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HomeMy WebLinkAboutBLD2007-00491 •ILDING PERMIT APPLICATI MRLA07N005510 Type:i Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00491 Received Date: 9/4/2007 SITE ADDRESS: 203 BLUE RIDGE RD PORT TOWNSEND, 98368 OWNER: JAMES R EWING PHONE: (360) 385-3151 BARBARA A EWING 203 BLUE RIDGE ROAD PORT TOWNSEND WA 98368 DISCOVERY BAY RIDGE DIV IV SUBDIVISION: Block: Lot: 26+ PARCEL NUMBER: 001305026 Section: 30 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE (141 SQ FT LOOKOUT TOWER) ALSO A/G 100 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,250 VALUATION 306,000.00 ADD'L: 488 HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 141 SHORELINE: CONST TYPE: GARAGE: 805 SETBACK: DECK: 385 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: 170D- Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,147.35 KAS 09/04/07 93134 APPROVE D Plan Check $1,395.78 KAS 09/04/07 93134 State Building Code $4.50 KAS 09/04/07 93134 MAY 5 2008 Potable Water Application $58.00 KAS 09/04/07 93134 Jefferson County Planning Total: $3,605.63 & Building Department Jetierson County Building Dr, sion Permit Numi: BLD07-00491 Applicant: EWING BUILDING PERMIT INSPECTION APPROVALS Npplicable 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 Foundation Footing 4 27 L / /��r=C-~Ef 1t���A.L,I_F,C, /f L7 COY Footing Drains ./////`^ A ��Foundation Stem Wall l ,O6 fr Underground Plumbing Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing 13_0s AV J gl.D l vti �•d.ki ( ieiIcL ..ibt.frd c Rough-in Plumbing 1 2_-3-L* „,_;-#0v)eft_ p,Q,J )4_ 5-No 9 Framing q A- ,A - FLOOA RAJ -\2'yt l / � 1\(ZJ 1ST` . Blocking Airseal 1 . 12-0.1 Insulation:Walls i -'7 e` ,L. Insulation: Floors • Insulation:Ceiling Hi i-G`( Int. Shear Wall Nailing Wallboard Nailing I _It-D`, Gas Line: Interior //g f 09 j. Gas Line:Exterior 1 Propane Tank 51.24 101 ; Heat/Chimney Clearance Drywell/Alt Drainage l Address Posted 5�1 1-1I I,ci FINAL INSPECTION (,)fA 'i �/�✓ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PFRMIT IS VA! In FnP WAIF v=nc • • CONDITIONS for Building Permit# :BLD07-00491 1.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF SEPTIC TANK. 2.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 3.) 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. 4.) 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. 5.) 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." 6.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 7.) The applicant shall permanently separate the boundary of the Landslide Hazard Area 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. 8.) 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. 9.) The project shall adhere to the Best Management Practices (BMPs)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. 10.) 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. 11.) A Stormwater Site Plan for 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. 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 vehiahall be stored on any lot unless totally sceed 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 four(4) on-site parking spaces shall be provided for the single family residence and the accessary dwelling unit(ADU). 