Loading...
HomeMy WebLinkAboutBLD2007-00534 GILDING PERMIT APPLICA*N MRL y Review 574 Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00534 Received Date: 10/9/2007 SITE ADDRESS: 107 CASTILLO RD CHIMACUM, 98325 OWNER: RICHARD L LECHTENBERG PHONE: 360-379-1987 BELINDA H LECHTENBERG 20 BLUE SKY DR PORT TOWNSEND WA 983688822 SUBDIVISION: Block: Lot: T32 PARCEL NUMBER: 801031012 Section: 3 Township: 28 N Range: 01 W CONTRACTOR: HILINE HOMES PHONE: (360) 379-8600 94 KALA SQUARE PLACE PORT TOWNSEND WA 98368 Contractor's License HILINH"981BT Expires 2/10/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR W/ATT GARAGE & A/G 100 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,716 VALUATION 165,213.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 484 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: IC)-G -O Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,363.35 LYK 10/09/07 93286 APPROVED Plan Check $886.18 LYK 10/09/07 93286 State Building Code $4.50 LYK 10/09/07 93286 Nov 13 7 Potable Water Application $58.00 LYK 10/09/07 93286 Total: $2,312.03 Jefferson County Planning Building Department Jefferson County Building Division Permit Numb BLD07-00534 Applicant: LECHTENBERG 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 Erosion Control Foundation Footing 1 i —F7(' P` Footing Drains / Foundation Stem Wall I—1'—eSS ) Under Floor Framing -, a , c Straps(hold downs) Ext. Shear Wall Nailing Vy pit A t'aar rEst Iwt.e-ne- .- IJAJL,AA INC 2/'/8 fr Rough in Plumbing .A'2A\0'6 Framing 3/3/60 , eX Blocking Airseal 3/a/o8 Ok Insulation: Walls .)\\0\ cd.i) t N.k.L., v•I\-tail, ‘-‘/\ ` Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing 3/24/66 Wallboard Nailing / 3 f.4// f A Cemd: /n+prove eei/re� nai/ii18 IS BeA/roa», °L Gas Line: Interior „ : O Gas Line: Exterior • ) : i, Propane Tank .7 Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION l 10 .1.,\4 .rly) FINAL INSP CTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00534 1.) The application was reviewed by the Jefferson County Department of Community Development staff on October 9, 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; SUSC Aquifer Recharge Area. 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.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 5.) 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. 6.) 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. 7.) The applicant is proposing to create or add 2689 square feet of impervious surface and 4193 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements#1 through#5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 8.) A Stormwater 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. 9.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 10.) The site plan as submitted with thililding Permit application onOctober 9, 201as 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 13, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 11.) This approval is for a Single Family Residence with Attached Garage and 100 gallon above 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. 12.) The parcel has been designated as RR 1:10 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) Not more than 2 unlicensed 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. 15.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 17.) 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. 18.) 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. 19.) Minimum setback from Castillo Road right-of-way and any private easement right-of-ways shall be 20 feet. Minimum side and rear setbacks shall be 5 feet. If an ESA is present, then the more stricter setback(s) shall apply. 20.) An address of 107 Castillo Road, Chimcaum has been asigned to the parcel. Castillo Road is Private (P553). 21.) Potable water is provided by an individual on-site well. Well review was finaled on October 24, 2007. 