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HomeMy WebLinkAboutBLD2008-00147 08 UILDING PERMIT APPLICA•ON MRL Review Ty 178 ype: I Jefferson County Department of Community Development 621 Sheridan Street Pori: Townsend, WA 98368 PERMIT #: BLD08-00147 Received Date: 4/10/2008 SITE ADDRESS: 185 BURNT TREE LN QUILCENE, 98376 OWNER: KENNETH M JAFFE PHONE: (206) 523-6369 ADA SHEN-JAFFE 5115 NE LATIMER PL SEATTLE WA 98105-4953 SUBDIVISION: Block: Lot: TX42 PARCEL NUMBER: 501032021 Section: 3 Township: 25 N Range: 01 W CONTRACTOR: GREAT WESTERN BARN CO PHONE: (360) 346-0054 360 HOWANUT RD OAKVILLE WA 98568 Contractor's License GREATWB937DB Expires 3/2/2009 REPRESENTATIVE: HOWARD HORTON PHONE: (360) 273-7816 (360) 273-7863 PROJECT DESCRIPTIOI` NEW DETACHED 2 STORY GARAGE W/ATTACHED CARPORT NO HEAT - NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE TYPE OF IMP NEW MAIN: VALUATION 59,453.00 ADD'L: 864 HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 432 SHORELINE: CONST TYPE: GARAGE: 864 SETBACK: 431 DECK: BANK HEIGHT: 50 SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: cA- `4 - o� Type Amount Paid Bv: Date: Receipt: Ap roved/Date ED Permit $713.75 KAS 04/10/08 97308 A� R®� Plan Check $463.94 KAS 04/10/08 97308 State Building Code $4.50 KAS 04/10/08 97308 JUI- :,-- 2008 Total: $1,182.19 Jefferson County Planninr & Building Department i • Jefferson County Building Division Permit Numl: BLD08-0 0147 Applicant: JAFFE 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 L� Erosion Control Foundation Footing 9/9/4 fGSZ MA w 13LP4 DK IJAelat ian au T966T ilia-5 °fig-Drains--_. Foundation Stem Wall M,042 17Gii12_ SCR 14) ri5s Straps(hold downs) Ext. Shear Wall Nailing `t.44) ltARN Framing (1�/4 11/ F r7 Blocking `� C ++tom Drywell/Alt Drainage SEE CONDITION 1 FOR SPLASHBLOCK CRITERIA Address Posted Irt 14,mo # FINAL INSPECTION j`Z FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD08-00147 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 PLACED AT EACH DOWNSPOUT DISCHARGE POINT. 2.) 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. 3.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 4.) 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. 5.) 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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. 8.) This parcel is within the South Coyle Penninsula no shooting area per JCC 8.50. 9.) 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. 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) Minimum setback from Burnt Tree Lane right-of-way shall be 20 feet. Minimum north and south property line setbacks shall be 5 feet. Minimum setback from the shoreline (as depicted on the approved site plan) is 431 feet. • • 12.) 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. 13.) 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. 14.) The building height is not to exceed 35 feet. 15.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan signed by WDFW on May 12, 2008 and applicant on May 14, 2008. „so ,�4,)'' N)6.4.c JEFFERSOI )UN1-Y411 DEPARTMENT OF COMMUNITY DEVELOPMENT APR 2 0 2008 621 Sheridan Street • Port Townsend •Washington 98368 360/379 4450 • 360/379 4451 Fax qs, ,S www.co.jefferson.wa.us/commdevelopment f' i-,'• �� kI ''�!1�Tt, , f� Master Permit Application MLA: C. S 1 -7 Project Description (include separate sheets as necessary): bu/ l� t. k'36' A,v l--chN(7c744-- -"f Tax Parcel Property Number: .30/ 03 2_- 0 2_/ Size: 4 &6. S (acres/square feet) Site Address and/or Directions to Property: I Ie !Lb - /(A z c 1 �T /I 1J I eTe 0.