Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
BLD2007-00532
eview BDILDING PERMIT APPLICATI• MRLA07 00569 Type: Jefferson County Department of Community Development 621 Sheridan Street Pod: Townsend, WA 98368 PERMIT #: BLD07-00532 Received Date: 10/4/2007 SITE ADDRESS: 1372 GRIFFITHS POINT RD NORDLAND, 98358 OWNER: KAREN SWANSON-WOOLF PHONE: WILLIAM B WOOLF 1301 GRIFFITHS POINT RD NORDLAND WA 98358 SUBDIVISION: Block: Lot: TX84 PARCEL NUMBER: 021321069 Section: 32 Township: 30 N Range: 01 E CONTRACTOR: WALTENBAUGH CONSTRUCTION CC) PHONE: (360)385-6105 32 KALA SQUARE PLACE PORT TOWNSEND WA 98368 Contractor's License WALTECC012BA Expires 1/1/2008 REPRESENTATIVE: WALTENBAUGH CONSTRUCTION CC) INC PHONE: (360) 385-6105 32 KALA SQUARE PLACE (360) 379-2737 PORT TOWNSEND WA 98368 4f1 Y4cD "Kr kl) 61a5 io$ PROJECT DESCRIPTIOt 56 x 36 POLE BUILDING/GARAGE NO PLUMBING & NO HEAT TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 91,328.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: ��gg� SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: ► oI5 / '1 (1 Type Amount Paid By: Date: Receipt: proved/Date PROVEDate A� Permit $937.75 KAS 10/04/07 93362 Plan Check $609.54 KAS 10/04/07 93362 9State Building Code $4.50 KAS 10/04/07 93362 NOV Total: $1,551.79 Jefferson Casty Hawk Jefferson County Building DiFsion Permit Nurit: BLD07-00532 Applicant: SWANSON-WOOLF 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 8_‘Z_ Post Holes Framing FINAL INSPECTION ' .- - , 7 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00532 1.) The application was reviewed by the Jefferson County Department of Community Development staff on October 5, 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 followin SARPA aquifer recharge area; high risk SIPZ. 2.) 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. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 5.) 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. 6.) The parcel is located within a High Risk SIPZ (seawater intrusion protection zone) according to the County GIS map. There are 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 High Risk SIPZ is defined as: areas within 1,000 feet of a groundwater source with a history of chloride analyses above 200 milligrams per liter(mg/L). 7.) 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. 8.) 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. 9.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 10.) The applicant is proposing to create or add 5538 square feet of impervious surface and 5538 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. 11.) A Stormwater Site Plan has beer mitted and approved by the Departments 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.) 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). 13.) The site plan as submitted with the building permit application on October 4, 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 9, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 14.) This approval is for an unplumbed, unheated detached pole building 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. 15.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 16.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 17.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 18.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 19.) 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. 20.) 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. 21.) Minimum setback from Griffiths Point Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 22.) An address of 1372 Girffiths Point Road, Nordland has been assigned to the parcel. Griffiths Point Road is a county local access (C592009). 23.) A well review(USR99-0053)was approved on October 20, 1999. 24.) MANDATORY MEASURES OF OH RISK SIPZ: • Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 25.) MANDATORY MEASURES FOR HIGH RISK SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirements: a. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106 for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC 173-160-171 (i.e., within 100 feet of a groundwater source showing chloride concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an existing or proposed groundwater well not subject to an Ecology variance, applicant must provide evidence through a hydrogeologic assessment(relevant components of an Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the subject aquifer will not be degraded by the proposed use of well. b. Installation of a flow meter. c. On-going well monitoring for chloride concentration. d. Submittal of flow and chloride data to the County per monitoring program. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. I Q 53-' W LaQ' 7 � '� U /iiJ 79.03 . RE� D IVE 1 _ n o�-Z �� 0 46L`8 51 Ns>.9�1$0 PCC FGR UNREC. PLAT C� - 4 2007 °10cp 2� 10_ �` CCp p� SIN V864 �.N\ 47FfEtlsol� coulYll aca v0 ARt�r,D 114A . 0 6 ° 9p9/ 1 4 , 5 p, O p \ o iji ...,,.. -4-24 o IIxy^ � 4 �\� .� o ss e �0 o PuT /4 ;,. mew a �il �6.0�8 0 p pQ ji Q �` ` J [ 2j77 °� ��y �i tl , \)) CL . rIi � 8 2 m w F— o. c K A R EN WUDL FFfj ;� cO ,r, !CD w / D N N z N1 / 2 TRACT 14 V) LI i APN OP1 - 3 �' 1 - 0 kr9,7 _a ill 4 : _ LL.I CI- _ v mom -fic Kr 31-7 - i ' 31 a Pki U M U f "O / - 0 L" ,1 eu_{ ,".ra „' r;AElUR N M 1 4E `el: Y --I —� F j„i cs r o ARC CEN PL 423,27 DIVISION LINE PER SURVEY 657 AP OVED N89°49'39'E VOL. 21 PAGE 69 I— L.L • � o lls.4�11 PLAN. REMISED •5 y � T1 is i - //�� 372.6- DI�� � ���. '� ' o C CY) r N — 2007 J J! .r . . `/ 0 _ o N89°41'2 yJEFFERSO. o —J w ,,,, ON JE O DEFT.OF 6' iii �i_I/h 7di .. SIONATU' ' • , DEFT.OF C'Silk; ��1;1�+ � o •' E SIGNATURE: S i 1�I.I ♦ , li4. 1 / 2' TRACT 14 • P.._ ,/ — z '/ r s ),,51D- S -Pfi %tormwa D 8 r QRequire U d ycl l ax\i i lA) J ' . v I 1 r n w I lyl r, °; � I W 11 ' � I (-l " 177 /\ • 40 ,. i I , • ¢SON CO 4� 6. JEFFERSON COUNTY W4 ' \ DEPARTMENT OF COMMUNITY DEVELOPMENT OCT 4 2t1U7 '' -, :••, ''4 i 621 Sheridan Street• Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax �Q ,,,Q' www.co.jefferson.wa.us/commdevelopment rl t t; , i1 Master Permit Application MLA: C,1 - `)L-1C:t Project Desctiption ix l(include separate sheets as necessary): � o 1,0-A- Tax Parcel Property Number. �� 4 Size: 3 , � (acres/ quare feet) Site Address and/or Directions to Property:`"D i Yli'Tint/ 1 l ((C�( r �GLcI 13-7 a C s - eocLd t i oY-cLL c 1(,),4- Property Owner(s)of Record: t t 1s- K_ .." ( 3 Telephone: Fax: email: Mailing Address: Applicant/Agent(if different from owner): , Telephone: 3 5 —e,i i Fax:�O- - .7 email:SCD 1.t-eOk CJS,/t ld Mailing Address: 3- GI-LA 544,ta t-e_ 4 I(A)A 9 83(0 V What kind of Permit?(Check each box that applies Ad8uilding _� 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit yJ ; C]Conditional Use[C(a),C(d),or Cl** El Single Family ) Garage Attache Detached ; Cl Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular \ ./ C]Special Use(Essential Public Facilities)** ❑ Commercial* Cl Boundary Line Adjustment ❑ Change of Use Cl Short Plat** O Address 0 Road Approach Cl Binding Site Plan*" ❑Home Business 0 Cottagelndustry CI Long Plat** 0 Propane ❑Planned Rural Residential Development(PRRD)/Amendments** 0 Sign 0 Plat Vacation/Alteration"* 0 Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management 0 Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance 0 Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment Cl 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: � /�� ` D Ili ATION OF AGENT I hereby designateW(AXyi(,(\ 44o act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE !(.� Date:—__/V407 By signing this application form,the owner/ag 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 inspectio . Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application thy- h- ,r;.he,5. is prior notice. ,,.7 Signature: —_ i Date: V The action or actions Applicant will u••.ertake as a result of the issuance of this permit may negatively impact pon 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 - •• sibili f.r adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. _______? Signature: _ /e, Date: /C?