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HomeMy WebLinkAboutBLD2007-00504 kILDING PERMIT APPLICA N ML Review T Ty y 537 pe: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00504 Received Date: 9/14/2007 SITE ADDRESS: 2841 LELAND VALLEY RD WEST QUILCENE, 98376 OWNER: LYNN NORDEN PHONE: 425-788-9802 HOLLY BAUMAN 27023 NE MILLER ST DUVALL WA 980198325 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702012013 Section: 1 Township: 27 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE. REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW MODULAR HOME W/ DAYLIGHT BASEMENT TYPE OF WORK MOD SQUARE FOOTAGE: TYPE NEW VALUATION 89,824.00 MAIN: 1,344 CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE OCCUPANCY: R_3 HEAT BASE: 513 HEAT TYPE: WOD OCCUPANCY: UNHEATED: 229 #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 240 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: . ' r.) Type Amount Paid By: Date: Receipt: Approved/Date Permit $923.75 LYK 09/14/07 93260 Plan Check $600.44 LYK 09/14/07 93260 APPIJEE State Building Code $4.50 LYK 09/14/07 93260 Potable Water Application $58.00 LYK 09/14/07 93260 NOV 2007 Total: $1,586.69 Jefferson County Planning &Building Department • CONDITIONS for Building Permit# :BLD07-00504 1.) PRIOR TO OCCUPANCY& BUILDING FINAL- FINAL APPROVAL OF SEPTIC SEP05-380 IS REQUIRED. 2.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. 3.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. 4.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 5.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF SEPTIC TANK& PUMP CHAMBER COMPONENT. 6.) The application was reviewed by the Jefferson County Department of Community Development staff on September 17, 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: wetlands; seismic; landslide 1; SUSC aquifer recharge area; Type 2 stream to the east of eastern property boundary. 7.) 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. 8.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 9.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 10.) A Type 2 Stream (Fish and Wildlife Habitat Area) has been identified on near your parcel boundary. The stream requires a setback of 150-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 11.) Stream buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 12.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea sitchensis), Shore Pine (Pinus contorta), Douglas Fir(Pseudotsuga menziesii), Western Red Cedar (Thuja plicata), and Western Hemlock (Tsuga heterophylla). Among native tree species which may be used includes: Vine Maple (Acer circinatum), Big-Leaf Maple (Acer macrophyllum), Red Alder(Alnus rubra), Pacific Madrone (Arbutus menziesii), Quaking Aspen (Populus tremula), Black Cottonwood (Populus trichocarpa), Bitter Cherry (Prunus emarginata), Oregon White Oak (Quercus garryana), Cascara (Rhamnus purshiana), Pacific Willow(Salix lasiandra), and Scouler's Willow(Salix scouleriana). Among the native shrub species which may be used are: Sevice-Berry(Amalanchier alnifolia), Red Osier Dogwood (Cornus stolonifera) Salal (Gaultheria shallon), Ocean Spray(Holodiscus discolor), Indian Plum (Oemlaria cerasiformis), Pacific Ninebark (Physocarpus capitus), Red Flowering Currant(Ribes sanguineum), Wild Rose (Rosa nutkana), Swamp Rose (Rosa pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus racemosa), Snowberry (Symphoricarpos albus), Evergreen Huckleberry (Vaccinium ovatum), Red Huckleberry (Vaccinium parvifolium). 13.) 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. 14.) Landslide Hazard Areas and theSsociated buffers shall remain naturally vested. 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. 15.) 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." 16.) All construction activities shall not encroach upon the landslide hazard area, wetland, or stream buffers. This includes the storage or preparation of materials. 17.) 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. 18.) The project components are more than 250'from the mapped/identified wetland. The requirement for a wetland delineation and report is waived based on maintenance of a 225' buffer from the wetland per UDC Table 3-3. 