22.) A septic permit (SEP02-189) was cancelled on August 7, 2002 and is now filed with SEP07-318 that was approved on November 6, 2007. A septic permit(SEP91-145)was cancelled on April 15, 1991 and is now file with SEP07-318. A well review was finaled on October 24, 2007. 23.) A wetland delineation was not required for this application due to the proposed residence being located greater than 500 feet to the east from the wetland. I ON cod JEFFERSOAUNTY flopv fr q • /k DEPARTMENT OF COMMUNITY -YEL PIMENT ' - r� 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax Is, N00� www.co.jefferson.wa.us/commdevelo nA 9 2O�t( Master Permit Application JEFFERSON COUNTY ID MLA: Cr( (L ((--1 P o'er ieerptioniriclideAeptessh etq a(necessary):�� 1411 41MtLd. Tax Parcel Property Number: fO/ 0.3f ©j;7, Size: —5t 2,!o 404 quare feet) Site Address and/or Directions to Property: /07 Casif/ !1n R ) OFF C ri e. i l9 t .b Property Owner(s)of Record: Ric:hQ(' w F e/'/nag( A&&,h terr b"t r Telephone: 3(a6' 9 �� ��43 5 Fax: 3 ` 6 LB(O email C .,. ?elf 7',. r,A.r m aY� ,29 VT15 Mailing Address: ,Q) V X .Z3y Ct.il m�'i/bft (uk, ` 6,,. oZ.7 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: Mat kind of Permit? (Check each box that applies %Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]** IV ingle Family EJCarage 4.-_-_.• /Detached 0 Discretionary"D"or Unnamed Use Classification 0 Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ ,ome Business 0 Cottagelndustry 0 Long Plat** 'VPropane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management 0 Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs th- County in writing at the time of the applica' that o she wa s dor n Signature: /0 c lGe�i C Date: r� The action or actions Applicant will undertake as a reti6 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-transl f,ble re ib'it dheri t and complying with the ESA. The Applicant has read this disc) psi dates it below. Signature: Date: 9A G:\PermitCenter\###FORMS###\DRD FORMS\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: GENERAL.CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: /''1 1,l Me 11D ni to OF S e-F re r%t +'t (3!o ) ( ) MAILING ADDRESS: 9/ F el IC( slj tj U,((V .}P(G Cl°_ EMAIL: CONTRACTOR'S LICENSE L/ tp 9E. 4'F, WAINS NUMBER: `Y32 i NUMBER ARCHITECT/ENGINEER: ��c PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL �Proj ect Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: "ham New ti/Wood Existing: 1) ❑ Sewer O Addition ❑ Steel Proposed: L. Bank ❑ Cpmmunity System ❑ Alteration/Remodel ❑ Concrete Total: 4- Height: rVindividual Syst m op ❑ Repair ❑ Masonry SEP Permit# (/•/ tiJ ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: .I'Private well ❑ Two Party Proposed: ❑ Public ,,,H7121.1 Total: 6Name of System:_ _ If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tanlf'and/or Appliance Installation permit,mark all items below that apply: i Underground Ta k Above gpund Tank Size of Propane Tank: , 00 i Heat Stove Zook I Stove '. Woodstove i Fireplace Insert I Hot Water Tank I Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. i s fi. , ? 1.fir " t t,t; Square Footage Current Proposed For Office Use Only, -„ ,z ;,:i, x di , Revision A Main Floor Heated EH Bld App Review: /O�j > ` 2nd Floor Heated Consistency Review: r2 Other Heated Base fee: L 3 3 Mezzanine Additional Section: _ Heated Basement Plan Check fee: ' / Q Unheated Basement State Surcharge fee: ' ' Other Unheated Pot Water Review fee: q3• tri Garage/Carport SUBTOTAL o3 Decks 911/Rd Approach fee: ,-^ -1-13TP ,14,4 Other TOTAL: $(950S • Receipt Number: °13Z (, C________,Z- Cash/Check Number: C� � `�'ESTIMATED COST(REQUIRED) l — Date: I n�� I (•Fa marketvalugpf all la r and materials foundation to finish "I )(ç /I[(l Initials: i " G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc /------/� • • kEcElvED o c , , OCT O92007 4 ffriV, JEFFERSON COUNTY KI DEPARTMENT OF COMMUNITY DEVELOPMENT Jfff[OSON COUNTY DCD . . 