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HomeMy WebLinkAboutBLD2008-00222 litUILDING PERMIT APPLICAJN MLA08-00254 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00222 Received Date: 5/27/2008 SITE ADDRESS: 944A LITTLE QUIL RD QUILCENE, 98376 OWNER: KAREN BRINDLE PHONE: (425) 313-9318 TERRY ROBERTS 23920 SE 170TH ST MAPLE VALLEY WA 98038-7101 SUBDIVISION: Block: Lot: TR 4+ PARCEL NUMBER: 702031002 Section: 3 Township: 27 N Range: 02 W CONTRACTOR: D PHONE: .1\11emc .0.. CoievSrruc41 6 .-) 1 REPRESENTATIVE: DAN NIEMAN PHONE: (360)434-0717 (Cell) PO BOX 846 (360) 765-3529 QUILCENE WA 98376 PROJECT DESCRIPTION NEW AGRICULTURAL BUILDING NO PLUMBING - UNHEATED TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 49,622.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 2,880 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: 5/ce / o B Type Amount Paid By: Date: Receipt: Approved/Date Permit $643.75 KAS 05/27/08 100219 APPROVED Plan Check $418.44 KAS 05/27/08 100219 State Building Code $4.50 KAS 05/27/08 100219 Total: $1,066.69 SEP ly , 211 Jefferson County Planning &Building Department r _ Jefferson County Building Di • on Permit Num. BLD08-00222 Applicant: BRINDLE 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 Little Quicene Rd ROW 20 feet. Side and rear are 5 feet. Min setback from the-stream is 105 feet&225 feet from wetlands Erosion Control /�5 �. f BMPs Post Holes /� /off0, Foundation Footing �// - Is ogPr /1 , 4ucZe E fNB�. ox< 61- o //S1.08 i mV�all 14inthmfetniPlumbing Straps(hold downs) C'i 7 _067 r/7] Ext. Shear Wall Nailing 7/9/09 ,.!R.ough-in Plumbing Framing ?—o cel v_fi Blocking _ 9—17 "P c tp Drywell/Alt Drainage Multiple catch basins to cistern. See plan. Address Posted ¶,IT h U li FINAL INSPECTION .-p ., Lrcf 7� FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED /� THIS PERMIT IS VALID FOR ONE YEAR ,� I�lir CONDITIONS for Building Permit# :BLD08-00222 1.) The identified Fish and Wildlife Habitat Area (Type 4 Stream), shall maintain a vegetative buffer setback of 100-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to proposed development. ) An additional setback of five (5) feet is required from the edge of the stream buffer area to proposed development. 3.) A permanent physical separation along the boundary of the 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. 4 ) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." `. ) A Stormwater 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. 6 ) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. ) 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 automobile 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 requirements 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. E.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. ) The building height is not to exceed 35 feet. I'0.) Minimum setback from the Little Quicene Road right-of-way shall be 20 feet. Minimum side and rear setbacks shall be 5 feet. Minimum setback from the Type 4 stream shall be 105 feet and 225 feet from the wetlands unless a wetland delineation is submitted at time of application. 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. 2.) 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. 1:3.) 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. • ¢sow eo RECEWJED k� �\ JEFFERSO�OUNTY • �q ,� DEPARTMENT OF COMMUNITY DEVELOPMENT MAY 2 7 2008 "' o ''4 621 Sheridan Street • Port Townsend •Washington 98368 360/379 4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopmf;nt N� JEFFERSON COUNTY DM Master Permit Application MLA: o e- 2 c54- Pro �je Description(include separate sheets as necessary): lD1st `J'+g Tax Parcel i / / Pro e Number: 702 o3/ 2 _ ( TR/9-c,-' -if-/ Size /21,JO �cres/ uare feet) Site Address� and/or Directions to Property: c f i /7 _ Qvia-a--.Al _ `{-e. Qc/tu:5 c1/�' ti�f/. !b37� Property Owner(s)of Record: �� Rye'' 'd;F'" ,¢,Y _-rS / — �,•n1pl.