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HomeMy WebLinkAboutBLD2008-00127 MANUFACTURED/MOBILE HOME INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD08-00127 Received Date: 4/3/2008 SITE ADDRESS: 2450 E MARROWSTONE RD Issue Date: 7/25/2008 NORDLAND, 98358 APPLICANT: LARRY T HOWLAND TRSTEE CONSTANCE R HOWLAND PO BOX 831 PORT HADLOCK WA 98339-0831 SUBDIVISION: GEORGE NORDBY SHORT Block: Lot: PARCEL#: 976200609 Section: 33 Township: 30 N Range: 01 E CONTRACTOR/ HAI PHAM CONSTRUCTION PHONE: 360-455-4158 DEALER 6642 5TH WAY SE LACEY WA 98503-7975 Contractor's License HAIPHC*999PP Expires 12/27/2009 PROJECT DESCRIPTION: NEW MFH W/ATTACHED DECK INSPECTED BY L& I ALSO A/G 120 GAL PROPANE TANK MAKE: PACIFICA YEAR: 2008 SIZE: 70 X 40 Directions SEE GOOGLE MAP AND INSTRUCTIONS IN FILE To Site: THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 7/25/2009. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. Setbacks/Footing (CONTINUOUOOTING, SLAB or PADS USED): lFT$AC.xs 4 7 /g Stormwater FINAL Approval: Blocking/Plumbing: ..a4,r ` ire-.Th s OK VIL/C0 Propane Tank/Lines'TA/4 t-Itut16- 10 --N—vs Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: cW.Tra) It- 72_-Pacr Final kirtifi�ents/Porches/Steps: OK. 1, q(o,: .0k 4'cr ti yLt.j 1'kirk HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT-LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE REVERSE • • SPECIAL CONDITIONS CASE # BLD08-00127 1.) CONTRACTOR SHALL INSTALL A SILT FENCE 112.5 FEET LANDWARD OF THE TOP OF BLUFF. SILT FENCE SHALL BE INSTALLED ACCORDING TO THE 2005 DOE STORMWATER MANUAL BMP C233 (SEE ATTACHED). 2.) PRIOR TO OCCUPANCY& BUILDING FINAL- FINAL APPROVAL OF SEPTIC SEP07-157 IS REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT. 3.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 4.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. 5.) The application was reviewed by the Jefferson County Department of Community Development staff on May 29, 2008 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: conservancy shoreline designation; stable/unstalbe recent slide shoreline slope stability; eagle; seismic; landslide hazard area 3; SARPA&SUSC aquifer recharge area; high risk SIPZ. 6.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 7.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 8.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1) All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 9.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 10.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 11.) The parcel is located within a High Risk SIPZ (seawater intrusion protection zone) according to the County GIS map. There are mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A High Risk SIPZ is defined as: areas within 1,000 feet of a groundwater source with a history of chloride analyses above 200 milligrams per liter (mg/L). 12.) To help prevent seawater froltruding landward into underground aquife•ll 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. 13.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 14.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 15.) A Geotechnical Report dated April 16, 2007 prepared by Shannon &Wilson was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A setback of 60-feet shall be measured perpendicularly from the top or toe of the geologic hazard to the proposed development. 16.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC) Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 17.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 18.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 19.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 20.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 21.) An Engineered Storemater Plan dated April 3, 2008 prepared by Michael J. Anderson 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. \.6 22.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN \AO'` rl LETTER FROM MICHAEL J. ANDERSON STATING THAT THE STORMWATER 5 FACILITY HAS BEEN CONSTRUCTED IN ACCORDANCE WITH THE REQUIREMENTS J- '(� OF THE "STORMWATER REPORT" RECEIVED BY DCD ON APRIL 3, 2008. 23.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 24.) The site plan as submitted with the building permit application on April 3, 2008 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated July 24, 2008 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 25.) This approval is for a manufactured home with attached deck and 120 gallon above-ground propane tank and a detached shop and a shoreline exemption permit only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 26.