/0!_?? 7 C:\Documents and Settings\canal\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc • • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: G ERAL CONTRACTOR OR MANUF TUR OME INSTALLER: PHONE: FAX: LoaLk.hb u , (o "-T hL c. n335--40 (bs 16)3-79 -D-737 MAILING ADDRESS: al-0— S P l EMAIL: ©� vs I, CONTRACTOR'S LICENSE WAINS L NUMBER: 0 j Z.( A NUMBER ARCHITECT/ENGINEER: (r/'�A.�`-J jj) (r�-' y-Konen PHONE' 0�I't Q it FAX:( ) MAILING ADDRESS: \ JAc� EMAIL Project Type: `Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:X New Wood Existing: ❑ Sewer C1 Addition ❑ Steel Proposed: Bank ❑ Community System - 1 V6- 0Total: gPi' ❑ Individual Systemt'Alteration/Remodel ❑ Concrete Fr ,�j SEP Permit# ❑ Repair ❑ Masonry Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party T pe f Hea : Proposed: 1 ❑ Public Y t,,,, ,�I Total: �-�i/-1 Name System: If this is a Commercial Project you must answer the following: ‘k" \t/t 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 In Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water T k 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / 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. r\("` .S'0 te 41� to iv Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2nd Floor Heated Consistency Review: 155. re Other Heated n C T - 4 20077J Base fee: q 3'7. • l Mezzanine LL� t ti Additional Section: _ — 1 Heated Basement l *r:�` 1P•° ", I' Plan Check fee: Unheated Basement State Surcharge fee: 4 , 5C) Other Unheated a qw L, `'.5b Pot Water Review fee: Garage/Carport atOr ,r,, 1 4 , SUBTOTAL 104 O 4, 1 Decks / - 11 911/Rd Approach fee: qt.431 t I1 C Other TdTAL: $ 1 ci 04,7q Receipt Number: cI_ J Cash/Check Number: ( C1 ESTIMATED COST(REQUIRED)e of _. ._ Date: ri' ..� .Fair market valu labor and materials foued- • I V11 10, (�, \ r�� � C'�( , Initials: (�y� C:\Documents and Settings\canal\Local Settings\Temporary Internet Files\OLKSS\Master Permit Application 12-19-2006.doc • . RECEIVED ,_,,c ON CO ,��� 64, JEFFERSON COUNTY OCT — 4 2007 fra . DEPARTMENT OF COMMUNITY DEVELOPMENT � 621 Sheridan Street• Port Townsend •Washington 983� JEFFERSONCOUNTY LED p 360/379-4450 • 360/379-4451 Fax �`S'$ING� http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# - (C) PROJECT/APPLICANT NAME: W 6-19-4 OCLIN,‘'! (- 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 storrnwater 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. / _ td...4_,La Existing Conditions Summary 2. Describ the existing topography. Indicate contours on the site map. r 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. Orl.A...46 4". 1.---rY-N-04--4-1- .." --4\--&A.A...1.../1.0 • r-•\Gaw—f---, 4. Describe the existing soils. Indicate soil type on the site map. _ S <L r dA LO o rr 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 at CC acreage of each. W ( b � sL — ( 1 6. Describe any excess levels of noise generated by the proposed use or act vity: APPROVED V- STORMWATER PLAN NOV - 92007 `''� _ : ctws N \ 1EFFER COU Y stormwater site plan template.doc—rev.10/12/29tOrmw `�' J DEPT.OF V N 5 vRequire' IL.. .'� SIGNATUR • • 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. ts-)---(Q 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.). 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. V ' A 1 Z� � (,.(1 ^ I'1 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large"projects or projects that involve the potential for dispersion of contaminants.] 11. Describe the performance goals and standards applicable to the project. 12. Describe the flow control system. RECEIVE1) OCT - 42007 .).FFEOt T COUNTY OH stormwater site plan template doc—rev.10/122003 8 • • 13. Describe the water quality system. 14. Describe the conveyance system analysis and design. 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. ta-aktii '`-`4e) 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. 