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HomeMy WebLinkAboutBLD2008-00066 ObILDING PERMIT APPLICATTN MLLA0800065 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00066 Received Date: 2/15/2008 SITE ADDRESS: 161 QUINAULT LOOP PORT TOWNSEND, 98368 OWNER: DENNIS FELLNER TRSTEE PHONE: 530-913-2403 LESLIE FELLNER TRUSTEE 1001 LEAH CT AUBURN CA 956033586 CAPE GEORGE COLONY DIV 4 SUBDIVISION: Block: 10 Lot: 20 PARCEL NUMBER: 938701019 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: MILLENNIUM ONE HOMES INC PHONE: (360)385-4141 40 VANCOUVER AVE PORT TOWNSEND WA 98368 Contractor's License MILLEOH010MM Expires 7/27/2009 REPRESENTATIVE: MILLENNIUM ONE HOMES INC NONE 360_366_414 210 VANCOUVER PLACE PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOr NEW SFR W/A/G PROPANE TANK 120 GAL TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 542 VALUATION 335,565.00 ADD'L: 2,662 HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 600 SHORELINE: CONST TYPE: DECK: 651 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CAPE GEO BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 3 Total: 2 Total: 3 Routing Date / '5— 08 XV- Type Amount Paid By: Date: Receipt: Approved/Date APPROVED Total: MAR 17 2008 Jefferson County Plannine Buildina Department Jefferson County Building Dillon Permit Numb'.` BLD08-00066 Applicant: FELLNER TRSTEE 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 710 Erosion Control Foundation Footing Footing Drains Foundation Stem Wall I ?"-- I 1J (4 is 1 Underground Plumbing tf(ylor v ivfl/L km.iTo�57 @/2"4C_ Under Floor Framing ,,QAn 5,2D1°g G'l „A4/ l� 1 Slaf BEAM To,u-rs MU POTS Straps(hold downs) Ext. Shear Wall Nailing -7 /1 tg Rough-in Plumbing 7 q p$ • Framing Airseal '7;'' Insulation: Walls —1 2*Insulation: Floors ` �-� 5 +3 tw p‘. Insulation: Ceiling \/ANC MC- Int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior 1 (/ /J of i Gas Line: Exterior • t `r Propane Tank I , , i U Q Heat/Chimney Clearance l "19 /`� Drywell/Alt Drainage SEE CONDITION# 1 &2 Address Posted 3ILIG1ct FINAL INSPECTION s(I ZI exi FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD08-00066 1.) DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1,000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COARSE SANDS. DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM) AND HAVE A DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 2.) DRYWELLS SHALL BE A MINIMUM OF 10 FEET FROM ANY STRUCTURE OR PROPERTY LINE. INFILTRATION SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD. 31, PRIOR TO OCCUPANCY& BUILDING FINAL - FINAL APPROVAL OF SEPTIC SEP07-00258 IS REQUIRED, ALL CONDITIONS OF SEPTIC PERMIT MUST BE MET. 4.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF DISPOSAL COMPONENT. 5.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. 6.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. MUST COMPLY WITH ALL PERMIT CONDITIONS, STATE AND LOCAL CODE. 7.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 8.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 9.) 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. i • 10.) 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. 11.) 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. 12.) 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. 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 commercial and industrial uses shall not exceed thirty feet(30') in height from the finished grade. 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.) The building height is not to exceed 35 feet. 20.) Minimum setback from Quinault Loop Road right of way shall be 20' Side yard setbacks shall be a minimum of 5'. Rear setback from Cape George Road right of way shall be a minimum of 20'. FRMERIT UNE WOO' _ -- -- ,),A7/ 9'114""er Le/ `)6 IIPPACK -0't .i - y l I _ I tip 1 ❑ d-__ �_7 nDOio°P�°uNc I jt 14215E LL—` a 1 Ott �� 1 —x II I I I I I\11I II L -51 rt- I II — 11 11 _Ji i IJ _:jIL- -,�- (1 Ji DECK J _; ' I 0 9J }/c5A- 1 � a \44 0 ..,, l ty N„ I b • I ' Hi sa .6sr E `I • + � q n'cRlna�ep I I WPM At i PIODPERIT L!E — —— t SITE : two°sF MpR QJINALT LOOP ,EE\E‘\ b U``1`, SITE FLAN CE1VEO\�L,� R{ SCALE. I" ..ice" L D III ul y w0RT►I 9 387010! 