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 27.) A Declaration of Restrictive Covenant has been recorded on April 30, 2008 under AFN 533567 for the purpose of resricting the septic capacity to three bedrooms. 28.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 29.) Not more than 2 unlicensed vibes shall be stored on any lot unless totall1reened 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. 30.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 31.) 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. 32.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 33.) Minimum setback from East Marrowstone Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum rear(shoreline) setback from top of bank shall be 112.5 feet of buffer and a 5 foot building setback from the buffer for a total setback of 117.5 feet from top of bank. 34.) 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. 35.) 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. 36.) The building height is not to exceed 35 feet. 37.) An address of 2450 East Marrowstone Road, Nordland has been assigned to the parcel. East Marrowstone Road is a coutny local access (C593909). 38.) The parcel is served by the Quimper public water system. 39.) The parcel was created through the George Nordby Short Plat on November 12, 1980 under AFN 268980. 40.) A road approach permit(RAP07-0056)was finaled on Julu 3, 2007. A road approach permit (RAP07-0080)for a septic line crossing was finaled on February 19, 2008. A shoreline exemption permit(SDP08-0015) and building permit(BLD08-0128) for a detached garage will be issued with the building permit for the manuafactured home (BLD08-0127). 41.) Applicant shall adhere to the Habitat Management Plan prepared by Westech dated July 2008 with the below modificatio: ANNUAL MONITORING REPORTS SHALL BE SUBMITTED TO JEFFERSON COUNTY BY OCTOBER 31 FOR EACH YEAR. 42.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan signed by applicant on June 19, 2007 and WDFW on June 14, 2007. JACK WESTERMAN. Jefferson Oily 1'ourtl ASSESSOR Fa r r \ ;" P flx O . 1220. Port Townsend, WA 98368 .� (:360) 385-910:3 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: `X0,..5�'�ti .\`c�S . �o�^ 1 C_ Chi \'G• -,5 ADDRESS: 1%1 %`�\ \X��Ofi�' �� V\ PHONE NO. ? - "/6Ny1`t) The purpose of this questionnaire is to obtain information re arding either the; . current location of a mobile home or the previous ownershipltid location of a mobile home. This will help our office determine whether the mobile home is already on the tax rolls in Jefferson County or if it has been moved to this countx iKomca ' J. , er area. l►MOBILE HOME DATA: , (� (} (A) MAKE ``e(r C21., (II) MODEL \-A\ 4.v -.NW'S' .ti1(C) YEAR 2'k 'f$ (D) LENGTH -1 © (E)WIDTH 1-1k'4 (F) SERIAL # C,, \4 � 'c 4 (G)YOUR PURCHASE PRICE (Do not include sales tax) tTs \`1OYA PURCHASE DATE -zAZT‘$ 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) (A) FROM WHOM DID YOU PURCHASE MOBILE ADDRESS (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? Yes No If Yes, Previous address of mobile._ If No, What County was Mobile assessed in last year. 3)WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes No (B)IF LOCATED IN MOBILE HOME PARK: NAME &ADDRESS OF PARK Lot/Space# (C) IF NOT LOCATED IN MOBR,E HQM ARK: NAME OF LAND OWNER: '3'N \� �� 2.\0`1 1 LOCATION ADDRESS 21'-\ �- ‘k\ IS-34.1 ki IA '\'. REAL PROPERTY PARCEL #/DESCRIPTION 'zVi 4 2V D ( af�� of applicant THANK YOU FOR YOUR HELP! SS-Q Q Q JO COSSELL, Property Technician • • C o 0 • R.. C ' CNI ::-..r.D i 4 C )•6 ' 1J C ' f/ w 7-7 Z>-- I O 1I 1 0� (fig/.,'"'''s\irmalimmaimminimmiami '''',. i I t I (--- CI)- a %�v Q rP Q Q = ' -� R* : e. v O'er • JI too II Aral ilarilli= HI ; EM 1.J_I � OPT CR2 I• I •iwASNER"OR'tR' q d 11 ` P �� I ,I` I 1 'ri_, „I . °+ ' ii�ii�iii N II , 1 - mI T III; �lo>•wowN ;o �r ri „ 11 I. W, % ,t 0 coo, — i ' s Li C / i • 0 MLA-OS-EL)! STORMWATER REPORT HOWLAND RESIDENCE LOT 4, GEORGE NORDY SHORT PLAT 2450 EAST MARROWSTONE ROAD NORLAND, WA 98358ed RECEIVED APR - 3 2008 JEFFFDSIN CHOY BCD �P°f W AS64 <<\ - ,C" ' .1 . -, t ��� .e sk ,4 - JEFfiERSON rNI Hu 0470,. !rart EXP. DATE: 05 / 05 / 08 Stormwater 'S Requir Prepared by APPROVED STORM WATER PLAN Michael J. Anderson PE& PLS No. 27665 330 Cleveland Street J U L 2 4 2008 ; Port Townsend, WA 908368 1EFF N OU DEPT.OF ITY SIGNATU E: • • DRAINAGE REPORT RECEIVE HOWLAND RESIDENCE APR - 3 2003 LOT 4, GEORGE NORDY SHORT PLAIJUFFI,B YJN COUN I' 2450 EAST MARROWSTONE ROAD NORLAND, WA 98358 PROJECT LOCATION The project is