HomeMy WebLinkAboutBLD2008-00321 I UILDING PERMIT APPLICAIN MRLA08wTOpe352
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00321 Received Date: 7/18/2008
SITE ADDRESS: 223 COOK AVE EXT
PORT TOWNSEND, 98368
OWNER: ERIC REETER PHONE: 206-932-5494
CASEY REETER
6532 41ST AVE SW
SEATTLE WA 98136-1814 TIBBALS LAKE PARK
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 999008303 Section: 4 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW STICK BUILT BARN W/ 864 SQ FT LOFT AND 432 SQ FT
CARPORT
ALL UNHEATED AND NO PLUMBING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 81,000.00 ADD'L: 864 HEAT TYPE: UH
CODE EDITION: 2006
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: 432 SHORELINE:
CONST TYPE: GARAGE: 1,296 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: CITY
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
ci lc floe
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $860.75 KAS 07/18/08 100575 APPROVED
Plan Check $559.49 KAS 07/18/08 100575
State Building Code $4.50 KAS 07/18/08 100575 NOV / 2Q08
Total: $1,424.74 �j
Jefferson County Planninc
& Building Department
BUILDING PERMIT IN CTION APPROVALS Applicant: REETER
applicablee: 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 ` Setback from Cook Ave Ext right-of-way is no less than 20 ft.,setback
f Sp g Street ate-Clover Sheet Fight of way on the south is no
less than 20 ft,setback from Jensen Street to the North is 20 ft and
setback from Cedar Street to the West is no less than 20 ft. from parcel
boundaries If an environmentally sensitive area(ESA)is present,then
the more restrictive setback shall apply.
Erosion Control A SILT FENCE SHALL BE INSTALLED AT THE CLEARING
LIMITS UP-LAND-OF WIAND-BUFFER PRIOR TO ANY LAND
DISTURBING ACTIVITY.
THE MINIMUM HEIGHT OF THE TOP OF SILT FENCE SHALL
BE 2 FEET AND THE MAXIMUM HEIGHT SHALL BE 2 1/2 FEET
ABOVE THE ORIGINAL GROUND SURFACE.
THE SILT FENCE SHALL BE BURIED IN A TRENCH TO A
MINIMUM DEPTH OF 5 INCHES BELOW THE GROUND
SURFACE. THE TRENCH SHALL BE BACKFILLED AND THE
SOIL TAMPED IN PLACE OVER THE BURIED PORTION OF THE
SILT FENCE, SUCH THAT NO FLOW CAN PASS BENEATH THE
FENCE AND SCOURING CAN NOT OCCUR.
ANY DAMAGE TO THE SILT FENCE SHALL BE REPAIRED
IMMEDIATELY.
SEDIMENT DEPOSITS SHALL EITHER BE REMOVED WHEN
THE DEPOSIT REACHES APPROXIMATELY ONE-THIRD THE
HEIGHT OF THE SILT FENCE, OR A SECOND SILT FENCE
SHALL BE INSTALLED.
Post Holes
Foundation Footing
Ext. Shear Wall Nailing
Framing q '1
Blocking
Drywell/Alt Drainage GUTTERS TO DOWNSPOUTS TO SPLASHBLOCK SHOULD BE
--2(
SUFFICIENT 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.
Address Posted
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD08-00321
1.) THE ROAD APPROACH PERMIT (RAP08-00093) MUST BE INSPECTED AND
FINALED BY THE JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PRIOR
TO THE FINAL INSPECTION/CERTIFICATE OF OCCUPANCY OF THIS RESIDENCE.
CONTACT TERRY DUFF, DEPARTMENT OF PUBLIC WORKS AT 360-385-9159 FOR
THE FINAL ROAD APPROACH INSPECTION.
2.) 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.
3.) A SILT FENCE SHALL BE INSTALLED AT THE CLEARING LIMITS UPLAND OF
WETLAND BUFFER PRIOR TO ANY LAND DISTURBING ACTIVITY.
THE MINIMUM HEIGHT OF THE TOP OF SILT FENCE SHALL BE 2 FEET AND THE
MAXIMUM HEIGHT SHALL BE 2 1/2 FEET ABOVE THE ORIGINAL GROUND
SURFACE.
THE SILT FENCE SHALL BE BURIED IN A TRENCH TO A MINIMUM DEPTH OF 5
INCHES BELOW THE GROUND SURFACE. THE TRENCH SHALL BE BACKFILLED
AND THE SOIL TAMPED IN PLACE OVER THE BURIED PORTION OF THE SILT
FENCE, SUCH THAT NO FLOW CAN PASS BENEATH THE FENCE AND SCOURING
CAN NOT OCCUR.
ANY DAMAGE TO THE SILT FENCE SHALL BE REPAIRED IMMEDIATELY.
