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HomeMy WebLinkAboutBLD2008-00343 • • 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 PERMIT #: BLD08-00343 SITE ADDRESS: 223 EGG & I RIDGE RD Issue Date: 09/26/2008 CHIMACUM, 98325 Final Date: 6/1/2009 APPLICANT: MARK DE DOMINICK PHONE: (360) 437-9750 FIONA DE DOMINICK 82 GOLDFINCH LN PORT LUDLOW WA 98365 SUBDIVISION: BISHOP SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 901353007 Section: 35 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NEW SFR W/DAYLIGHT BASEMENT AND ATTACHED GARAGE ALSO A/G 120 GAL PROPANE TANK 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 6/1/2009 I:\F_BLD_Occupancy.rpt 10/29/19 8 ML�UILDING PERMIT APPLICATION Review lype: i Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00343 Received Date: 7/31/2008 SITE ADDRESS: 123 EGG & I RIDGE RD CHIMACUM, 98325 OWNER: MARK DE DOMINICK PHONE: (360)437-9750 FIONA DE DOMINICK 82 GOLDFINCH LN PORT LUDLOW WA 98365 BISHOP SHORT PLAT SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 901353007 Section: 35 Township: 29 N Range: 01 W CONTRACTOR: TERHUNE CUSTOM HOMES INC PHONE: (360) 697-7000 PO BOX 97 POULSBO WA 98370 Contractor's License TERHUCH984MA Expires 7/1/2010 REPRESENTATIVE: TERHUNE CUSTOM HOMES PHONE: (360) 697-7500 PO BOX 97 POULSBO WA 98370 PROJECT DESCRIPTIOP NEW SFR W/DAYLIGHT BASEMENT AND ATTACHED GARAGE ALSO A/G 120 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: ,773 VALUATION 368,240.00 ADD'L: 294 HEAT TYPE: HTP CODE EDITION: 2006 HEAT BASE: ',540 HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: 182 #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 596 SETBACK: DECK: 179 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: //31 JOS, Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,500.15 KAS 07/31/08 100595 APPROVED Plan Check $1,625.10 KAS 07/31/08 100595 State Building Code $4.50 KAS 07/31/08 100595 SEP a(p 2008 Potable Water Application $59.00 KAS 07/31/08 100595 Jefferson County Planning Total: $4,188.75 &Building Department � • Jefferson County Building Di�'I'§ion Permit Number: BLD08-00343 Applicant: DE DOMINICK BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks i,/rd pi? / Minimum setback from Egg and I Ridge Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If an ESA is present,then the more stricter setback shall apply. Erosion Control SEE CONDITION 2. Foundation Footing /0`�` Footing Drains / //R aF-r r` &ii-A 0 vfib/eBsAL i EMT/Sc,,Tk51DISS Foundation Stem Wall /0734AB yJQl Underground Plumbing fl/7/o$ Under Floor Framing WA. Straps(hold downs) f�z zJ09 Ext. Shear Wall Nailing I -l 2�0„1 6 -0aly Rough-in Plumbing k C1 ,.. Framing 1/22/0 p I� gt Blocking fI Airseal I/.L/oq Insulation:Walls I �-v l I Ni.. tNSw,P.nor� i4I K.f t�sk�'s TO 71,USS Insuiation: Floors j lr-/to-o$ e-�b 00-641,�l, C> -j I d , h!L & LM - Insulation:Ceiling '/A%A.I.T` - Int. Shear Wall Nailing t/2,2749 91i Wallboard Nailing ^ t Gas Line: Interior `/2- Gq Gas Line: Exterior Propane Tank Heat/Chimney Clearance //i,/a1 �l Drywell/Alt Drainage X!/Z3//O 1/ SEE CONDITIONS I &3. Address Posted McGNAJ ie4L. '/Zv/D9 FINAL INSPECTION SEF C Ohot;-kon 4 Prof - t FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD08-00343 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. Ti{E 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.) DESIGN CRITERIA FOR SPLAS.00KS: 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. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASH BLOCK 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. