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HomeMy WebLinkAboutBLD2008-00144 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 Al Scalf, Building Official PERMIT #: BLD08-00144 SITE ADDRESS: 293 BLUEBERRY HILL DR Issue Date: 06/24/2008 QUILCENE, 98376 Final Date: 4/28/2010 APPLICANT: LAWRENCE THOMSEN PHONE: 360-765-0967 BONNIE B STORY PO BOX 56 QUILCENE WA 98376-0056 SUBDIVISION: BLUEBERRY HILL LARGE LOT Block: Lot: 2 PARCEL NUMBER: 601105002 Section: 10 Township: 26 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ ATT GARAGE AND WOODSTOVE 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 no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/28/2010 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building DiIkon Permit Numb BLD08-00144 Applicant: THOMSEN 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 h-qh Erosion Control SEE CONDITION 2 IF SILT FENCE IS NEEDED. Foundation Footing ?/Ze/C)f Footing Drains Foundation Stem Wall 7/ -icily Underground Plumbing !VA, +I, C� Under Floor Framing 8 � c3 -J ,` iv/e i « `sr AAroek,7>"c1--�Pr Gas Straps(hold downs) ({/ >t pr Et-0"},i-Tv r-Go _ Ext.Shear Wall Nailing 45'20..-II iS Rough-in Plumbing /l//44cf Framing ,!/!q/eg Blocking fihei )c• 7/ Airseal ///!*/O8 6" Insulation:Walls I.j(ic/i c Insulation: Floors (� Insulation:Ceiling (0 Int.Shear Wall Nailing /t /68 /� Wallboard Nailing tZ/t/02 &as'Line: interior �Y error •Propane I ank-- Heat/Chimney Clearance 1/!3/69 6 Or�jweil AlLQraivage- SEE CONDITION 1 FOR SPLASHBLOCK CRITERIA. Address Posted FINAL INSPECTION ir\• I' fl FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VAI in FflR fNF VFAR Review B DING PERMIT APPLICATIOt B e T 0144 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00144 Received Date: 4/10/2008 SITE ADDRESS: 293 BLUEBERRY HILL DR QUILCENE, 98376 OWNER: LAWRENCE THOMSEN PHONE: 360-765-0967 BONNIE B STORY PO BOX 56 QUILCENE WA 983760056 BLUEBERRY HILL LARGE LOT SUBDIVISION: Block: Lot: 2+ PARCEL NUMBER: 601105002 Section: 10 Township: 26 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NSFR W/ATT GARAGE AND WOODSTOVE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 840 VALUATION 182,827.00 ADD'L: 840 HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 560 SHORELINE: CONST TYPE: DECK: 300 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: (LO IAI ‘° IU- Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,458.55 AMS 04/10/08 971:38 APPROVED Plan Check $948.06 AMS 04/10/08 971:38 State Building Code $4.50 AMS 04/10/08 971:38 JUN 21- 2008 Potable Water Application $59.00 AMS 04/10/08 97138 Jefferson County Planning Total: $2,470.11 & Building Department • • CONDITIONS for Building Permit# :BLD08-00144 1.) 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 SPLASHBLOCK 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.) A SILT FENCE MAY NEED TO 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.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 4.) A minimum setback of 60-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, 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. S gns 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.) 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) 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. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) Minimum setback from Blueberry Hill Drive right-of-way shall be 20 feet. Minimum north and south property setbacks shall be 5 feet. Minimum setback from west(Coyle Road) boundary shall be 150 feet(open space buffer) as depicted on the face of the recorded subdivision. Minimum setback from the delineated wetland shall be 60 feet. (Site plan depicts a 110 foot wetland buffer). 13.) 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. 14.) 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. 15.) The building height is not to exceed 35 feet. .4,).¢ oiv eo6_. JEFFERSON CO'TY � • rz1DEPARTMENT OF COMMUNITY DEVELOPNIENT t, , `N , `� 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �O� www.co.jefferson.wa.us/commdevelopmeni: �`SHINO� Master Permit Application MLA: OS' I-744 Project Description(include separate sheets as necessary): 5(N 6- tii r L.'1 P7iy e.