located on Marrowstone Island at #2450 East Marrowstone Road at a site contiguous to the Admiralty Strait of Puget Sound. The site is Lot 4 of the George Nordby Short Plat and also known as APN 976 200 609 in a portion of Section 33, T3ON, R1E, W.M. The site is characterized with a rural setting in a predominately single residential neighborhood. The project consists of a new single family residence, a metal building for a garage and a shed. This stormwater management plan will examine the hydrology and changes to the stormwater runoff due to the proposed construction of the residence, the garage, the shed and the driveway construction. All proposed drainage improvements shall be consistent with the design standards of Jefferson County and the "Stormwater Management Manual for Western Washington" 2005 (DOE SMM). PRE-DEVELOPMENT SITE CONDITIONS The project area is presently un-improved and the ground cover consists of native grasses and brush. Utilizing the "USDA Soil Conservation Service — Jefferson County Area" as a resource, the soil is characterized as Hoypus (HvC) gravelly sandy loam. The topography identified during the property boundary the land sloping away from the top of the bluff adjacent to Puget Sound toward the ditch system in E. Marrowstone Road. DOWNSTREAM ANALYSIS The downstream storm drain system consists of a roadside ditch system that drains southerly along E. Marrowstone Road. There appear to no obstructions to the free flow of stormwater for a quarter of mile downstream. Page 2 of 7 • • RECEIVED APR - 3 2008 PROPOSED SITE DEVELOPMENT 1 f ERS N COUNTY BCD The private property site is to be developed as noted with a new residence, garage, and shed under separate permits. The impervious areas have been calculated and it is estimated that there will be a total of 6,868 sft or 0.158 Ac consisting of the roof tops of the residences, the garage and the shed, and the driveway to the new structures. PROPOSED STORMWATER IMPROVEMENTS The primary goal of the State DOE Stormwater Manual for Western Washington is to protect the streams of the State and the Puget Sound. To comply with that goal, the Manual prescribes the treatment of runoff and the infiltration of the treated runoff into the soil to refurbish the ground water that the impervious areas have detracted. For this project, it is planned to utilize the proposed ditches on each side of the new driveway as grassy swales to treat the water and collect it into an infiltration system within the property adjacent to the E. Marrowstone Road right of way.. The infiltration trench is designed in accordance with the WWHM3 computer system to receive and infiltrate the 2 year flow and the increase in the 50 year flow. The system relies on passing on the historical flow into the existing surface flow system along the existing roadside ditch. HYDROLOGICAL ANALYSIS Attached is the report compiled by the new WWHM3 stormwater design that shows an infiltration trench will pass and satisfy the DOE Manual criteria (see attached calculations). The total site area adjacent to the Puget Sound is 37,729 sft (0.859 Ac.) The following is a summary of the impervious areas as shown on the site plan: Impervious areas : Roof 3256 sft = 0 . 075 Ac. Garage 624 sft = 0 . 014 Shed 896 sft = 0 . 021 Driveway area 2092 sft = 0 . 048 Total 6868 sft = 0 . 158 Ac. Page 3 of 7 ECEIVED APR - 32008 SDI 1I' DDD PROPOSED STORMWATER FACILITIES The attached calculations indicate that an infiltration trench of 3 ft x 12.5 feet length will provide for the expected stormwater flows from the developed site. These calculations utilize an infiltration rate consistent the Hoypus type soils that indicate the soil to be a sandy gravelly soil and the soil profile as shown in the septic design by Nathan Cleaver Septic Design Inc. on file with the Health Department lists the soil as sand. In addition, the geotechnical report recommends that all runoff be directed away from the top of the bluff. An infiltration rate of 10 in/hr with a 50% safety factor was used in the calculations. EROSION AND SEDIMENTATION IMPACTS The State 2005 DOE Manual specifies that each stormwater plan shall provide for the following elements: SECTION 2.5. 