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HomeMy WebLinkAboutBLD2007-00376 SU ILDING PERMIT APPLICAN MLA07-00399 Jefferson County Department of Community Development Review Type: I 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00376 Received Date: 7/13/2007 SITE ADDRESS: ,J J BARBARA LN PORT TOWNSEND, 98368 OWNER: ROBERT L HAGEN PHONE: (360) 385-2095 BARBARA J HAGEN 97 ARCADIA TER PORT TOWNSEND WA 98368-8810 SUBDIVISION: ARCADIA TRACE SHORT PLAT PARCEL NUMBER: 001162019 Section: 16 Township: 30 Btock:N Range: 01 W Lot 2+ CONTRACTOR: ADMIRALTY BAY CONSTRUCTION PO BOX 1559 PHONE: (360)385-1217 PORT TOWNSEND WA 98368 Contractor's License ADMIRBCO04D8 Expires 2/25/2009 REPRESENTATIVE: ALAN S CARMAN 1249 CAMPBELL AVE #1 PHONE: (360) 504-0181 PORT ANGELES WA 98362 (360) 452-8237 PROJECT DESCRIPTIOP NEW ADU W/ATTACHED GARAGE 81 SQ FT HEATED LAUNDRY/PANTRY IN GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADU VALUATION 100,134.00 MAIN: 1,250 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: 81 CONST TYPE: GARAGE: 562 SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: CON BANK HEIGHT: WATER SYSTEM: CITY BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: I Type Amount Paid By: Date: Receipt: Approved/Date Permit $999.35 KAS 07/13/07 91516 APPROVEPlan Check $649.58 KAS 07/13/07 91;i16 �`` ' State Building Code $4.50 KAS 07/13/07 91.516 Potable Water Application $58.00 KAS 07/13/07 91516 SEP7 Total: $1,711.43 Jefferson County Planning &Building Department Jefferson County Building Division Permit Num er: BLD07 00376 BUILDING PERMIT INSPECTION APPROVALS Applicant: HAGEN applicable Code: 2006 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 1111111111111 Foundation Footing Footing Drains ��illillinaMmilt r Foundation Stem Wall UMBIRE111. Underground Plumbing Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing woe =in Rough-in Plumbing es O y 13 .111111111 Framing Blocking �I Airseal N' MIME Insulation:Walls IM1111 Insulation: Floors r 1111 Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior �-� W Gas Line: Exterior __ Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage 1111111111111 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# :BLD07-00376 1.) The application was reviewed by the Jefferson County Department of Community Development staff on August 28, 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 & SUSC 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 3818 square feet of impervious surface and 15,309 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 revised site plan dated September 4, 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 September 5, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) This approval is for a ADU with attached garae and 81 square foot heated laundry/panty in 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. 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 vehishall be stored on any lot unless totally scillned 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.) Minmum setback from Barbara Lane, Arcadia Terrace Road and private ingress/egress easement rights-of-ways shall be 20 feet. 20.) The lot was created through the Arcadia Trace Short Plat on May 6, 1997 under AFN 400243. 21.) An address of 20 Barbara Lane, Port Townsend has been assigned to the ADU. Barbara Lane is private (P611). 22.) The parcel is served by the City of Port Townsend public water. 23.) A building permit(BLD05-0565) for a single family residence with attached garage was approved on finaled on August 23, 2006. A building permit (BLD06-0622) for a detached garage was approved on November 11, 2006. A septic permit(SEP78-0265)was finaled on July 28, 1978 and is used for personal RV use only. A septic permit(SEP06-0085) for BLD05-0565 was approved on April 12, 2006. A septic permit (SEP07-0256) for the ADU was issued on September 4, 2007. 24.