©i,-�,r:1:,__' 6 I c, 5 r% c.... A t a 6.0 e;r r, Tax Parcel Property Number: 60 (— /O — 0 Cr.. Size: 3 /4-C_ (acres/square feet) Site Address and/or Directions to Property: 4 i Lo v t.:C /20 9 3 /34-_0 C-7 3 ;z tt-r C.- D,e r r C,�:ut c c i,IA 1, 5 ) Property Owner(s)of Record: l,A-c 312.erJCa 7Ka.4r.&. (Dce.4.,a- SZvQy Telephone: '3(C e - 9-15- C..)Y6 3- Fax: email: 0a4=-1,e621)3tc'7 bc,x,zi Mailing Address: .. 43 6L-✓F.--g --lay Y-i c tc. ,Q(V 4,,-,: L C:a,,,&:: g�33-6 p•ydWC C)l . Cep Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies uilding 0 Variance(Minor, Major or Reasonable Economic Use) O Demolition Permit 0 Conditional Use[C(a), C(d),or CJ** *"Single Family Garage ache ' Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 6 Modular 0 Special Use(Essential Public Facilities)** O Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** O Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business ❑ Cottagelndustry 0 Long Plat** ❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign 0 Plat\/acation/Alteration** ❑Allowed "Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** O Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance ❑ Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *May require a Pre—Application Conference *'*Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate � to act as my agent in matters relating to this application for permit(s). � OWNER SIGNATURE (- Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide. cess-and righ of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any regyire aterinspections Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the- ' ti tat,he or sh is prior notice • Signature: - �/l 7 d'e,? -: Date: -` 77/ --G 6 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" r"ESA."Jefferson Co my makes no assurances to the applicant that the actions that will be undertaken because this permit has been issu ' not violate the ESA. y individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if ar in compliance. ' he fferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tr able onsibility or adhej to`�and com ng with the ESA. The Applicant has read this disclaimer and signs ap dates it below. Signatures '~� _ Date: 7 - 3 I` C f%� G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • • BUILDER STATEMENT The signer of this statern rlt does hereb certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assurni a responsibility f the General Contractor for the proposed project. �c'l�c �-2 �� Signature: ,Lr� 't- Date: 5�' J K. GENERAL CONT CTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: - ( ) ( ) MAILING ADDRESS: _EMAIL: . CONTRACTOR'S LICENSE r WAINS r NUMBER: NUMBER ARCHITECT/ENGINEER: 1 kr /4r/ E tir�aA /'- PHONE (2c-3) 94f//7ct X: ( ) MAILING ADDRESS: 2401�C t f l/l if cmi 5[ et ,i r L(1,,_'/C '01mAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: it New X Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: _ 3. Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _ 3 _ Height: XIndividual System ❑ Repair ❑ Masonry w/M- SEP Permit# C5- 00.?3-R' ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 3 Setback: #( Private well ❑ Two Party Type of Heat: Proposed: Li Public y,J 00 Total: __j___ Name of System: rt, -FA c 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 g/Voodstove i Fireplace Insert Hot Water Tank t Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes /(-N-8) 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 �y EH Bid App Review: 2nd Floor Heated ,i{) Consistency Review: X410 5taLf. 157. cp Other Heated Base fee: �5 Mezzanine Additional Section: N/t Heated Basement N/ Plan Check fee: q c L Unheated Basement Ad/ ^State Surcharge fee: �i C Other Unheated Pot Water Review fee: q-5 ,�� Garage/Carport 5-6 Q + . t l . SUBTOTALLi �7 Decks `� 911/Rd Approach fee: 3o ,.7.