest Ww A A A A A _.A= .A A A A A A f A A A I A q A A A q A A A A A A A A A A A A A A A A A A . r A A A A ,n v, I A A A A A A A. A A m l A A A A A A A A A A_ A A AI A M I i� A A A A A A A v v I A A A A A A A a A q I Z I A' A A A A A A A A A A A A A A A A r4 I A AA 1 A A A A q A A A A' A A Adiawm area" is I I `A -: q A A A q q A A A A A A A Tax Percal 602292015 tely owned by De Etta Brodenan Jr I `e p 1 q A A 63°D -Forest Land A A A A I q A I --A':, A A A A A A A A A A A A A' -- •eq V A A A A q q A 1 A A A A- A A. A A A A A 1 I i A.' ... 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N 83° 2T 35" W 317 5.040 - Elev. 160' no 0351 PPRIQVED SITE PLAN AUG - 3 2007 EM S;5 Y u IM.