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HomeMy WebLinkAboutBLD2007-00431 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 #: BLD07-00431 SITE ADDRESS: 133 S LYTER AVE Issue Date: 09/24/2007 PORT TOWNSEND, 98368 Final Date: 6/17/2008 APPLICANT: RICHARD GIFFORD PHONE: 360-732-4092 SHANNON GIFFORD PO BOX 1001 CHIMACUM WA 98325 SUBDIVISION: IRONDALE Block: Lot: PARCEL NUMBER: 962115603 Section: 35 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 125 GAL PROP TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes -no� THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/17/2008 I:\F_BLD_Occupancy.rpt 10/29/19 liCILDING PERMIT APPLICAAN MLA07-00457 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00431 Received Date: 8/6/2007 SITE ADDRESS: 133 S LYTER AVE PORT TOWNSEND, 98368 OWNER: RICHARD GIFFORD PHONE: 360-732-4092 SHANNON GIFFORD PO BOX 1001 CHIMACUM WA 98325 IRONDALE SUBDIVISION: Block: 156 Lot: 16-20 PARCEL NUMBER: 962115603 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: HI-LINE HOMES PHONE: 253-840-1849 11306 62ND AVE E PUYALLUP WA 98373 Contractor's License HILINH`983BD Expires 11/8/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NSFR W/ATT GARAGE & A/G 125 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 206,460.00 MAIN: 2,152 CODE EDITION: 2006 ADD'L: HEAT TYPE: HTP OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: 576 SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routikid Date: ,� i 1O 7 . Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,592.95 LYK 08/06/07 93001 Plan Plan Check $1,035.42 LYK 08/06/07 9:3001 OVE State Building Code $4.50 LYK 08/06/07 93001 SEP aq 2007 Potable Water Application $58.00 LYK 08/06/07 93001 Jefferson County Pianainp Total: $2,690.87 &Building Department Jefferson County Building D�sion Permit Number: BLD07-00431 Applicant: GIFFORD BUILDING PERMIT INSPECTION APPROVALS 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 -01�k Erosion Control Foundation Footing - 6-0K Footing Drains Foundation Stem Wall t-i �SVL ten,i L Underground Plumbing Under Floor Framing # .7 ; V Straps(hold downs) Ext. Shear Wall Nailing k-1.2_r )" AIM 10F(:- imiS4 AtPl BA4 Rough-in Plumbing 31ot Framing 1?),(1915. Blocking 1k114153 Airseal 310E Insulation:Walls 31tin(o' Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing 1 i LA Wallboard Nailing - u Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION IL -'1-1 S FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00431 1.) The application was reviewed by the Jefferson County Department of Community Development staff on September 12, 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: Coastal Seawater Intrusion Protection Zone (SIPZ). 2.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 3.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 4.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 5.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 6.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 7.) MANDATORY MEASURES FO•ASTAL SIPZ: • 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 8.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 9.) The applicant is proposing to create or add 3402 square feet of impervious surface and 4582 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. 10.) A Stormwater Site Plan for a medium project 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. 11.) 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). 12.) The revised site plan as submitted on September 18, 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 24, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 13.) This approval is for a single family residence with attached 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. 14.) The parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 15.) A Declaration of Restrictive Covenant has been recorded on July 31, 2007 under AFN 525942 for the purpose of consolidating the lots to meet minimum land area requirements for on-site septic ad to allow zero lot line setbacks. The Covenant is strictly for building and septic purposes only. 16.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 17.) 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. 18.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 19.) The road approach permit(RAP4100089) must be inspected and finaled by tlOefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the final road approach inspection. 20.) The building height is not to exceed 35 feet. 21.