Loading...
HomeMy WebLinkAboutBLD2007-00572 • • CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD07-00572 SITE ADDRESS: 311146 HWY 101 Issue Date: 12/17/2007 BRINNON, 98320 Final Date: 7/30/2009 APPLICANT: DAVID R GARDNER PHONE: 360-796-3749 ANNA M GARDNER 643 SALMON ST BRINNON WA 983209627 SUBDIVISION: JOHNSTON SHORT PLAT#3 Block: Lot: 3+ PARCEL NUMBER: 502213024 Section: 21 Township: 25 N Range: 02 W PROJECT DESCRIPTION: NSFR (REVISION 7-23-08 - NEW SFR SF) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes n� THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/30/2009 I:\F_BLD_Occupancy.rpt 10/29/19 Je'ferson County Building Dion Permit Number: BLD07-00572 Applicant: GARDNER 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 MUST/SHALL BE 100 FEET FROM EDGE OF WETLAND. Erosion Control SEE CONDITION 2&3 FOR SILT FENCE REQUIREMENTS. Foundation Footing Footing Drains Foundation Stem Wall '/,r/ Q4 o4 Under Floor Framing 1/ /c' n{' Straps(hold downs) /1/3/4 ‘i7/ Rough in Plumbing I 7 jO -- 'A i35 Q90 Framing — o t Pt/c orr i Airseal i/1349 # Insulation:Walls Insulation: Floors Insulation: Ceiling Wallboard Nailing \AO1 ��j Drywell/Alt Drainage ! SEE CONDITION 1 FOR DOWNSPOUT/SPLASHBLOCK REQUIREMENTS. Address Posted 5x-r 5:1ER /J)t' /zJ3/d8 lt/eallo1/641 S" FINAL INSPECTION �7 � �� ►.y FINAL INSPECTION ST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR ILDING PERMIT APPLICAoN MLA07-00609 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00572 Received Date: 11/7/2007 SITE ADDRESS: 311146 HWY 101 BRINNON, 98320 OWNER: DAVID R GARDNER PHONE: 360-796-3749 ANNA M GARDNER 643 SALMON ST BRINNON WA 983209627 JOHNSTON SHORT PLAT#3 SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 502213024 Section: 21 Township: 25 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NSFR tSe6 '1 23-08 r TYPE OF WORK RES SQUARE FOOTAGE:i ,I I TYPE OF IMP NEW c MAIN: 1,120 VALUATION 181,079.80 CODE EDITION: 2006 ) ADD'L: --560 HEAT TYPE: EEE OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OGARAGE: — SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: - 1-0-1 „__ Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,452.95 LYK 11/07/07 95383 APPROVED Plan Check $944.42 LYK 11/07/07 95383 State Building Code $4.50 LYK 11/07/07 95383 DEC 12007 Potable Water Application $58.00 LYK 11/07/07 95383 Total: $2,459.87 Jefferson County Planning &Building Department • • CONDITIONS for Building Permit# :BLD07-00572 1.) SECTION 3.1.2 -2005 DOE STORMWATER MANUAL FOR WESTERN WA. GUTTERS TO DOWNSPOUTS TO SPLASHBLOCK SHOULD BE SUFFICIENT FOR STORMWATER DISPERSION. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MY DRAIN TO EACH SPLASHBLOCK. A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE OR OTHER IMPERVIOUS SURFACE. A SPLASH BLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE LACED AT EACH DOWNSPOUT DISCHARGE POINT. 