19.) The project is located in close proximity to an identified wetland and is subject to the delineation provisions of Section 3.6.9 of the Jefferson County Unified Development Code. Based upon the proposed location of the project in relation to the identified wetland, the applicant has agreed to maintain a buffer(setback) that exceeds the standard buffer requirements by fifty (50) percent. The applicant acknowledges the additional setback and agrees to maintain the extra 50 percent buffer, therefore, waiving the wetland delineation requirements of the Unified Development Code. 20.) 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. 21.) The identified Fish and Wildlife Habitat Area (Type 2 Stream), shall maintain a vegetative buffer setback of 150 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to any development. 22.) An additional setback of five (5) feet is required from the edge of the stream buffer area to any proposed development. 23.) A permanent physical separation along the boundary of the stream buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 24.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 25.) 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). 26.) 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. 27.) The applicant is proposing to create or add 4286 square feet of impervious surface and 11,722 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. 28.) The site plan as submitted with teluilding permit application on September 4,007 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 November 8, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 29.) This approval is for a modular home with daylight basement 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. 30.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 31.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 32.) 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. 33.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 34.) The building height is not to exceed 35 feet. 35.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 36.) 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. 37.) 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. 38.) Minimum setback from Leland Valley Road West right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from edge of Type 2 stream shall be 155 feet. 39.) An address of 2841 Leland Valley Road West, Quilcene has been assigned to the parcel. Leland Valley Road West is a county local access (C343709). 40.) Potable water is provided by an individual on-site well. Well review was approved on November 2, 2004. 41.) A septic permit(SEP05-0380) was approved on January 27, 2006. An individual well review(USR04-0070) was approved on November 2, 2004. A road approach permit (RAP06-0072) wisll be issued with the building permit. A building permit(BLD06-0194) for a pole buidling was approved on May 19, 2006. Je.ferson County Building D sion Permit Nur: BLD07-00504 " `'" , Applicant: NORDEN 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 '4/51kY Foundation Footing 6-i)40y, �i i Footing Drains 1/ jT Eck Pre; OK 7/15/A19 Foundation Stem Wall jrf(/ ' Herr IdALL. L/3/ntir Straps(hold downs) //, /a8 ^ ©� � ocuo �-rs�� l sees OK 7/7/cB Ext. Shear Wall Nailing .r 1.5 a< Rough-in Plumbing Framing /`#p Framing i,7,3,4,6 � In DID fs� Insulation: Floors ,e> Propane Tank . Heat/Chimney Clearance Drywell/Alt Drainage 7 ft5/09 # Address Posted ,6-3010 FINAL INSPECTION tu FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR O ¢ oN cod JEFFERSCOUNTY -A DEPARTMENT OF COMMUNITY DEEL�IMEN '! \ p • `4 621 Sheridan Street • Port Townsend • Washington 98368 4A 360/379-4450 • 360/379-4451 Fax c 4,-, (00 www.co.jefferson.wa.us/commdeveloprnd4r i 4 LOP Master Permit Application Affffi5ON rilIIN{Y MLA: CA' S3.7 Project Description (include separate sheets as necessary): ICES1 Doti 7 l8L 5/JO6:/-F fin Mail Mehl.ILA2 tic Mc Tax Parcel Property }=t7-- Number: 7 .: -b / ;Z, - o 13 Size: 7 Its f CiZES/3//,g ,(-acres/square feet) Site Address and/or Directions to Property: 2 4''[--/ L.c/_ A)ja v'4 Lie Y RI) A j*/ QuILe E vE- lc/) Property Owner(s)of Record: HGLLY S , 6/;aMAAi AAo p L 742A; to. NDA.Qe,L) l Telephone: ' •,2 5•_ 76:,5? C! Gt Z Fax: email: 11 c6 (,t1 C cac 1, CO 041 Mailing Address: 2 7C12.3 AI E M/Lr L E,R. cr / PI t.'AL L 1 A . l$C/ Q Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) krguilding 1 Variance(Minor, Major or