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 . 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# ()'/- '7(J PROJECT/APPLICANT NAME: �.e lep 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. O kC / 01411,/ t C—r s C.- Existing Conditions Summary 2. Describe the xisting pography. Indicate contours on thp site m 1gain Ej e d-Q p • wilnV V ;- -/ran - ieo Warn O i eJ-4 I L -u . > `� � � � s 3. Describe the existing vegetation. Indicate r}gtiv?vegetation gees on the site map. ,o.rrt c, gatSS, t41cig r, ri r, barn , ��L% i 4. D ribe the existing soils. Indicate soil type the site map.� Acte.. iCan-� I Ppr ne le r ii (,Irt_ , 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. na - tat-I r rai a e&,ro u V Qq Pint -ie r 1 50frYte ha4&-ad q alit is o' 40 d tom,, 6. Describe any excess levels of noise generated by the proposed use or activity AP .ROVED 0114 NowyL( No I s e 1?g_u '-i .'q du -iv'ci 01 r; rib li. ,i r^TFR PLAN Stormwat.r ( i� / NOV 1 3 2007 Required) i,1_r/.• � ou T stormwater site plan template—rev.1CY1/200.3 ` JE F DFPT OF(' N Y y 5 SIGN AT R_. 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, stee slopA etc.)on the site. Indicate I ation on the site map. - E t PpES'- rfm E P 14 j AUK-final Giraaaei�� i #6 Om-par iu t /op X 106 0Hcw d 1ri'�l Cf cite I-0 /) I, 'i 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.). , OVA hhDcIntl hb Ase ado'W coo cU,r e_ tsivt.ta 004 4 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. Los to these tacili i s on the site plan and diffe entiate pr posed facilities from e 'sting facilities. S+t�m wa??( I ?i, A,-c I 1 - t-P M.fik4 y-eg0# 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 pr jests t atynvolve a potential fo dispersion of contaminants.] 11. Describe the Vperformance goals and stan rd applicable to the project. a 4d.� a o p - ZJ/f.ti 'L a. ` -oc e 12. Describe the flow control stem. �b 4 ;�, d _1 , iitria.,44, weiftzdayx.. stormwater site plan template—rev.10/1/2003 6 i • • 13. Describe the water quality system. oil* =664-' n6 4 z Aiel0144i, ?PIO f 14. Describe the conveyance systerp analysis and design. /fiat? TiDliaei ) .44r-tiO Aiv-ti,y14 V , 15. De cribs the srcq of fill material,physical characteristics of fill material,and deposition of excess material. J- , 16. Proposed methods of placement and compaction consistent with the applicable standards q Appendix.cJpie ol*eUniform B II g Code. ,-rC 9_2b '! 17. Decr4e thewpsosurfacing material /cQck JifffliSON COHN OW 18. Des ribe metJiods for r storation oft a site. T -t) ,,, da dte:baaed find.z4e ( /a,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. NM 20. List here and inclufle_a<ny special reports or studies conducted to prepare the Stormwater Site Plan. iki 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include 1 conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions he . , { f ---.. `. .V Yy O. v`.✓•Q Y 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 E 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. rk Clearing Limits. re aAA:tn waA OLQAta l ...e}d-aela uitIr PAAt egi_ 2. Establis Construction Access. ( i Willa dif.wtail AOak 7 .. 3. CrlFIQw .lw-j'lL/ iv AM • 4. Install Sediment Controls.� iW ' ���C=7{,(�'6 5. S abilize Soils. - (kia "OLGA. ,Y- 11,61/44 T4113a 6. Prot ct Sloes. ,vat Peg i 7. Pro)e�Drain Inlets. ,i/ stormwater site plan template—rev.10/1/2003 8 • 0 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. eiiir •. Control Pollutants.' 10. Control De-Waterin e act of pumping gr undw�ar or s�rAnwater awaan a 've constru on site). 11. Maintip Best Manageme ractjces(BMPs). la 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). "'ICI? /. 