2.) BMP C233 -2005 DOE STORMWATER MANUAL FOR WESTERN WASHINGTON A SILT FENCE SHALL BE INSTALLED AT THE WETLAND BUFFER PRIOR TO ANY LAND DISTURBING ACTIVITY. THE MINIMUM HEIGHT OF THE TOP OF SILT FENCE SHALL BE 2 FEET AND THE MAXIMUM HEIGHT SHALL BE 2 1/2 FEET ABOVE THE ORIGINAL GROUND SURFACE. THE SILT FENCE SHALL BE BURIED IN A TRENCH TO A MINIMUM DEPTH OF 5 INCHES BELOW THE GROUND SURFACE. THE TRENCH SHALL BE BACKFILLED AND THE SOIL TAMPED IN PLACE OVER THE BURIED PORTION OF THE SILT FENCE, SUCH THAT NO FLOW CAN PASS BENEATH THE FENCE AND SCOURING CAN NOT OCCUR. ANY DAMAGE TO THE SILT FENCE SHALL BE REPAIRED IMMEDIATELY. SEDIMENT DEPOSITS SHALL EITHER BE REMOVED WHEN THE DEPOSIT REACHES APPROXIMATELY ONE-THIRD THE HEIGHT OF THE SILT FENCE, OR A SECOND SILT FENCE SHALL BE INSTALLED. 3.) SILT FENCE PLACEMENT SHOULD BE BASED ON TOPOGRAPHY AND RUNOFF POTENTIAL FROM CONSTRUCTION SITES TO THE WETLAND AND STREAM. SILT FENCES SHOULD BE PLACED ALONG THE ACCESS DRIVEWAY TO PROTECT THE STREAM AND BUFFER ZONE. ANY GRADING ACTIVITIES SHOULD NOT TAKE PLACE DURING THE RAINY SEASON (AFTER NOVEMBER 1 OR BEFORE APRIL 1) WITHOUT ALL POSSIBLE EROSION CONTROL MEASURES IN PLACE. 4.) A setback of 100-feet (Category II), measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grad ng, clearing, or other alteration of the wetland or its buffer is allowed. 5.) Wetland buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 6.) A permanent physical separation along the upland boundary of the wetland buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 7.) To help prevent seawater from inillng landward into underground aquifers, AL 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. 8.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM)to any proposed development. 9.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed development. 10.) A permanent physical separation along the boundary of the stream buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 11.) Stream buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer - Do Not Remove or Alter Existing Vegetation." 12.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan signed by WDFW on March 21, 2007 and landowner on March 25, 2007. 13.) VOLUNTARY MEASURES OF COASTAL &AT 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. 14.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 15.) MANDATORY MEASURES FOR COASTAL 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 requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 16.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 17.) A Stormwater Site Plan has beenSmitted and approved by the Department II 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. 18.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 19.) 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. 20.) Minimum setback from Highway 101 right-of-way shall be 50 feet. Minimum setback from and ingress/egress easements shall be 20 feet. Minimum north setback shall be 5 feet. Minimum west setback shall be 225 feet from the abutting commercial forest land. (On November 26, 2007 the UDC Administrator granted a 25 foot reduction of the 250 foot buffer requirement). 