1 MINIMUM REQUIREMENT #1 : PREPARATION OF STORMWATER SITE PLAN Please see attached construction plan entitled "STORMWATER PLAN - HOWLAND RESIDENCE" . SECTION 2.5.2 MINIMUM REQUIREMENT #2 : CONSTRUCTION STORMWATER POLLUTION PREVENTION (SWPP) All new development and redevelopment shall comply with Construction SWPP Elements #1 through #12 below: Element 1: Mark Clearing Limits The clearing limits will be the minimum required to construct the on-site driveway that provides access to the proposed residence and garage. There will be minor clearing associated with the shed construction. Element 2: Establish Construction Access A construction access will be established at the new driveway location at the existing gravel road at E. Page 4 of 7 • 111 Marrowstone Road. The installation of quarry spat _1. CE VED minimize tracking sediments will be utilized as shown per the detail shown on Sheet 3 of the plans . APR - 3 2008 Element 3: Control Flow Rates i FCD li COM DCD The downstream condition will not be materially affected by the increase in runoff due to the proposed development. The use of an infiltration trench to capture the design storm • event and allowing the historical rate to continue to the existing storm drain system does not constitute a significant change to the overall storm drainage system. Element 4: Install Sediment Controls A silt fence will be set in place along the perimeter of the new construction along the downstream boundary of the site prior to the start of any construction to prevent siltation. Element 5: Stabilize Soils At the completion of the site grading for the building pads and subgrade for the paving areas, the areas disturbed by the new construction will be seeded and maintained during the remainder of the construction period. Upon completion of the driveway and single family residential construction, the final landscaping of the site will be installed to stabilize the soils . As required by the SMM, from October 1 through April 30, no soils shall remain exposed and unworked for more than 2 days . From May 1 to September 30, no soils shall remain exposed and unworked for more than 7 days . The soils will be temporary seeded or protected with plastic covering. Element 6: Protect Slopes All slope areas will be made at a maximum slope of 3 : 1 and protected with hay and plastic coverings as required. Permanent landscaping will be installed at completion of rough grade. Element 7: Protect Drain Inlets The new catch basins will be protected with hay bales during construction. The driveway accessing onto E . Marrowstone Road will be maintained in as clean as possible state to Page 5 of 7 • r RECEIVED APR - 3 2008 prevent sediment tracking. c r p,�! n(' Element 8: Stabilize Channels and Outlets J�FFE II COUNTY UUD The site drainage does not affect any channels or outlets . Element 9: Control Pollutants As required by the SMM, all pollutants, including waste materials and demolition debris that occur on-site during construction shall be handled and disposed of in a manner that does not cause contamination of storm water. Maintenance and repair of heavy equipment and vehicles involving oil changes and other maintenance work shall be conducted using spill prevention measures such as drip pans . Wheel wash or tire bath wastewater shall be discharged to a separate on-site treatment system. Element 10: Control De-watering No de-watering is anticipated with this project. Element 11: Maintain BMPs All temporary and permanent erosion and sediment control BMPs shall be maintained and repaired as needed to assure continued performance of their intended function. All maintenance and repair shall be conducted in accordance with the Jefferson County Stormwater Standards and the requirements of the State SMM. Sediment control BMPs shall be inspected weekly or after a runoff-producing storm event during the dry season and daily during the wet season. All temporary erosion and sediment control BMPs shall be removed within 30 days after final site stabilization is achieved or after temporary BMPs are no longer needed. Trapped sediment shall be removed or stabilized on site. Disturbed soil areas resulting from removal of BMPs or vegetation shall be permanently stabilized. Element 12: Manage the Project All aspects of this Stormwater Control Plan and the Page 6 of 7 11) • Construction Stormwater Pollution Prevention Plan will be in place in accordance with the sequencing of the work and will be properly maintained by the contractor during construction and by the property owner upon completion and occupancy of the residence. SUMMARY In summary, the stormwater requirements are as shown on the attached copy of the Engineered Site plan illustrate the stormwater facilities proposed for the project that will infiltrate the low flows. TEMPORARY EROSION AND SEDIMENT CONTROL Temporary silt fences will be placed along the site as shown to provide erosion control during construction. Landscaping of all exposed soil will be completed as soon as possible to prevent any offsite soil deposition. RECEIVED ApR _ 3 200a tun Page 7 of 7 • ! ON C/ ,O . JEFFERSON' OUNTY in Fti , � DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax .q O www.co.jefferson.wa.us/commdevelopment SNGT Master Permit Application MLA: C 8 - lip l Project Description (includeQse_parate sheets as necessary): Tax Parcel c.