-i-'e S K+ r11 �eaNC Qv t lc eel t Q R3) 7 (5 ee._al 1-k0(11 ) Property Owner(s)of Record: KENMc ti M 47-4 f'E A Afs q —,mF,ce Telephone: ZO6 5-2 3 636 j Fax: .2 4‘ 9,g7 26 Si email: k,7'"il,e.r Mailing Address: .s/'/S#1 E LACrindt Ce. i hACE .SE',9 7176 Arid Pia c��y iver Applicant/Agent(if different from �Hoer): NOt c r ,p ,(=(ptr0,,,/ Telephone:.360 273 7a/ f mv.50ced Fax: 4(V 2 73 '7 F6 3, email: JfC ji U,uc(PF/vc.�o.v ^ Mailing Address: r C o Ri\. W t kind of Permit?(Check each box that applies ItiB uilding 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit � 0 Conditional Use[C(a), C(d),or C]** ❑ Single Family 11iGarage Attached etachedb 0 Discretionary"D”or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Shcrt Plat** ❑ Address ❑ Road Approach ❑ Binding Site Plan** 0 Home Business 0 Cottagelndustry 0 Long Plat** 0 Propane 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management 0 Shoreline Management Substantial Development** ❑ 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 ❑ Tree Vegetaion Request *Ma re.uire a Pre-A.•lication Conference *"Re.uires a Pre-A.•lication Conference Please identify any other local, state or federal permits required for this proposal, if known: -- 1`�t7c���r DESIGNATION OF AGENT I hereby designate N cJ 4 x clt as my agent in matters relatin to this application for permit(s). s'l OWNER SIGNATURE h �/ ��t, (�' Date: / 2� (I ffUU By signing this application form,the owner/agent attests that the info ation 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 it 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. Staff's access a ht of entry will be assumed unless the applicant informs the County in writing at the time of the application teat he ors nts prior tire. Signature: L �. Date: /1-1`/G4 The action or actions Applicant will undertake as a result of issuance of this pemiit 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 Jefferso ounty development code.The Applicant acknowledges that he,she or it holds individual and non-transferable,rpsponsibility hering and m lyin th the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ,,j Date:(4 of- / G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 0 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 responsibility of the General Contractor for the proposed project. Signature: ----- Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: G kcA--r- 0 E 5 P�/A' ) (36 c . %o a S-Li (360) 2-73 78 MAILING ADDRESS: 360�F1'QtAi*A lir /2b bexkiilI/:e ed4, EMAIL: CONTRACTOR'S LICENSE 5Z t WAINS 6j e_nr 1 .7 NUMBER: 6P6i17- 1.) 6 qi 3 7. ), 8 NUMBER ARCHITECT/ENGINEER: Rytkiv4140l6 ej133 SZ PHONE (3 ) 420 yp yt FAx: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: I New Wood Existing: 0 l.1 Sewer ❑ Addition ❑ Steel Proposed: 0 Bank Ll ommunity System ❑ Alteration/Remodel ❑ Concrete Total: 0 Height: Pir Individual System ❑ Repair ❑ Masonry —SO( SEP Permit# O/ /711 p Bedrooms: Wa er Supply: ❑ Demolition ❑ Other: existing: 0 Setback: Private well ❑ Two Party Type of Heat: Proposed: a • ❑ Public No Ate Total: O q3 f Name of System: If this is a Commercial Protect you must answer the following: Cl-- 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 /® 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 Bid App Review: 0 'ID,CO Floor Heated Consistency Review: 61 VU Other Heated APR 1 0 2008 0 Base fee: --- 1 i3 .