21.) This parcel is within a no shooting area per JCC 8.50. 22.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 23.) 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. 24.) 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. 25.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 26.) The building height is not to exceed 35 feet. 27.) PRIOR TO OCCUPANCY& BUILDING FINAL- FINAL APPROVAL OF SEPTIC SEP07-46 IS REQUIRED. 28.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. 29.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. 30.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. • (/ N co6, JEFFERSON COUNTY • 5{ DEPARTMENT OF COMMUNITY ? 1/ LGPIdINV � 621 Sheridan Street• Port Towns f I1%Vashington 98368 360/379-4450 • 360/379-4451 Fax Is. (c.p Ti www.cojefferson.wa.us/commdevelopkiiNr f 2007 ftING Master Permit Application [[ �� , , [ ALA: C; 7 C Project Dscription(include par to sheet s ssa ): +_�L 1 �L'�M �' � `�"7 Tax Parcel Property / /� _ Number: 2 2 i 3 - 4 Size: / J 6 ..4 c.�tC' ores/ qua f y Site Address and/or Directions to Pro rty: L, + 1 1-L U l F � I �L / S i r 14 Pro /c f -1.no_v__ A gli'3 z e) Property Owner(s)of Record: �� A A ' n� Telephone: (� C�' G Fax: em il: F{` "/ Q�G Mailing Address: • eC !iV 1 4jIf- /'a. o �� Applicant/Agent f different from owner : `eu�tJ�' "'c4-� Telephone: / Fax: email: -- f�' J Mailing Address: r ti ��'� What kind of Permit?(Check each box that applies s- ,�e�"T Uhuilding ❑Variance(Minor, Major or Reasonable Economic Use) ❑ emolition Permit ❑Conditional Use[C(a),C(d), or C]*" Cd CJ>() ngle Family ❑Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ii i L-L ❑ Commercial* 0 Boundary Line Adjustment „ ❑ Change of Use ❑Short Plat** 7� �T ❑ Address _❑Road Approach ❑Binding Site Plan"' ...--- - ❑ Home Business ❑Cottagelndustry ❑Long Plat'"` ❑ Propane ❑Planned Rural Residential Development(PRRD)/Amendments*" ❑Si 0 Plat Vacation/Alteration'"' ❑ owed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** Stormwater Management ❑Shoreline Management Substantial Development*" ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance 0 Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetation 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 —�� r---� - to ac.as my agent in matters relating to this application for permit(s). OWNER SIGNATURR/"..1��`L '':/'--- ,/;-",...y", J _ Date: / ` By signing this application form,the o r/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs RdTKfit of entry will pe assumed unless the applicant informs the County in writing at the time of the application th (!tie wants pri Vice. �� \\ / Signature: /L�-� • /y 1`' �� L '�C_ euY Tale: /C/ t 1 � The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ES individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance the Jeffe ty developme code.The Applicant acknowledges that he,she or it holds individual and non-transferabl re sibility adheri t nd plying 'th . The Applicant has read this disclaimer and signs and dates it below. Signature: e: /)- / . `- ' G:\PemritCenter\###FORMS###\D 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 assume g the responsibility of the General Contractor for the proposed project. Signature: � e->''.# Date: 1 I GENERAL CONTRACTOR MANUFACTURED HOME INSTALLER: PHONE: FAX: CLF _ . UI (-- 1) i�iZ ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: ``g NUMBER , A2 _ ARCHITECT/ENGINEER: ' ''f (AI g ( r A - PHONE (�5'2-y"� 2 FSr( 7& ) MAILING ADDRESS: 2 ( 5c / ,�Gt 7!f /2._L-9 7. l r 0A- }1 J Rot )P P . ftf p 'L..3 t Froject Type: !raTe Type: Bathrooms: p(--/.--(:-S Shoreline: Type of Sewage Disposal: i 1/New Wood Existing: 0 ❑ Sewer ❑ Addition ❑ Steel Proposed: '1 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: '7 Height: 11 Individual System ❑ Repair ❑ Masonry SEP Permit# C--lb. ❑ Demolition ❑ Other: Bedrooms: W3ter Supply: Existing: 0 Setback: /• , Private well ❑ Two Party Type o a / Proposed: Public 1.N _�� ` Total: 2_ Name of System: ne If this is a Commercial Project you must wer the following: Number of Parking Spaces: Curre . Proposed: tuber of ADA Parking Spaces: Number of occupants(includ wners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank an r Appliance Installation permit,mark al " below that apply: l Underground Tank i ve ground Tank Size ropane Tank: i Heat Stove i C Stove l Woodstove I Fireplace In i Hot Water Tank l Pellet Stove i Other Is this appliance being installed in a Manufactured I 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 �Jse Only Amount Revision Main Floor Heated �' t ` H Bld App Review 11 11Z� •Oa. :� Gg 1,2-1a.PD 2"d Floor Heated g0 Consistency Review. i 50� Q� Other Heated +04." 1Pase fee: I ,�5a aC Mezzanine Additional Section: —^Heated Basement cj Plan Check fee: l'ta &I Unheated Basement A i A State Surcharge fee: A 50 Other U h atad — ,y Pot Water Review fee: 3 Garage/Carport n I II /' �{0 SUBTOTAL Iv((1-1 lr g� I D�,f,� v f � 1,5 R31, ` y Decks �11 /Rd Approach fee: Other r V 1 a 1 t Off$• TOTAL: $` tt) 1�� l b-7 -54 { l viriB1aR ipt Number: CrJ�( 1005'1Q -Cash/Check Number: - b a 35J ESTIMATED COST(REQUIRED) Date: �7 1 ,2_2 .Fair market value of all lab r aterials foundation to finish 1 I_ -1- I t' Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc ' • PR ir ## ! 