03 �1 1 / �,���" Wi.fI€rscn'�ro 11Yrj.✓ 14107,I 44,7- C. . ErvironmerFtar H 4;7111s ON �4?V S co DEPARTMENTJEFFERSOODOUNTYIP ti �� OF COMMUNITY DEVELOPMENT . _- 621 Sheridan Street • Port Townsend • Washington 98368 �., 360/379-4450 • 360/379-4451 Fax F E B 1 5 2008 qS, NG .o www.co.jefferson.wa.us/commdeveloprnent ii 1 Master Permit Application MLA: (r`) 5 _i JProject Description (in lude separate sheets as necessary): %�'�� Tax C�jec-c Z , ����G Par 6' 2 l Q L 62 [ CI Property (1 Number: '"r J '"` Size: l� Z�O $tt't-� (acres/square feet) Site Address and/or Directions to Property: t Cet.fa G__e_e) C Q e Property Owner(s)of Record: r- _ ,F,rQ fljy_ezi Telephone: S 30 q i 3- Zy 0 3 Fax: email: Mailing Address: /av/ AeA.j C.1 ,A,,!i1).-14-14n r 9 S(o 03 Applicant/Agent(if different from owner): 141.�(-L,P.Q4Ml is,� J 44,1t4.1.-- ,Z , Telephone: 'L° 37s--(/ f/ 301-14/3Fax: 3 SS—q/•`t'CP email: -3 4- i Ski,Al. dr GhC. 14 Mailing Address:_ 7"o (.2a4,t,GJri"t-- pi Pv/A What kind of Permit? (Check each box that applies ❑Building 0 Variance(Minor, Major or Reasonable Economic Use) N❑ 9emolition Permit CI Conditional Use[C(a), C(d),or C]** Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address ❑ Road Approach 0 Binding Site Plan** ❑ Ho�me Business ❑ Cottagelndustry ❑ Long Plat** CYPropane 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Sign ❑ Plat Vacation/Alteration** ❑Allowed "Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** Ltormwater Management 0 Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination (SPAAD)* ❑ 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 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: o 1tI �J DESIGNATION OF AGENT I hereby designate r( fo act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE p/ /e, : Date: l9 --or 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. Staffs access and right of entry will he assumed unless the applicant informs the County in writing at the time of the application thatpF-heys/ ice.. Signature: Date: 2 t /a , 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 responsibility for herin nd complying with the ESA, The Applicant has read this disclaimer and signs and dates it below. Signature: //` /� � �� _— Date: 2---1.,U ' U G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc h- ...ea....-e----- BUILDER STATEMENT • The signer of thiIstatement 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 respo sibility of the General Contractor for the proposed project. Signature: Date: ��O r�8 GENERAL CONTRACTOR,I OR MANUFACTURED HOM NSTALLER: PHONE: FAX: 1414.1- 44 A Ati( t' - (Thy) 7 y5 rpV/ (-3L' 3 j'i"`Yi Itto MAILING ADDRESS: V7 l/Q pi o N v r fd_ EMAIL: CONTRACTOR'S LICENSE // WAINS UMBER: / //hh 8 O 1- O I O I/ti, 4'1 NUMBER ARCHITECT/ENGINEER: c el 6 /- a -9M., PHONE ( ) FAX: ( ) MAILING ADDRESS: 2,tot SQ'e,„Til.. Py� 5 G g EMAILP -4 Project Type: Frame Type: athrooms: ShorelG(i2 Type of Sewage Disposal: New C'Wood Existing: _k___ ❑ Sewer ❑ Addition ❑ Steel Proposed: 7 Z Bank ❑ Community System ❑ Alteration/Remodel El Concrete Total: Height: E1ndividual System ❑ Repair 0 Masonry SEP Permit# tst-D,) ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: VPrivate well 0 Two Party Type of Heat: Proposed: —7...._— ❑ Public o rc..P 4,c 0.4." Total: 2 Name of System: If this is a Commercial Proiect 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: / P'Fir i Heat Stove i Cook Stove i Woodstove place Insert tot 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 e Only Amount Revision Main Floor Heated 2 i Blot, (H Bld App Review: ri n 2"°Floor Heated 21 4/n�2 r J at3(o (Sonsistency Review: ) -7 Other Heated ' Base fee: `Lk a1 IV3E Mezzanine Additional Section: Heated Basement Plan Check fee: l I' -5-1 qg Unheated Basement State Surcharge fee: r,,"O Other Unheated Pot Water Review fee: 3k C1 b 6ct l Garage/Carport (000 I ` Ci v SUBTOTAL -�3 j 143 t jj Decks 11,51 1 col ut alirr d Approach fee: Other ____—_--- TOTAL: $- k 3.P3 1 eceipt Number: CDS©V 5(�59v ash/Check Number: (s �, ESTIMATED COST(REQUIRED) • J Date:i�C- 1 ZOOS �CJ to .Fair market value of all labor and materials foundation to finish at L I o (J li 32 5/ D a-) Initials: &^ 0 G:\PermitCentcr\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • • JEFFERSON COUNTY �m • ,. � DEPARTMENT OF COMMUNITY DEVELOPMENT � ' FEB 1 5 2008 � '��� � 621 Sheridan Street • Port Townsend •Washington 98366 O 360/379-4450 . 