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 22.) 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. 23.) 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. 24.) Minimum setbcak from the edge of S Lyter Ave right-of-way and E Cascade Ave shall be 20 ft. Minimum side and rear setbacks shall be 5 ft. 25.) A septic permit (SEP07-00263) was approved on September 21, 2007 for a system of 240 gallons per day 26.) S Lyter Ave (P468) is a private access road. A road approach was reviewed under RAP07-00089, and an address of 133 S Lyter Ave has been assigned to the parcel. 27.) This parcel was created through the Irondale Division No. 6 under AFN 30490, filed of record June 28, 1910 in Plat Book 2, page 139 with Jefferson County Auditor's office. V.- cO&�� JEFFERSOI.OUNTY • DEPARTMENT OF COMMUNITY DEVELOPMENT ti 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �S,�7NCs`S0� www.co.jefferson.wa.us/commdevelopment Amok.„ 0 ii 21+ , Master Permit Application MLA: �' �`D Project Description (include separate sheets as necessa '� / z t �. i� d4 7���- /2 2� `a'1�-E' �''i"U,f�r,.,� ��JrQ- �lL-es. i Li c1�tC"C� t�}/ Tax Parcel J Y Property Number: �C //S C�j 3 Size: , , \ � (acres/ uare feed Site Address and/or Directions to Property: /33 s' c-e-- 0 -7-, l�29- 7 J . Property Owner(s)of Record: �` •l.G?r--_ e' G~ Gri 5-7] n, .\ I ' Z a J ' ` , Telephone: 412's- (//7-133C) Fax: 366-'732•- t/O92_ email: fin- r"f''/'.4``� g.erkocQ Mailing Address: P O• ',< /OZ0/ CI,,',uetettkv\ G-e-i'3 gP-3r S— 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]** QFSingle Family ,[.GaragechP/Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business ❑ Cottagelndustry 0 Long Plat** 14-Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Sign 0 Pllat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑.Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ 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 tact 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 en to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any reI ."later inspections. t s acces and right of entry will be assumed unless the applicant informs the County in writing at the time of the a•• a.&- 4 wan Signature: 1 �! Date: �'2 0 7- - The action or actions Applicant will undertak 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 iss ed will not violate the E A. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if y :re in comp'ance i e e e n County development code.The Applicant acknowledges that he,she or it holds individual and non-tr.. 0;e re .0.14.6k ly for r' omplying with the ESA. The Applicant has read this disc imer and signs and dates it below. Signature: ' r .' Date: e.-7_6 . G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • BUILDER STATEMENT • The signer of this st- ent does hereby rti that the are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass • h ility f$• e I C tractor for the proposed project. Signature: � �- -ll- Date: P- 2- c37 GENERAL CONTRACTOR OR MANUFACTUR D HOME INSTALLER: PHONE: FAX: K/(eut Wo j (23) d 'c -/.PiT ( ) MAILING ADDRESS: /1306 62't�'4 4.0Cr..Let , / EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: •L lit)if it 9J"3 8f0 NUMBER ARCHITECT/ENGINEER: Ile p Cie;i'Ke•c4 irr1/4. • PHONE (�C�r) ('�-903" AX. ( ) MAILING ADDRESS: / rJ EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 04.New Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: 2_ Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 2_ Height: Xlndividual System ❑ Repair ❑ Masonry SEP Permit#e.77''0-oZ43 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type pf peat: Proposed: Z � -Public /� fe 5�t t��iµP La/ Total: Z 'Name of System: �C�. 131 If this is a Comthercial 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 id/or Appliance Installation permit,mark all items below that apply: i Underground Tank %/Above ground Tank Size of Propane Tank: Zs- i Heat Stove Kook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes /c ..) 