SEDIMENT DEPOSITS SHALL EITHER BE REMOVED WHEN THE DEPOSIT
REACHES APPROXIMATELY ONE-THIRD THE HEIGHT C)F THE SILT FENCE, OR A
SECOND SILT FENCE SHALL BE INSTALLED.
4.) 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.
5.) The project shall adhere to the Management Practices (BMPs) to contrSrmwater,
erosion and sediment during cons ruction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
BMP C103, MARK CLEARING LIMITS
MARK CLEARING LIMITS.
2005 DOE Manual BMP C103 Stake and Wire Fence - SEE ATTACHED SHEET FOR
DESIGN AND INSTALLATION SPECIFICATIONS.
BMP C105, ESTABLISH CONST. ACCESS
ESTABLISH CONSTRUCTION ACCESS
2005 DOE Manual BMP C105 Stabilized Construction Entrance - SEE ATTACHED
SHEET FOR DESIGN AND INSTALLATION SPECIFICATIONS.
BMP C233, SILT FENCE
INSTALL SEDIMENT CONTROLS - SILT FENCE
2005 DOE Manual BMP C233 Silt Fence - SEE ATTACHED SHEET FOR DESIGN AND
INSTALLATION SPECIFICATIONS.
BMP C120,121 -STABILIZE SOIL
STABILIZE SOILS
2005 DOE Manual BMPs C120 , C121 - SEE ATTACHED SHEETS FOR DESIGN AND
INSTALLATION SPECIFICATIONS.
BMP C120, - PROTECT SLOPES
PROTECT SLOPES
2005 DOE Manual BMP C120 temporary and permanent seeding - SEE ATTACHED
SHEETS FOR DESIGN AND INSTALLATION SPECIFICATIONS.
BMP C151 - CONTROL POLLUTANTS
2005 DOE Manual BMP C151 - Concrete Handling 2005 DOE Manual BMP C152 -
Sawcutting and Surfacing Pollution Prevention- SEE ATTACHED SHEETS FOR DESIGN
AND INSTALLATION SPECIFICATIONS
MANAGE THE PROJECT
Maintain BMP's as prescribed in individual attached sheets MAINTENANCE
STANDARDS
6.) A Drainage and Erosion Control 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. 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.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
8.) Setback from Cook Ave Ext right-of-way is no less than 20 ft., setback from Spring Street
and Clover Street right-of-way on the south is no less than 20 ft, setback from Jensen
Street to the North is 20 ft and setback from Cedar Street to the West is no less than 20
ft. from parcel boundaries If an environmentally sensitive area (ESA) is present, then the
more restrictive setback shall apply.
9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
10.) The building height is not to exceed 35 feet.
11.) 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.
12.) 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.
13.) All construction activities shall not encroach upon the wetland buffer. This includes the
storage or preparation of materials.
14.) A setback of 60-feet, measured perpendicularly from the wetland edge, shall be
permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the
wetland or its buffer is allowed.
15.) 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 contain the following
statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation."
16.) A permanent physical separation along the upland boundary of the wetland buffer area
shall be installed and permanently maintained. Such separation can include installing
logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC
Administrator.
17.) 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.
18.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
19.) 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.
20.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
z�.¢gON cob, JEFFERSONOUNTY !t, ?, ' � a, i /J
W g,� DEPARTMENT OF COMMUNITY DEVELOPMENT
~' 4\ e 621 Sheridan Street• Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax J U L 1 2008
qS N� c5 www.co.jefferson.wa.us/commdevelopment
,ItI 1P jJ1 GL1Ji'�igg_ 5a
Master Permit Application MLA:
Pro'ect Des(- ct
' ti n(include sepal-ate sheets as ecessary):
rill � - (JR,'1 cs,r pa e) c�m6�4 C-AAAiditii cri)
Tax Parcel Number: "T 1 CI 008-60 3 Property Size: I ( ,(.04 a/square feet)
Site Address and/or Directions to Property:
i-til 6 04'1 n1o•ZrN
/ � `X/ To t-v3STINiGS,tiLefroN {iR-SrrNr.5 Ve(cat-S,,-,i
�2
l 00 k_ A{I C, � n t C„r,i c.,�l cccc 1C ,4 v,r_, h1,'r2 er i/L^^1 i_a_ one L(Cr-7-
Property Owner(s)of Record: I t A. t2ee-ter 1 ( se i r) ee- N 1 �sv�,,
Telephone: 206 CB L-54911 Fax: email: CQc e i,ye e-{�t f i ayry(DO,
Mailing Address: L S ice^ '1=r3(c-,
Applicant/Agent(if different from owner): _ 1
Telephone: Fax:
_ email:
Mailing Address:
What kind of Permit?(Check each box that applies
uilding
0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑Single Family .Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]**
0 Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
0 Home Business ❑Cottage Industry 0 Binding Site Plan**
❑ Propane ❑ Long Plat**
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration**
❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE _ Date:
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or its 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 t pr vide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and an req ired later inspec' n . Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the a plica o that he or s wan't prior notice. —
Signature: /� }r' ry
.