9 st.soN e, 0 7 - 0 5 j _ RECEIVED _" , ' , JEFFERSON COUNTY^N '` '°' '1► + NOVNiki 0 2007 ,` DEPARTMENT OF COMMUNITY DEVELOPMENT o . ,A. 621 Sheridan Street • Port Townsend • Washington 98368 JEFFEHSON COUNTY HO " N� p http:/3 eg 79-4450 /www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPLICANT NAME: 4 NN R Q QM V/P 4AD�SY�, 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. QU /-4-g S L©4 ( /4„(Al ,yd,ttc- . KI -t- ci„ ( 00 -1-71 cc-A) (- -\12._ e, /1-itt-4 (--) - A C Existing Conditions Summary çt1"'r/'C s, (i�c^/�/_ 2. Describ, the existing to ography. Indicate contours on the site map. ( l�S /c-C-7" .0L' r �-o ,' -? / 7`M C-`7 ck= t s�(�SZ`r`�1�,a1 D /��IYL-'t`�'�1 fir= �e'1�(Z �� �`C. - i/�'7� �� -7' 3. Describe the existing vegetation. Indicate native ve etation area on the site reap. ©Z 8,/ E 4. Describe the existing soils. Indicate soil type on the site map�� M--5 �� 7,5 C° T, eljCP1/114 -( i T-c f S 0 04 T g tn. L l 0 Gc-T'L- 1'/L /v► a LAi 4 A1 f C' c= Lif6 1 r 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 indiccjle acreage of each. i-1&J i/L`• 8-0 J/V.) rt-d `tl7 R v Al A N" e� c O G6l�?/a..4/ V 1 C� 1/VD ,/ O/V ' rtiLl— `u✓1.14 C,- {.VA) 0 S ..2 a c`7=. v cAl i a-ti Lt/bJ- , 6. Describe any excess levels of noise generated by rr o ., e r • 143 • `1.0' ,� Oatitreta NJ M(fi Go tT ,R/PL ° i f�� As u e. IN�ti POu1 l) (t- l04 P& Ot4.9c'N 7' . Le, 6- H OM 6 6,yu3l-2u(_ rc trc iJ n`/7 LA 4 C'C-f2 EU) j'3S c M &C (7 • StormWate '' JEFFERSO' SOUl stormwater site plan template—rev.10/1/2003 DEPT.OF '�,�, ' D�VIP NT Required ��I(I► �� SIGNATUR•: Il i W.j , A{/ ♦ 5 A* Ili . . S • t 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 ore site map. d� eel c4 (v c Lit/VD — S pi, //li 7°Lc."' - Alt9 a. 1 r .P /c/cam 7.-ti 61= 5-1 ?-1 -- NI2 c� cf at�.P T � "74z et-Du? To 7& � *./c7''er - .P - fS r t il� Of sot� y -� 2 � 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.). of. L-(M P 1 �'1 11i/�-C- t- 1A c ri To %U� ?'I -'' ,'t j i L�, I)A- .9/f-, s. ,, r �- �l/6'H 4 '7 /, / , J o U -r/1 - ��0 L A-c-i2 c.'7.c oc.,).42 a pA_ iv -1 1c,ticr3-74- — H/L (c / c.-3 7 S D v T 11 C Cr+6J1 7n /1 tfC/It 44 /0 / . 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 facilWes on e1 th site plan and diffti proposed facilities from existing facilities. clov I-���4 o I� 77 eren 4�i) D(= Ti2 Af wA-7 /— t,v l e_ � � I/� 1 -Tt, FoIE7^c`D 71N A t ' cA-s !V 0t Uc W O s -7`7.Jf 1 t o S ,) `7(.,,s't `)1 C 9( 4IA) /tj' ' -.� e.!T --. -j 1 n 7`2 62-9 �` (PAT 11 /Lt- • i)U-&`�- t 7` '"L A2cYt - 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.] Ai .Pt 11. Describe the performs a goals and standards applicable to t pilject. Tn1 - r"t - lite.f l fl g 01 L 2)/4/ 12. Describe the flow control system. _ !. fiL e © � ' _� ��' �J r �iri1 SS�F�� �'�''�(5.��2�'77 .-r/ 4.; /�1 7�"(L11-c , 4. l( e IT` •H (.0 cvn T' / ii4 c 1. Ft 00-D 5/IJ IL r 'ti P�-t 't i 4.. 4 stormwater site plan template—rev.10/1/2003 1.. > a t$` `` i. t 6 : ... . a» -, q., ... . - • • 13. Describe the water gL.1.4liry SyAtern. NOV u 7 2 ' 14. Describe the conveyance system analysis and design. rc� o Cat bl d: 4 1— Q 1),, 11 t, z- (I)A7 LiA - c-- . '2L 6.