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 4.) PRIOR TO OCCUPANCY& BUILDING FINAL - FINAL APPROVAL OF SEPTIC SEP07-11 IS REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT. , `-.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF SEPTIC TANK& PUMP CHAMBER. ) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. % ) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. 8.) 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. 9.) Wetland 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." 10.) 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. 11.) A Stormwater Site 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) Not more than 2 unlicensed vehicOshall be stored on any lot unless totally sc ned 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. 14.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 17.) Minimum setback from Egg and I Ridge Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If an ESA is present, then the more stricter setback shall apply. 13.) 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. 19.) 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. • i • ECE11 VED /SON 6 0 JEFFERSON COUNTY q DEPARTMENT OF COMMUNITY DEVELOPMENT JUL 3 1 2088 { 621 Sheridan Street•Port Townsend•Washington 98368 360/379-4450. 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment !-`rt `��1 � �t(`�l DR L' e t U t, Master Permit Application MLA: -Ob Project Description(include separate sheets as necessary): cL (..-L_CAA C \�- mac+ a 2 s-t-a r sF 2- `-.3/ L 4 } O Tax Parcel C �\ Property Number: dc) I V 3 J� CD-1 Size: Z kj ,l . acre ware feet) Site Address and/or Directions to Property: J 1" �' �e- Pc .�-cl F C Ftrorn o Rd . E. o r\ ec{y 1L Pd• N nr-HA -Fo1g kIQ-4 P-d . aYl Wrk. Property Owner(s)of Record: I'Y\aY •DrtOl bF'.tDlrn Telephone: Fax: email: Mailing Address: G121 (‘-)S i Applicant/•,f• 'f different from owner):Te f k,L-LY LDS % kC Yl 1 e\V 1/� Telephone: ?�(�(� ( 1- 1000 Fax: =TD email: Mailing Address..n• ZDc. t f ,LNA What kind of Permit?(Check each box that applies �3$uilding 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]** Single Family ®Garage A alb Detached 0 Discretionary"D"or Unnamed Use Classification O Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** O Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** 1I Address JO Road Approach 0 Binding Site Plan*"' ❑Home Business ❑Cottagelndustry 0 Long Plat** Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** Stormwater Management 0 Shoreline Management Substantial Development** 1111 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑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 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 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 attomey'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�t�;}� later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the app 1.41g' . she wants prior notice. Signatur �' _ ���' Date: —V r The action o ions 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 are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-t le Iespon 'Wily for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signatur : Date:—1—i O —C-R C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc 07/i8/2008 15:47 360379411k JEFF CO PERMITtER PAGE 03/03 Jul. 18. 2008 10:43AM Wiune Custom Homes N� 9,1.70 P. 3 fii. x r.II s 1,'I \ "' i BUILDER MEW rho*nor of meta at done haw . r' r ey aro Er era attire pa relLimncgd ,that they are n .G apll I I I U LU they rote omen r/, nesp •I C. ,..,.,•r for to p inject. u re 1r OiAL CeNTRrep -I PRONE FAX Ve.Y titUA7 ("—�D�� ��v�r',,O—S � �t lUi_ 3 am MArt ern ADORER.Q: •0.