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HomeMy WebLinkAboutBLD2008-00366 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 #: BLD08-00366 SITE ADDRESS: 312 DHARMA RD Issue Date: 10/13/2008 CHIMACUM, 98325 Final Date: 10/19/2009 APPLICANT: TIMOTHY HAUF PHONE: 360-821-1659 613 N SANDY SHORE RD CHIMACUM WA 98325-9719 SUBDIVISION: HAUF SHORT PLAT Block: Lot: 1+ PARCEL NUMBER: 801112011 Section: 11 Township: 28 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATTACHED 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 10/19/2009 I:\F_BLD_Occupancy.rpt 10/29/19 'WILDING PERMIT APPLICA1N MLA08-00382 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00366 Received Date: 8/11/2008 SITE ADDRESS: 31 a ohct.n )a 9--et CHIMACUM, 98325 OWNER: TIMOTHY HAUF PHONE: 360-821-1659 613 N SANDY SHORE RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: 1+ PARCEL NUMBER: 801112011 Section: 12 Township: Range: 11 W CONTRACTOR: BISHOP ENTERPRISES PHONE: (360) 417-0861 982 LEWIS RD PORT ANGELES WA 98362 Contractor's License BISHOE*999MT Expires 7/24/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI' NSFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,476 VALUATION 334,719.00 ADD'L: 1,834 HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 484 SHORELINE: CONST TYPE: DECK: 200 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: c ) ���o Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,309.75 AMS 08/11/08 100774 APPROVED Plan Check $1,501.34 AMS 08/11/08 100774 State Building Code $4.50 AMS 08/11/08 100774 OCT 3 2008 Potable Water Application $59.00 AMS 08/11/08 100774 Jefferson County Planning Total: $3,874.59 &Building Department Jefferson County Building D•sion Permit Nut: BLD08-00366 Applicant: HAUF BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 � ` ol Minimum setback from Dharma Road right-of-way and any angress'egress easement rights of ways 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 FOR CONSTRUCTION ENTRANCE STABILIZATION. Foundation Footing 7 I fi a ti 911 Footing Drains Foundation Stem Wall 51 11o� YID Underground Plumbing I �L Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing 7.241.• Framing 7 (I' Blocking Airseal `� /t --6c I / Insulation:Walls - l—? ,i' Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITION I FOR SPLASHBLOCKS. Address Posted FINAL INSPECTION 5EE 11t�L4to� terlTr t r FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD08-00366 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A MINIMUM OF 4 GUTTERS AND SPLASHBLOCKS ARE REQUIRED. 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 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. 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. 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 AAAINTENANCE SHALL BE PERMANENTLY STABILIZED. 3.) PRIOR TO OCCUPANCY & BUILDING FINAL - EXISTING MANUFACTURED HOME SHALL BE REMOVED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT, SEP05-124. 4.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 5.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF SEPTIC TANK AND PUMP CHAMBER. 6.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative buffer setback of 50 feet. The setback shall be measured hDrizontally from the Ordinary High Water Mark (OHWM) to the proposed single family residence. 7.) An additional setback of five (5) feet is required from the edge of the stream buffer area to the proposed single family residence. 8.) A permanent physical separatiorOng the boundary of the stream buffer are II be installed and permanently maintained. Such separation can include installing to s, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 9.) Stream 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." 10.) 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) 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. 13.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 feet. 16.) Minimum setback from Dharma Road right-of-way and any ingress/egress easement rights-of-ways 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. 17.) 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. 18.) 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. _____ • 1 _ i ,i (,-i-scdvJEFFERSO OUNTY . ...,, , Tir- S� ,.3 DEPARTMENT OF COMMUNITY DEVELOPMENT (F-1 .4 621 Sheridan Street• Port Townsend•Washington 98368 AUG 1 1 2006 ,. „ 360/379-4450• 360/379-4451 Fax p www.co.jefferson.wa.us/commdevelopment Nrs ifffifiStlia0NR BCD Master Permit Application MLA: (19) r Project Description(include separate sheets as necessary): l°.0P31rvc-{ rpuU hc-rf-AP Tax Parcel 1 Property Number. 6O i1 f 2 0 j I Size: 10.4-2 ftErsquare feet) Site Address and/or Directions to Property: 3I3, abclrr. Rciaci n 13 On S6,1-NA S�.c;1p 16 C1r.car�cl� Property Owners)of Record: �j r1r H aS L� U J Telephone: ' �O- .Z f I L '9 Fax: email: Mailing Address: ?,)a oh,,fh0, Chjmac-tro wR 9139 ApplicantAgent(if different from owner): i 5 he,p fr r,'ar p i,st'S Telephone: -4t a y( —O8EJ Fax: 3tO le Aa 1 - 1730. email:tle_l Jy..