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HomeMy WebLinkAboutBLD2007-00448 * ! CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD07-00448 SITE ADDRESS: 71 SOUTH WHITE FIR WAY Issue Date: 10/1/2007 PORT HADLOCK, 98339 Final Date: 9/5/2012 APPLICANT: NATHAN WHITMIRE PHONE: 360-385-3012 SUSAN WHITMIRE 4130 HASTINGS AVE W PORT TOWNSEND WA 98368-9074 SUBDIVISION: IRONDALE AC TRACTS Block: Lot: PARCEL NUMBER: 962700029 Section: 12 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NSFR (BLD07-00448) 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 9/5/2012 \\tidemark\data\forms\F_BLD_Occupa ncy.rpt 9/6/2012 MLA07-00470 •UILDING PERMIT APPLICAON Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-0044$$ Received Date: 8/13/2007 SITE ADDRESS: '�I S uCh,II_ };r t1 OWNER: NATHAN WHITMIRE PHONE: 360-379-9296 SUSAN WHITMIRE 4130 HASTINGS AVE W PORT TOWNSEND WA 983689074 IRONDALE AC TRACTS SUBDIVISION: Block: Lot: TR25 PARCEL NUMBER: 962700029 Section: 12 Township: 29 N Range: 01 W CONTRACTOR: WHITMIRE CONSTRUCTION PHONE: 360-381-0398 4130 HASTINGS AVE W PORT TOWNSEND WA 98368 Contractor's License WHITMC*055RA Expires 11/30/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,921 VALUATION 350,918.00 ADD'L: HEAT TYPE: WOD CODE EDITION: 2006 HEAT BASE: 1,774 HEAT TYPE: EEE OCCUPANCY: R-3 UNHEATED: 147 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 749 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Tot • Routin Date bi Type Amount Paid By: Date: Receipt: Permit $2,399.35 LYK 08/13/07 93014 APPROVED Plan Check $1,559.58 LYK 08/13/07 93014 State Building Code $4.50 LYK 08/13/07 93014 OCT I 2007 Potable Water Application $58.00 LYK 08/13/07 93014 Jefferson County Planninc Total: $4,021.43 &Building Department 0 0 Jefferson County Building Division Permit Number: BLD07-00448 Applicant: WHITMIRE BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 CL, Foundation Footing �,2p,-(v J ' Footing Drains > Foundation Stem Wall itv (7"C �: �,�FZccC- t jT r t� 12 4;o 09 /0 b�/ ` > - / vac -- /�; Rough-in Plumbing /o _/- (O 'ill? Framing h3 ;7-1/ l Insulation: )1-- Walls ,Lk).A. . , 14- '3/2- Y1I1 Insulation:Walls Insulation: Floors Wallboard Nailing ("VI kwptsor) Silo/;i FINAL INSPECTION 9 12 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00448 1.) PRIOR TO OCCUPANCY & BUILDING FINAL FINAL APPROVAL OF SEPTIC SEP07-106 IS REQUIRED. 2.) PRIOR TO FINAL BUILDING INSPECTION MUST SUBMIT RECORDED NOTICE TO TITLE REGARDING THE SQUARE FOOTAGE OF HOME AND LIMITED CAPACITY OF DRAINFIELD. 3.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 4.) No plumbing has been reviewed or approved for the detached garage (BLD07-00449) by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. 5.) The application was reviewed by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the property DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 6.) 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. 7.) The applicant is proposing to create or add 5,500 square feet of impervious surface and 8,800 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. 8.) A Stormwater Slte 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. 9.) 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). 10.) The site plan as submitted with the buildiing permit application on August 13, 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 October 1, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 11.) This approval is for a single family residence and a 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. 12.) The parcel has been designated as Rural Residential 1:20 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) Not more than 2 unlicensed vehls shall be stored on any lot unless totally Aliened 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. 15.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 16.) The building height is not to exceed 35 feet. 17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) 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. 19.) 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. 20.) Minimum setback to the edge of any ingress/egress easements including SouthWhite Fir Way right-of-way shall be 20 ft. Minimum side and rear setbacks are 5 ft. 21.) The parcel was created through the Irondale Acre Tracts Subdivision on December 12, 1910 under AFN 31830. The plat was amended on April 8, 1991 under AFN 339373. 