-15 - -- — Mezzanine (� ( � Additional Section:„ Heated Basement^ C3u C��I -1(2 Plan Check fee: 4( 3.ri !` Unheated Basement State Surcharge fee: 0 LA _5c) Other Unheated Pot Water Review fee: Garage/Carp SUBTOTAL bq tl1 %,la 1. Ltocl . 1ct Decks 911/Rd Approach fee: 0 r� tq Other TOTAL: $ 4Gvl , 0 Receipt Number: CI1' GS Cash/Check Number: 0 5 t 04-0—z- a5 ESTIMATEQ_ e- - a IRED) 1 Date: ��1�� .Fair we et value.1 =IIlaborarid materials foundation to finish l C.- -51, ' A 0 cotvi rrgiicre Initials: U --- G:\PermitCentcr\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc RELENTED . °N trNiii , JEFFERSON COUNTY APR 10 2008 tif ►sf DEPARTMENT OF COMMUNIT Y DEVELOPMENT f [ � r 7� kir. 621 Sheridan Street • Port Townsend • Washington 98368 JEi-FE 99 CiJ�l�l I HD O 360/379-4450 • 360/379-4451 Fax NC` http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# Q - 1-A. p PROJECT/APPLICANT NAME: J� 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 8 v + 4 1. Describe the proposed developed conditions of the site. Indicate position and rely' z of proposed improvements on the site map. / I rr 31. ,ot�! -I� k 36 M©tip if 7`fi 14- S t 4- 4 a r-c-.. V /l ftrvd ir CJdS 1 avbec .S` uL)/ LOQ. ,..Toi/ ��4.J/�Gr /<( P•01 • bP/Ns Q om✓ Li v- fit/o "Jr ® F 7-kt' p Po Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the Ape map. Par e r, f 8 of /V .q fr^ Al 4),..+-1 0 Cr- . ,M - /4 c�,N c�i �" rs AS1--rat >� v ei t)N d ; /o Jo r/iu -t c}. / !e 6 !►-a. `f /y . . 3. Describe the eating vegetation. Indicate�hative vegetation areas on the sit�map. SGC/a 1 , Ct.�d e_e CLtc r- 7' s.s" 4. Describe the existing soils. Indicate soil type on the site map. 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. 4.1t0 adtji-e-Lo.,0' *0 cr<21:6:4.-Inat.A.,e* cpt...x.14!6,.. C'Z` -C,LeM, r _ } A ROv 6. Describe any excess levels of noise generated by the proposed use or activity STORMWATER PLAN Ve9/L/ e ' . _ as ` , JUL - 1 2008 Require' .� JEFFERSON OU Y DEPT.OF C Y DE L PMFNT' stormwater site plan template—rev.10 1/2003 SIGNATURE: 5 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. rht k t IS 4 sin,/7"rJ c:f Pv as,-(V v a I,ti 0 0// P ' 1 Q I r e'sf ..tdr. fx.f. p*eV Pe"ry ,, GLd '1 o 966 ' ifthr t?-tio.1"ES J ( Ct tS titM C"t 0 b 1-1-0 to,,,Id;A,7 $y' 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.). 41 Lo6611 .SIBS It ,)d r 7 v-0c.3f& , 'fAi5 s/4,' 4r S'e (Iuded . 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 facilites. Sf'/4154 /vo J c/f5fPvsra4 tc/I sill S0 r //cu e /m1- 1--a.J e' r.Sre.r.S.',/ 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.] N0i)P 11. Describe the performance goals and standards applicable to the project. b/,u r.k a l cias sfu v k c,J c f n ' '/t° Si it M ou r rcc a ! C /P 6 v ,,ii AJ0 li// o'- e,l-c"vc.1,a4./ , £P ,t1.acrc ( 6)1 dc"jef'afia O if, 4? -..?Z' k 26` Wo of p r„fr`" . 12:.-..-De5crib8";,th,'e flow control system. �/ f j R 4 #(1 a�ccrc g/?4 a / k' .t v tern '-S` laei xi 1 } I,1 APR 1 0 2008 I , 4 1t k, , i stormwatgr sited terepla'te-rev. 0.1/2003 t. jj I L U f li I�' D C D 6 • • D 13. Describe the water quality system. �y `�`+; . 1Uv dIs-1v -1-6 G1 Aet& q vR/ f,. APR 1 0 2008 Jrr' jr � LUU�gI1 UCD 14. Describe the conveyance system analysis and design. , ir��', Nacre o v fbr() ( e'ccr (i 4fr ".:' 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. tiC �r�l 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. AV o rt l( 17. Describe the proposed surfacing material. 