-c 0 v- -) 15. Describe the source 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 on Appendix Chapter 33 of the Uniform Building Co 3(M l/ r-c,,gc-9 /��' rc efr- , /i Fe2t/A) VA-1 J�( /01-- Ce p t c A-:c v f - /QV -OFIC 4--r7`(9-t C* t6,2 .O A j/U 1' `)7-6"D1)e- 17. Describe the ro osed surfacing material. c c- P-r ( �- c ci'-r— -i - _ u t , -- -ram C_� 18. Describe methods for restoration of the site. [> - LLT ON SL' T 1 L �l l�`�yvi,J�L v f l't�-��. 4,i/ 1H U4, of 4-- 6 r r---z--7-----r 1/u (if e- c #7. (,)Le_t 46---- , ,i1-- _---) 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. 1 ) l .. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. r r (V1' ), ? /N /�--7`/-2'4 �2c` �-7�. . a --= L. 4/ `` 0 �' / £1-5Y9✓2 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. ( e_c ,�`` 1 / r tVN11- zTi < i(=1Y�► 17 p 0/1/1=j N1tI7` Lid? 0/41/ c _C-70 = -/'LI � /r stormwater site plan template—rev.10/1/2003 7 • • y 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. B keel, / , / ! �^ ;yap s. � �" a;4i,r 4 k e e -43 v- l'-'�dui e f �A l i p-G „i e, G frE1c Lvweyf 2. Establish Construction A ess. rc�Ss i 17 -fro �pt �tyt e ,�7' e-t 746 (rra.ti ( r'; �P a-s r -e l9wf" ra.Li mot' r 0 c d ?Lc) f /4✓• >I1 £)l a i3mp L 1Q5- 3. Control Flow Rates. l4 6e, Si r7 - cc ry wti G/. - L v..r 4-5 as �1 .5LG! S - -1- 'Z(<) .b'Ac G /3 rrrf r /lJpr d �c S l}'f r fe o '�'r' c ,-,. 1-✓L t� A.✓l.-it (,,t J-e- e G1 S Gc se, di to a * ?rc.P ..3 F)1 P 4. Install Sediment Controls. p7.w►-1 (y-rk / 4 d✓ 13 .1l ��C o� v1,14/11._ (et.5'; 5 (t e C2-33 5. Stabilize Soils. // 144L0 5 ll ear h a 5 /7" titi�✓I P G 1 6. Protect Slopes. _ t -574 Stu / 70 '" T " OY- k, 61' e trees —d .1j �r , 4 3 • ,01 r` rt' 1 K .4 01 �r a o.l ,2 P) /T r1 ,.4 A-"'a (S rR. `?r SU s 3 ; 1 T3 vh. e e 1 30 .<ur ��,� ROL, .11 L�-vt 13 r►1 p P;e 1_0100 7. Protect Drain Inlets. A / G t' r=,z� ► RA. eat' c ,a_ r> i.'t 1�7�51 fct.1.-vv P 4") w i // to 5 e9 c:-&:e-d ---t/ k)r,--t' J 14' 44. / (y -.-"e..0 C stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements-Construction SWPPP(continued) p8��Stt�abbiilizee Channels and Outlets. L / AlP.f 74;51"4ri Gt-$ - dice i � at ram. ; YL y .0--11A- S' 9. Control Pollutants. i 1� ' ! C'c-rvZ�u.L 3'M- -AA '2rs-o 7f� 8 rn 1 c l s 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). hid)t 4 Lot., p�s ri-t.� r L 5 r9 w %� /i12 art try a-G(' } .-? ii G,a cam Sergi T' -4 11. Maintain Best Management Practice (BMP ). 4, r b II 4 4/4 gifrity//4"4- /e/v6,667 i ;,, 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). ida.6LS /t7 1 . Carr. vtoa41 / 'e Div e - •lG? to w �u- Dn s eti1" b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards)) i e 5 i- et 6 S Dr 6 e J i n a SMit A;)) . "L2.n ru.h. e et,gf GdrwY! 6 s +0 we-? !4c "CV/?, I w �vn rc. 01) -rti. ,¢ t kn i 1 e 1•H ✓tic e r 1 I v of r !0 1 z `t w a-v I-$ ¢-1 or,d Gu H nut' 3. Environmentally Sensitive Areas. a. Description of environmental) sensitive areas that are on or adjacent to the site, s'4x571--- e- 074 Yro�,� 7�f evrc s2E�0 Vd A-4 Bd i 1— w,`,�C - LI�e f 1 .H e,f CA-7'1 T1 /let d C4 T. �s .-e‘x-p--t - e f )°r p e.t . Avvis--,2 T "1b gvr.