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF DISPOSAL COMPONENT. 25.) PRIOR TO OCCUPANCY& BUILDING FINAL, FINAL APPROVAL OF SEPTIC SEP07-256 IS REQUIRED. 26.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. Q ,,,,,,.,-. ON �. O t^G6 JEFFERSO UNTY • kiFCEWTPn iti;_ 43 DEPARTMENTTFCOMMUNITY DEVELOPMENT ti : '4 621 Sheridan Street• Port Townsend • Washington 98368 t,;, A 360/379-4450. 360/379-4451 Fax r q� p� www.co.jefferson.wa.us/commdevelopment Masterr Application �Permit MLA: -1[F /II\ 1? gria,P Project Description(include separate sheets as necessary): 12, ;e. ; — 7-7 LA —S I`Q O r- (IIY(5 i 0....3 P Wit:1-c-R, c_rre Lt /k '(z.- Tax Parcel 00` �'i , Property ,,- Number: Size: 2 AC-47_ S (acres/square feet) Site Address and/or Directions to Property: 7t.:P--t TOW IJ7' 1 JDt °A" qG-/ .,5 (L'`t`�� 1 i(6 L �6-(ZS� il 0 itsac4,l-`i j4 C it l mow Property Owner(s)of Record: ( i '(3 ? `'fir t- �"' 3 Telephone: (3 0 0 3 S ' 2.i C Fax: .e.--,t/c' -a-(yt) email: 9/Mailing Address: q ( -CA'. 2t:� 004,61� ��;t' `�C�-plc % c1)� / (rare `"�i ��15�s, Applicant/Agent(if different from owner): Ai _t"j-AL I �` .M Telephone: ( 0--504—O(0( Fax: 3(-0 4y,R)2.,3 ---- Yl-- email: ascanaraW6kige-A--Ae„c044 Mailing Address: (� Ci-'rb'l�",(3 Ej,j i. r'�(�i_ aLtC 1(t LI.,IK 9P,-F What kind of Permit?(Check each box that applies 154$uilding ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit d/ ❑Conditional Use[C(a),C(d),or C)** l,5l(Single Family 'Garage acheDetached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular'--- ❑Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ,. ❑ Change of Use 0 Short Plat** , ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 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 0 Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑ 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: �D IO E$I�NATN OF AGENT I hereby designate _ to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURECI• U�\U - : — Date: 7//:.? l/) -7 By signing this application fo ,the owner/agent attests that 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 at 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 pr ' e acces nd right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and anuired later in ions. Staffs a ts' nd right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatio th�t.fae sh not, Signature: _ ,,-/6`- .• ^ - - Date: 77t IQ 'a-7 The action or actions Applicant will undertake as a resul th f ssuance of this permit may negatively impact upon one r moreeatened 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 mpliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tramable respo i " for dhe- o complying with the ESA. The Applicant has read this disclaimer and sig s and dates it below. Signature: l Date:- 77/ /� 7 C:\Documents and Settings\caral\I ncal Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc BUILDER STATEMENT i ( }�, � ' 'i;��q" c` The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed� 'cont contractors d�that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: MIL I GENERAL CONTRACTOR OR MANU CTURED HOME INSTALLER: PHONE: FAX: MAILING ADDRESS: A n M i R( co 7 7 jj EMAIL: 040' CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER // 94* ARCHITECT/ENGINEER: PHONE _ ( ) FAX:( ) MAILING ADDRESS: EMAIL Projeect Type: Frame Type: Bathrooms: ,Shoreline: Type of Sewage Disposal: Wood Existing: 0 ❑ Sewer ii Addition ❑ Steel Proposed: Z B. k ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: -- He I ht: ii Repair LiMason Individual System ❑ Demolition Masonry Bedrooms: SEP Permit# ❑ Other: Existing: Setb.:k: Water Supply: Type of Heat: Proposed: 3 ii Private well ❑ Two Party F.v 'Public bra -r iC i e-L Total: -3 Name of System: C lTT O / If thi§is a Comm 'ect ou must answer the followin : __._- Number of Parking Spaces: Curren . Proposed:_ Number of ADA Parking Spaces: Number of occupants(includes owners,tenants-resteesirrent Proposed IBC Occupancy: .JBGTyp—e of construction: ```--- -Wil you have Food Service? Yes / No If this is a Propane Tank and/or App iance Installation permit,mark all items below that apply: ❑Underground Tank CI Above ground Tan ¢e of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove__F--irep sert ElHot Water Tank 0 Pellet Stove 0 Other M` Is this appliance being installed in a an ' ufactured/Mobile 1._ Yes / No Mobile ._. 