-ec e;r1 pIN�� c; 3 r CoNTp c'reR'R Limon '• . , A Nte4EIM,: 1 i�` '‘.3`4 NIA --NCTsBER ARatrECT/Ewalt : Pt — FAt( ) MAILING ADeraEsS: v EMAll, Pro iNew Tom' Frame... Type: Bathr :' ' reline: Type Of Sewage Dloposal: J Adtion Wood s '"— ' u Sewer u Steel Proposed: Be u Community Sydem _I Altcratlon/Remodel U Concrete Total: "R H ht X,indvidualSystem I Repair a Masonry SEP Permit#.,-,L OQb I ( 1 Demolition 0 Other Bedrooms: Water supply --- - Sc • LI private well LI Two Party 0.Xtect.f.+n5i. Proposed: _a__ !dl Public 4,J�kt C To al: _, � Name of System: f� If thin'&se t:o Mild Pro trou must onswe�t Q_ h�llewlna: � Nu c�M nG 8 s- Curt; mbar of P ^paces: ' o ntb�er of mints(I d am mints yea ) Gt nt N SC Om,r Ig P �Y conc+tructiq'� u pv �a Fa c� Mills is a Progra Tan(C apd/or lance Install.aikn peui gt,m rk all!ferret boteem that Iv �= d Undatgrourad Tank Above ground Tank Size of Propene Tank _ 0 Heat Stove A Cook Stove C I Woodstove Xi FIrepbce Insert ❑Hat Water Tank C I Pellet Stove ©Other is this appliance being installed in a Manufactured f Mpblle Horne Yes. -. Mc When applying fora It to tris�ll a 4Y' Porn propene tank you mast also submit a site plan showing all of the buNdinr,all property tines,tank location and rhr~deers from the propane tank to alll property line,buildings and sap&apron! --� battle Arm ^f "�� � e. . .� � ra��r7r,�a r Y;1, 1 . '•�r to Main reFeaor eaarl�nd �ttrrent ... 1 6 ;.';4 .-6..�^• r... , �.u'�wet, r ': 1.•,:y+ �A--'1t�fnf4 r ;psi j�l Bid App Room; 2'"'Floor Hooted ,-iz 0'1,?1 ° r ,nay Review 0• Other Heated I 1� 5.1- r Base fee: c • - Addltlerml Section: Heated Basement J•�`� I 1� 7 1, clieck fee: ( 5. ID unhestnrs FIR.,,„„it 6 Sta4r surcl�rge Yee: Other Unheated 5� --- 4.5a ..• " Not Water Review fee: N cc) Garage/Carport (p-?-s o'TJ 9 SUBTOTAL 4 L 5 GDdet-t-vta V4t/ ( I-�7, 1AI$ r 1 7169111Rd Approach fan: 35 r C` 1l'�l 1..' Gi '' L 1 W 9D.4 _ TOTAL: $4ilD '.f ,� Receipt Number: � q5 c <,' . cash/Cheek Number: f' 4 q 83 ESTIMATED CosT(REQU1cRE n) Dom:. �2 'F$tm Mnr erlretWoecrof/adage's'mfa,. .. ro „, "1 lt5 1 Ce S,1'oo �^ • :r.,: a •.A e\Doomprrnr tad salter\ntal\LnauS w\Taroarori,kermafile\oL 6\maitrePcsuirAppl;olfice]2-L4.2UOb.doc ID �` 0A7 �s JEFFERSON COUNTY RECEIVED DEPARTMENT OF COMMUNITY DEVELOPMENT • 4 621 Sheridan Street • Port Townsend •Washington 98368 JUL. 3 1 2008 360/379-4450 • 360/379-4451 Fax http://www.cojefferson.wa.us/commdevelopment/ JEFFERSON COUNTY HO STORMWATER SITE PLAN SUBMITTAL TEMPLATE IMLA# O c:)) - 3p 8 PROJECT/APPLICANT NAME: t 11: 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. C,C-Yl4P_Ite-1.n,ct C 'reo r\ ti--1Z 1 t.a.1.Pa rilt0pc -a •. Et • -2IAli lb. Existing Conditions Summary 2. Describe the existing topography. Indicate conto on the site map. 3. Describe the existing vegetation. Indicate n tive vegetation areas on the site map. -KILO �r �� Gvl -P o -,4ev o ->t a P a \Pa v.ec-1 rM w -}e.,v"✓\ si ' 4. Describe the exig soils. Indicate soil type on the site map. Sa ✓v.l 11 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. (\ oxishIrlrj_ Ul c�p p, P af; ✓in S l r: 6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED ip Si ORMW A FER PLAN Stormwat•r : s SEP 2 5 2008 stormwater site plan template-rev.10/1/2003 Require' a''®� , JEFFERSON •UN DEPT.OF Co,. 