15.) 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. 16.) 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. 17.) The building height is not to exceed 35 feet. 18.) Minimum setback from Blue Ridge Rd right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft, Environmentally Sensitive Areas further impact setbacks. 19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. Odd" re-,-: . . O JEFFERS OUNTY � I g 1 DEPARTMENT OF COMMUNITY w r3 DEVELOPMENT 14 621 Sheridan Street• Port Townsend • Washington 98368 360/379 4450 • 360/379-4451 Fax D O l .r12 16, NOoO www.cojefferson.wa.us/commdevelopment Master Permit Application r' 'x MLlA: D'1- 5/l Project Description(include separate sheets as necessary): e ta pEw cov...fZ.icx'tCri c�i-- Si r.7CS1 f-A-vw, 1�DNkE <ji�'p ? `la = %V/9) Tax Parcel Property Number: OCi11 -3c ,E 62 Size: .2-. C,&C-Vc (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: t -k Prre-? y • tit;t 0tit Telephone: . ?-f,S :151 Fax: 'rt.o email: c-�t` �,•' aJ �o _ s(N�Pcf;, ,�j— Mailing Address: 7- &J&. \=:T -E iZ, 1 foe,-t' t 6u;rJ`. .4,_) , v.,A . 91&;(:,,ss- Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies lif6uilding 0 Variance(Minor,Major or Reasonable Economic Use) 0 Demolition Permit j ,-.„--- ❑ Conditional Use[C(a),C(d),or C]** 'Single Family G arage Attach Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 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 0 Plat Vacation/Alteration** ❑,Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions *" VStormwater Management ❑ Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use 0 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 0 Tree Vegetaion Request *May require a Pre-Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the icati that he or she ants prior Lice. Signature:1� I L2S t1t,�__ _ *'- rJ Date: '27 I U 2 The action or actions Applicant will undertake as a rest 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-tr ble eSponsibility for erinq to ,d complying with the ESA. The Applicant has read this disclaimer apd signs and dates it below. Signature: ��_` cl Date: z� 271 0-) G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.d,,e , -, ,'-„;_-7--- '•.--,---7-1V 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 ssum' g the responsib" of the General Contractor for the proposed pct. Signatur :y , � (-( _. Date: �=�� \J 0 GENERAL CONTRACTOR OR MANUFACTURED tiO.MLIN ALLER: PHONE: FAX: --"if? ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: et1C.1C E4Qtc S:N leSIC r-t--t= + PHONE ( j)(c7 3 ttc,17 FAX:( ) / MAILING ADDRESS: ` L�'tt"u • f .'tom EMAIL eivr_t.Sx,t.1 tZi Mca.L', -L'='' Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: INew Wood Existing: 0 0 Sewer ❑ Addition ❑ Steel Proposed: Bank 0,/Community System ❑ Alteration/Remodel ❑ Concrete Total: '2 Pi/Individual Hei t: Individual System ❑ Repair ❑ Masonry SEP Permit# TO''::,'c r/333 Water Supply: ❑ Demolition 0 Other: Bedrooms: PP Y: Existing: C% Setback: 0 Private well ❑ Two Party Type of Heat: Proposed: