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HomeMy WebLinkAboutBLD2007-00510 OUILDING PERMIT APPLICAIN MLA07-00544 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00510 Received Date: 9/18/2007 SITE ADDRESS: 430 RIDGE DR PORT TOWNSEND, 98368 OWNER: NANCY L ERLEY PHONE: 206-914-0964 LYNN A TERWOERDS JTWROS 6729 HOLLY PL SW SEATTLE WA 98136 CAPE GEORGE VILLAGE DIV 3 SUBDIVISION: Block: Lot: 63 PARCEL NUMBER: 940500062 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: CHOHRACH CONSTRUCTION PHONE: (360)385-0414 ADAM CHOHRACH 1232 ROSE ST PORT TOWNSEND WA 98368 Contractor's License CHOHRCC998JO Expires 6/5/2009 REPRESENTATIVE: KEVIN COKER PHONE: 360-385-3878 814 GARFIELD ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTION NSFR W/ATT GARAGE & U/G 500 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,285 VALUATION 140,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 335 SHORELINE: CONST TYPE: DECK: 410 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CAPE GEO BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: --- Routing Date: q l I SIc Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,217.54 LYK 09/18/07 93263 APPROVED Plan Check $791.54 LYK 09/18/07 93263 State Building Code $4.50 LYK 09/18/07 93263 NOV ci 2007 Potable Water Application $58.00 LYK 09/18/07 93263 Total: $2,071.58 Jefferson County Planning &Building Department Jefferson County Building Dli•ion Permit Numo: BLD07-00510 Applicant: ERLEY 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 4ild 9 Gi Erosion Control Foundation Footing 1 J 'y/ %c- /ti �.�� -�,i� /� i- h [- . ; �� � Footing Drains Foundation Stem Wall /,r— �S t=vJ"►►riod aG067, (—E? A ►�n�r'�w J id 14-- Straps(hold downs) Ext. Shear Wall Nailing 51248 Rough-in Plumbing /—01.3—ob $- r4,COTta''4' Framing 1?—a2—&S 'Dr, 4t_»tils141/1),3< sl Blocking / Airseal Insulation: Walls _v15 > :"- Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing 11/zs/4 b/ —SC Wallboard Nailing C R_per FtN,SL- '{ NA-4,(1wl el'e1 -civT S t - Gas Line: Interior -/-07--03 Gas Line: Exterior l/ZZ/C6 Lr� Cc:/L1� Ac G 2 L/Ne Propane Tank g 2,/rig' / Id c'-t."d• /i:WiC BGtRk'/Eo �/ iA,u Nor'• UE.2iF7 GtNDEec>,?k.:�ND Pressure Test Heat/Chimney Clearance /2„5I6 by IC Drywell/Alt Drainage /724 /D9 /�/ Address Posted //21(/4 `�1 GIA�DE4QSLA5 AM ///9//OB fr Q!C leefic6>f//4 S FINAL INSPECTION 1761 I F H (A ^^.k - (,l n t/P -ter FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDIN THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00510 1.) PRIOR TO OCCUPANCY& BUILDING FINAL- FINAL APPROVAL OF SEPTIC SEP04-248 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. MUST COMPLY WITH ALL PERMIT CONDITIONS, STATE AND LOCAL CODE. 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.) The application was reviewed by the Jefferson County Department of Community Development staff on September 19, 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: unstable shoreline slope stability; SUSC aquifer recharge area; coastal SIPZ. 6.) 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. 7.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 8.) 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. 9.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 10.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 11.) 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. 12.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 13.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 14.) The applicant is proposing to creor add 2496 square feet of impervious sAe and 2355 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. 15.) 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. 16.) 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). 17.) The site plan as submitted with the building permit application on September 18, 2007 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated November 8, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 18.) This approval is for a single family residence with attached garage and 500 gallon under-ground propane tank 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. 19.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 20.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 21.) 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. 22.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 23.) The building height is not to exceed 35 feet. 24.) Maximum lot coverage is not to exceed 25(Yo. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 25.) 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. 26.) 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. 27.) Minimum setback from Ridge Drive and Fir Place rights-of-ways shall be 20 feet. Minimum north and east property boundaries shall be 5 feet. 28.) An address of 430 Ridge Drive, Port Townsend has been assigned to the lot. Ridge Drive is private (P145). 29.) The parcel was created through iika George Village Division 3 Subdivision August 27, 1964 under AFN 180841, 30.) The lot is served by the Cape George Colony Club Inc. public water system. 