HomeMy WebLinkAboutBLD2008-00155 1PU
ILDING PERMIT APPLICATN ML 194
Revviewiew T Tyype:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00155 Received Date: 4/22/2008
SITE ADDRESS: `5LI ,I COYLE RD
QUILCENE, 98376
OWNER: WILLIAM S ECHOLS TRUSTEE PHONE: (360)638-0065
MICHELLE M ECHOLS TRUSTEE
38988 HOOD CANAL DR NE
HANSVILLE WA 98340-8780
SUBDIVISION: Block: Lot: +
PARCEL NUMBER: 601023002 Section: 2 Township: 26 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: DANIEL B FORBES PHONE: (425)434-0018
PO BOX 128 (425)434-0018 Call First
SNOQUALMIE PASS WA 98068
PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,334
VALUATION 251,102.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE: WOD
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 824 SHORELINE:
CONST TYPE: DECK: 256 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,844.95 KAS 04/22/08 97323 A P PR OV E
Plan Check $1,199.22 KAS 04/22/08 97323
State Building Code $4.50 KAS 04/22/08 97323 JUN ci 2008
Potable Water Application $59.00 KAS 04/22/08 97323 •
Total: $3,107.67 Jefferson County Plannin1
& Building Department
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CONDITIONS for Building Permit# :BLD08-00155
1.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
2.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
3.) 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.
4.) 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.
5.) The building height is not to exceed 35 feet.
6.) The minimum setback from Coyle Road right-of-way is 20'-submitted application site
plan shows a 100' setback from said right-of-way. The side setbacks (north and south)
are a minimum of 5'. The submitted site plan shows 280'to north boundary and 320'to
south boundary. The site plan shows 380' from the East boundary. The Northeast corner
of the property has a Type N Stream. This requires a setback of 75' plus 5'to foundation
of structure. The site plan setbacks meet UDC requirements.
7.) The identified Fish and Wildlife Habitat Area (Type N Stream), shall maintain a vegetative
buffer setback of 75 feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM)to the foundation of the Single Family Residence w/Attached
Garage.
8.) An additional setback of five (5)feet is required from the edge of the buffer area to the
proposed Single Family Residence w/attached Garage.
9.) PRIOR TO OCCUPANCY& BUILDING FINAL- FINAL APPROVAL OF SEPTIC
SEP08-00029 IS REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT.
10.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND
EDGE OF DISPOSAL COMPONENT.
11.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY
PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE.
12.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC
TANK, RESERVE & DRAINFIELD.
I Jefferson County Building Di•ion Permit Num l: BLD08-00155
Applicant: ECHOLS TRUSTEE
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
Erosion Control
Foundation Footing */ii / Aio lir-r&-- 10-76eic.z Fre; /* 03,6/4
Footing Drains
Foundation Stem Wall 7/7.-3/6 L e"9 _
Underground Plumbing
Under Floor Framing qpitO //
Straps(hold downs) 4i/24/e g
Ext.Shear Wall Nailing 10-4-eg 1.1A t l w wlY7(I( Q/(,A l'NAI-ti ,)A,/ ru"L ARJU-s
Rough-in Plumbing ;
Framing #ii I .na 1-+Bil'Alk'r
Ile,y • DO 3 ,es4PS4rre'PE-grE; 2 Hu ,oc,e,-.
Blocking ///yL/a eV
Airseal ///7L//,,C gi
Insulation:Walls i Z 2/Ge5 ii)� 5 e: 14�66
Insulation:Floors ,
y �10
Insulation:Ceiling j f 106(
Int. Shear Wall Nailing ;No /'
Wallboard Nailing /g '
Gas Line: Interior l
Gas Line:Exterior
Propane Tank
Heat/Chimney Clearance lnit;r , �
Drywell/Alt Drainage ! ✓r
Address Posted
FINAL INSPECTION 41/it y
91/
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
' /` �;ON c�O JEFFERS1DCOUNTY .
