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HomeMy WebLinkAboutBLD2007-00171 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 #: BLD08-00171 SITE ADDRESS: 343 ADELMA BEACH RD Issue Date: 07/17/2008 PORT TOWNSEND, 98368 Final Date: 4/13/2009 APPLICANT: MICHAEL J HORTON PHONE: 206-992-6223 4821 S. KENT-DES MOINES KENT WA 980324209 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001324081 Section: 32 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE 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 4/13/2009 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building Dion Permit Nun : BLD08-00171 AppliW: HORTON BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2006 International Building Cedes 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 119 Lo_o Erosion Control SEE CONDITION 2 FOR CONSTRUCTION ENTRANCE S" LIZAT?9N Foundation Footing In 2Q-tip Footing Drains Foundation Stem Wall ip _c Underground Plumbing /0_027-f5 /© ee Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing _S _ Rough-in Plumbing --T ,_`; Framing hl (I(66t S/ , Airseal Insulation:Walls Insulation: Floors Insulation: Ceiling P.f ,1 (Q ✓ Int. Shear Wall Nailing 2.0(01 po Wallboard Nailing Qr�,y( ri Gas Line: Interior l_r'JII�V Gas Line: Exterior Propane Tank Heat/Chimney Clearance I\\\ Drywell/Alt Drainage SEE CONDITION 1 FOR DRYWELL SPECS. Address Posted Pte FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD08-00171 1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA. FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD. DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS. TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM)AND HAVE A DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION. ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 3.) THIS STRUCTURE USES 240 GPD OF THE ONSITE SEWAGE SYSTEM CAPACITY PER STATE CODE WAC246-272A. 4.) 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. 5.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 6.) A Stormwater Site Plan has beerilamitted and approved by the Department 0 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. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) 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. 9.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 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 Adelma Beach Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 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. litILDING PERMIT APPLICA MLA08-00211 Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00171 Received Date: 4/28/2008 SITE ADDRESS: 343 ADELMA BEACH RD OWNER: MICHAEL J HORTON PHONE: 206-992-6223 4821 S. KENT-DES MOINES KENT WA 980324209 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001324081 Section: 32 Township: 30 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979 371 BISHOP HILL RD CHIMACUM WA 98325 Contractor's License BISHOBC093D6 Expires 1/11/2009 REPRESENTATIVE: LOREN BISHOP PHONE: (360) 301-1979 371 BISHOP HILL RD CHIMACUM WA 98325 PROJECT DESCRIPTIOI NSFR W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 201 VALUATION 84,111.00 ADD'L: 680 HEAT TYPE: RAD CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 862 CONST TYPE: DECK: 32 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 1 Prop: 1 Prop: 1 Total: 1 Total: 1 ,> Routinq Date: - !"2t303 Type Amount Paid By: Date: Receipt: Approved/Date Permit $888.75 LYK 04/28/08 97353 APPROVED Plan Check $577.69 LYK 04/28/08 97353 State Building Code $4.50 LYK 04/28/08 97353 JUL (` : 2008 Potable Water Application $59.00 LYK 04/28/08 97353 Total: $1,529.94 Jefferson County Planning &Building Department ON �"s t^ II ,i ' rd it �1 y i , �,�4) 0,� JEFFERSON NTY J �..1 ' it._, IL) ai = DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 APR 2 8 2IJUB iiiiii 360/379-4450 • 360/379-4451 Fax •gs, NG�p� www.co.jefferson.wa.us/commdevelopmert ¢ Master Permit Application MLA: 0CY 4 fFJp ii MINTI NCO , Project Description (include separate sheets as necessary): Tax Parcel Property Number: 00 ��}. 171 _ Size: �� ' r ; — - (acres/square feet) Site Address and/or Directions to Property: 4J nit`I 'V4 e 5ea..= a ; I IV p 3o r 1 I Wj ►�N� a-43 , 4 -?i ' . C r a •1- _� °E. : 2 Property Owner(s)of Record: ii fC±he E ` `"J' HC7f�Tnr1.> Si 0 11 M/41 Telephone: a0 c.; ct9a--(1,413 Fax: I• mail: j..(,.,c,gTeF)i[ Milo. Mailing Address: -i1,e, _ t QJ C, .10/4 5T e .-r Applicant/Agent(if different from owner): de., .5.4 ? Telephone:36 0 3 2! " '1 7'1 Fax: email: Mailing Address: 37 i 73/s 4,v, // .t Re.) CX,-1-0 c;,,.