�- Telephone:-=s'n 31.3- 95/6' Fax: email: Aar- e-.J;Q6r`;/iet Mailing Address: Z3 924) ,Co.....- /'70 -- � /1,4-pp.4.-t/f}u�` (A/h'sfF 18D3g Applicant/Agent(if different from owner): Z74A lc,, . / ,4a �e / r Avs-r' dr, /,vG• Telephone:3 O - `/i 341--071 7 -'— Fax: 3 O-7(7 S--3SL y email: /e ,.3o9 C.on,s uc}.to4//lL e./i;-Sa,cc Mailing Address: 0. . e tic ) f2L1l e cs/_) U/ . 9$374, What kind of Permit?(Check each box that applies )building ;". ,. /� 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit rf0• ,. 0 Conditional Use[C(a),C(d),or C]*" •❑Single Family ❑ Garage Attached/Detached ,❑ Discretionary"D"or Unnamed Use Classification .0 Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** 0 Commercial* "❑Boundary Line Adjustment ❑ Change of Use 0 Short Plat""' ❑ Address 0 Road Approach O Binding Site Plan** ❑Home Business 0 Cottagelndustry 0 Long Plat-- Propane '❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign El Plat Vacation/Alteration'"` ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions'" ,XStormwater Management K i921- 3 S7Kv&TJa AS '0 Shoreline Management Substantial Development** '❑Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance 1❑Temporary Use '0 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: �/ DESIGNATION OF AGENT I hereby designate /y/7 to act as my agent in matters relating to;is ap lication for permit(s). OWNER SIGNATURE ,r%„� _„_.._..._ C / Date: ,J �'� L r; By signing this a lication form,the owe agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's kn ledge. 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 req. ' later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the app; ion t e r e wants 'or notice. Signature,:-` -- _ Date: Z-7 �c TIC 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 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 e in compliance with the Jefferson County development code.The Applicant acknowledges that he, he or 1 holds individual and non-transfer e re ponsibility for ring to and complying with the ESA. The Applicant has read this disclaimer d sin and dates it below. Signature: «` ,- _. Date: J �-- G:\ itCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • • • 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: 1�9 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: — ��\�" llf 11�� �p—'� PHONE: FAX: MAIL NG ADD ESS: l ICs AIM �f ( ) EMAIL: CONTRACTOR'S LICENSE _ WAINS NUMBER: _ NUMBER ARCHITECT/ENGINEER: MAILING ADDRESS: — PHONE ( ) Project Type: EMAIL Frame Type: Bathrooms: _ New ' Wood Shoreline: Type of Sewage Disposal: Existing: Steel Proposed: ❑ Addition 0 0 Sewer ❑ Alteration/Remodel 0 Concrete Bank 0 CommualtS Systemm 0 Repair Total: Hei. 0 Masonry Individual 0 Demolition • Av SEP Permit#Lir" S,S 0 Other: Bedrooms: Existing: Water Su I Type of Heat: Proposed: Setback: X Privatepwell y: ❑ Two Party CA/f/sr ��✓4 Total!: /��,�}- 0 Public --�=�— Name of System:__________ If this is a Commercial Project ou must answer he followin : Number of Parking Spaces: Current: Number of occupants(includes owners,tenants,employees, c Proposed ) Current Number of ADA swing Spaces: IBC Occupancy: IBC Type of construction: you have Food If this is a Pro ane Tank and/or A fiance Installation ermit mark:all items We ow that apply.Service? Yes / No I Underground Tank I Above ground Tank e of Propan Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert 1Z I Hot Water Tank I Pellet Stove I Other Is this a fiance bein 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, includin• the reserve area. S•uare Foota•e Current Pro•osed For Office Use On! Main Floor Heated - Amount Revision MN EH Bld App Review: ----___ 2 ' Floor Heated Consistency Review: Other Heated W MI Base fee: Mezzanine `-' Additional Section: Heated Basement 1111111 Plan Check fee: ` Unheated Basement State Surcharge fee: Other Unheated 4.5C Pot Water Review fee: Garage/Ge po. 4 �--- -'Fte_tsi ()��l' G'9.7,o ,, Q)a 40 SUBTOTAL Decks 1 a \-___W •11/Rd Approach fee: Other TOTAL: $ GU;.Cr9. Receipt Number: I 000 1.9 Cash/Check Number: ESTIMATED COST(REQUIRED) .Fair market value of all labor and materials foundation to finish Date: 5 al v, U`%U ; oc, Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2000.doc i • . RECEIVED riii4-%, MAY 2 7JEFFERSON COUNTY 2008 %)410, DEPARTMENT OF COMMUNITY DEVELOPMENT + t 14 7* 621 Sheridan Street- Port Townsend•Washington 98368 �l �C � COUNTY Lid) 360/379-4450 .360/379-4451 Fax _______.) http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE ILA# b8- 254 �..