l DEPARTMENT OF COMMUNITY DEVELOPMENT APR 2008
'' ' f 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450• 360/379-4451 Fax
p www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: G G - 1 Gl 4
Project Description(include separate sheets as necessary):
We-W 51V16k-£'fl') re. a'cele, 4}I A is ;T&A(I r 4tZ-5.e__./
Tax Parcel 601023002 Property 7.86
Number: Size: QCY /34411 OW 5g f cres/square feet)
Site Address and/or Directions to Property: ,'
O(.1.-{1 PO itvi•e. of �- I d q- r l—.I' on Ilven o�,r I e p OYt 1,e.. Rd 314i m. Oh ie c
Property Owner(s)of Record: William S.Echols�� and Michelle M.Echols
Telephone:(360)638-0065 Fax: email:
Mailing Address: 38988 Hood Canal Dr.NE.,Hansville,WA 98340
Applicant/Agent(if different from owner): Daniel B.Forbes
Telephone: (425)434-0018 or(360)271-7310 Fax:6 24)-f 311 DOI8"• Ca -PjYS'r email: sjforbes@centurytel.net
Mailing Address: PO Box 128,Snoqualmie Pass,WA 98068 _
What kind of Permit?(Check each box that applies
Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
V Single Family 0 Garage ached Detached ❑Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home El Modular ❑Special Use(Essential Public Facilities)**
❑ Commercial* ❑Boundary Line Adjustment
❑ Change of Use ❑Short Plat**
l Address 0 Road Approach ❑Binding Site Plan**
0 Home Business ❑Cottagelndustry ❑Long Plat**
El Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Sign ❑Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
❑Stormwater Management ❑Shoreline Management Substantial Development**
0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑Forest Practices Act/Release of Six-Year Moratorium El Tree Vegetaion Request
*May require a Pre-Application Conference _ **Requires a Pre-Application Conference
Please identify any other local,state or federal permits requiired for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate Daniel B.Forbes I �� ,a to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE c‹..._ a� �, .� I '�tN� � •(:f"'i:./� Date: 1-1--- O
By signing this application form,the owner/agent attestsll 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 application that he or she wants prio notice. . (, 'i) j,l,
Signature v >J \;, t V_)-0-r'.,-,2k h Date: t2' 0`t;
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 tc 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 adh ringi�to\andd�oem,,plying with the S T e Applicant has read this disclaimer and signs and dates it below.
Signature ,� . � �-0.4 b�`W 2 ll M``-1 Date: 3 - 1.1-- oSS
C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
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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 he General1 Contractotr for the proposed project.
Signature: .� \ "� 0.1�11 ^r.`, .C i,1^1 i Date: 3^ \Z ___
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
t 1 New o Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: 2 Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 2 Height: V Individual System
❑ Repair ❑ Masonry _ SEP Permit# (`` ):: 7
❑ Demolition ❑ Other Bedrooms: Water Supply:
Existing: Setback: V Private well 1 i Two Party
Type of Heat: Proposed: 3 i i Public
Electric/wood Total: 3 Name of System:
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current Proposed:__. Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
❑Underground Tank °Above ground Tank Size of Propane Tank:
❑Heat Stove 0 Cook Stove 0 Woodstove ❑ Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH 13ld App Review:
233
2n0 Floor Heated Consistency Review:
Other Heated I,�
\y' ;} Base fee: + SLR,/5
Mezzanine Additional Section: ___
Heated Basement APR u 2 MB Plan Check fee:
APR 1 i gel, as
Unheated Basement State Surcharge fee:
4-.5c
Other Unheated Pot Water Review fee:
Ct3.L()
Garage/Carport c� SUBTOTAL /"
824 �G, 1$9.C" A 3 , 1l tG�c.
Decks 5�`� 911/Rd Approach fee: f 'C
LC��i j I '� J
°there i Ilt:o:Qi� -r'i c"G) .4�Q TOTAL: $
f �,ac�l� -- ?,Sarc,.�.i
Receipt Number: �1`1 3
--ash/Check Number:
ESTIMATED COST(REQUIRED) �' a51 1pa.39Da
Fair arket value of all labor and materials fou tion to finch / IDS
t0 C/ 0& Initials:
(::\I)ocuments and Settings\caral\I,ocal Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
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JEFFERSON COUNTY
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DEPARTMENT OF COMMUNITY DEVELOPMENT APR 2 2 2008
4., ,1 621 Sheridan Street • Port Townsend • Washington 98368
•4/9
$7NG,v9
360/379-4450 • 360/379-4451 Fax ,I
http://www.co.jefferson.wa.us/commdevelopment/ ,,,-I
Stormwater Calculation Worksheet
MLA# t - ' I A '/LJ%LL%/I./1JI _�, e2-�+'.r.L�i
PROJECT/APPLICANT NAME: ,//`.j-1 -LL,-. M, 4=Cry(—lL S"
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first
to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application, building permit application, or other land use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required.
PARCEL SIZE(I.E1 SITE)
Size of parcel X: &,,`/ acres An acre contains 43,5130 square feet. Multiply the acreage by this figure.
Size of parcel in square feet 3'7 ij 53 6.= sq/ft
NW
Land-disturbing activity is any activity that results in movement of earth or a change in the existing soil cover(both vegetative and
non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling,
excavation, and compaction associated with stabilization of structures and road construction.
Native vegetation is vegetation comprised on plant species, other than noxious weeds, that are indigenous to the coastal region of the
Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as
Douglas fir,western hemlock,western red cedar,alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry,
and salal; herbaceous plants such as sword fern,foam flower, and fireweed.
LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL
Calculate the total area to be cleared,graded,filled, Answer the following two questions related to
excavated, and/or compacted for proposed development conversion of native vegetation:
project. Include in this calculation the area to be cleared for:
Does the project convert'/4 acres or more of
Construction site for structures 3 -3 t' 4/ sq/ft native vegetation to lawn or landscaped areas?
Drainfield, septic tank,etc. / FS/ sq/ft Circle: Yes No
Well, utilities,etc. /3-C) sq/ft Does the project convert 2'/z acres or more of
native vegetation to pasture?
Driveway, parking, roads, etc. �ls. sq/ft
Circle: Yes ?)
Lawn, landscaping,etc. ,._`•?C;U sq/ft �----
Other compacted surface, etc. %c;%U sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance 6 .0 sq/ft Cut f Fill (I% (cu/yd)
[over]
stormwater calc worksheet—REV.2/20/2008
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Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions
prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow
from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof
tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials,
and oiled, macadam or other surfaces which similarly impede the natural„nfiltration of stormwater.
STORMWATER CALULATIONS-•IMPERVIOUS SURFACE
NEW EXISTING
Structures (all roof area) _fr&"`'/ sq/ft Structures(all roof area) sq/ft
Sidewalks (06' sq/ft Sidewalks sq/ft
Patios e; sq/ft Patios sq/ft
Solid Decks s—2, . sq/ft Solid Decks sq/ft
(without infiltration below) (without infiltration below)
Driveway, parking, roads, etc /eel> sq/ft Driveway, parking, roads,etc (G'( sq/ft
Other /2 C0 sq/ft Other sq/ft
Total New '9oT' sq/ft Total Existing ` �'(' sq/ft
TOTAL NEW+TOTAL EXISTING* '171 �-�"1/ sq/ft *This amount will be used to check total lot coverage,
The following questions will help determine whether the proposed project is considered development or redevelopment.
DEVELOPMENT v. REDEVELOPMENT
Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: '_ / %
Does the site have 35%or more of existing impervious surface? Circle: Yes Now'
FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be
used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the
attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum
Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements.
For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution
Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and
prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction
Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those
that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum
Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan,
principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or
prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual.
APPLICANT SIGNATURE
By signing the Stormwater Calculation 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 ofhe affected property.
i �/ APR 2 2 2008
_ / //c
DOWNER OReUTHORIZED'REP ESE NT SIGNATURE) (DATE)
ee..:_oN6 ,1,=-._'�::, 61c`�,'.1(; '_� t l .,._.. 4A.3 1 il.;i�rF ia t, 4 f: lea..:"-r:t r,,, .
stormwater calc worksheet—REV.2/20/2008 2
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JEFFERSON COUNTY APR 2 2 20fl8
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0-7: - DEPARTMENT OF COMMUNITY DEVELOPMENT
/Op:. ,y 621 Sheridan Street • Port Townsend • Washington 98368 ,,,rt.,,,,1 Ip,n;,1F,i,
g �N00 360/379-4450 •360/379-4451 Fax till
http://www.co.jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# b/g - I Ct 4- PROJECT/APPLICANT NAME: W i6uA141 " V /tW 1Cf/ L1_F M• g- .. //LS
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. In icate position and relative size of propose imp oveme is on the
site map-TT.G ,0-t- z:_, 7.Bb �, 4., ,/' -,,,,-,G
,&Z,z,e.,,. .16,2;),Led 5-"Av,zeift,-- --,;72:67-i-Av . .." __7'-z4i-74_ed. zo-mi;mi-ykez'zo
,lam ,ram. -ke-,Q2; 14/LG/ ,e ./'4 % r,,?%J ',y,,rin
Existing Conditions Summary
2. Describe the existing to raphy. Indicate contours on the site map.):›4-fiter ,P,i& �,�., j
„LO � • F.C , > e-,(2 7 A le.e.' 39O Le ,/ ; r
_.g/ c:Zg17)-11-e-- ,2•(0 .62.- ' _i -
3. Describe theexisting vegetation. Indicate native yeetatiorrareas do the site map.
Vi_celffe,/e-t&e'
n-tie.e. ge, .tom _,9- %x,"_), 1#,xtiz .
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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
>4 pplicable, and indicate acreage of each.
, ,./.0, &O,Wdedr.4C--) Zer_ei,, a44' d . ,a-2,1e lie
e2-6(14.eit---
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: trl� �� 6t c`+�o c����� ���� � ��� .6.' Describe any excess levels of noise generated by the proposed use or activity:
U
stormwater site plan template.doc—rev.10/12/2003
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7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams,
stee slopes,etc.)on the site. Indicate location on the site map.