-s t stormwater site plan template—rev.10/1/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. 6v f74r j; —e- 1✓tlir 6- 6'frti�.�-.� 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). /Uw.f1- ;d (974 5Gs T, ey- tj cvO/o t0 Ss., 7Pc 64,.1a It tCf.e l /r'ra 11, Ai 0-0I.9,0,-+- -re,t i ,.,1 . -©i/ "12 x-e d GV T G- A t/C��P rLt�t� :�G IC 9 Y11 Sri ]" - 7_h- 5. Construction Phasing. a. Construction sequence t` ✓' p t9-rt C C 4,1-,ri n.. rvt v� ��g C v rr� cfl'►'t 6 7' e. Q a `Ec- At l!:. plc S 2 Go-rr S fr b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. /� © ter p, _ Ft rd,...t-J i /1pe,L1 J s r fit°p- .t-r 5 4 1 lE5 P407 II. Wet Season Construction Activities. a. Proposed wet season construction activities. / Grrtrd// 4 ! € </A,7` / Gc�../� �B wn a�-a ?"//07,1 / G✓Oar l�t�tl. ,�•-P.✓,7 -! b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner r s onsible or t initiation f and/or oth r fina cial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 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 • • 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. ram, 2.,/ 5� //''� OR AUTHORIZE EPRES E SIGNATURE) (DATE) / THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/1/2003 12 (----TIp °s rn � � . �rn � c"' > N > cai ' H =X CI'. m ° H � HG� ntnC a to 0o H vH V v rn = m Z � ppp0 rHZ imp Za T� rlc � � Z � a7� � pm to pp m = . � . � -i (nA pw 3N r% 0 ! \ Hm r i7Ho � Z NH mtn0 v -lcar Hm aiHava7mv -D 'n, > aann = am0 ntrn-I na2T � tm •n -i m (^ Oycn mn O -1 r' 3rnm eI- ocn 0 �, u, Zu* " -' GnMv --11T -1 H -i = m p0 --1Ip aHmc H2 c ZrC m� p2 0 � ,n3v � o, a * 0 � -aI HM 0 � -CI a r1'IHIT1 Dopa a p -1On 7rJm ra ' ZO � ao -irnw Z OZ I— ', 0 p Z1ni err- H \Y mrtr Zz p - OCR rw -iv -oa = vmprCOp rm (ZnA a '- Cm730 n co G10 H2O xj O n ro I- Ha -i • H ,� �v7ocn G1 u, a3 r0 O0C ,rim <X mm pp ZZ0 r% = pn -4 I-4 a Z 1mZ I. pcn � m O � Oap � O uZIH a a � p pm = ZZ � -n--lI � mwZM •cnQ� pp �Ocmn ZZ 7HvOpH Inr) r ma n � m Zrn-I my TZ (n H ar rC -0 C HZpm Cn � mH ,.,., H _ pZ• p 'TGlivm mp vG1 3rn -I > C On m < �-I m v' T Zm = vlp n yI'-IN ?IZOp RR m.00ZZG' i'-Iu, vm v -im 3H m3O m a0 cnHO Z MZ 0 ZH mncn ''' r4 X 1-/ -1 � n C3n Z -Inp -1 0r- 1 , m -I cmi70 • ZZH Om rp ciQ1 fA -n p m0v --i0 � w Z '�- H 3 . O OrSC p COcmn X ZO clZivZ rOO Z� p cnm� vm Z p 30 cn wocoovMmr° 2c�n 2m � m j o � p m o p AHO 71 ZH = 0a Hc ( a ,n • • O Pica p � Zmc �' 000 -+.Om ill, H � H HC am ZZ rn T < C � Z C rm mZr07- a H � Gci nm�n -i VOU, 1 = cn �' m -IZrc, Z � L n Z � a pn Zov OZ n v H H -1 OOP cn ma rn � rn 2 �, _ ,� pc� a N a Ha H � -12 � pcn rnMrZ rnv ry 00O Zm O In n � -1 cU'i, m ZH 3p ,`� � Z � m p �10ar=nrli, _Ij3 �� -a-IIS^ o0 y -I ma paCn � c0n py Z O a G� o 'ip Z � �OZ cnFm, � x am OmmZnZ � Zm mavmicT' ZO my pow no Oo~o � � a � oo � m OTcn HZ pa � off CO -+ vi, o po � S Wi � F 0Am car- mm Zo pZ • p Z CIa- 15 � 4- 00 nZ � to 9mcncn ym m 3a0o Crn av cv0 v pT H3 -1 `<<77 0' C fH- f- 71 02 H T H o p D a p T Or- C a H cn a p X C v H v '�- C cn I rr� m p m m R1 a cn `I H � � m Op NOp r°°- Z rOmoRt- OO � vy 30a • HZ ZW vmm ,rni , c <m OH (A '- 0 poZ HpZ Hu' pa yA !rH n0m 70 vcti, � a -1 Z C n Z (, ,., Wmm r- pp cv 0 m TO Om � r•Iy Fmv3 Z MmOTZm• pmmC � � Z GZi cnl� c m � CpZ a -1 � m r p a n a v y p (n v cn y > Z `n --1 Z cn m r-I v O a 1 p -, W a !