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HomeMy WebLinkAboutBLD2008-00044 i MLA08-00043 UILDING PERMIT APPLICA�DN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00044 Received Date: 2/4/2008 SITE ADDRESS: 2562 FLAGLER RD NORDLAND, 98358 OWNER: SHIRLEY M METZ PHONE: 360-385-2924 PETER HARRISON PO BOX 1171 PORT TOWNSEND WA 98368-0971 R B COMPANY SHORT PLAT SUBDIVISION: Block: Lot: 3+ PARCEL NUMBER: 921063018 Section: 6 Township: 29 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: GEORGE J CHECHOPOULOS PHONE: (360) 379-5169 PO BOX 193 NORDLAND WA 98358 PROJECT DESCRIPTION DECK REPLACEMENT AND EXPANSION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 103,760.00 ADD'L: HEAT TYPE: CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: SETBACK: 30 DECK: 1,639 BANK HEIGHT: 13 SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,016.15 KAS 02/04/08 95825 APPROVEI Plan Check $660.50 KAS 02/04/08 95825 State Building Code $4.50 KAS 02/04/08 95825 MAY 7008 Total: $1,681.15 Jefferson County Plannin f & Building Department Jefferson County Building lion Permit Nu,: BLD08-00044 Applicant: METZ 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 Foundation Footing Framing FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD08-00044 1.) 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. 2.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 3.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 4.) 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. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) 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. 7.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 8.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) Minimum setback from the private platted 60 foot ingress/egress easment shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum shoreline setback shall be 30 feet. However, the site plan as submitted identfies that the closest point of the deck to the top of the 13 foot bank is approximagely 59 feet. 11.) 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. 12.) 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. • ("soly* JEFFERSOUNTY ,,�,i DEPARTMENT OF COMMUNITY DEVELOPMENT y."7 (-" 3 `4 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax q O www.co.jefferson.wa.us/commdevelopment S, NGZ Master Permit Application MLA: (DI - L-1,5 Project Description (include separate sheets as necessary): ilex.k RepIaGC�mL►1 -� $l Ekpan Si'0ti Tax Parcel n 2 I 06.3 0I Si Property .y �QG 4.-ppkox, Number: "' Size: `� (acres/.gaare feet) 'mow Site Address and/or Directions to Pro erty: i I 2r7(�2 pia le�' R . 1 Porf ke d10G1 WA /8339 i . i�r I` Property Owner(s)o Record: Peter✓ 1-}et.re'S on Telephone: 385.E "2` ) 4 al, Fax: email:Me.}A Mailing Address: Sctime 4 5 apptre— Applicant/Agent(if different from owner): G,Aor9 (.2.1N orpU I er$ Telephone: 37 9 - 9'169 Fax: J email: M4,r✓oW9 forte fe45( Mailing Address: ,O, 0 I13 k)oi/c Ia rh WA q 335E3 , ritic�✓. coot T—. What kind of Permit?(Check each box hat applies " W4 Pc L Re-places Scfro ❑Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or CI** El Single Family ❑ Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular El Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment 0 Change of Use ❑ Short Plat** ❑ Address ❑ Road Approach 0 Binding Site Plan** ❑ Home Business ❑ Cottagelndustry 0 Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑ Plat Vacation/Alteration** ❑Allowed "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 ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment El Forest Practices Act/Release of Six-Year Moratorium ❑ 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: Ne,r1 :-..-- /f �e C/ . /r /DESIGNATION OF AGENT I hereby designate (� //�G`jp IJ D to act as my agent in matters relating to this application� for permit(s). OWNER SIGNATURE !t _ Date: C' ‘/e-t-,--k 2v01F. 