1 SIGNATURE: „i IF \\ L. • • 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. ► -\/Pk 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.). Oc-c 0 rietAcit„ Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e.,per BMP T5.30 in the Manual)or,if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. Sc2e_ S �elc�►'� . -rak, ► to 4 cry uJi2i1S pe✓ 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.] RECEIVED Jut 31 2008 11. Describe the performance goals and standards applicable to the project. JFFFFDSJN COUNTY BCD l • 12. Describe the flow control system. • r , stomiwater site plan template—rev.1\0/12003 , 6 6 t y; r i _.... • • 13. Describe the water quality system. - - - I:�I�L(i11�1f►�� f _• �� 14. Describe the conveyance system analysis and design. JUL 31 2008 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 16. Proposed methods of placement and compaction consistent with the applicable standards on AChapter 33 of the Uniform Building Code. ppendix r- XQCI 17. Describe the proposed surfacing material. 18. Describe methods for restoration of the site. AP 4 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. "large"projects only and only those for which facilities are required to control flow or treat runoff.]If included,list the foris is normallytM Manuals here. 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. 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 wilt 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. aixp_actii rk DAIL(' . sew �� pVck 2. Establish Construction Access. Control Flow Rates. N R CEIVED B+r C.0 L h Q.C3, fd-P_A l JUL 3 1 2008 4. Install Sediment Controls. A 1 /lV l �� [ c 'ml fl1Y on . ai. tj CDEn pwaiA -c)(3. c-Avout__LA Stabilize Soils. IYtLLA3 can SThcpnE,eck 1 6. Protect Slopes. �t l 1 V\CA CNl l f` s�t ram C Y\� c s pope 'Q t 7. Protect Drain Inlets. rCkAt t, V1.6 cccA c V\ u stormwater site plan template—rev.10/1/2003 8 • I 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9.AA 'Control Pollutants. 011CLO .CE—C1 CAA( ()Li !v (� IrfFEr,�;lftl rpm 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain est Management Practices(BMPs). .3Vr v P_I uv- ddv ( V-eUUl 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). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stomrwater site plan template—rev.10/12003 9 . • S 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). 5. Constru tion Phasing. a. Co• truction se•uence b. Const • io hasing(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. 7_06Y _Y cIrl 2004A II. Wet Season Construction Activities. a. Proposed wet season construction activities. t. liminessok" immgmmomeimation a WP b. Proposed - season construction activities for environmentally sensitive areas. / (\ Jut, 3 1 2008 7. Financial/Ownership Responsibilities. I f �' �� (' I I gi n D a. Identify the property owner responsible for the initiation of bonds and/or other financial�1 a J'� It L U I I U YY\at Or\a Le DcAr.nxicAL b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. CIA- 8. Engineering Calculations. Provide sign Calculati s on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Ca lation stormwater site plan template—rev.10/12003 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. —ZZ—C LAN WNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: • R M # OIFRECEIVED 0 8 JEFFED ON COUNTY DCD 12 storm template water site plan telate—rev.10/12003 z 3 K U_) -u 21 A. 0) r- 0 0 V/ Cr D O -0 o O N w w ia E n O. = 2 O r�i 0 n o n m rt m gi f r, m o •o a B "3 `a P. ago m o 1 wN m m o ,< z D rn g o o o' o c u EM o 3 • J n 3 o 3 o m' 3 3 P1 of ,o m c 0�.7 • c CD o � T oar •oo; a 5.snp m. 2 Ltn, is m,c oc me A,2 o2 °cm, o°c RE c°�oo m v m? .'o .gym an �g- .om 'm 3m g` 'm ��. 3a � m n_ 'o w i0 m 'o m 'o ,0 to to to .. Q wnN), v 0 3 CO 03 ' 3 - 3S 3 -,,, m3 3m 3m OQ)3 0) m8. O 0 S_ .0 •Sr 0 ' O O 2 O O TT C O 'a.O S .'.m .�. J f FJ. .�. .�-. CD O. N m m a CO o O 7- ? S, ? °0 T D- S `G a m_o m ? v m fe n !e m a • n o ? - g oa m S m aE m ^m N D . a.a. 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