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 ZI5-Z IgH83 EH Bld App Review: i ,z; 2"0 Floor Heated O - Consistency Review: - r�,, CJ I DD F Other Heated © Base fee: + _/Z,� 'J Mezzanine Additional Section: - ____��/ Heated Basement Plan Check fee: l (1DJ•il2 Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: CB CC Garage/Carport S ) 7L'=32 SUBTOTAL r- Decks 911/Rd Approach fee: enctri SC Other TOTAL: $ a- I`1i,.., 0 1 Receipt Number: -1 " "`) cR sh/Check Number: ESTIMATED COST(REQUIRED) Date: Q /i.i 1�-� •Fair market value of all labor and terials foundation to finish (� /Z Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc s ill . ozvcQ . , , ii ,{ #1 JEFFERSON COUNTY j ,' t 'Y` ' 4: 74 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 O 360/379-4450 • 360/379-4451 Fax Nd` http://www.co.jefferson.wa.us/commdevelo ment/ p ''.' laq t : i1ji1 4j STORMWATER SITE PLAN SUBMITTAL TEMPLATE I MLA# 07-215 7 PROTECT/APPLIC:ANT NAME: I 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 A f IN' 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. /, fiA.,4- ex -2/-s72 3/, ,b--- --7-e ,/,..;et.etel_QJ ,.-.0t_ c-i„,t7e 2 j.2,cy.`••tea•_rf GL Zfe Zs��;L c-ve.,.s.4�rd ✓er..4 ci,,z Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 5-;t(. .„;-/) -- -)2-)1/4-,0-4---fetczacAk e/Z3/64-a- ci'.. rt-e-":e-<'‘ M /r...4%,„-_, C •-mil G�1Le,- . . - $ 7 ' z 7 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. T -ee le.:/'/- ....0---c.4 /e44-4t)ex-en-ck ...... ca-e4 .. .,e-// C5C.--(2G--.e •-•'e-'-'r-4 - 1-/Z-Z#.1/7.Cd"( 4. Describe the existing soils. Indicate soil type on the site map. 19 /2 -/tP.,,---- c- > 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. APPROVEu 6. Describe any excess levels of noise generated by the proposed use or activity STORMWATER PLAN ri 7 SEP 2 4 2007 DEPT.0 JEFFERSON COUNTY OMMUNITY DE .; stormwater site plan template—rev.10/1/2003 SIGNATUR•• r LtiA Or 5 • • k 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, s slope ,etc.)on the site. Indicate locatio on the site map. t . f /rc Z aelfZ-.04- ..'Ai*2 `�� a Min• —4-7-} -e--&t42e-,c- 6-e6--;,— „ • �a 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas earns,wetlands,lakes,steep slo ,etc.). 4 / -� / ....4,-/kti--1 'e 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 facilities. 1Zt, i'i 5 , -&(. t/At----06 r 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.] 11. Describe the performance goals and pt ndards applicable to - project. xii iietiz .„:1._ ..Aithz_e `'cz-ca..evl, 2. Descnbe th flow control system. - � a- e 4 A,0=t-& ,-i-y— t „,,,i — , , $ ? t 1 t { 1 I t. ..t 1 StFrmwatat§ite plan template-rev.10/1/2003 - --` 6 0 0 13. Describe4he water quality system. 1 .e-e--(.4) o 1 _ `1 14. Describe the conveyance system analysis and design. ,,e,,,_&--- /„,,,_,30,,,,,z,, .a 15. Describe the so r of fill material,physicaf_characte ' tics of fill mat 'al,ao.d eposition of excess material. .A.-e Jam — o 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the UniformOrilding Code. .d i, /� 2t,z-( - 17. Describe the proposed surfacin , aterial. -Df� r24.4_,...2:44,. 18. Describe methods for restoration of the site. N. O� 1y ct 11 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. /4- 20. List here and inylifide any=reports or studies conducted to prepare the Stormwater Site Plan. /l/Ou� Lu, 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. 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. Ma Clearing Limit B _ 7 2. Establish Construction Access. 3. Control Flow Rates. -f"-Cetez/Led-94 ./Gerz 4. Install Sediment Controls. 5. Stabilize Soils. 6. Prot se J*es. 7. Protect Drain Inlets. 8 stormwater site plan template—rev.10/1/2003 ' • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 1, -� . 9. Control Pollutants. /5MP 15 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). c-1/ /2-K—Let. 11. Maintain Best Management Practices(BMPs). 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). s i(j.cluf,L7c4H- a .zo-e128.be_.07-44,4 7,64- ,-civd b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. --err c3a- stormwater site plan template—rev.10/1/2003 9 i • . t 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). 5. Construction Phasing. a. Coniruction sequence f .t_ce4",_44,z,.. b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a pr posed construction sc dule. icei6t/ -¢ • w .J1�.CIL_ ti✓u- C J Cam- -10 erer/2'. .--#0,7710.7j • 7� L II. Wet eason Construction Activities. a. Proposed w�n construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. /v// 7. Financial/Ownership Responsibilities. a. IdenA t e property o n sponsible for the 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 un impacts. l✓�e� 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—rev.10/1/2003 10 • • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems, treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. 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