31.) A septic permit(SEP80-0018)for an EES only. A septic permit(SEP04-0248)was approved on June 6, 2005. A wet season evaluation (OTH03-0021)was finaled on April 19, 2004. ____0.9108/2007 11:58 13603854874 STAR PRINTERY PAGE 02/02 (1-TO.71T,.6_, C JEFFERSON COUNTY %' '., DEPARTMENT OF COMMUNITY DEVELOPMENT •621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 . 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 0 1-544 • Project Des iption(include s! Iq ' parat sis as necessary): il)5 t{ 1t, 4 l- t,c,w rc..o� wed, Tax Parcel f f _ tp j Property / Number: T (S �j Size: f j. ( �j (acres/square feet) Site Address and/or Directions to Property: (2,1(-)e , 930 e,s� /�: C/� j Parma) Property Owner(a)of Record: Telephone: ' d Fax: email: Mailing Address:_• t cc 2 Ili/ Applicant/Agent(if different from owner): a✓1k Telephone: 36..5 3Fs7 e..-g / �£l Fax: email:eioJarr-clps7.6,4,�ZSeP*P�t• - Mailing Address:_ g el u r iA Ze tom. W t kind of Permit?(Check each box that applies QBuilding El Variance(Minor,Major or Reasonable'Economic Use) Demolition Permit 0 Conditional Use[C(a),C(d),or C)" ' in Single Family ,f4 Garage . /Detached Cl Discretionary"D"or Unnamed Use Classification O Manufactured Home 0 Modular CI Special Use(Essential Public Facilities)" ❑ Commercial'` LI Boundary Line Adjustment SEP 1 8 2007 O Change of Use 0 Short Plat" El Address._ El Road Approach ©Binding Site Plan" ❑ytome Business 0 Cottagelndustry 0 Long Plat" grr r(1�i '{' l Pt d Elf` '! 'Propane 0 Planned Rural Residential Developtthl rRRi�)Ariiend�ents '*'' El Sign ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions" 0 Stomiwater Management 0 Shoreline Management Substantial Development" 0 Site Plan Approval Advance Determination(SPAAD)" Cl Shoreline Management Variance 0 Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment 0 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.orfedera.l.permits.required,for this proposal, if known.:.. . r a I� icN OF AGENT I hereby designate„reAAVI i4`oe•✓ re._ act as my agent in matters relating to this application for permit(s). OWNEf:t SIGNAtUrtt �: -2'�.✓ cl Date: O S QQ' 206' — 6y 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 end hold harmless Jefferson County against all liabilities,Judgments,court costs,reasonable attorneys 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 t at he or she we prior notice. Signature:,., .. 14 - id.,/ ` Date: The action or actions Applicant will undertake as a result of the issuance of thiss 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 tile a lawsuit on behalf of an endangered species regarding your action(s)oven if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or It holds individual and non-transferable resp n ibliity for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature:,. ,, 4,----"/ Date; .-----efkPermitantcr\#d##rORMS###\DRD FORMS\Master Permit Appricatinn 12-19-20064oc -__ 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 MANUFACT RED ME INSTALLER: PHONE: FAX: C` ` 1-15 f ( )01 SIO/ ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: M``G Apt/leto __ "",I , GS PHONE ( ) 0/glib FAX: ( ) MAILING ADDRESS: � EMAIL r Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ).0 New cid Wood Existing: 0 ❑ Sewer ❑ Addition ❑ Steel Proposed: 7- Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total. v Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# 04L-O o2113 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: O Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 2 0 Public n_,,, .6.0.p Total: 2�- 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 XTank Xis is a Propane and/or Appliance Installation permit,mark all items below that apply: Underground T I Above groun Co d Tank Size of Propane Tank: I Heat Stove V ok Stove I Woodstove ,I Fireplace Insert I Flot Water Tank I Pellet S ve 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 Ong ;Amount Revision Main Floor Heated / n Q ggd.gEH Bld App Review: (0? 2 Floor Heated f Consistency Review: l 53 Other Heated , Base fee: I a 1-1 Mezzanine Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: 3. Garage/Carport SUBTOTAL at 3 al.sx Decks G 911!Rd Approach fee: Other 41° a663,9 0 � L=. )cCbi-i1.1 rarTOTAL: $ Qy, I• • iO1A 414, Receipt Number: I �2 3 Cash/Check Number: tolo ESTIMATED COST(RE ED) Date: (� � �\,- •Fair market value of all I or and materials foundation to " ish - 1 - 153 lJ /ge) G by Initials: / G:\`i'ermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc :"� 0 0 . SON CO ',IV, JEFFERSON COUNTY .g. kto ,..4 DEPARTMENT OF COMMUNITY DEVELOPMENT jj" ,.-g). 621 Sheridan Street • Port Townsend •Washington 98368 ,16,41 Na'<0 httD/3/7www co.'efferDson wa4 s1 c P 1 / ommdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# Qr1 -nim __---, PROJECT/APPLICANT NAME: G r-I, kat,pg-ck 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. 