360/379-4451 Fax "��INC' http://www.co.jefferson.wa.us/commdevelopment/ ,v YUi •A t�7 L STORMWATER SITE PLAN SUBMITTAL TEMPLATE MIA# 08 -Cy PROJECT/APPLICANT NAME: e. C/LCb4 /94/4--ae4444.144/WIOU ak..1 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. 5/411.4) 4Z-v kri zoo,' 5,0 4-1-- irk Existing Conditions Summary 2. Describe the existing topography. Indica a contours on the site map. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. 4. Describe the existing soils. Indicate soil type on the site map. 4J2-Q `12-e/12c " ��G� -,42 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. 1. J 1-t-e 13. 1-44• 6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED STORM WATER PLAN MAR 1 7 2008 stormwater site plan template-rev.10/1/2003 DEPT.7msis‘.,TV VE PMENT 5 SIGNAT • • , 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands, lakes,steep slopes,etc.). Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. 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 within the site. Locate these facilities on the site plan and differentiate proposedfacilities from existing facilities. cepett 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.] /9//i, 11. Describe the performance goals and standards applicable to the project. I Z 12. Describe the flow control,system. 1/1 siormwater site plan`template-rev:10/1/2003 6 • . it tj 1. 13. Describe the water quality system. '' k-J'i r_—.".'__-_.— --== �/� s�J`Y SLIT ;!I 1 i f•'�` -�- t �� F E B 1 5 2008 -.yl C�� L � , � t 14. Describe the conveyance system analysis and design. _ _ /1/7)f- 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 47(A 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. 18. Describe methods for ref the site. ' �- 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. .-"(./.1- 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. ..4.(//1- 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. /1// storrnwater site plan template—rev.10/1/2003 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. e 44.9 dez-f-i7 2. Establish Construction Access. a'/'-€ICI d 3. Control Flow Rates. P 41-1' 4. Install Sediment Controls. .�/i1 """v 1 5. Stabilize Soils. d,y 3 a9 Ge. $4 6. Protect Slopes. 7. Protect Drain Inlets. .c / A /tG1-1.0-‘efr stormwater site plan template—rev.10/1/2003 8 • • f )'ii %12 Required Elements—Construction SWPPP(continued) '.`..'I r — i 8. Stabilize Channels and Outlets. 2008 ,, , 1\ ° J �' FEB 1 5 �,-�- 1/./." - _- 9. Control Pollutants. �/1" 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). dil," lolf 11. Maintain Best Management Practices(BMPs). 12. Manage the Project. e-r-w ‘Z1-_, Roe I t 4--1. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). , 6////fe b. Description of the do stream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 3. Environmentally Se itive Areas. a. Description environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template—rev.10/12003 9 • • j b. Description of special requirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). 5. Construction Phasing. a. Construction sequence ✓ '�' eAL b. Construction phasing(if proposed) 6.6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed constructio sche,1u e. -1Cf , II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. C. 6III C 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. ;(4, 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. 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