pp 1� (�, , W.Public e- ►x� E1€ SE:-btVe. s; rtt♦ Total: '2- Imo► `< Name of System: 70 0 CI If this is a Commercial Projectyou 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 Tan and/or Appliance Installation permit,mark all items below that apply: i Underground Tank 1'1rtAbove ground Tank Size of Propane Tank: ttx? 64 i Heat Stove thook Stove El Woodstove V Fireplace Insert a Hot Water Tank p Pellet Stove uWOther 60-4--- Is this appliance being installed in a Manufactured/Mobile Home? Yes /0 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 .i a „ce s .c y_T. y „ ., �� rr.:.1, f .= . `ezj ,of=i , ;r Main Floor Heated ,� Kt��- .� ' EH Bld App Review: l Z Vic:? t, � ' .� &E �: 2nd Floor Heated u 8. -r. Consistency Review: Other Heated flrs O4. r ','s use fee: "OWf _ 9t-tI r. c l �. 35 Mezzanine - Additional Section:nft _ — Heated Basement ,,,,_,A#440 Plan Check fee: ! 3�5 y/C` Unheated Basement Ir xr=, State Surcharge fee: Other Unheated . A40 Pot Water Review fee: Gara a/Carport, „ . e 'I SUBTOTAL o Decks "" " ,1 ,911/Rd, p roach fee: Other Vc'ecti ' '1 `� r TOTAL: 3 l ' Receipt Number: 9 Bic(-. _,A, M Cash/Check Number: 1 " ESTIMATED COST(REQUIRED) [ (0 1.-I(03,O1 Date: G�a � •Fair mark tvalue at�a#latrbta�materi�ls foundation to finish �14,306,atao i•-- Initials: -y G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • 1111 APPROVED d ozy STORMWATTER PLAN , JEFFERSON COUNTY 5 Ira - DEPARTMENT OF COMMUNITY DE VELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 JEFFERSON COUNTY 17 360/379-4450 • 360/379-4451 Fax .of COMJ TTY�. g I�PM � E O` http://www.co.Jefferson.wa.us/commdevelopment/ SIGNATURE: STORMWATER SITE PLAN SUBMITTAL TEMPLATE G' ` r� 203 e- Izt.no6 4 or+i) MLA# OO -D PROJECT/APPLICANT NAME: i L 1M- "+ $et-R-f3-A R 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. (1.0 COC111074 of R i%7c1 SQ CT- rbtln.E. or-) A s. 2. Ac2E- P1 2ct. w Z,L.A6 sIT� /K.-P- zwH CA A2FD OG Tti/FES `st}f�BS 'f4 T lS 613t X IZS pt % `C tl-OL) . (LDAp DR-WcwiK( Acc�SS (S (STtNGI • �w Existing Conditions Summary ` O °7 U 4 9 1 2. Describe the existing topography. Indicate contours on the site map. Ti1E &.D, SITF_ tS C- r-)-rt_v 5Li f FLAT-. A -Rayrivr cF APP2cK 3&)` rsfs. /�4'l a'N1/JST siD 11-4f PRoP, (Tt{E PROP is i000'-_ 1_0)..6) /r Br61Ns 4✓f' 46' Fj2o, P.0/4 . 'TNk Df2OPs' Fizo,i-i •rri iv.IN Te n'iE N 13y APPok !z€ ', ►3Lu6 5 ,TF ARoPsay Si 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. TriE Gni-) WAS Qt✓ ecitz I APPt1Dk ZS yps Ac-,o . YAP_ E STA 8t.ist-if.O FiQ AcDf 2 rvNl BftoroyIS g t'LtfiPcf T1e€ES Rt Ru 11PP2oY- it.},nr OLD , E-Re (S SAcn4t_ OCk.AN Seca ,f AHDiES oTi+..re NFt-TIUE 5 filqUE3 ^- GA0,t1 sJ eaukle, -r4k. 134,06 SI T c be S rr3 E2/2n5S et.°JCR AFT A yis 4. Describe the existing soils. Indicate soil type on the site map. TttG_ SO t c, IS f1 01/4.( , a co`1 rs y &(2.R IJ E L u3/ /9 PPpotc 6 r' d{ -nor Sat L I h,g_csT co Prw, 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. `jr Nc F Tt-(Faeti is A gti RUA-WI#..X6 H•d lii To A) Fop fl PP la 3c701 RHr N✓.JHTT/ IzAA-KFS !