2- .Q -1 - re s /2SS - RECEIVED Existing Conditions Summary ) � 05 ' 0 2. Describ the.existing topograph . Indicate cont urs on the site map. SEP 1 8 2007 f s/,/,_ 7 ,EFFEFS_N _r_N Y , 3. Describe the existing vegetation. Indica%native vegetation areas on the site m p. / /' , s M , .:,. 7PAS 4.el 4. Describe the existing soils. Indicate s • type on the site map. 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. "titfe;74,?"e ir-74.4 ... t,,,,,,..k e-c-`P- h Grk s u. iC s AI" 4 4: ✓ APPROVED 6. Describe �any excess levels of noise generated by the proposed use or activity: STORM WATER PLAN r Stormwa 's Nov - 8 2007 Require i 1EFF ' ► O N Y • DEPT.OF '1 ..1 illi, 1 • EL EN stormwater site plan template—rev.10/1/2003 SI(INATUR : 1;1 5 • r 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 ap. /� ,/d1'12- c-4)a s� r� .,7 t e .a�O(,.� R-S / C �1 YY 8. Describe the general vicinity of the site,including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (streams, „wetlands ,steeg slopes,etc,). 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.,Loc to these facilities o the site plan and differentiate proposed facilities from existing facilities. Lfl�t..i- c Ga.--ell-,4---1 [fir 54-- , (.4A ifi,..-,.. ' ''(AYa' , J 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 inv tive the potential for dispersi n of contaminants. t igi ` a t-an(4 �j�r ��S Tv. 17 "it e_e_AS-e—D /— / 0 11. Describe the performance goals and s ndards��� appliccabl to the project.1..el_ n �-�- t._ < �T � P ,N t w.o_X tti (^.0.1_ („...4 v-u„4.P n .,. ?„2„ owy,.........z.1 SlArrAIRP .12. Describe the flow c ntrol s stem. A • stormwater sileplan template-rev.10/1/2003 6 • • 13. Describe the water quality system. ?Li. cje he (4,,S,4 -fr, emii-b--J2 14. Describe the conveyan system analysis and design. -745L1 (('--e. , l.....:: / ciA,t44k-e.v -6. 42-pro'S ,i 64..4AL— t-4124-/1/4,y) 15. Describe the source of fill material,physical characteristics of fill mate 'aI,an deposition of excess aterial. ri ert Ifra-A C.,/ ,. 'K.t,4,.._ 7.;) A 1-4f cc S'. o.rz.. G,, c 0 LC c„fvA.,rx.aQ 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. t a-c. c C art.e, 17. Describe the p posed urfacing material. 18. Describe methods for estoration of the site t�till tw [LS t Q1" 4 .6,0 S ?^t ll-ckg 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. tr fqr "large"project only and only those for which facilities are required to control flow or treat runot,4f j uliils here. A 20. List here and include any reports or studies conducted to prepare the Stormwater Site Plan. AA) rr 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 ere. f z4 1 _ `s -^ 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 Clear'ng Limits. -__J 2. Establish Construction Accejs. - Rs 'QGn/ Ic [71�-or-5Q rev,,R.Q •d 4.p ' V /r- -6 use 11 3. Control Flow Rate (41-w&Ic egts c.-y* S4-n./ 4. lnst I Sediment Co trots. Qs frt...ae...t 4 s.oto 40 (4,..,- S.&41,11,44 ,v g-t,A 5. St bilize Soils. 51 ritA„) 6. Protect Slope . H �•.�(LS as irle-ce. 56- 7. Protect rain Inlets. VA storrnwater site plan template—rev.10/1/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize C annels and Outlets. tat izziS crd(LX 9. Control Poll�ltants. �1 5 l►'�nnr I' �tn., li ry S c-cr,--, 10. Control De-Watering(the act of pumping 7undwat r or stormMaway from an activ construction site). 11. Maintain B t Management Practices(BMP ). 12. Manage the Projec. . "14' 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). flra-� aerc�s5 �G1�C '�e , G4��Q Sc�{S �e2. � b. Description of the downstream drainage path leading from the site t the receiving body of water(minimum distance of 400 yards). 42 c - r (1 lies d� ti- -� �r 3. Environmentally Sensitive Areas. a. Descrip on of environmentally sensitive areas that are on or adjacent to the site. RECEIVF SEP 1 8 2007 JEFFERSON COUNTY DCD stormwater site plan template—rev.10/1/2003 9 • • • b. Description of special requirements for working in or near environmentally sensitive areas. / 1 /' 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. Cron tructi uen S44:„.. , / cea.144 b. Construction phasing(if propose ) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposetyrkftion schedule. II. Wet Season Construction Activities. a. Pr osed wet season construc• n activ es. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the p erty owner responsible for the initiation of onds and/or other financial securities. �-yk K p1r6r - 4,-wcQs 4 klama� Ek- b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. t` r&Zf. 4 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/1/2003 10 411 • 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. - 0 7 (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/1/2003 12 TT b.-o,l 28'-0" J1 immim(==)G""-'='r-" !2'-0", 51-011 )I-611 21-011 121-0" 41-0" /1-61/ ---lf lf. o o o C=9 _ ry MOW! 1Iiiiiig�UI,Imm�WI1Ili1/I1M1l•NIIII>MIN>tlnllll IIIIIIIIIIn111_■■■■■■■■■■■■■■�ii�WA ' , 5,illi\1�, I; I I I IIIIIIIIIIIIIIf!IIIIIIIIIII'.-EN E`1 �� II .,1 . AGE `�i r-D1—'4 ' . 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