Reasonable Economic Use) I Demolition Permit i Conditional Use[C(a), C(d), or Cj** /.)' ngle Family i Discretionary"D"or Unnamed Use Classification I Garage Attached/Detached i Special Use(Essential Public Facilities)** I Manufactured Home i Boundary Line Adjustment Modular i Short Plat** i Commercial* i Binding Site Plan** i Change of Use i Long Plat** I Address i Road Approach i Planned Rural Residential Development(PRRD)/Amendments** i Propane i Plat Vacation/Alteration** I Allowed"Yes"Use Consistency Analysis i Shoreline Master Program Exemption/Permit Revisions** I Stormwater Management i Shoreline Management Substantial Development** I Site Plan Approval Advance Determination (SPAAD)* i Shoreline Management Variance 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 application that he or sre wan$,prior tice.Signature: ��i ~0 .T. --w,.�-..,r--� Date: f-3-� 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-transferable response ipffor ering an complyin with the� •S ESA. The Applicant has read this disclaimer r and signs and dates it below. Signature '" ..��O 4.� �G'-ep �-'';l , ')c c—,- -�.--- Date: /.j ..C!' - u7 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc • BUILDER STATEMENT a 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 Generalcontractor for the proposed project. ,, %' i Zc-o Signature:j�" 7i ��- -�'� Date: 407 GENERAL CONTRACTOR OR MANUFAC URED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: i& New )( Wood Existing: Li Sewer ❑ Addition ❑ Steel Proposed: 2_ Bank Li Community System ❑ Alteration/Remodel ❑ Concrete Total: 2 Height: XIndividual System ❑ Repair Li Masonry SEP Permit# CS'-Ct~330 ❑ Demolition t_1 Other: Bedrooms: Water Supply: Existing: Setback: X Private well i 1 Two Party Type of Heat: Proposed: :2— ❑ Public 1..t^•t3 LL- E[ecrR+cAi._ Total: .i2. Name of System: PLUS 4kK/4..'ility 1j If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank i Above ground Tank Size of Propane Tank: Heat Stove i Cook Stove i Woodstove 1 Fireplace Insert 1 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 /3 � y y EH BId App Review: LO? 2nd Floor Heated Consistency Review: `135 Other Heated • Base fee: q 13 r 75 Mezzanine Additional Section: ____- -- Heated Basement 5-r, 3 ��- C.I6y Plan Check fee: j ,i Unheated Basement 9 `--7y2 (cL4 State Surcharge fee: '1 ' Other Unheated Pot Water Review fee: q 2 Garage/Carport SUBTOTAL 42 . Decks . p C,..3 ,��` 911/Rd Approach fee: Esc tsn� Other TOTAL: $ is 42(aril_ Receipt Number: q Cash/Check Number: Z (aa�,' ESTIMATED COST(REQUIRED) Date: (�, I, j,� .Fair market value of all labor and materials foundation to finish "� LI ;�! Initials: 02-))3 C roctND/tr,,,ty r s:re t'tir �_ _�C� G:\PenmitCentcr\FORMS\DRD FORMS\Master Permit Application 07-142006.doc i • • gsQ RECEIVED ierlili JEFFERSON COUNTY SEP 14 2007 . k,' Kt DEPARTMENT OF COMMUNITY DEVELOPMENT EA 621 Sheridan Street • Port Townsend • Washington 98368 JEFFERSON COUNTY OCO 4q�z 360/379-4450 • 360/379-4451 Fax " NQ' http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 0 [ - 55') PROJECT/APPLICANT NAME: KOL L/ 5-, BAKHA1/LYNN 10 A)OFvc.V 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. SITE Is A reeLAT/vELJ LEVEL. LO41 HILLTOP 514R2o u.UDED BY iv4TrvE- 'EGP ir/oAifrate6"ST', /t*rarLC/ 04- w!L.L /3E AT /-IIG./ T Pb/Al1'r,4, PftOPERT/. HILLSIDES /RE Low 6f ID/ENT sLoPE torTH &xc--eP7-', o.0 OF O#E /,Sp p-EE7- sou.THEAsr ar— BLt/LDIRJc strt, Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. s'ee SITE ryi9P A41.B AlLSOVE _ 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. .ie s5l THi sr-LE) #9 N t) TA/Vs y ©iu !3u/LA/A.J6 5 ' TE, 4. Describe the existing soils. Indicate soil type on the site map. f3A1 Dy CL// y 7H2Oa6-He T Bal 1.A7.t,G SITE co /7-h/ 97,tl2/zDRIlfin/VC— 10DODEIfl A!e :,9 s 1-1,9v/Au ,agouiAJ, SRAJ DV, 1-CA M. 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. P i2,9/,tJ A G E 15 3 a Q" 9 pc.0,4 y Flo M &' I L. P 1 Al G s / T6- /4JTO it14T/1J ILEc..�-E TAT/O`/�'O/ES% . 4 L L PEA?/NAGS R6'MA/,(A DILI Pi2OPEIeT Y _ 6. Describe any excess levels of noise generated by the proposed use or acti ty: AP" R°'ED N0/t) STORM WATER PLAN , NOV - 8 Storrnwd NRequiret, liRom! `, JEFFERS? O -\Y stormwater site plan template—rev.15'1,2003 DEPT.OF C U• .IIOP E SIGNATURE 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. LEL/9AJt CREF_K (irnD MA/z511) (3HeR ./15T PeoPaery aouA)PARI Bcd-- /. NOT ON PI? PEk-ry. CREEK i9Jt1D MARS K ARE 35'a FEET es,2 itloiZE FROM f uiLD/IV6- s/ TE. .5TEEP SGoPE fi E T- 'O me T/1 9 s T o F s f TE / 5 Bic FFC,PEt 13 Y D E,ci 5L. 