8 0 k o,t/e it� 7 ,J tit, ,�r ca r id i J 2 44404. 18. Describe methods for restoration of the site. e 61.1 t Al or- `?G Al or 74.o r b C * (i l, .0 S' C1 r /�,S tit.) Ptut, f/ o Glreq t 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. 41©4) 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. /904 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. t1Ddf 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. M Ll 4.e yo.. 36 1173-11, . t- 2. Establish Construction Access. e r5"7t/A f^ f-ca a 41 bl/ '% , ive)r c 3. Control Flow Rates. pr /'4!N telni( 4. Install Sediment Controls. 1 Gp. r0 i�c U e e 44' `'�"�( Jf ter° 5. Stabilize So•Is. ,/ ` /00/J P t .0� �v h e'� ®l"" 't I h 4. 4 A 7 0;i, „i 10— —T 6. Protect Slopes. p 0 lSy,,v C 7. Protect Drain Inlets. ti 9,0 APR 1 0 2000 ti stormwater site plan template—rev.10/1/2003 8 • • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. {` E-ATE D /tJo APR 1 0 2008 9. Control Pollutants. (n� ��T( `(�' . r:.�..��ti C�N1.1 [En 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). Now 11. Maintain Best Management Practices(BMPs) ,/ �[l"P✓ Co a ,-'C) f�'eq otr65.,.o � 1`•L`.E`vs,e.) C�cJ+� � ilJ�eA1 Ukr 1,+ rGQ.J C.- v/J 12. Manage the Project. Cvo4ei tr�c Jtv 2. Adjacent Areas. Atil i fr OCR a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands,residential areas,roads). / NJ LSi�ily k Ai(P D 4)DBc/l .JcKIS f ('..trC c•../ a Co-%-t-e, / /t re'0(J b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). / t/t's e 4boo-) .n /c.„_/ �ac��� c^e...Ai/ t`.41.0 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template—rev.10/1/2003 9 • b. Description of special requirements for working in or near environmentally sensitive area . /lifiuiaa ( OfIS'Co g- wC' dvvi4) s 'fhitc' .57AA ,1 fzc J 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,dept ,texture,soy ructure,). / f� Y-Le rc Ls ,cJ O e kOsin- ..v Esc'e a t �e a v k 5. Construction Phasing. a. Construction sequence \� 44.6Ao`c b. Construction phasing(if roposed) 4Sse,K 6 �fr 5 F 32_ ' k - ' r�J ter( t trfio'cl. or 0-1 St 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. �.0 d a P if i s y t h r c.1 od f- r II. Wet Season Construction Activities. a. Proposed wet season construction activities. AMAJ b. Proposed wet season construction activities for environmentally sensitive areas. /VON 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds 4nnd/or other financial securities. /Utz cRa,u S 4 y A.�i 7 of P� b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. T'V a. Sediment PondslTraps. iU f4 `���a CT,yry 1\7 ,' ' b. Diversions. /11 / •� c. Waterways. 41,4 d. Runoff/Stormwater Detention Calculations APR 1 0 2008 tFFTPUN Cu TY [1C� storrnwater site plan template—rev.10/1/2003 10 • • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. 4.7z 4' -.4" ' E ENTATIVE IGNATURE (LANDOWNER O AUTHORIZED REPR S � ) (DA E) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: RECEIVED APR 1 0 2008 JEFFERSH COUNTY NCO 12 stormwater site plan template—rev.10/1/2003 • / 36'-0" 7--------- Fit / / 13' 0" / 11'-0" _ 12'-0" • / / / 80 / / /5-0 4-0 / 80 / 6'-0" 2'-0" 9'-0" 2'-0" 9'-0" / '-0"x 6'-0" / / {a rr---» c---Ia \ \ \ w \ 1- I ''�, v� N I I \ /I j'/ � �' \,� 1 \ • , ! q \o \\ I I i \\ // I I j j p. \ / I I ! I oz \ / I7i: ! — I RIDGE LIJE - tP.. 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