22.) South White Fir Way is a private access road amd an address of 71 South White Fir Way has been assigned to the parcel. 23.) A septic permit (SEP07-00106)was approved on May 17, 2007 for a system of 360 gallons per day. 24.) The dwelling and its on-site sewage disposal system have been permitted for limited bedroom capacity. Any lease, rental, sale or use in excess of 3 bedrooms will result in violation of the permit and may affect occupancy, a Declaration of Restrictive Covenant has been recorded under AFN 527465. JEFFERSO�UNTY • 'y DEPARTMENT OF COMMUNITY DEVELOPMENT '-) 4\ 'Q �C 621 Sheridan Street • Port Townsend •Washington 98368 ..... 4.„.$0 360/379-4450 • 360/379- c { V °int � ,�p www.co.jeffersonwa.us/co4mmd �lI men4 r INS Master Permit Application AUG 1 3 2007 MLA: Or 1_ Arc Project Description Inclvd separate sheets as necessary): /V r/— JUUF[HSON Efillitiff Tax Parcel / Propey Number: 9(v 27 O D D Z� Size: 4 ace 5 elcr,square feet) Site Address and/or Directions to Property: � Property Owner(s)of Record: /tIGL t ¢- S.L-6 (,4.}+2 r / ," 1 re— Telephone: 360 371 92 7/v Fax: email: Mailing Address: 4f I3o /'fit5-4I S re- L') Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) i Building i Variance(Minor, Major or Reasonable Economic Use) Demolition Permit I Conditional Use[C(a), C(d), or C]** CrSingle Fa21 I Discretionary"D"or Unnamed Use Classification attached `:,�a..a• t Special Use(Essential Public Facilities)** i Manufactured Home� I l3oundary Line Adjustment Modular I Short Plat** I Commercial* I Binding Site Plan** I Change of Use / T Long Plat** i Address i Road Approach /i t Planned Rural Residential Development(PRRD)/Amendments** i Propane 1 Plat Vacation/Alteration** ,111 owed"Yes"Use Consistency Analysis I Shoreline Master Program Exemption/Permit Revisions** VStormwater Management I Shoreline Management Substantial Development** i Site Plan Approval Advance Determination (SPAAD)* t;shoreline Management Variance I Temporary Use I Comprehensive Plan/UDC/Land Use District Map Amendment I Wireless Telecommunication* I Jefferson County Shoreline Master Program Amendment i Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: �� DESIGNATION OF AGENT / I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicati t the or she want dor notice. t Signature: ) Date: o2 664 7 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer/ a re onsib jity/ff rr as hering to and complying with the ESA. The Applicant has read this disclaimer d si s and dates it below. Signature: 'I ,4 L. I�LYj!" Date: &E 406 47 G:\PcrmitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc • BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR ANUFACTURED HOME INSTALLER: PHONE: FAX: ACa4,44h ( 4i ;v- owl 5-61-te i ui (31,6) 3 SV 0 ?18 ( ) MAILING ADDRESS: (I/34/ nas S JI. .e EMAIL: t h %v rJ /n // 47U , GQ4 CONTRACTOR'S LICENSE �t 1 WAINS 1 C� Z�!7 NUMBER: LW V I-(7�it i Gib �t 55 k{'j NUMBER ARCHITECT/ENGINEER: L Co/c5�'04,1 IL_ S SOC. PHONE (36�) 67( 2 aft FAX:( ) 2 c MAILING ADDRESS: 'c? 13e-'It i e. Pt,QOX (O/ 3-7 EIl Port OrJia—i l.'a. 9834.4, Project Type: Frame Type: Bathrooms: ! Shoreline: Type of Sewage Disposal: New C Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: 2,5 Bank Li Community System ❑ Alteration/Remodel Concrete Total: ?,5' Height: FYindividual System ❑ Repair ❑ Masonry SEP Permit# 5cP07-00i0(o ❑ Demolition Li Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type� Head Proposed: 3 Public Loo (/ Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit, mark all items below that apply: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove tWoodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i 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 l�7� / EH Bid A Review: 22 Floor Heated Consistency Review: I 0 �; Other HeateG Base fee: f Mezzanine `7 Additional Section: Heated Basement '-7 7 1c Cj ,(.z Plan Check fee: 1 c, q � l Unheated Basement /q \ Si �'2 State Surcharge fee: t `�.if (-) Other Unheated Pot Water Review fee: C is Garage/Carport SUBTOTAL -4 -7-7 43 Decks j-ivi ci` 911/Rd Approach fee: G` cL Other 7�� I` 5'x TOTAL: $442 '13 Receipt Number: (" - AJ, LI.,(-6,` '' Cash/Check Number: ), C� . ESTIMATED COST(REQUIRED) `""Date: 'Fair market value of all labor and materials foundation to finish ry 1J1C /g j� QQ Initials: — ti ,/ G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc r f • • RECEIVED rilik .,4. dkieiJEFFERSON COUNTY AUG 13 2007 r i..Q DEPARTMENT OF COMMUNITY DEVELOPMENT Y 621 Sheridan Street • Port Townsend • Washington 98368 JEFFERSON COUNTY DCD 360/379-4450 • 360/379-4451 Fax Nhttp://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 09- PROJECT/APPLICANT NAME: Lam` 2s 7odakiL A e- e.Tr y/Ii ! n 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. 