-• /..f` at kind of Permit? (Check each box that applies ullding 0 Variance(Minor, Major or Reasonable Economic Use) emolition Permit ❑ Conditional Use[C(a),C(d),or C]** Single Family J Garag Attache Detached 0 Discretionary"D"or Unnamed Use Classification ❑ 'Manufactured Home ❑`Modu 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address 0 Road Approach ❑ Binding Site Plan** ❑ Home Business 0 Cottagelndustry 0 Long Plat** ❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑ Plat Vacation/Alteration** ❑Allowed "Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management ❑Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance ❑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 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: r<-©rem /",s40, DESIGNATION OF AGENT I hereby designate ,-, to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE _ _ Date: 4"--Z P--O P By signing this application rm,the ower/ag nt attests that the information provided herein,and in any attachments, is true and correct to the best of his,her or it's knowledge. A y material fats ood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being ull 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 pyvide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any re t ired 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 yon t t toe' he wa is p or notice. Signature: lAyl y-.-2 � 0 j7 Date: The action or action Applic4 nt w undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could- ad 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 y are in compliance with the Jefferson County development code The Applicant acknowledges that he,she or it holds individual and non-transfers le resp sib'lity f r ad et' g to d complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ), �✓� Date: y .2 P.-t7& G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • BUILDER ST • ATEMENT 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: 5,5k, s,v i-�e, c L2,a 5/7 (360)34 /— /9 7/ ( ) MAILING ADDRESS: p, c EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: r3.7Sh/0860g3 Q6 NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ) New kl' Wood Existing: 0 o Sewer ❑ Addition ❑ Steel Proposed: I Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _I Heighl ❑ Individual System ❑ Repair 0 Masonry SEP Permit# b 7-O 7 .3 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 0 Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: i "/4 Public Ro rn.1 f Total: / i"�' ' Name of System: Poo If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank 1 Above ground Tank Size of Propane Tank: 1 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 / 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. p Square Footage Current Proposed ForOffice=Use Only ,�- .,;, 4 �aP... ' 3��eiristo'n , Main Floor Heated a°l 0404 .(8�' EH Bld App Review: „In to 2nd Floor Heated / p ,11: Consistency Review: `� pJ Other Heated Base fee: v75 Mezzanine ', Additional Section: , Heated Basement Plan Check fee: cS_l-1 coc Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: `1 J a Garage/Carport 86�^ 2 i1t`tS A , SUBTOTAL -7( Oq 1 1` IZ (14- _ Decks 3-Z 307; , 911/Rd Approach fee: C,K Other -y� TOTAL: $i IC)2_ q 4 Receipt Number: C�-7 353 °q I I, -' dash/Check Number: 2 2 ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish _ . 7 9 000. Initials: -` G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • • i �' �� e°� JEFFERSON COUNTY"� DEPARTMENT OF COMMUNITY DEVELOPMENTRECEI ED �C ,,, 621 Sheridan Street • Port Townsend • Washington 98368 APR 2 8 2008 Q 360/379-4450 • 360/379-4451 Fax a` http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTALF CUUM UC TEMI��.��� D MLA# -Zi I PROJECT/APPLICANT NAME: Xoce/') ,a/,,,.Iy0� 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.-7---`i ] �1' 5 / r-a/Or.-/(r a/reoe,A(? Aek 5 ct G/tc4'cd area. -tO r' hm , /�r 4 i J S' 1-e and ,1 coli.A c,a / ej Ca I ..%A , Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. S4,/0 c5 •-0.4, ,4a s o`b G*/e s f — 3. Describe the existin vegetation. Indicate native vegetation areas on the site map. • Xo-71S a 4' eve!, ere.-►s w.-/A ve3 e la /ra A 4. Describe the existing soils. Indicate soil type on the site map. 500c) 4 rot 0ngye 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 ap,Rlicable,and indicate acreage of each. / i ` 1)rar `I61qu� iS ✓ / y 4f/C /d IA, 7D -A/C .SJ,'/ 0n ( //r ,th�C �,ec, _5' OhV Lie yellea- tact oil a1,. APPROVED 6. Describe any excess levels of noise generated by the proposed use or activity: STORM WATER PLAN JUL 1 6 2008 Require JEFFERSO U Y DEPT.OF CO Y F L PM SIGNATURE: stormwater site plan template—rev.10/1/2003 5 e . • • 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. i 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.). / VA Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. 9. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 in the Manual)or,if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate1 proposed facilities from existing facilities. Sli✓� bvA r C}/-r /'y1,.✓C// -7-- d), t)rt✓n V1)4.71-f, 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.] 47/ 11. Describe the performance goals and standards applicable to the project. 12. Describe the flow control system. 4 . stocmwater site plan template—rev.10/1/2003 6 • • 13. Describe the water quality system. /v/ 14. Describe the conveyance system analysis and design. /Y/4 _ ts, 123an rrr (` nrl;lj P1 i OCrr[0JUN 'LUM '( ISC 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 7-X e 7<)/0 c:s'v / / -f—,,i 5 '7 z -c;r .bar k-C. ll,ot1 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building/Code. , ac , 'T r //I r19 AS rierdeei 01/120n ,) e-dn_.7'iti c7"ip,,-7 17. Describe the proposed surfacing material. G �y , / O r► 1 r-0 a 'a-a 18. Describe met ods for restoration of the site. / �Qn ..$�^ A rn W 7111 nA/L(, f (/tqe•/'d1 ,leAYI 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 studies conducted to prepare the Stormwater Site Plan. 1JA 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. 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 wilting. 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. Marrk Clearing Limits. J J r� c eGt' d p CA't.�ti co /I C�tJ --(1, 6 a r id 2. Establish Construction Access. Gr rn ve 1 d/R Jr? a..-rat,f a ?Piv ck e 3. Control Flow Rates. 7 o /r'a , U eg 0 a, / (2,4 A r-,9 /J a // pee-,.ter c c r S oT 3 1 1e' 4. Install Sediment Con(rols. 0)0,1 .").0 ,% // 6 r n et-)e) J ore 10 /pi, /o ' Gtnc) 5 6t,.4 5 5 e Nsr r,ece55.0( 7 5. Stabilize Soils. / fir,... r'XCaVaTion Or,0r 4-0 4ra •• ••C, / / P�;S71/ C. COEll/in/�t COLA/(') hr uscrl o t, ��/r1 of .Sa / 1 6. Protect Slopes. 1'�i�G ,/�a' i S /ck . t"rr,a an 4/✓/f ii /o 4 c� U 1,�r.:� d o n V << G1 n . f�. i.r / .5 ''1 7. Protect Drain Inlets. t n 1 t -,{y 4'C ee/ 71.A: e ra .0" 4,',"'i-!1 /./ e''a e..5 r f A<ir ck r t (12 a�r q , ,-t / ,, /r /4 Art /o e r 5 'I stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. O/1'4 -et-C / 44,5 1S cv0ev6/1"*,-.w, dwe. 40 t001.5 1 At ir A! si 1Lr .S rrc)74" r"/0 se, CAa pi rrr/Is 0 OG.!L 4,715- 9. Control Pollutants. Deb'r_l i.s �e L5,a.sr� el-!�` w�:-k/1. c a s -Pv cone e d -kr, c/s Wi // OG 'C evA' etl Uu+ e 4 Aak''mGfe 44i'ra0 . 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 0 i-r `>1 .st-c ,-A ,tom be a Jana d le rfr4 Os '7"..e?,-., s (10#„y J/.TT// IC �/al'ei -iX i Can �e f 74o Ai e 0 4 371%-oe7/.vif Slrr 11. Maintain Best Management Practices(BMPs). nce O(,r/,Ju 104 /3 in in-krt'-c D/) e r',9Af -CO fAr gel)und CA 3 )46,, irzr • 12. Manage the Project. ��/� // �O�ri d/ f' v✓O�/� f 9,r7 he Tlr W�� �� vn�I �On S 71 o6c4 4 weP 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). &OA' : 4 ( 0, 77, 77 Y 1 b. Description of the downstream drainage path leading from the site to the receiving bodywitVmirilienUm �`distic of 400 yards). 4/ 41 E - APR Z 8 2003 JEFFERSON COUNTY DUI 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 areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). 4/o / 5. Construction Phasing. a. Construct sequence 71-' / oio)cc't 0,i0 u rrt 1 d,lle, • b. Construction 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. /V/ II. Wet Season Construction Activities. a. ��Prroposed wet season construction activities. ////4 b. Proposed wet season construction activities for environmentally sensitive areas. /17A 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. /4 b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. s7y �'T 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. a `� c. Waterways. /1/ d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/1/2003 10 S 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. (LANDOWNER OR AUTHORIZED REP SENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/1/2003 12 3:1 _ 011 V ,� X w O � 0 70 : w -� C31 _gill _, „ll .. ,...., _ `■IIII ii rMIMI [00 \ 4, © �i ® .� .P -I M 1--- 'ZVI\ -L ��\ I1111114 \:if> .\\\ o 1 MIMI ill '--. \ ° z 1 El 100, allir. / . p St 2 -� r i '' �tt I co r. ' DQ I::I II W O Q "-" CA CP I II I I i� ___ J,I U, H S ^' i NORTHWEST HOME DESIGNING, INC. NHD " -< 3 ~ '0 z0) z lA 4928 109TH STREET SW LAKEWOOD, WA 98499 (253) 584-6309 FAX: (253) 588-0607 --1-1 www.NHDHomePlans.com • 1) • i 73 O g mx �/ Cm') o w� vrntnm aN wn>a� 4.3 .--i7� *If7-. _ g11:114 t m -y W -P10O N y -,y 3 a a O + MLZ. 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