� PROJECT/APPLICANT NAME: I_'V "7S� /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. . . am' 34r[7-4N 4 / •f /p� ,r-�'j� •�/ � li Rl " =fSNeP T C/� Existing C drtions Summary �'��� 2. Describe the existing topography. Indicate contours on the site map.'76 ? - nr. live Aelere-1 Fo wiV A/ 3. Describe the existing vegetation. indicste native vegetation areas on the site map. ,I-/ r? 2 ; . �c£e. ', 1y er vests oo 5:44.Q i �AA42 / Ale.77 =_ 4. ,—77- ,44E_ A c . k/spiv` 97 4. Describe the'i fisting soils. Indicate soilG.�l � f/,E- type on the site map. 0 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. c WR ,E.-.. la. 'P0 w/c5 hi ru ViRg 7 .i '4-r- .5 .3 . - 7���,grl.v -rue) Imp �v� ``� 6. Describe any excess levels of noise generated by the proposed use or activity: 7- APPROVED /1�9 . ,� _ STORMWATER PLAN SEP 17 2008 JEFFERS• COUNTY stommater site plan template—rev.10/1/2003 OEri OF •.Q 'M . S1GNATUR : 4• r• ^ t I) 5 r, • . • , 7. Descnbe 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. 4,44 --FAD �>� . 4 l.s 107 /00'. ivf . s../Ai -TriptS,[ C T.c r "": AAA✓/ - (z s 4 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.).%/�.f,Y - 4 /s 4crW-1' a 'xl ik r o /,rr , )vt /s- D. Lv v'a�', D Lams Leot, Z , ..b.IA/ r//- nr ." � mc9P' 4k'b 40( ,4/t_ !s s-rs L t. A4i, eAlti ' �'. r '; .:°_,CF VE D Permanent Stormwater Control Plan MAY 2 7 2008 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. � COUNREQ "Medium"size projects are required to have the totals calculated of all impervious surfaces, ution-generawiy 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 fa-cillittii6ess..g .�}+� iJ ^"r:(9i.-1./ /•r r �0' ' l'/4d�.-. Wr� ,Z7,05-A-77 119 ,iih Q$ r rr "coi9 /lge) Ccs�.i1 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.] //iv - ? 4W. -1Ri C et Clowsrs-rs a#- 9 z ,seas w(r� 4#_gr 1ms/ ier . 11. Describe the performance goals and standards applicable to the project. A d? 0/Y sf 0 -9 cr 1, /4//144!--Z1,-094114, FecL- 5,911) P't -r-"T /otq,'" /may' �� iaVs J�%avE-FE4.✓thrs7-. ..0/ 7(iunAA/4,vT ti e. w.�a7fA �,v _ `.077 /h5 WcLli //4/87 ,,-.o4.b //iCie./),e .�- 12. Describe the flooiv control system. ! 366-- '?. IIs-'-- 5 fr✓A'l ' - woeEEr-AU4'%!6,0 - 15 ' t . f---r .S ,; '?2 w -. wiw g_I)fS "@S/dF4G..� '> C. b', Wt / -77Z. r,-%,rF--A1,0 'time ...''1' ' gh-c44- '7.efe n Ar*3'r, .1 stormwater site plan template—rev.10/12003 6 • • 13. Describe the water quality system. in/ !-5.5, PiIz z. cis(&,i/ Cone, A4c4soRt G?o,vs tsr ote Gil 4u.l t449-e7.046g 14. Describe the conveyance system analysis and design. ,P A-.t1g �� r' rr�_s 7 l� /? ` MAY 2 7 2008 'EEi1RsgN COUNTY HD 15. Describe the source of fill material,physical characteristicseposition of excess material. A ,o- •of fill material,and deposition �-v,.- "Tu/D N�,9-T7 ES- -L !a X'6__,r11 ©vs€7 -.--41v 12 e r- ® 74s r K�7L_C. /9-c9z,i i 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. I 10..e c(L 4 J9J 'S �NF� b� 7 Q� .91Z r`�.4926 i9 3 .2f-&s ijt/6��— '€ - lt+t'.o ido* � � �' s� , 17. Describe the proposed surfs i material. 18. Descnbe methods for restoration of the site. ifr s� 5- • 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. Eeio 3 de/2.;7ciieo r61.(V SE.a'rirlaiir r a'Nriwc- (A'wu., -{co-3,caf-- 20. List here and include any special reports or studies conducted'to prepare the Stormwater Site Plan. 