-rs WA SO/L s Fo2EST `In rT. irl6 /PESroF Tr4 FlPrecc 74e, I o THE P(zoP. 2r UFz,-try si oekt, 56 P-Ft 1st% 2s£S V K al/tact \ POlatiOC? f`l viRy f- (-r -a 124613 4-7 Dqs Avr2ftT/op yod CA-,.) M-G„(9R 0, 11-T- 1L ►N R,i14 od%1=)0NcF ►r'STo•P5 P41-er3,j 6. Describe any excess levels of noise generated by the proposed use or activity: 1 r`s )J TiJs`< >✓n2Mr'tcc.y frtF P/cC=rk NorSCs of Co/Jr124JcrvD41 . RE(i SEP 0 4 2007 stormwater site plan template-rev.10✓1/2003 JEfFERSON COUNTY OCO 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. RA,/ s)1 ')a Hui SrDe aw f221.)P.(3bo'FTCo?AL, LOP IP6,, fo(LC STE11) t-1rU SID S 01-' a`rA )\1 UJ `' S. £ '5'PC04- PR096l-c1 Tr('G RE (5 A 'LOPE EMT of 6 - sr £ .u.Jt(i-GN thAS SH tic. P-P Jrs , G, w'-z U L/4z. 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.). IS -rrk Srrfz 1S ors i3W� Rt1)C�E (<►7 / [Af'E C�E.o�C-,fc E.a Sourrk toesr h-es > 17rSGCN '-t QD is W- C* Tt\ S\TE • Tt1GLZr ARk IZ SAc2E_ + Cuts bv• tg-tl ,e fog- c,_F... fiviwt.1 t-law . P 'Nt5Ft6�{`r/A.^ `' V,-)J azR cor-S'rP,kitaV• rr AtZE Nc: flc-rr V S-c acriAit&S 1 U.:�-L,,,Ae- S. aft CAW-a"; aim FP-13( -t-I F4S tiles-3"c t o 1 Et) t�JT, LOTS A fz SE.Pft14c€ P i l'IJV-S ce 'S r- -1) LC,F 5. fl7R.- -eg.oP 2rtftS AK-ET €0-9o% FU'P-erk.A) w( N tu( T(Z� SrfahJuli C�r�'ti Cove✓ 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. • 4. "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. — 5 sit 1„v,1Z'l - C'r.4 - (..0o9tx 5 r 7.•- 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. WcC coR &xi A-rFz.2- 1S -EK-Pfr c`r I)'5PfzL2Sfz� .00 L-k* ac.b(S SITE-ems Pp,KEL -o3 s Ate. ftc. 1,1490-re c:).(.0 iTA r'ri26,+95 „3 9c2- 'e at,- ruo dervic r , y A-r V F Si-142.015 s W ATE to k- Q(eo 'c S' Tb o . {{-AL-( 13A c 5 o WOOD HIPS fog 3rT2t+-t,CU41-02- Gun u C o rizeo e- Ors sAJ- (NAV A-rf D Gifovrl 1 Narat-e- —r7FL sc.oP6 . At AM fu-r tocOe i k-ifaai 10. If the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilitieLPORigtdS C 1v-,,, 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.] N(k 11. Describe the performance goals and standards applicable to the project. We PLH� 'To P2�V a5T ANy Sorc_ &/2.D5,OP.1 4 b -u( ftp c€ VF 6c trIDN tA)R--,#...SG, E as -'cQ- Lb4 SirC /441 S f3 Ems; 0-C UV/2CD '' lS { OR-Li Tric5 Witt_ 'Jo 13E_ b,FFt duLr , A�J�( o cS Or sTul2. FAI 0-010 57R-0Ctc o r 1 tti,:u- r C S(�E 0 4 Pc4916-tab u3/N Frn V€ ?F S, Stf(L 1 S l C- ( INb 12. Describe the flow control system. 0. 2)V+— USE of ((Fief f5A-t. S� i6z1� -r(zPrCtccNF, swA- Gcovs-r2uc-z,or) tAJmow .5E V`o 'AS f/ ELo cu Co r,r2aL SLt 5're44n 1)02crocs, DNS-tzU,_Zc(IQ SoMf_ Tip 6f; flPPPZ PtL7 e,R F P-t- 141),-ti ttztxs ? os t, (AbeA'- NOT' A't-T .Qn PC') # p) ( fJ FYTJ et-0 IA-) OGGUE-i rJcS 613 PPP pi stormwater site plan template-rev.10/1/2003 6 • • • 13. Describe the water quality system. ex,p6 iS [Devi V-/ Wflt(�2 DfSPE C� '—'ro 5u2.2ovjo NC, &UV'eOxmtiiL4ur (5o'4. rE (�RtF� URu'; St/5'tF�vu wLCL (�j� rf*H s, 626D CH—its, Sum S Fftii(4c Ta f o TF.:er REST aF Sr F- 1)t1,2-i ,JS(lauc"r , AF-t*12 cb r.ST2 X r,oh1 NC, CTCov s/6/2tISS1-S RN.D NATi C2oui\ID(ov ,a f 14. Describe the conveyance system analysis and design. riIS Pi_ I f 1311c S a + ry IST/(06 I%FGFc tf{T-ON wad_ PP-FV ,JT EP-o ,oy-! dl e S)z-6- L4 r/36 F082rC k)ccL frc C "ram• vss D 1- N SS>gfur. Do WN ScoP_ 66P-- -s arc-LA- 1NST/ZcjCCk-t) To 1r leer €(.Ooj oc 915R'IU (C'4TFiZ. !F 0.' 