�f.p 1 --- Other TOTAL: $ iI Receipt Number: CI l 138 _ Cash/Check Number: _.l a3 ESTIMATED COST(REQUIRED) Date:.Fair market value of all labor and materials foundation to finish "�t//�� 1 D-DS 11 1 2-0,t]00 Initials: r G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • JEFFERSON COUNTY ,sl DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 4.(Y 360/379-4450 • 360/379-4451 Fax 4-VINO http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# lam_ 1-7q PROJECT/APPLICANT NAME: 77,41/7. g-iV //4 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. -TA C Ot' cite(,t e z Al- 22 5'D s 1~ - Ai 6-1,0 a =.:3Sril 1 C. ow► 4) tS`f/A_6 t, 2fof (r C c 4-PPP-OL '/i fralE. E a LIDG•1*e. pCIS`°7 N (r (;k ic4 1.4 A s S S t s s— -cRe.S', ck✓G is 621 vr4-4.4 ,1 `7 J« Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. a Ill 1,6 l tJ ( S 17a I S t%GA-T c/31 i1 coil ci- IJ //6 N r1 L. 4,E 64 s t G P 4 wI 7f'( ►r Tb,A-2011, jl"jc fY 4;Ros %K <f 4i lt.6. i'fiA Sot G i .4fd1. I °UJj L'w& irtk,od Pe(GkAQIL`,f 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. PryOtaIrk t-p-s G.ot,6>E6 pro A-Ivo I s" y e c A crn, iuh. t. ,6 7 tgvo C,rtoay'. r- !S vt<o 2-a- C A c ', 0 A- II S 4 o ) 6-V 5 ./J C Mt 4 N 4 c# A-ia OP a kt t 4I N/ s rra kAitt 131 u F FrQ,, 444 44%'010i, f4t o b , Peet o P2-o Ae<:-,2la DsoisE 4. Describe the existing soils. Indicate soil type on the site map. ( ( 104 4 44D 1„72, ,p,d,?s H 4-1G 0C6-0r�.,G Sl r5 to4s- Akii) L, STaokiccg RUv6- {DOT ('P-o C.Am wt-T1-f (�l4^sst'L tA1<.rGA,L,d cot t.c ( u G.u1`24-AI- 1J 2,40N ( .,, ,SI•sG LjWe 7/,i-.uA QGt,1 N GAl' uO 12r.. 4)e7 Pray SOLL.- Q0"r4 4`, 5. Describe the existing site hydrology(i.e., drainage; behavior cf 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. 6 -I) X Coe- 7-1 c A-P-4 A -/$ , (A)f L t GN 1 LOt 1 S ; anek N U 7s-t 7-41 - kr to/ P tS I.E-1f'7AFMet.tr (AL Le-A,y> /AJ 4 r)19 1.S 74 1RV. G`'/l j F A a i S N 0"T S 7,4-xat) 4,46 w t•-1 `, NA t o 2-,4 c. q izAY i4J A G- e/ -o/4 -71-1 P_ t.!(L 0 I N b S 17 il.. 1 S %O T;#/1 LA 15 .S r4W P-t. r?U/Lf` w P N� 6. Describe any excess levels of nois jg t I� _pro osed use or activity': KO V E D �� g G;r ; - 4417,v S•ORMW20;0ltcPIv.AN. StorrnwFat r APR I. 0 f JtIti 2 4 2008 Require JET' 1)tu0 JEFFERS CO TY stormwater site plan template—rev.10/1/2003 DEPT.OF C P E 5 SIGNATUR • • 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. -7 l Pg-04)l:g i CrELi', PGA T 4.4 t nt t ,- Lg. S 4 C>0 � ADa,i4 c o 7Wf w!= L . "7-114E Si Ta I S 7o/,4- c r=G# 7. -rv-ie-Ap., is .4 CA vA-L SGoPc, rP-ew► .iH ZuiGQtNG- 3/7 _TO c)9`r1e ReA . 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.). S P›►J1f - A c tom` t=t+c r f.)vt4 o av6 10 L.D (:c . S<IL'A-Yl Kl LDS 7L`LT e Re Guti F 7^0,11410,1 S P 64.►I W S Lt L-4-- A a t F. l 4,0 . t aL.u a... r-J K t Lc,,r S 1 R J i u l S i . A Lt, St,u : rA kvi i 11.t4 14-1 " L 4 • S &la 4 I- OR: 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 facilities on the site plan and differentiate proposed facilities from existing facilities. S-700 Ail ti4 ,l;.. (.4.)L i ,T ) floJucA)'r S 15P1,A-51-t R L o C S ,- -fl t,v Cr- 0..1 T 7O V C'- 7.08 7'd 1cJ , Of P 1,6 NA ?"r cf1� fol -G E 7Q 7'c).Ab Er r s S m 1-A-wA w► 3 ,u A-3 S(7 /-A-1 1 XcC t.C-afar �41 tiJ r4 trlG 'S g,,a-r r,fi-1T I ,u-r o 7-16.f . fC 0 ct' So, Ol c tGC1 1u 6- S 17G (IA S t` I%ie C &i(e),) =� G -ro 4/214-t,J ,Awl a vic 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.] A,/ /) -7 %/ t t kJ-7 ,14 C.(t ! 7 •S P iic d . 11. Describe the performance goals and standards applicable to the project. -7d�tt.-C p F.-6-7- (4.►; G G. ,-tprve~ Xo I "14 PA CT %s 64 Pat) , /4i U Hi p tt L. U C-Ie l A I1 irk:3 4 r 141 I. 12. Describe the flow control system. D I-fl+ !..c A- Z Gv l L L iG f-fC 7 "` •4-14/4 11J D r /A 67 rt Wot • stormwater aite plan template—rev.1N1/2003 ` 6 r y/ • • 13. Describe the water quality system. D U e) • s r(G 5" re-, At-A t'.v ALL . QRA-r dl 1 N 4- N R?-ZWrQE Anti r a vft -714 G1eS '7"a S 6.70 S /7(. )L. 4- -s • ,1/4) S76 .Art k 14. Describe the conveyance system analysis and design. eff-u7ratc Avd 6_0w14SPo+.4 2 Av -t-a 5491-4-S 1/3L© Gs /iJ ,e Gtir t..,- oN 144, -,u r-ji D g.4-(pj/A) F— Al- -7o ( A- -Clia- -rla / - S w 7'-r 61QA S S D Nk u C 61°A N(fl (/P°P C- OW- -u 510#) !