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, represe. n rpose of application review and any required lat r inspections. Staffs access and right of entry will be assumed unles t i in writing at the time of the applicatioe r she w s prior notice. Signature: , 7aoK. Date: The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable r, sibility for hering to and complying with the ESA. The Applicant has read this disci ` ,rdsan s and dates it below. Signature: �' Date: --t X- 1 g• G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 651Vev • 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 assumin re ponsibili f the General Contractor for the proposed project. Signature: A( ?"1-t Date: ZC-C '-005> ‘ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: *° New Wood Existing: ❑ Sewer Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height:, ❑ Individual System ❑ Repair ❑ Masonry 1,3 SEP Permit# "q 7'"/302 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed Total: ' / X Public Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove I Cook Stove i 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. Square Footage Current Proposed 'For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2-Floor Heated Vs Consistency Review: ' t 5�. ��C� &it, Other Heated Base fee: 36 t U/ (,2 zSX,� try ( 1 c�-� 80 Mezzanine FE - 4 2n Ad Itional Sect�o�n�,��, 1 3 W �� . ��e.1� x f ICJ tt� Heated Basement Plan Check fee:' ( J bO �� Unheated Basement State Surcharge fee: Q Other Unheated Pot Water Review fee: �_"_-�--- Garage/Carport SUBTOTAL iC, 1.3(f- a15,13 Decks 1 7o7 Qbi ��r �� 911/Rd Approach fee: 1 Other — TOTAL: $ a a.t5. 15 evf. deck d Receipt Number: tG�G fa De rylaGc1l 6 /dew +-repIacerent -T` Cash/Check Number: ,674 ESTIMATED CO Ao cqr a,• Date: *Fair ma a u�I e of all labor and materials found ion to firjish `1'1.��y /O 7 f 2 a-? Initials: (--1` ' C, I viat cal C t SE c". ctiQe C c,o l G:\PernitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 0 • EON CEI 11:E D, " , JEFFERSON COUNTY 4 11401 DEPARTMENT OF COMMUNITY DEVELOPMENT FEB - 4 2008 4, 621 Sheridan Street • Port Townsend • Washington 98368 �� �� � 'S ,ft,� O 360/379-4450 . 360/379-4451 Fax �j {1 �J �J NO http://www.co.Jefferson.wa.us/commcfevelopment/ STORMWATER SITE PLAN SUBM TTAL TEMPTE . . Re lacemeri r De Ex' rr:iovr MLA# 0 S — "j PROJECT/APPLICANT NAME: es/et' //arr15D,i J sAlr �( ., 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.Me-pro eso o 'C.!cf wi11 r c z 77,r. A 691 a/4,r/or4 1a92.0 chcititq g, /ai a, �' rar 73 •sy. ><, o c�.€ b,,t %die ne/v �� in � dreg ,ti%r/�aJ mot %v'ea1e ,n zddi rat /rr p,o i/iov5' sar> ceg the h i decA, - ,'J/kzee._ i 4 l reri o4 ef-'5.11orrnwa.kx Adow iheekchiiy in ex1,511 /amdscape- / , rya 5. Existing Conditions Summary 2. Describe thy existing topogra hy. Indicate contours on the site p. T e si s/ores . fit Me i/ayler loademirq�ce e MMM A-ea,f - owa r - re WI/ 4 P r //a arn4 >. o T�' �f 3. Describe the xisting vegetatio I dicate f'ative vegetation arias on to site map. The 5//p 15 w ed tv/th ark,4; rot eX7�f live Ja/r 5c' rn rty iilir ,n ctn trade pone/ 0 A.1, roc- (pi.- ha fi`e? re c Q err iS cy e T or• I s6- i,/i� x/51-i`mq drivekaar..vJ eN7eritly -M ro ei y . 4. Descri e.the existing soils. Indicate soil type n the s�map. v /J 5/ 5 ort '>t a / e 4r / � - . - _ a 7 • C � 5. Describe the ex' ng 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 appli�ble�and indicate acreage of each. i � � �� � // tA/ or- er a seer e o --St rD 9 /Ae Ile d / n • - ids' ✓�qe. X/' ' Qsr Ma 4 merc/e r�c�'S V 6. Describe any excess levels of noise ge erated by the proposed use or activity: APPROVED Nd4e_ paled STORMWATER PLAN Stormwa - is "� ' Y ' 8 2608 I 1Y Require t JEFFERS. OU `� TY stormwater site plan template—rev.10/1/2003 DEPT.OF C' Y D E NT 5 SIGNATURE 0 • ' . 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. IndFi ate location o the site map. The s//c ove.'/,, 5 AY-ra e ita/ -/o 4e- o de 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (stregams,wepands, lakes,st slope ,etc). // C ` The 5i-fre /.