1�3PC6-Ssff2-Li / k s t 0t)C!14IPS t' ( Bc 6wrtz� u FJ .3ccc_ t3€ 0S3. --- I o (,1 C u ,y (rPic. ,,fztc ccit-1, att 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess matenal:t ? PA +t 4 flTh-e iAc 6 r t4 fz c7+t�,� -T14-6- SA-06 S►1r�'Jh E O-dk U f r0- - -19--o rn TR-1 s Tc. rr 56 F 16. Proposed methods of placement and compaction consistent with the applicable standards on pendix hapter 33 of th Uniform Building Code. S Ore- (lirla..1mac+$ /,tS o-C pc47vtzLof, Cr.tpc 1 to w t t t 17. Describe the proposed surfacing material. .�lki A44t - �/�!- I VIA. 1S syas.. e 1 * ' 18. Describe methods for restoration of the site. ,es-1-0(0 ,o Of /a' suvrvv:,, bld5 sr wrll be Pig«( df FrUe 4-o i ,• , c�rov n d�cc)✓v rS y Say�cp� rd cces. 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. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. !kJC N>v 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. 1'.-\y SEP042o7 lad gr'R]UIiE �r�l yii ci66 stormwater site plan template—rev.10/1/2003 y r • • 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. 6 Pc(L NOT L't.,9. 1 ►i s I PWW is o A f l2 n oUs l--F4tM_-Oiz C" ft 7 D hiZ A 6�i )< i 2 , P tzo S +7 f N Lo rtn PASS fc.S cus-r I'7 o z sq F T o c T f-4 t c 75oa S¢ FT fl 2. Establish Construction Access. Co ADS 2 D1 -( t tavf E}LicT 7-0 � ON S/-rk . 3. Control Flow Rates. 1(2-A-10. 1 ATU2t f1?' -r'v ill EAST j of2-tH w&sr af- f'/-as€QT —C EPduF{-4 60o 6 A-1? .A w/ '.S'-rr4 L.(StfaLif For...6ST Vk6eTir4-rr o fJ 4f T c0A-TA" W c c Of) s;,er�cr s i- .)c H4-y ift"LkS / cioo 01+119.3 a FQBR,c -tutLt- y11-m 4. Install Sediment Controls. N tf(J 2Pq t V/z C-, -ram ION. D t5 PF zsr o N f(-es s C T"rE > 14i4Lf C 4L t c It(uc.-rtFI-��F., el( 1 -)L- 1 Ci Gw rJ72c,L, Si.. r rlA r`NZS F 120u t I-FAA✓t don3ST2{Jc7r0A1 S rr'E- 5. Stabilize Soils. -1j eh Ps ? s L' r-r-k P k b i-4 A-r4 lAY t-1-ct f rt cie S O tt t.0 LCI# S A-P,Ptc_ cue fvtHZrZt 6.2 rCcr -f 3F, (-<)/ stl.Jft( 0g- i3E2wtS IF ('r+{-6. 5-r--A B LE P STK-r)CT r o n) SITE_ tiff U,NC� T)E ,.1 +C A i s 6eil Of-1D SFvkr-AAt. y2s A Cam. 6. Protect Slopes. LO1' S A(Z fk7.R r Lf hi( L Vk-663-4T6-0 IR-y 6-i241-SSFz._s N-4Yi✓�. t>6 (zfc 5. I F N b O&Ss4 +k#G( SPr S 130glcC'.f 47 S pi-eat c Sw 4 F.:.&..A,c.r to( -ro 1�I Kcc'X / t3c.r 12-ON a 1 f W L c( 1B& 1)6E© o c...c):' s W r C L f3 E U ell / r-o Foe- eo,.)S-rR)(-zro/C OF DL i&L-it- 7. Protect Drain Inlets. z Ez F� 14-1-rr 6 j(a. r1 t n3 l ,AW- I2(z-O'PG S ( O"7-- S'F(Lct Cr 10 ,- S i d - er SS TO 17 8 stormwater site plan template—rev.10/1/2003 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Control Pollutants. 1 a �ltivl� (dktAi9 1441( Gii 1 k Pa l(l�1-G�, Corl Afro G-�J CCc C-e (1,a n_ ' ig4 c.o>fed c cQ r� l�n�c c-F el Po v A seat lecf � (t e a-A 1 --!o a 1 xt it pa ti 1- J o1/) ,, f r�►�t,L Q�,�.>�. _ 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). /" N/A . 