� Property \ ? e -76:-1. s\c Number: 11' Zcc 4pc� Size: �` t l acres/square feet) Site Address and/or Directions to Property: c \ '\c8 a Property Owner(s)of Record: Aew Sc\k off-( �;i\ \,2 ' GW - ' , Telephone: 3(vP ~3`6 -")i l`. Fax: : email: \?mac\O �,.; VIVI ,ks-M Mailing Address: C`C Cti.' .57;�\ '' \ 1 ,\t c\�`)p ,Applicant/Agent(if different from owner): 1‘1\ Telephone: Fax: email: Mailing Address: _ What kind of Permit? (Check each box that applies l?��` $Building ❑Variance(Minor, Major or Reasonable E,:•,•hio in rrt IT` ' ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** " Single Family 1KGarage Attache Detached ❑ Discretionary"D"or Unnamed Use Classification lg Manufactured Home 0 Modular • ❑ Special Use(Essential Public Facilities)** APR - 3 2008 ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short:Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business ❑ Cottagelndustry ❑ Long Plat** t.[r tf III9,i r o it ik,�'� Sri ' Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign 0 Plat\/acation/Alteration** ❑Allowed "Yes" Use Consistency Analysis IR Shoreline Master Program Exemption/Permit Revisions** '1 ,Stormwater Management 0 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* 0 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 fe deral permits required for this proposal, if known: i� DESIGNATION OF AGENT I hereby designate \AkN to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appl.pation that e, r she nt prior notice. LL Signature: x . . %\ - �S ) Date: X `5- Z, - The action or actions Applicant will undertake as a result of the issuance of this pear it 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-trans able resprinsib�ty for to and complying with the ESA. The Applicant has read this disclaimer and si s and dates it below. Signature:j( t C3S � I —Gk t:, t Ino Date: �( 2� G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc N. BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the resp sibility th eneral Contractor for the proposed project. Signature: Nam.\\.ki `. , '`� Date: 3 "'� ) -9`tS GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: \\- .� Q\` o�S `►�G 1� J (- 5°) IN - .\\3`1 ( ) MAILING ADDRESS: (9(1,t„;'Z tiv S ,�.2 � gA5`�� EMAIL: CONTRACTOR'S LICENSE WAINSC,firflftcaA,.... NUMBER: NUMBER b "(p ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New ', Wood Existing: "'c,' LI Sewer ❑ Addition ❑ Steel Proposed: 2. Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Z Heigh:( X Individual System ❑ Repair ❑ Masonry 'lb k SEP Permit# 13-1-+`` \51 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: _. c Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 3 ,o 4(Public ��c. Total: of Name of System: QV�\ 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 T k and/or Appliance Installation permit,mark all items below that apply: I Underground TankAbove ground Tank Size of Propane Tank: 1' q•4\. Teat Stove ICook 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? Ye / 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. ;. 0 ,-4 1 �'' b Amount . ;Bevis } Square Footage Current Proposed ��. r`.,Qf�0Q Ua;.� ►� `� ,� �� x�• + �. .,.-.y=� Main Floor Heated 2 EH Bid App Review: 2n°Floor Heated NIA ,t Consistency Review: t »'x 15�1- Other Heated iAl Base fee: I1g.CC Mezzanine x'r i NfA 35. CC �a�� :��_ = ArDDl�tonat SeL�IUh Heated Basement �,�Q { e feel ��.-� PRrc ne . Unheated Basement A feherg a Other Unheated v`t\. Pot Water Review fee: 95 J Garay arport Z SUBTOTAL g toiAq.b i Decks ilKC 911/Rd Approach fee: Other APR - 3 2008 TOTAL: $ I ()L I vl cb Receipt Number: ("7tL1(p /,1.9 Cash/Check Number: �d o , a .;L ESTIMATED COST(REQUIRED) Date: ,1 �� •Fair market value of all labor and materials foundation to finish 4 l 'Z11 aka© Initials: cO G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc _ ANIL EBEL NIEL i M NM = i MIL = — am_ aa. .u .. — D o CD = x • o D 5 0 m p r` ED o) CD O CD GJ o ED 5" .-� N 0 O n- 166.86' D II •4 -- ► N CA CD CD East Marrowstone Road IHH148.48' mmmET ET ET QOm m v = = = sv co co co — cD -o ai 60 DDD`� = o a � o -n m m m c5 a3 D. r* ivvsu Q 0 �. c" 0 co > < c 24' o � Cl) m El.) 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