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.). V 1 C/ L5 17-y L 5 FO o2 E'S T tO/r / S c,1tE RE51b.e 4JeES APRvX _4 M/LE. A ?kf 4 'Y, L ELAAJD VALLEY Rohl) LeEsr /5 £LEST BocoODA,Q/ OF ID/ OPEc2T/ 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. 84-t! RI? /nJwATc.ea ufILL PL-Ct 2 A4Lou faeE-Ex75T/,96 N'ATu2i9G FL-DtvP47- / ti jv /VAT(G'E G-20 i77/ to2C5T 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.] /Vo-r f/PrPLIC )eLE 11. Describe the performance goals and standards applicable to the project. SEE e9T14CKE.m 5T47-EME,UT PL ?AJ 12. Describe the flow control system. /V.0 f PL l e,94 E r.. .. • 7 t stormlater site Pali template-,,rev.10✓1/2003 6 • • E CEIVF 1l ' 13. Describe the water quality system. SEP l)OT hlP64L-/ ,9BLE $ 07 a 1-"E SIA roue IiC3 14. Describe the conveyance system analysis and design. A)fI7'G[2A L PZ-Dce o Tf-/ CO/ 43 t MA /107-f9 /./Ve Lt2/,tj A4.1D OLLOLt9//19�- Ccok 57-,2LL T/U,t/. 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. /lJ© F1 UJ/C-L /66-7 oe-6--620 lPE FoR PI�DJcCT, .5 t TE �E f' o4.9 A7-/oA..9 r,t.o afa & H//JD 4a9o2A1 /, ) PRE-4 e/sr?AJ PosSrLY fr>44??,"fAD6 H0Cr.LdAi . 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. NM Tr t art A C- G 2 A 1b I E)J7-3 &' /L L $.E M A /Ai TA /,V 6D w cry £2AUC=/_ PE€ 4/. 17. Describe the proposed surfacing material. be v E 1.t9 4 Y u,/ L a G 2 A U6 1-/C:c2 u 5 H6 D ROC-tom. 18. Describe methods for restoration of the site. A)/ ..94'PL/ CA$ LE 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. IV o-r-- /9 F PI- /a/4 a Z. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 07- AP �'LICA BLE 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. N'bT A f'PL/CABLE- 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. /flbY PPLlcA 9LC , C E#Q /tip- b,J6./ Po,f_f � n.t S EPTK 2. Establish Construction Access. Pet E - x s 77t)4 3. Control Flow Rates. N • ? 4. Install Sediment Controls. 5. Stabilize Soils. 6. Protect Slopes. i r• I 7. Protect Drain Inlets. stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements-Construction SWPPP(continued) RECErvEj 8. Stabilize Channels and Outlets. o 7' 4- C PG «-1213e: SEP 1 4 200? 9. Control Pollutants. JEW""" COVE OCD ti oT r' SAG ICf9 6L E 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). ,vo-r #9PfL_!d413LE 11. Maintain Best Management Practices(BMPs). SCE AT`l-_AC/-le.A PL41 D 12. Manage the Project. � E AT7"ACHE� PL4' ci 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). /U©/t.)L: b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). POT— .90`7'L-eA G3Le 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. 1142-66y ctr zi. 4 , B f►-/,9,e. Hs5 L:Xis r io r-, -A s 7- OF 60,0.o PF27 y e/1/b,9_02Y /tiI A M/iOI/14 F 33-0 FEET FWD "--7 AeTuAL. Fure-RE ,F �GSI PE�t9CE. stormwater site plan template—rev.10/1/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. MOT /9 PP 41 lie/ F 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). POT PPL. I CA 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. OFFS /TE COtiST2u .-Trod/ OF MODcCL4/Z HOME 7O 43Et /.V -1 A/V GCA R y Z.00 A Fo eP A E L /v�A y /N A,7"42/Z. 2 S II. Wet Season Construction Activities. a. Proposed wet season construction activities. $/TE PoeE/o,}/ 4 rlow FoR /-O//nf Dt9T/0,49 /Mt7 ` e4lAbuhuG- .9Pe2o_y, 20 FEe ZOOS b. Proposed wet season construction activities for environmentally sensitive areas. Now /} IPPG/G/9 J3LE 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for t e initiation of bonds and/or other financial securities. 'HOc.Ly S. 6/3ZtMAN L. Yt. i . 4U©2c 4U b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. A)o T 4PiPL1cA BGE 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. �1 .s?ffG(C R LE' � 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. 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 property. DOWNER R AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.t 0/1/2003 12 rr+ X T_ '"M"1 Fr. VDcz) mum Ztt �.' p •P 1-i R1 C p F. D"d 6 "1 c, 4" C= ._r. if ii � 71.: itce+ Z C, CO 0) C.5 ' •I IP.24. 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