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 C P�� �f'� EH Bid App Review: c 2na Floor Heated ,� "�' '°' t C ��_ Consistency Review: Other Heatpd 4.y4ri k1�U I • Cr P40--:1172)-L, = � .e 0\ ,) 0.4 Base fee: Mezzanine rig .ti,_„ss., Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated :!� e � Pot Water Review fee: Garage/Carport /' ``t . Decks [ 3,Ttr,,,J-4- CD SUBTOTAL y lb 911/Rd Approach fee: , Other ` " I r�-1 cs TOTAL: $ ) 19 0 Receipt Number: 9151 (4, J Cash/Check Number: ESTIMATED COST(REQUIRED) 'Fair market value of all labor and materia s founda6 I s 1 j_ O -' ate: ctil.; /c,,' ;t/ Z 50 Initials: C:\Documents and Settings\canal\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc 4 N J Tip Si Ct rtrncv15, A t-1T, (2 E C -T C 1 cs1 tS0-. ��vti k'I`(OO� �L �..�P�rvt � S F �R� - S t" RlC-`P A rJ Dr✓i t►�r -�,C � �z o4 C�.v Af�- SaN \ I3 M(1 7-(_ l'Gme t.R'l� �5 t•tt s` 4,r , ( t c ©L trIV, JEFFERSON COUNTYEI\fl )J ))N DEPARTMENT - •Q OF COMMUNITY DEVELOPMENT 4, 621 Sheridan Street • Port Townsend • Washington 98368 JUL 1 3 :3 7 360/379-4450 • 360/379-4451 Fax NC`fs° http://www.co.Jefferson.wa.us/comrndevelopment/ T JEffEN�'Uf�l>>UU�►r Ii�,�, S ORMWATER SITE PLAN SUBMITTAL TEMPLATE I MLA# 01 - 5 q 9 PROJECT/APPLICANT NAME: IRObt - k A,RA {-(-46. .3 6\-IDU6 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. ADD)77.ovr A-c_. 2 -cc) St/ OFr or (4-2.�--A, d- VA•z-ct,.s 4 err. C�/ked4-GAG ie-OV 4-2.D c 21, S51 Ct1 `o Parz A.164 lit CZ-V-AC �,u� 1 Pi-Cccnro b c �-G j S 6--C, 'O6 •A r S I Existing Condition Summary 2. Describe the existing topography. Indicate contours on the site Pmap. 5'"f-- C•cpC G '`--71r- 43 3. Describe the existing vegetatign. Indicate native vegetation areas on the site map. 4. Describe the existing soils. Indicate soil type on the site map. $41-&04.// (_e_ < 7 i"yfr-, 7c (.' (ASM 5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. .� r:527— t,04-- r42 I/iti Fr L,772-6r ,s su2 Cr" ,X-/r Sir A-* r-,gu17-- 7 -447 6. Describe any excess levels of noise enerated by the proposed use or activity: APPRU /V,) A v DNM LAAa Stormwater BMP's AUG z 8 ZOO I Required atommvater site plan template—rev.10/1/2003 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 5 SIGNATURE: • • • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indic e location on the site map. it Y 'A► 0e1, ! J1774 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.). (”eZST/r ,l✓ -' 4k l , � < A79 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 Ian and differentiate proposed facilities from existing facilities. Al° lVn--77Z) � £ ' 7 /Peiled .57b/2 pai9e'itl * tu�rl -cry/ Sj 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.] /-24 t Nl(,u' JJ2 �D C'&iir nij tl� S i445nc� �� 9( Z. SLPii"P;) / ,WTe ,14 4.4- 11. Describe the performance goals and standards applicable to the project. Ur- kJ M 17v /s -Z f'ft -T�A--�'is 12. Describe the flow control system. V. , e NTIV114'1 )) MI 3 l stonrnvater site plan template—rev.10✓1/2003 • i.R1i9W1.1t111101111 6 • S • i 13. Describe the water quality system. /r✓ce ,2 lr /<: ___- alc. .5trrOnTer 14. Describe the conveyance system analysis and design. 'Di, cep �� 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. CLc (-cl' . 0 8-r L4 u ,tom, 16. Proposed methods of pla ement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. Cer-r --,. 