1..P ,�-�► , f,,,. ._ ,./ b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yard a 4021. =- r 7 ' . , 3. Environmentally Sensitive Areas. a. Description,of environmentally sensitive areas that are on or a acent to the site. 7, 2‘2 RECEIVE 1 ) OCT 092007 stormwater site plan template—rev.10/1/2003 JEFFEOSON COUNTY DO 9 • 0 b. Description of special requirements for working in or near environmentally sensitive areas. 4 14- 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). Asetibe fie..4...g—e. -- 5. Construction Phasing. a. Construction sequen Au-e- plze 1 , te-kt,ceijeze,7Yi /... tzifite-,j_ AfritAlFp 422(eA-6P4 b. Construction hasin ifproposed)-- ro osed Z P 9( P P ) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a ro osed construction sche ule. D , 5 t-le, per p Fop.iydettam OV —DeC,3 r/2/9-rruvirl - Ptarli II. Wet Season Construction Activities. a Pr osed wet season c nstruction activities. its cy� i Proposed wet season construction pc'vities for environmentally sensitive areas. 1.40abt- %l- i r LadeA, _ . 7. Financial/Ownership Responsibilities. A. Identify th pro owner responsible r Up initiation of bonds and/or other financial securities. �ea_ze4 b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation /01.4 impacts. r 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. frf/ier- 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. criel-S -, :;7171-1-21e:741( /0/9/R7 (LANDOWNER OR AUTHOR ED REPRESENTATIVE SIGNATU) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: b L' O 3 stormwater site plan template—rev.10/1/2003 12 0 A wa v 2 ^ Zc'�-= ° v a � -i °;mom apar� CD H r ^ N ccl H mZ H ). (!1 z (n v:-.eo a-0 w Dvrp t� C7 CD . Z yp (r- pUT cnZ7� ( �? Npn (`i-r;- A� r~-o (n --1 Co -Am O c- Z m m m01 CC) Z � `"-' p� ►=� •> O � a3 �_m 0z Doo _o w azO0m On �"a W • H owy 77 m o v Z tJ Z p �v \\ fit~ I : L 1 r � c ...l.•' :_ ,/ / _ _ _ UM r >4! V -.. -,. u, i li • II't•• 7-- aim O — - - - �. ID H pN �� m c� Zi II • A.�. CO N1 m n N_- 1 1'_ 1 O `� Z = 7 0v 1 8 D • OO N (P *r 0 v � u' v 0 .. OD IIIIMMM 03 r t. ii__I 0 a n 40 7--—/ 0.,�, m o Z _st Z O N < i Z I__ ir-,--- y o IC) 0,t hL 2 1,,, Z 0ip � � :::,i: m Xi filli • •i Z ll OmM°' a (.n m -1=' ZZZW mmty 03c1 • m,0 -i v 4/ Om " cm - or - m - (rnHNZ mmO � ZZ z rta bra a m � (A v O r lol ,.. zoo ZZm pZ a .•�?a 7)72P cZZi = voa > a � movo N� i� ^_': = = a rnQZ r U1 r (n Om r c1� (I part m-710 O m mmt-• -1m r ►v D (,1 A � �v I (p„ n � � xnxj � � (n A = (n D �� � t1HO 1-' m Ti� vm � � _ � m� m = = Z pZm� rmaa �� � HZO �ca- -1 mma OmZm CO -I a � Aw I I 17 - A =Z --i � • 0 c wnonZ m Z mSw �mc, Z7o Ot- -1 r _ � 0x, 3 t 1v0a 8`- ot `r -Im _ = cl'mm = 0M ),„ mQ a " Za a Iram uH a ' - -jZm -i -i amg A rpII4 m maXca 2. a m x) � �� a Z = Zm ® ' CAr' m GI A o• N. p t--1 Z `C 71 A 0 o •" ._.. p 0 I I_- n a ... a 6 D6 c., p v n>•v.._ e,..2.,,,.-= (n m Z 9c°Z SHEAR WALL RICK & BELINDA - . o Ago= LECHTENBERG • N 0 ry `o»p 41 W KINKAID ww. \ \ 7*wZK PLAN PORTHADLOCK, WA 98339 H ,� v o N w m (360) 379-1987 C` rn `o ©copyrot ne Homes.com ,, ©copyright 2005 HiLine Homes �// -1)., F_, I „„, rn 2: ),.8 z 0 4, lir, _ IZTT �NCA r b! / ' \ 404 rri .. wit., rci' 2,is p� a »>f \ —'I .4 5 -,\ I • ,:.,,. ill i I Ii co '11rIl CN 1 lAv.1....„,... t tk I P R. in:Y± , I -----------4 a I, 13;. 4, II � 2.0 // i i..): 1 .. 0. r> v A �r� NI O -----C, ________/(k.". \---- 1 G., p / ?A ! (3-\ c‘-7 I --t. , \ (1� _ co 324'f . I. ..1;. Ati I „...„.... ...._ Z\ dl. / a f g-- --.: _ _ ,� I (0 I jil, N GA ! ' `k ilik \ I i .....Li) Or ., 1 i).:,q. I / TM . „...... V Il CS I I J ______ o PI —,� - 0) 0 \".7.-- II n �I o 1' II Y vv o ,R�i ► o i I p �� 1 I \ N7 I p ____ I-- rrl IQI II = �, � I r 0 NI I 0I �� ^^� 1' it_____ _Zig , a) v - --°------- -- Wi -------- ... -- --7 -i I 1P - . � 1> - o I I.--- _ ----------� I � o . ---- -- --- • nO� ._ I .1„...\ I v)zi n-13* o r ti� �O W m I"V�D v1 - 3 ,I �. zrn ©a g - � . . IO#2 , o • \ ,i-5) l a� 1 V .,,g z / , ni _ " CD 0"� / o n 0 -0\ir .� . 0 Zo i oeilip I � r Pi \ N r r, 7� ' .f_ r7 z - --).S 04// k N.) % .� r I f/L I '2