18. Describe methods for restoration of the site. 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. P 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 6r 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. _41 i - J \tcA OCT — 4 2007 stormwater site plan template.aoc—rev.1 011 2/2 0 0 3 E F F E RSO N COUNTY D C D 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. rrN 2. Establish Construction Access. 3. Control Flow Rates. 4. Install Sediment ntt Controls. a 5. Stabilize Soils. VCA.A..)-QJ Or), Clki.L.,,e_up n 6. Protect Slopes. L) IA- {:,'C EJ V J[) 7. Protect Drain Inlets. OCT — 4 2107 \fs JEf iS1N 11 tCYf,fl stormwater ails plan template doc—rev.10/122003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Control Pollutants. l CULLA CJ'b 0—tiba .✓ a-G.b h 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). "../r\ 3' LAX1 11. Maintain Best Management Practices(BMPs). 12. Manage the Project. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). R7,7 3. Environmentally Sensitive Areas. 4C EA�� �- a. Description of environmentally sensitive areas that are on or adjacent to the site. OCT 4 2007 JEffERSON COUP 1YBCD stormwater site plan template doc—rev.10/12/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). 5. Construction Phasing. a. Construction sequence b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provideaproposed i onst ion schedule. l/�Jc l �' �Yy\.osg- GL G2S 5 r&x._ 11. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. D \( b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design C Iculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. 1`' �� b. Diversions. fQc RECEIVED c. Waterways. d. Runoff/Stormwater Detention Calculations _ OCT - 4 2007 HERM COUNTY E]CCD stormwater site plan template.doc—rev.10/12/2003 10 s • 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 signi g the Constru 'on SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct o the best of knowl e. I also certify that this application is being made with the full knowledge and consent of all amine, oft affected operty 01(. /6/0 7 ( ND A ORIZED REPRESENTATIVE SIGNATURE) (DATE THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: RECEIVED OCT — 4 2007 �11 fifilAIN Coll di 11GB stormwater site plan template.doc—rev,10/122003 12 e411/ ---40'-0" r r -i 10'-0" / 10'-0" / 10'-0" r/ 10'-0" i N (7,4)0 (--E),,...„ r6c, 690 \ rix.) \ \ CD , b 0 G oN t X 00 y _ 1 W ,0. o r Q + A Z / \O 11— ` \ lvyl \-...2) 0 ti O 9 o 1 1' O Oo ° s a tc\Ar---si \ 0 . \ CD OA O �1 7p o O c- (1) eo s R s 1cN, S1 c CA 1.1 \*N.- , Z C ) a crt — — illi N C7 _- 0 or) C I. c I 73 Nc P 01 rE) s o c c z L it it N NJ ti N H 0 IT, o o rx rr- rr- 6 0 b o M rn 0 13 —I ---2-) ] RN® 0 i 12'-10i" / — 14'-3" R.O. 12'-10i" I ti -T1 m $ $ o � x T- N In 411111.11 _ Ho- . . i..:s.... --,..- y--- 1-, _... .... _ I , Sx' 1 1 -is- •e* ', X , • ', ' -c-••• i\I . 1 6') ......, -,-+-- _ I c- 1 1 ' 1 , 1 . , / : •••, , I . . , 1 I €•:' , ...^, . 5,.; \---- • ? , .. 1 1 .:.‘,1 1 r 7 - -\ ...., o ( ' i • . H, i i. ., ...I • . , 1 t I . . z' .>•(. i ,..... , 1 ,\ ..., .. t:•,7 .... i C. , m..<''' • 1 : ... iI t i Ui . •,.. ' i . , 'It t , i OZ' i-,. —1t-- r• .'' , i 4 V / : ' • ' : f 1 1. ., • 3.1,t--,1 4C O. . 1 c . '• ; I , ---"F-•1,S-.., I , . 4 ' ' !1 i ' 1 : 1 1 I i I ' I .... I i 1 ‘, r.lz, i . . I i. .;;' I , _...Q . . , I , ,? •. . i • —1,...., I , -:-.4.- • ,'N'T"--11\. s,.• , ..._. , A---\ : . EC, ' : N I 1 ; . . . .....\.) .-_ ' -- ' '- -,... 1 1 ,.., J ' ' I ) 1.4", ;16 7-3 ---,.—, \ . 4, .7' %%•-• - \ • t,i1 -- i • ,, - . V- I 1 , / Ili i • • II 1 i , .' c........./ r'741-- . f".".Fi K 2;`.-- t 1 ! •-.. . , • , -.„,,-.. —I ( ..J. I , , ' . . • . ' ,4,-„,,1 , I i •,r--11 , t OZ:=1 ..=.7'. i ! I , ci• . ,-.,. . - az, --J 1 • „t::"1 .k.. ;47,' ., C:=1 1 ' ""e,'-'..',.. \"'".1 .. 4 s t C-3 ,,, , ; 4 1 N • i.:=1 1 .., ( CJ';---- Ii.....4.— , . '.......— .. . ••1 . .• ,, 1 - . . , .... .. . , , • • _..._ . _ _ . _ , k..),. I , •