� o F ,r ewe/ /o -tile /lot 1 Prig e -&rtz- i/ /o f cm e g7� �c�% y !v/J ii5 rce,JirSL_ cr S % /f 5 /TGT e Sf��Gjs V v�f be �� � � ' -4 lfc.IOW �s/q`rcY. _ J 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. 9. 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 withi�the si e. Locate these facilities on the site plan and d renti to proposed fa9jlities from xisting facilities. • sit- tt���it1 s OP'14/ ajer is pi, ex' / --ii" IS ✓ c1J/11 ii e , _i• eoi /. a. t've e The_ hr tor ea r" of" iN e exsii /Drlez/ iniperv/, /r'�g Y s va i e �/sp'Y5/2I? j7©vonue.17'kY 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 fo large"projects or projects that involve the potential for dispersion of contaminants.] Ai A 11. Describe th performance goals and standards applicable to the project. N/A 12. Describe th flow control system. E�-'E4 IE- Al A- FEB - 42S 'L 111 GCB ,kristormwater site plan template—rev.10/1/2003 6 • • 13. Describe the water quality system. / Ve 5de /5 5-er•e/e -&---W .41 .74-ht,_,_je7Z/fe-, Ill; li 421- 14/a r Wip/O - 14. Describe t conveyance system analysis and design. Al A _ FEB - 4 2003 Ef E13 COUNTY DCD 15. Describe e source of fill material,physical characteristics of till material,and deposition of excess material. Ai A 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform B ilding Code. �/ 17. Describe a proposed surfacing material. NA — 18. Describe ethods for restoration of the site. AI A- 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./V/A 20. List here,and include any special reports or studies conducted to prepare the Stormwater Site Plan. 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions/ere. NA stormwater site plan template—rev.10/1/2003 7 0 I 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 Limits. , c4/ � ,✓ / lioe nU or-31� /ea�i7 eneila �'/ 711i5p � e (�j 2. stablish Construction Access. • r /- f/ /Pi s c i-' r - X/ . li?' '/ : r- 0 /✓Lr'tt`/Q ,r_ ' } • - __ // I'�I�_I__ .I�':�lll?a ?./��J 1W �+i..�! ce_ 4 3. Control Flow Rates. 1, f i, r See r'/crass #'5 vno/cr P ecf a wriest � /?1ciii'9 pvnde✓ ematk r/f 0rnrr 'r � , :vv/ /Yew a. ii -- - P 5� � r 4. Install Sediment Contols. ` / Zre etre _ imMe le p/ia' % Belt/ eh' ir>q /S press ,,L/ /a�Ipee •to p a er //1. ; ski t° 'n •. iiea,dP_c is2 i)1 /et�'�t. . ,,ve tftis a 'ea- AU-3as /r i fie. bar/ �g r/xi''A r// ,�/ is7UY• i S -f,rr/Aer � . lea,6 59' of �-s 5 end Jnfr ca 4i 101- i- •,eclinipit orr�t Wie ri 5. Stabilize Soils. o'L 1C /le co/1 rac..ffok fare * �l� P/o1- . ! edn d e ee..41/ive-T/c>pi &/tom qYe- alyea.d Gt�% / t7y - i''riv G/'1.Ie 5 l,re .a_ V 6. Protect Slopes. The . lope w/. • rf� -f e conf Cve-Aion cxrea , /es5 -Meii .I tine/is 5 bJh -e w /i /andc—r'� r� /zrilts rei//id rr)►<°c�Y.� See i�eirz` � >?✓e , / V ThZ Protect Drain Inlets. J L/- // ff j y e Qr^� iia e r'a irl ;�f /e T 5 019Mt/l`J 1 raelVfri f9 1ie CZII5741/rC11k 1 / e RECEIVED F R - 42 3 stormwater site plan template—rev.10/1/2003 � s' C O l�N 1 i U D 8 0 • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlet . // C�/� �J1 / /� / /lla -5i re c ar, ie�: or d/7'e`�c�5 r///i 4e creed arU�'ih�J eor�5-rocr oh . V Alr Contro Pollut nos. bII cew5 rac /4ir c,eve'/.S v✓///Li fn/o ,O//1 7fie lam/ G at cvtrt/ > d en iie . i ealre e co_ocre rx lei� Ura/ z wi// a r /i5/e V51 ex. n ain »ei1 5T t Al n a req. .•?a 6. 6 the._ eo�9fr. Re.1 WV/ feime v6dM,4v e .i . 10. ContTbl De-Waterinethg act of pumping groundAa r or sto w ter away from an active construction site). �l on d ara/er sill/'i'"'k eejc 'on ve c2ariry e ca.►�t.f 10'i . 4xnz valic�h will/ PP. w to;, .7Lw0 tie`f" of Me ex/ /,7 t"c ._ . 11. Maintain Best Manageme t Practices BMPs). .e. ildix 5` 4 f 5- 6 a,1-r- P 12. Manage the Project /� j he-�vo at wf�/ be rmhd geci ,pk511 CO �PaCke) , /fml limy u1oPj c/or/ i �ie- ramq �'Pa"-11 cr, 1I osp ' ti )41Y '/Ii9 -$ iii &G IA IH✓/'I/ in [ntf rG % y 5i 5 6 j 1 e_ f, lira ->ti M er' . 