Date: 7 _ I 0�/U Ag
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 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 i u are in complia• - with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-trans era resspponn/sibil' ...hering to and complying with the ESA. The Applicant has read this disclaimer and sins and dates it below.
Signature: �� j 1
/ Date: /
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.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 s ing the res.ons}•i of the General Contractor for the proposed project.
4f' i - I' 8'-v 8'
Signature: I\ " Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTORS LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
XNew X Wood Existing: ❑ Sewer
❑ Addition 0 Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height; ❑ Individual System❑ Repair ❑ Masonry I SEP Permit# 06-1
J Z
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: L I Private well ❑ Two Party
Type of Heat: Proposed: Public
f1 �e -�e 0 Total: (//1 f t Name of System: Ci 0'( rf
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
i Underground Tank I Above ground Tank Size of Propane Tank:
i Heat Stove i Cook Stove 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.
i'.:.t-*- +ure,-,,,r ,,,:'rv' i. ' f:- + #.k� g o f t �a!
Square Footage Current Proposed For Office Use Only , .,bUnt ' ,q gReti,. t.4ti�aA?_.,
Main Floor Heated EH BId App Review:
'70. 00
2nd Floor Heate q� �,��, ~ � Consistency Review: '5 -1, a
Other Heated No Base fee: D'(,. 5
Mezzanine JUL 1 8 2008 Additional Section: —_.—t —___
Heated Basement t - Plan Check fee: ��( '�n
r,.r r: N CO I'T? BCD `� `�rr
Unheated Basemsent State Surcharge fee: '1 5O
Other Unheated Pot Water Review fee: t
Garage/Carport t2c1( 3a(e>9s.b$ SUBTOTAL _1J5 1, ��
Decks ll 911/Rd Approach fee: r
Other Lol f *p/-F airlgg n-?\ TOTAL: $ 1,(251, -74
ca.rpcYf 432_ pi.43.% Receipt Number: /DO 575
Cash/Check Number: 34 p g
ESTIMAT' D) Date: O�,/� e
.Fair rket value of all labor and m terials foundation to finishiii ( D
.3 j t oov (DI Cf 4D, 1/_ Initials: th
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
SStormwater BMP's 11111
Required �' � - APPROVED
STORMWATER PLAN
4Fr.gsoN cow
, JEFFERSON COUNTY Nov 3 2008
DEPARTMENT OF COMMUNITY DEVELOPMENT :.;
621 Sheridan Street • Port Townsend • Washington 98368 JEFFERSON COUNT
t �4 360/379-4450 • 360/379-4451 Fax IMP!OP COMM NITY DEVE M,
Nd' http://www.co.jefferson.wa.us/commdevelopment/ SIGNATURE; fiat -
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# V 0 - 3 J 2- PROJECT/APPLICANT NAME: tree_+ r
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
su P• r i a,r r vl- t_frt.c-e .hary 3( x4g e S IS-61 Lit iveA
s/ �s_ I I acres. D► i V P WG{.L wi�l eG,e rwe(
ppyO . LO' X (S01. _
Existing Conditions Summary
2. Describe the existi topography. Indicate c ntours on the site map.
J(a-t p she Pa i L<,�� cio i -19_ -fwat I/ , v c awl-1-14 i of) stlrk 65.
3. Describe the existing veg tation. Indic a native vegetationet areas ojn��tyh�e.sitteenmap.�� p �,I
k � 1M 1 ► e e/ wi (, (/I/ X , ► L4V�N f1lur I.CJ) " i S, �h Odl actem m.
4. Describe he existing soils. indicate soil type on a site map.
vas-f, -t� vnfAtICVk _
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. r ]
e e VL��- IG � ,it i-h t- I A-r e a d ti 7uY �(4 J(0 i-tv
,1/e11a.r ?c, f s we II -�%�- ✓l.e sd Lu Audi L,wi
6. Describe any excess levels of noise generated by the proposed use or activity:
NUVI,Q t, . �``
OCT 16 2008
-wa,a,site plan template ,e. ,a, co3 JEFFERSON COUNTY DOD 5
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i •
7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams,
steep slopes,etc)on the site.dhL
dicate location n the site m p.
e, vUe -1 Mot I Fre a S- ,c
J.
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8. Describe the general vicinity of the site,including adjacent land uses and structures, utilities, roads, and sensitive/critical areas
(sAre?ms,wetlan s,lakes,steep slopes,etc.). 1
1!� a - -I va.t.am,--f pa S v I d resi ,e vtI1111 �1 m,e tNryLex r ak
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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.