-+ y -1n a '° �' H ZZ rv- v cn m m p p ). -1Md mm � m O a Z HG') m0 1n �^ 0 �� �m GZivai � --I a � � G--1� v a � Z m 70 cn p vZ N m oZ m O 1n `- PJ Orn c tt ?0 ). 0aW v r � �!) m ,03 03 a IC -� t� G I ._'..-, '4 as cn -n 7f 321-0" f 6 6 -3 '-©" I ® 4050H5 t / '--i i 41> c 10:: ir,- __,,,-4 IS .ta ,_ , _I INr."1 r--- Y W _.., rZ I_ �n -�� NI co 1.-- (n [---IInk Q ,0f — N NZr7N yrZ 0. _ O -P MZ O\- 0 � ■a pGl („'Q- A N 24" 6'-3A" 2'-10�5 11 � y 5'-10" i 5'-9" Il 331i" 3,_011 5'-52II °° ,� --1 _Qj o:k"'"--a a x -1_ cn n1 r �p r "C7t 2 G> o Z �1p� =� =I Q,c T-i ( /<� v z a a �� _ 0 L lit _ l 1 .• 0 z o �_ rN N �� Res ,Pc li _ j 131 w 10'-l" °= tri I � NILo - 6, X 3'-Z" `7 A ___� - 0� 0 00 1 �, PAN.1, C7' B ilu OO,, NI- IN � I 1 -,} $ - _ 0 U 1 I, H nrJ - O I- _ U _ mot titNip O 6 CO NI- Li r.) 1 �TLLSS '� -J e_ R45 r i , 592-4 .E5'-3? B \ \NI- R 4 5 / i -. 0 5 -9 _ / m O [., 11'-* / as o lP - ya 0 v r.,- ..... _ 6- —� L. �m =-� �" Ca 3 tV 13'-'1II 5'-104" I 14'-6 ��---t ' J, �I 34'-0" Q cotri p . , p v Nv.._ :. t- $r-Zm FLOOR ANNA o Ui no= GARDNER • o �Z� PLAN BRINNON PO OX 81 0L E WA 98320 H 0 M E S `\ = Nwm(mn (360) 796-3749 .. Ix ° www.HiLine Homes.com ©copyright nos Htlne Homes v- ---\ 1' ) 6- ..=!:- rl a- ',' 1 `;, i . _a \ _____ AI I .2, 519F r .,.. _ ________ ..,,,flo ________e6v___T_ 3. V. * it * _s) 77 * is..„ _..., :31::› .........„ Si ii, *--'' ..6, e "i- ,4N -„,,--...‘ _ ,.., rn —}- z ,. , . 0 ....4.t....,*- t 1 * „, c4 , c_/ •, ... ( ,, 4 U 1 � _ ,mil _ of , _ t�' V , . ? . ' - '.../;40,' Fir .,_, (1‘-:.4(V CD (ii C) )C1) - Tri c� yv. ,_ _ *,. , * 1--' ,(N I. \i_', ?., 411 ,f1P ', .,00.,..,;;.*: ram.. �1 th -4- * �� : rt P:' C'•-• 4446- ** Z 0 CD m - litov tIh - # 414p A . 406 e„„, ....c. 1,...,.. ..-- -,/,,,,,,, le ra. .....n) (` --- Z. (‘'' - tli V) .."rigNP-At'" 4,...k/S wiAlill --.'.\ CI"'. .t �to m: '► od . �� -.A . ' /Se C)' 1%',„.. Pilift„._ 2406, e �3 e`',, , k ."""\\ .` 7 - 4.4.4# vr: -- if .17VW1-1-;4-F7 0 Z' s e 1 %-1 �j �, T.i0 Q) iL n� -- o /` zrN /, _ kimp,.411/P/ 1(C' .5 4( I *1:0 ;: _ , /.,- ' 411,. •I / 11-2/4i 9 U 1,4 c.,. _ t• , "1...„.... i. i 7.4 ,'. , * ' '. Ne 4. " .* '\ c o a ` -sue 1 -'' ?' rN.kti-- ,b 9 1 y ` Q Aie. 4 igr tok y 't . . �+rj , -C-- , \# . *fr, . ! 0‘ - . _ illn v.., * ... . .. - 4,-. l vi-i-, : I- , tt; bpr -* c::.- _..z*-------- ,- ,,f, ,i.: , ,..›.... • \ \ ‹,, ' -' A\'. 7- c) ,,, . ,iies.. . if 4 o r * A )( p _. ; I cs- , 0 ... e..._---- - 1\ ---11, '---e-:--. -4 f \''.1 1 5)A".. C r 1 . -/''eltrC-'- --.-- '' VN �° �, f will _,.... yy.� ..,* ft, ii :`"Sr,/ ... m. 4 _ „� (-77 , , I t'll-\.... 4_, ...1., f= ,E tt14/ ® - . ` n ,i -