51 is vevL cfr .. a s totes {( k;cr_rdS. 1l e,4-0 '-e cta v`,,? Qf �j)e.a ` 1 1 (C b/ I'll S �Jh4 N6 al-him u1 <l, 0 cvlecQ c(0r, can of our , D U usi cG, rs odj ace ` c5 �n5 c-floV1 Si4e_• 11. Maintain Best Management Practices(BMPs). C CC( 51)6 a0 ries4 CTO 2 W!LC- l'2 af r vFc /N 5-rL'�cicrm.0 5 v xi S 1-ro_ y1.t A-,,,4 t_,c-LAc,j r rr`P-o 0-2.0 N'rr241 eras . o w t-.S re ail' 6 N S I-r 74-7" h-z. -n iL^-c-a-fs 12. Manage the Project. C.rwNj.25 4y3A�oR. C',a�N'C do)o-nP-44 ez'orz Gvtic Pa o S ,Tt- 41 A u_ ? A t,t( c o n.t.ff 7,1 ft C�t t �0 Sfza r sl /s(?--a 7Y�i r eN Vi 12-4 N rc.. NT 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). ,.vr_T6.e4r-)D$ /f2-F- ,4b 40,,e:N1 -ro Sry• n-t€te.€ 2 5; C,L4 f n Pe-11 L.,c f t-a rl"-ty S 6 2 toys F b r r1 c ,.,T-TO v S b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). Rft t!r nJ o ti: u t,c) 51 o RPPie_o yc -70 1 F 2o>(4 /34,66 5 1 T F 1 T (J,)S To u-) S !i N k te- d l'&/ L►Fz 36 C> I F 2-vzc.c 6 DouiN ff -r bc,q-r aY�s ao z �T , 5n4 144 ea/R7k 204 � LORct.���/tYE2 t_v�;�rloz t,2 T1Fs s r, - c.,N T6 �2��,�¢ii tI . (T- O, x S .s H 7F Flo/14. T t' N& r, Lk t'444-V rue I°2R.N,CA-cam 17 Qut ac- 3. Environmentally Sensitive Areas. b P-1,1=s yr rt FTFa Sm gdiAs a. Description of environmentally sensitive areas that are on or adjacent to the site. N a P - o C rirt J C JEEEHISUI UO TY OCH stonnwater site plan template-rev.10/1/2003 �lr 1ilr,i�C�r� fw �5 9 r r+ „ • • b. Description of special requirements for working in or near environmentally sensitive areas. Np 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). t F -r-H-_ Lo P 1 N i . of a0Ns'TR-t)CriDN iu# SA-e€ t,T tATdVLD t�dS A-0S,0r-1 ?gob[-64utS UT IT' (S a(0 t-2-Pz� y?t),J6TY2-6kS 5# .)f?s, G f O .&) am/Fire 19 S u)sc.LC P S m.ffnJ t-4 0(-6 G 2o-t 1J rt4 ¶-cv lv fS Ab 62A%F•-5 :Tr, ,1 D rt - So i c_ . Ttf J2- Fob'-E tJO Ft O S i o N IS Fop-s .1/4..) o N Ti--is S i r 5. Construction Phasing. a. Construction sequence W i Nc%, doz3rs t'( -P FovAi —rioN (OCT 0"7) Fte,4 Nc, t 2vcF (Nov DES 07 QA,-) s%) NT64,- ore pI0,4..1;rvt.S t --(loafs r ret, tA4A4, Cl rive b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. SI P 4-rawatri0 Ni (cc-r 67)) FR roc, I2oop w.,j =s s coa (N.av, 0-7, o?) IN RiaP FrwSt+) etec,pluvub, -0oo(;)( eb1{tier.r,Apr 00 d1';oe.i:0c- (�4f°&) II. Wet Season Construction Activities. 0 a. Proposed wet season construction activities. SaA as abo✓e- b. Proposed wet season construction activities for environmentally sensitive areas. ts�Nr 7. Financial/OwnershIP Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. `7R-►.A.6.-S 2 • t5A-1?- tt-ire-m- rJ C-1 - b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 12.e. -,o,t6.4 resre> t b,1, 1-1 assu. dt . 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. /k. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations 10 stormwater site plan template—rev.10/1/2003 Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected pro rty. t 9— y (LANDOWNER OR AUTHORIZED REPRESENTATIVE NATURE) (DATE) r THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 12 stormwater site plan template—rev.10/1/2003 01 (-----D CC O O I 1 14'-6" 7'-6" 10'-0" i 3'-6" / / / .0 /41 4 a r b 44, • 4. 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