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. / tr//f Zoo-7 o-�(L- 3 Z n- _ ;a 6oDwit✓ .• stonnwater 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 2.52 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. 6 /N4 73 -- .9tr, -s - � D -ramfirflZ4P4IV , � est-%f- 011g AJi ,ram' 2. Establish Construction Access. A - s (mu- , i_57 iN! t/V�JP9 ��LL ,,r�, EQ57-7,//4 . ' o,�', i i/,81A/a4y� A/ `' �tiM.�s 44 go /0 / /Drr-' f- 40A j 3. Control Flow Rates. 'T vJ f S ,*a7, r2sv /{A - Ex(7- poles i4M) Z- o ` * 1.7 i cL p't1✓t 4Wt 175 ThP-eC Ft-toTtAi,1 -75 175047-5 4. Install Sediment Controls. tvp9-17Di s * ter P 49 "9-s 5�. �Strabilize Soils. "�/ ) !� /� ,{‘ /,/ t �/� F��,•::,.C./e-d�l(F�dJ c;61e-$ ti 1 �4 ti $&V 41I 4 c D Fig< S� -7-7) P 4 v1 A'/1r"-- g: 9f e41/4/ (9A177Z.0x- .414, AiL 17EI1 -?4``% ` 6. Protect Slopes. 44-- -EX-TEO Afe- s 77a oc Gal s c fie, + f e.,Y + /r ECEIVED 7. Protect Drain Inlets. /n/ ;7i o, "944_ C gv.i. MAY 2 7 2009 E1FERSON COUNTY OCO stem-water site plan template-rev.1 a1/2003 a • • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. fr�I4I iAi R' RAP 'otU ylgeorr, Gz-KRA7 pe_isR!s 47,(1) iir.r "" fir'-d 00 , c` /7 9. Control Pollutants. 5 —725 ,66- GAD k /- 1d✓� r ..-- 10. Control De-Watering(the act of pumping groundwater or stormwater a y from an active construction site). ph/ t �-�/z 4-r 1. eF IM 7 11. Maintain Mzest Management Practices(BMPs). • iLts ,,,s x1PK,nk, 5 nw-gs ? 1,31 S --- 12. Manage the Project. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). ,91%AS 6 5A4-s / - [ 4 ';,tuAjvl)Aee- `f J/t AA l}� e wwr-l�t rt j 5-erg- b. / Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards).� ‘12— r u[9 -1F.4-5�s+�f._ t� ss 5�7 A 5 � L 4 .�'7 LL//Tgl/�/ t /i!'tb -- 3. Environmentally Sensitive Areas. jj Description of/environmentallysensitiive areas that are on or adjacent to the site. 1t" d CEJI\T1�D A l� rs• C"AISL 7ft0O ,9l NAY 272Q08 iffffilSON COUNTY DCO stormwater site pan template—rev.10/1/2003 9 • • b. Description of special requirements for working in o near enviroentaly sensitive areas. 'v /hV L-/N�.-W.g 8C--�AuV .�t�/ 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). ' g r 1nf 1-1, e ' /Ga aF reo� i 6,2 -- 5. Construction Phasing. a. Construction sequence ['L-:"ez-- /A?A2Ef>/42, %L6 11rRet/VD 54 /l 7 - 4r/rfPf�' fri A/ g.�r 1n JIPI"J'T 'a�' 1...J41 AL-- .nYezit.5• b. Contraction ng(if prop ) �✓. ` 1/� i� . 7/7 e ; Apo /t/oe 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). 1.4 Provide a yroposed construction schedule. phi.,;AS' II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. Financial/Ownership Responsibilities. a. Identify thegoperty owner responsib r the initiation of bonds and/or other financial securities. F.R. a 9 /`' . �..,2 f.0 f �,/ g 'IDLF - b. Descnbe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. �AIST�'.0 Gr✓ '4., f/* S d/(/SJR ��.- 8. Engineering Calculations. Provide Design/ Iculations on a separate sheet for the following,if applicable. a. Sediment Pondsffraps. N b. Diversions. 7 c. Waterways. ( )¢ d. Runoff/Stormwater Detention Calculatfons MAY 2 7 2008 JEffEHStN COUNTY DCD stonrwater site plan template—rev.1d12003 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. ( AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: RECEIVED NAY 272008 AIMigti COUN1Y OCO stormwater site plan template—rev.10/12003 12 \\ u C. JG:Q a n • i 3 D � -0 a r � �.G. It ' r � /%CAiL'-lf C3AS/NS' rt*?7 DiG��SF�- �7s „1�s //✓DI��� ..... Jam. �� i+/' N x�� WA/iJUlZS W � a ,� /�,F.. �' d rl r j G ERrL stx9N/ v✓AnacF.s /i✓•�1�C.i6.D J�R OU 0 /Do �� ✓ -FIE DENS E r � k r . non .....,-., • r : APP OVED \ SITE PLAT y \� \\\` . �° �• SEP 1 7 2008 iy - 7EFF'ER, COUNTY L ; \\ '. • DEPT. OF MM 'SIGNATUR . 1 � '4.` : - •. s' Stormwater B,.;�;'� / - Required / • - ECEI �------ — _-3�— — — --�ai —--_ — / \ - -------- `: \ 5110 6Y 2 7 2008 lei rTr�ei s ' ; = , ' ., \ � JEfffRS9N CDUNIY DCD 70ZD3ooy — - — - 4 _v ! ��, 3G� •`�3! �7l