/tom Ce010 5-0 .L.C-72O,ItJa 'f d'' hQ O vt/l L f/! LDIN tcoo7Pe-IAJT kA S PL63 N,A-7#t/ -noth. 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. N 0 At -<ai &.• S N i - -rO 4* d t y 1 3_S €.4- f, - .t Ati 4. J i E f hF.-p6Sf7F.-4 -to _ E W ( s7 ( h= 7`frtt ,3i141 L'D,JvG- SFrr Ga;/ 14-11e-4-- • 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 5 !M kL1.0 P P aS la4a Df vd A-. A-12.-61i- rN vrr- %/y" 4'/14 L,.S b,t.5-at k d i.. 1 vt r 6j? e -eat (` a.L,Ei to 4,4 p e - S?514k w A.L L 6 v 10111‹ TcvrJ S .Adt, C40 vtt a6A +:,--r; 17. Describe the proposed surfacing material. 14166 Ott eh( 4--414 N 94'1.90 APP2u L,A 0Se-it-la AI t - t L. t J2,4 337 to v s . :f A' Id A S.oat, Lvae t re,, 18. Describe methods for restoration of the site. r T R.oA-t c /1- r=xts-74.4-, Nb N �.L.15 o411J 6 s p R o ol° s P LI O l p F /4) -r t LIC G = =7'4 7 u1.1 C-A1s T i,J (r- I . u �-1+.,J N kJ r E i I. tr 11 FicE�2. . ;a c�J 1 . 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. A— 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. w I—J=7 ANv1 AJ i5,- - ,J t 5 G0.01 L G 7 t I47- r , )14 A-y a.Q GONcC-teru s , . r' o{, A wIF_err vuei4e. /2t uI1 444i- j7S. 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. t �Trs 54 7 t C - I t.f .4-*i/J h / N 4G 7C4/27- W14LL 3 IN kr4 (1)QG- /hU G. ( i F 7 G_1 = OC(.1 &)E,e--r rr lloTy stormwater site plan template—rev.10/1/2003 7 CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential 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. /U d G(--Fl N 0' /V --�1 2. Establish Construction Access. UI l k S((as !r 11.0/6 • Uaham- up-- cot, s'r'Ruci a�.,�' LP L 40 12-64 U o ff•« —I to y f:* C U l 1,Q/N G S 1 Z it A s 144 Aik) 5 'd s -0a co S Ld r~,e j) s-74.6 C .. 3. Control Flow Rates. A�) o A 1=Xi � ,{v (r- Id1fe-pr/1NG tiFLQ? /3utL-4(NG `err 4. Install Sediment Controls. Po �r^ "1 P (i' .. �p Yr v'41�F^ 4° '. &t `/ig'T(CJ(ram} r t.4C,J G".. S<;1�. . 5. Stabilize Soils. pI m V C C 6. Protect Slopes. N s C.- oPl s si r 7. Protect Drain Inlets. A)0 12Q-14 L ,•G-"TS X--, - pR.OPvs I A0E:/j stormwater site plan template-rev.10/1/2003 8 • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. Aro Gar Prikwir 1-5, iv 0 Ca`c7 L TS G r . 9. Control Pollutants. A-2 tG Gt!t t P S A-v i@ i#i"/4 44 -ratite J 4 Ga L.[.j C--rt o f i'i t=44.40 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). N/A 11. Maintain Best Management Practices(BMPs). LAJ ale. f & iVAS GN` srr- 4- 7 Aili 7 ,1 ' 12. Manage the Project. ti-► N fit.. ( 1344 LAC a S r f L r r. . `r ' 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). C Y+a 01 P AN4 S t t V i S i i i'i ACC s%s' R04J t Sr r S 1t' b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). D0WNS7�,4 D12.4fi,A C6 u-lout-41 g! . -C- os, ' t/ ,. t, Ad.►il) Q h.1 CJ - P R-0 -3 y Z o t,a te Lam.. 120,416 r4 ou t 0 -7Q r`I 6- > 4l.S"7 t-7 tiif-1/ iii t.,s j •t o C.4470 /4A21Q 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. LAa rj L 4r41 AS n Lt N i<_ 4 -1 a (S eoe leop44-r) storrnwater site plan template—rev.10/1/2003 9 b. Description of special requirements for working in or near environmentally sensitive areas. P/PC 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). tetL. 1)12t 5 Pre A S Mo t 42 OS" Olei / 5S1,/.7S . 5. Construction Phasing. a. Construction sequence rig)LNJ0A7cop , pit El. 0e ,4 rieA /Ai6 . A0J1-iA16" t..A.: 5 r IfJ E5 pi, A 1 L f/f 14 b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. Fit u N 0 A-"Po/•1 = . ►M A of V e J lUS 7 l 44 C 7«A4.) `j O N o se IN 121 N fr , G•v tit?1 /N fr L Q k Akd lrvJ"7 a d' II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. N�k 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation 9,1 bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. P CA,yQ Q reffr- vtrl6lty 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. N J 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-bunts")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 th Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to ; est of owledge. 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