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
wi in the ite. Locate these facilities on the site Ian and differentiate proposed facilities from existing facilities.
1 I s- ry -I ' will h� -Wit, r(Aper,sed.
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 fqqr large"projects or projects that involve t e p tenti I f r dispersion of contaminants.]
U St11Y W1 0t--feiY *e -IYI �Ci li ' rwe6 e1.
11. Describe the performance goals and standards applicable to the project.
N/A .
12. Describe the flow control system. f
aL- j'S r�l,Lv� --f� ��c�w�yl S pot-ts Gard S p1A5 tt bl ac.4CS w,(1 Vie. ti Sed
-for -Hum) ((;ryeIYo1
stormwater site plan template—rev.10/1/2003 6
• I
13. Describe the water uality ystem.
I j lot sr i2 l s atitd ctoec 14 a r9 Vy4S-(irci
14. Describe the con eyance system an lysis and design.
pose, - d � ntn� .cpou._-fs 4-0 cp_lacti blacks vurl will is-l led
voi e+afe twat. iyl.‘i AM! RAid SE.
15. Describe a source of f71 material,physical char cteristics of fill material,and deposition of excess material.
iJ 0 I► r La- I eed..ea •
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
Dr;ye k wi II 13.e, ► ka./ .e, ► _r.awpa c-ied Nasal---vnlel.
17. Describe th proposed surfacing material.
18. D. scribe methods for restoration Qf the site.
ke.place iA) E .pa thtre ss saal c re-- sea-
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. f
N /A
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
Iv /A
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
rest ictions esci VI a,hd e 1ri.
stormwater site clan 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. -I l I l / rI ti it 1 a4 A ,Q / ye , i,{Se� Ln .
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2. Establish Construction Access. r SiMe S-FMK PW a-ti /S rcyea 61.re CUQ kIIJJ V 46U' 'i
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3. Control Flow Rates.
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4. Install Sediment Controls.
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5. Stabilize Soils.
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6. Protect Slopes.
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7. Pro ect Drain Inlesn. I^
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storrnwater site plan template—rev.10/1/2003 8
• •
12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets, .
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9. Co trot Pollu a ts.
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10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction t ).
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11. Maintain nest Management Practices (BMPs). ,p
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12. Manage the Project.
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2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas, r ds). /� f
Wit
d — T' p6 N w - I ci�Y/ try - iC11LI Px cAla Cal p (less flit u.h
situ it P. t a, d ressjavtul area asj s -the' au/mil/r.1,acsacia.-fe` u�+fam lz�' ., '-
Pcha ' (eveI is aseTta ( -fvrvl,t fire(i pirkhm�, .some .c,,c0kikt-fitCP, a,rl� u elope tu.,4atT2.
There is kV Type S, F, 0,, (4 wct-'i i Li vt.vie.Le 11 gill .r eyi{,vu3. IhMd`.IueS k14rfL vi -6.s 1A.
b. Description o'the downstream drainage path leading from the site to the recei in bodyof water(mi im m distance of 4 0
yar s). We-H avta'S bit(` ej i s 6o eF See wit-to
v A0 - A . -e pmjil a I-f IIIo<.le—.sj1-ua (J _ Cr;.—Ica( area sfu zi,I.
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3. Environmentally Sensitive Areas.
a. Description of en ironmentally sensitive areas that re on or adjacent to the site.
See 11/e-f-( Cri-h cic I Fie a c--I-urt
stormwater site Wan template—rev.10/1/2003 9
• •
b.
Description of special r quirep nts for working in or near environmentally sensitive areas.
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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,settles il'ty,permeability,de th text re,soil structure).
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5. Construction Phasing.
a. %•niquction sequence�
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b. Construction phasing(if proposed)
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
Provid a proposed construction sche ule.
i
S/Ie, Yepjwe. ; ,-601st.wwk,
II. Wet Season Construction Activities.
p. Propose91 wet season construction activities.
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Ir lLeS co/yd.c(sew gaimPl y Ste,{ilige411'errn-tm I1-hre -wa.cti rFvle. det , tpwach roads
b. Proposed et season construction activities for environmentally sensitive areas. I� GLea*. •
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7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation •
impacts. Th
l' na. re cp6Y1S1 Qi C11-1
8. Engineering Calculations. Provide Design Calc latifns on a separate sheet for the following,if applicable.
a. Sediment Ponds/Traps. N///-k
b. Diversions.
c. Waterways.
d. Runoff/Stormwater Detention Calculations
stormwater site plan template—rev.10/12003 10
0 •
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
own of the affected • operty.
` 1v 10— $
10-0
( NER OR A HORIZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
stormwater site plan template—rev.10/12003 12
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MONROE, WA PORT TOWNSEND, WA