9 N/ 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). /A N b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 ya La//rdSccz,p rkii t/n 1 r''a a5 ar"eet,' 3. Environmentally Sensitive Areas. a. Descrption of environ entally s nsitive areas that are on or adjacent to the site. e `rat . F P©�fa._ FB - 42008 ffElS 1.Ji TY DCD stormwater site plan template—rev.10/1/2003 9 • • , b Description of special requirem nts fo working' or near viron en lly,sensitive areas. �-�/ eQ-rrs/rr-/,o`7 cta i✓i/�f Adi17 L f%kiitea . -fie mut/iedi ire, new Coh$trucfioef 5/ or \.fit•✓S,d r 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,permfibility,depth,texture,soil structure). Ai 5. Construction Phasing. a. Construction sequ nce -� / /See conyfrae2iod ?ze`% e ctJrain Grreia V/Of1 , 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. 5 >u 11e hi 5 Qbv roe II. Wet Season Construction Activities. a. Proposed wet season onstru tiort activities. / _ o �:1i vl t oii-5/7e dvitilif 0/67` Se Soil , TP - C -� 1 F I' b. Proposed et season construction activities for environmentally sensitive areas. ��,,le $ a t, FFB e 4 2C08 7. Financial/Ownership Responsibilities. at9_t F .11 ' COO[.IN i BCD a. Idepjfy the property owner responsible for the initiation of bonds and/or other financial securities. Al b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation imi,t;z1._ 8. Engineering Calculations. Provide Design Calculations on a sep rate sheet for the following,if applicable. a. Sediment Ponds/Traps. P b. Diversions. //it c. Waterways. WA d. Runoff/Stormwater Detention Calculations /V/A stormwater site plan template—rev.10/1/2003 10 I SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan,a stormwater site plan,and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. a. Vicinity Map b. Jefferson County Approval Block hiCV Elf) c. Erosion and Sediment Control Notes r T 2. Site Plan.. Legal description of subject property. FEB�- - 200 b. North arrow. c. Indicate boundaries of existing vegetation(e.g.,tree lines,pasture areas,etc.). CONY (t,' d. Identify and label areas of potential erosion problems. � (fir ` e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales,interceptor trenches,or ditches. b. Show all temporary and permanent drainage pipes,ditches,or cut-off trenches required for erosion&sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades,dimensions,and direction of flow in all ditches,swales,culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s), pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth,length,and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe,and/or other filtering devices. f. Detail stabilization techniques for outletfinlet. g. Detail controVrestrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s), if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. stormwater site plan template—rev.10/12003 11 • • 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 prop deg' ',."-1/6519 2/3/9 ( WNER O D REPRE NTATIVE SIGNATUR (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: RE JIVED FEB - 42003 i r HIP COUNfit DCD stormwater site plan template—rev.10/1/2003 12 �'�06 / 1)�\1 '\' cn -IIIII m m o 3o r 2- Eck o r o Q \ a w , o 0 , 6,....' lik cp \�� • \ . _,0, c5, ,. , ‘9, 0, , \ , \* s,, --,p., , , , , (5,... oto 'T \ t- ,, _______:,:7-,,f„\ I*. c5.....,,,, ,_ ,,, -A= 7 \ c. '°' o 0 \ Q S • VI , \\----15A 0-, Z / , . - - � Sad •\S` � ° N�� �0.1_ _a/ a6 - o m � II X —I 0'<\,Z En ,o-SD‘ u O n l O o m = \ / o. = 70 o c \ 2D , c m o m Tp \Z cp co M J .13 cn rr1cn n � O —� z rr, uJ D PI rot a fto o ,_3 ti p � m so' try M� O V 1-17 r; o,P � - 2 rii cp 11Pai # 'efr. t m .►, o �1 CD co Allillii. o — i�I�/'j01' 7 -< PARCEL NO . 921 063 018 cu �s-f DECK REPLACEVENT & EXPANSION o , -ri tt-fJ �� tiiPROJECT 1 CONTRACT NO. 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Aeros Design & Constuction Management �, Harris-Metz-01 P,U Box 193, Nordland, WA 98358 (360-379-5169) C77 ``�l l APPROVALS DATE OWNERS Peter Harrison & Shirley Metz DRAWN CH CGEORGE HO OULOS 1�82�08 2562 Plagler Rood CHECKED Port Hadlock, WA 98339 SIZE FSCM NO. DWG NO. IMPERVIOUS SURFACES ISSUED EXISTING & NEW IMPERVUS SCALE 1,,=100, SHEET C-1 B