.PiIG C'C z06" ,r2 . n�-...,-/-e-ahfr.,..9,?-ezzA4-77.., '
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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.). _
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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
thin the site. Locate these facilities on the site plan and differentiate proposed facilities from existin fapilities.
'‘e-122f k G � ram,. a �od � ` --Ze__�
. -- .,�u -r�-mg• • fie- a.2e�_a�= ee..,16l emu,
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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.]
11. Describe the 21 performance
��goals
�/and standa//rfJd��s/�applicable to the project. %7
£ru,-W -,�/j e , A a�'h K.et..a�
eX-• 1,07-4264-17-e-, rile-e-te--1,---'et--4--e-ei-.
12. Describe the flow control system.
/4/f,4
APR 7 2 2008
stormwater site plan template.doc-rev.10/12/2003 6
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13. Describe th water quality system.
/74
APR 2 2 MI
14. Describe the conveyance system analysis and design.
15. Describec� the source of fill material,physical characteristic of fill material,and deposition of excess material.
.�-<— B -7J 2 - �.`/pr.0 Q
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
111`4
17. Depibe the proposed surfac/�ate)ial.
18. Describe methods for restoration of the site.
,14/24/ 41---. :c-C C-€--,
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.
//)//,'
20. List here and include any special reports or studie conducted to prepare the Stormwater Site Plan.
O vweG-4ilac-,
21. List other necessary permits and approvals as required by othe-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.
stormwater site plan template.doc—rev.10/12/2003
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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.
`12J
2. Establish Construction Access. ,
3. Co trot Flow Rates.
\1G2fic�
4. Install Sediment Controls.
5. Stabilize Soils. •
6. Protect Slopes.
7. Protect Drain Inlets.
40.23
stormwater site plan template.doc—rev.10/12/2003
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12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
9. Control Pollutants. l e
1.
10. ontrol De-Wat'ering the act of pumping groundwater or stormwater away from an active construction
� sL Jam- C �.c.vz�,[.G,
11. Maintain Best Management radices(BMPs).
�Msa-.5 -r�.l./
A)4-e2)e-C -dL.,,!)' 0.-.-6-)4J6-1-0- --Ley 107'2 a ,
12. Manage the Project.
1 .64,1Z6 �G-
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas, roads).
.4( /-'67-' /
b. Description of the downstream drainage path leading from the site to the receiving bodylb'water(minimum distance of 400
yards). .
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APR 2 2 2008
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adja nt to the site.
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G40-ul1- 0o—
1.7 ,
stormwater site plan template.doc—rev.10/12/2003
9
• • 1.
b. Description of special requirements for working in or near environmentally sensitive areas.
d//
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,soil structure).
5. Construction Phasing.
//te�a. Construction sequence / e ie &e p'7/
) "4.e..44/1/2. ele20.• /--(44-10,
b. Const ction phasing(if proposed)
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a proposed construction schedule.
• — n4,-eZe- •
�
11. 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.
G(/jLG/A*di �5. ' &,tb cti ,y 4-a,4'OI- .S
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,iffiTIJoable.
a. Sediment Ponds/Traps.
b. Diversions. W/i9
c. Waterways. e
d. Runoff/Stormwater Detention Calculations AIR
stormwater site plan template.doc—rev.10/12/2003 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 stomiwater 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.''^
{VrR 3
( C\w� W .M � ►z tiro r6
(L ER OR AUTHORIZED EPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
Tv T[
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APR 2 2 2003
stormwater site plan template.doc—rev.10/12/2003 12
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LEGEND Nathan Cleaver Septic Design, Inc.
Phone: (360) 598-6546,Fax: 360-598-6548
10' No Build CUSTOMER: Bill Echols
1` TAX ID#: 601-023-002 SCALE: 1"=80'
Soil Log - THIS IS NOT A SURVEY
LOCATION: off Coyle Rd
---- Building Envelope DRAWN BY: RMC / }.
Setback DESIGN BY: NATHAN CLEAVER V I C I n I ly M a p
---- Existing Component DATE: 11 December 2007
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I.
• 01 Property Corner Notes: \tea
and/or Elevation
(A) Clean Out 1 ) Waterlines to be >10' from all Septic Components (5'
(B) Septic Tank
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5 1-1'. -PLAN(:
(C) Filter Sock CI-10 L S ---- ,tc5 1 1::i�t-4 G. ..-
(D) Pump Tank C'O Y L tZ.oA'p111
aft. e.°T11.)C 1D# eol-0Z3-oo2 �ayoc
(E) Splitter
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Seasonal Stream
— 645.12'
S 8°32'24" E ,
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Timber Access Road i.
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81' 0-1 /•, 100% •- • e Area '>
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( 67' laterals.' O.C. I'• .
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18% $ + ?0, DMiAINA6e-
Existin Drivewa • - ` *
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house
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