3)/Ye- --ra44/1 2 .14 L A)/.14 .ed &o,-- Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. Va r%G-b le- S I D ih y Gti e S f '1,771 -/-e ° -{-i<-v ree s I ria�i y/P 9,' vii PPROV D 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. JTORMVVATER P.,AN �,d 1t,-ee-S (., l �� ¢?Q Pe._ ve. , �Gc- 4,,, hr ..�ii �, c"7 .',49-_. OCT - 1 2001 4. Describe e existing soils. Indicate soil type on the site map. -e,r- fp c5pi/ ,v'l! py� JEFFERSON COUNTY DEPT.OF 'OM. UNITYr8T FLOP 10 SIGNATURE. AD b �/�/J b 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. // �Otl/ lG✓I�G Q- �c4'kL�'� or �e(/ �!<le� ,� �'l-4ks 6. Describe any excess levels of noise generated by the proposed use or activity: /fa //iar 7 r- 2yr �PxC iZ j2e,1 stormwater site plan template—rev.10/1/2003 5 • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. ; ; /1 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.). / / / / /� ��Te / // /?Pew /s�Yelo,/t/en--/ ZA)/ 7` P �j �n a �s ;d ri a-I �'1 P_L� rO a q 5 /�1 e-5 c 14-�—"2 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. 9. 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 sites Locate these facilities on the site plan andl differentiate proposed facilities from existing facilities./ •5-' fl-F tk/a vie_ !//�f. 7�f on 42, a fr' pe-- //2i2P , 5p/4 SZ 6/e9Gk 1,41 r &I/ . ._, 0/ 07P�Y54 r'» e /�tE-�i v� V I/L i .il 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 or projects that involve the potential for dispersion of contaminants.] 1 11. Describe the performance goals and standards applicable to the project. 12. Describe the flow control system. • a37e'-sue/ C /as/was) stormwater site plan template-rev.10/1/2003 6 • • RE E IV 41) 13. Describe the water quality system. A7�� AUG 13 2007 JEFFERSON CRP BCD 14. Describe the conveyance system analysis and design. 7/ A. 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. A/A 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. �r-A,ve I 18. Describe methods for restoration of the site 11 l / Av J2S, bar k/ /1 27 7 ►/e :7- .-a D.2 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. N 1.)- 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. .4742 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. v i 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. IJ 'inG� c.1)iT�,r, prli� 7� o �JG, cw .r. 2. Establish Construction Access. _ )1Sq �r7`LG�✓a7 i�� 7o 5 3. Control Flow Rates. /� ! gDw/?SJOLL71S / 0 , C74 e_ C i J ,",4- `y /`.)7 9rolrcaG� 4. Install Sediment Controls. / / 42,,_ tu),ay c-77-6427L- 5. Stabilize Soils. / Ali/4:h K /it �1 S t:{ orr Ica S/ 4,1r/"y° rD tigi i9 a'1- 6. Protect Slopes. '/(9- /%e ,//..ho 7. Protect Drain Inlets. stormwater site plan template—rev.10/1/2003 8 ,r • RECEIVED 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. AU6 13 2007 9. Control Pollutants. MP1/ 7 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). /y/9 11. Maintain Best Management Practices(BMPs). 221,01 w/// rir�iil re.? 12.12. Manage the Project. Z2u-4ff- /J/// .%1 2.7a 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). Veiry Li�Tl6 aka -E' c/Pl/P.1oOr��nf /yl 67 MP4e._ /'1virr G/ G✓I / C- a b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). � G�'ra;Anomie � � 0 r) 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. 110/d e Strakit o w O 1 stormwater site plan template—rev.10/1/2003 9 • • 1. 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. Construction sequence / b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. e s °� 2 2roc D, II. Wet Season Construction Activities. a. Proposed 1wet season construction activities.P b. Proposed wet season construction activities for environmentally sensitive areas. /Y N 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible 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 impacts. AM7 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.10/12003 10 • 0 ‘. Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners the affected property. 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