18. Describe methods for restoration of the site. aP L 2'n �SE 544-LIA-6 Le-L-c... ,...Bcri rr awn•65 Ll 5117-4 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. v/v e t A �- a; 6 6// IC,5� t �te t n 20. List here and include any special ports or studies conducted to prepare the Stormwater Site Plan. Q 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. N1! JJ r'W /46,..&,__ ��� RSA �) J .L 13 : ,IENSINIIHNOfIro stormwater site plan template—rev.10/1/2003 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. rccsziS'J 2. Establish Construction Access. 3. Control Flow Rates. L rr ? 1ltfi > W ffferWO 4. Install Sediment Controls. 5. Stabilize Soils. 5172 S T� r� fc L'U - 6. Protect Slopes. -i.ercs „ / ny 7. Protect Drain Inlets. 41f RN INV Eli )) JUL 1 3 .V 7 stormwater site plan template—rev 10/1/2003 IE�FE�11I1�!:IIIIN�4 �� 8 • . RECEW1F)f I)) 12 Required Elements—Construction SWPPP(continued) id 8. Stabilize Channels and Outlets. it/6 ffliSRM HI:1 9. Control Pollutants. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). beloiLitz rii2Gr) 11. Maintain Best Management Practices(BMPs). Vic, . —)--" /4'I,97L1 \/ �d , _ L 1 ) C-, ll7 -1.1kJ 12. Manage the Project. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 0 Vie , b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). r �c vs►7 rt ?� -c- 7"CD j� it fC/`9-- /5i4�Jl� -Cd 7-e) J ' 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. Ca i /x f stommvater site plan template—rev.10/1/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). �y7 / Sait.S 6 rc- 5 oaViitieG MO r , U 5. Construction Phasing. a. Construction sequence 1)/L ©il b. Construction phasing(if proposed) ND 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. (y — kAC/&J 45- zno„? II. Wet Season Construction Activities. l/ ,D �f _ a. Proposed wet season construction activities �{-�it b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible the f,4 jnitiationbonds and/or f/90 cunt' b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. Ajatir 8. Engineering Calculations. Provide Design Calculations on a separate sheetc for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. vl Ac. Waterways. I d. Runoff/Stormwater Detention Calculations ..;.� 7 rote ' 1 ettlipAtipiii.',1' ,o storrmvater site plan template—rev.10/12003 • • 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, alill subrrflt a control o trorracted plan (as buras")when the source BMts (not standard on-site stormwater management BMPs),the applicant scompleted. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE ovided herein is true By signing ogtheebest of Construction knowledge.IV also certify thatorksheet, I as he thispapplication isr attest that being made the with the full knorwledge and consent of a correct to my owners f the affected property. C."--r/( (LANDO NER OR A HORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: RCEWE1fl) JUL 13 247 .IEFFENS����UUNIV�ICD 12 stormwater site plan template—rev.10/1/2003 al It-fi4 3 sra5vw. a "4 ril1 c�v H V I 1 LILI t , L — — IC • b IIIir, I ] ., . �_h�w• I. I MU Qra _ it I _ _ AV4" v If I W 4-11 ICI I;4: „Iv ICIL 1 I 4 r L � I- _ � 1 ICI I „ I ��� v,� 1 I . Z. 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Q I I VR°D c d� I > 7T `-l ` uL 8 /-8 1/S r� O 1" c) 24 `'A c z 24� �oa! u� _ m y. o t7 I� I I + o -�:2°' `ram �' `�- :57:1-2i.17:STIP:1441.4b.t.li.:411114!".71 oG)0: SyC� 4" ChOJ.2u� N NEW SEPTIC SYS. mZ o `�{� IcD r� I I I au �� m -i.•` • ••'`': ; .rI ° _ 61 Sd3' (TYP,) �� 3 z Is ._ , -ik • . : v N. 2' 22' 14" E. _ _ I cn . . • m -1 - ri 172.66' N NI, . \ • . . ,_ co --Cf-T--- -- co w .. �\ W --o-a-------�"N o�-------_ .� D ma) +-- r!� • • . . 22 14 E 93. ,6L L 4 1 ,��i. I 83' %+ t ; • : ; s�Nlav3e �o slsda., . 1 . : • 'NV;: •>e. y I R VI N G PARK I k �'. doa uNno�3nibo drladcav ��� I ADDITION w e .0 (f ° 2,��/ v 6WkMWMN' �• ri• A 4.�' � _ 3.41 Owner: T�iah 4. •a� C ��3ERNT P100259AUL CSEN'Ay Parcel# OQ l l (o ff I q .), 0 .Ic N'SEt ,. i r, a. �. Designed by: 'I• S i tt! f • A-2-'b'(