-75Arsr,AcoFr• Mailing Address: 10 a, Lew+S M . -�1 �it). votr,�e' S t (,LA qv 3 What kind of Permit?(Check each box that applies ®Building C]Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit 0Conditional Use[C(a),C(d),or C]** ®Single Family FriGarage Attached)Detached Cl Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular C]Special Use(Essential Public Facilities)** ❑ Commercial* C]Boundary Line Adjustment ❑ Change of Use C]Short Plat** ❑ Address 0 Road Approach CI Binding Site Plan** ❑Home Business ❑Cottagelndustry ❑Long Plat'* ❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis Cl Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management C]Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* C]Shoreline Management Variance ❑Temporary Use Cl Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* Cl Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium CI 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 Bi 5k/3 fn+t?(`p t'15P,5 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE i7 +•o.v iri -- Date: 421714( D' 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 attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will tie assumed unless the applicant informs the County in writing at the time of the applicationio that he/pr sh wants,prior notice. Signature: i/1,�. 1 s'e-/-i- . x6j/5/O/7 6 /-) Date: 7 g 7—O F 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 if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable,-respponsi lity for dhering toz9nd coT-plying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: _ ..,( /,2 � E72-e,) Date: 7-8,X'-Q X- C:\llocuments and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc I. • • 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: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 31- 1;0 C-n+k VI`\S(1,5 (3/(i)417-08S.l (36C f/7-/i3.2 MAILING A ESS: 9 a_ Leto j s I¢, EMAIL:fle/c'Y/w- 7 5(23 cr,sr;.cC,m CONTRACTOR'S LICENSE ! WAINS J NUMBER: I335 `HC)f 1.Ccj NUMBER ARCHITECT/ENGINEER: Rpt^,,l1 Ti.} horn€S PHONE (3(O)S'2-lSo7 FAX:(366)5,8;2_-/S64 MAILING ADDRESS: Rckb (- .It/DG,. St ,C i t,� EMAIL th400m Project Type: Frame Type: Ba s: Shoreline: Type of Sewage Disposal: .0 New 0 Wood Existing: !:! Sewer ❑ Addition ❑ Steel Proposed: 3 Bank !I Community System ❑ Atteration/Remodel ❑ Concrete Total: 3 Height: K Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: Setback: k Private well LI Two Party Type of Heat: Proposed: i I Public cr ?G>1l'i C.: Total: _3 Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: ❑Underground Tank °Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert ❑Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only' Amount Revision Main Floor Heated 14 'y45Ce3 I� EH Bid App Review: 10 c�0 2nO Floor Heated \ 3 i ; t-1 5,VI g 9t� Consistency Review. �� o O Other Heated `� Base lee: a ,15 Mezzanine Additional Section: Heated Basement Plan Check fee: 1501 . 5© - Unheated Basement State Surcharge fee: L • 5�J/.� Other Unheated Pot Water Review fee: Po.\c1 \A L� ooS-3 Q crag SUBTOTAL arport (tg I t-l-a.l\ . y oy a 59 Decks 10 ib sok 4cc .�b 911/Rd Approach fee: e\te l sliNir Other TOTAL: $ LI OH a.s , Receipt Number: lf�'A L.( c___________9 '_I Sash,ICheck Number: `� ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish I j t ,O 7 I t7 J _ Initials: //t/-��\ C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc • — `..,..• ?. `1,.n.61/40.'1.10W11 1,,,:ve t ', -',,,,7,-., 'q•2,,,' 1 ,,,.,4.., ,:div• 'r vr,it. ,3 „ , ' ,-.77.W.V.-N'', , •,,,p,,,,, .., -,,,, .1‘ ' ,,t‘ro.‘,. er, -' ' ',..'",r'''',L,r,,,, ,ykr,r , -1 ttt.,,,o, ,'q, ',lit.,, --,,,, ,,,,il.,,,,...4 " t t• .,tk,%,,,,, -....1"' , 4 i,',.. ,,,,#0, s. .,*,,,.,.0.,0.,,,,,,,t,,i . ,W,,,-^,'., r"4 .\•,T,4.„.4 ce,w, ,.,;„.„..k,,,, ,,,,, ,Jrizi ,,_.. . , 1,4,,t'ttot.1.1vItr,tft, @,*e5',0.-t....4,;,T4 VA', 4 01,Z1 _•th 1,',1":,t, `r.,',4,,j.i:1'4,1'''' ;,.!..S. ,Ilri,;ii.1 ,11' `f. ,.I'tii,,,',,', toNeopet ..,,W,,,, ,,,,s,,'5",.„, ',•14k.;,1104 .,,,,ita..,itle4,1•441 t'11,t,%."1,'4,11%114,147.N011,11.,'', ,11 e 1 i.oli,,t19,444,..:,,,A1R1 1 ,1 'll'im 1li 1 q1„t••. .1,,,,'.',1,54,,,,.,,,,,.„,',w,-glk44 4,4,,i4;,,wAlit 'il•,,,,e,A0.;14tA'.,,001,,,p,,11,,,Ai:,t)o.,r,4,I,pi.oit&.4a " , ' tkil fF,s,,t,,, ;1,1•-•,...,-:.'!,..*,:,z. 4.. 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(-." ..,, vi',..' .1 / i sloth' and a Master Suite ia room3- ,.,p,......, •• . , .1 A ri 1 1.,, lb.60m•rr, jamy rec i I, ., • .1. ; dtb,•,,,o, ate,,,bedrooms, a•i LA,allu'.. L' '. • • • • ' • , ',', ,,', ;•'-, t,, • t• ' s all's •"."'' d L) 1••,v&N,11-11e. ' • ' ' • '- , ,..,,,, - ' - . ' that Lab be described in-or),.F:N•c 7o r,,,,' n 1,7,1 . ., ,. -, ,..11,\e ,1,tpritcics..as shown \:riisiLtenditioil.home,ina)-, , ,44#004,14,W40440gt, , ,,''' ' ''",,-,11Lz3:'....4.ip,•.-i-:',',!..T''..;'''.',,•' . ' •' ,' • ' • .',,,,`•,,;:'..,'',-,1,1';':10 • ,''' • ' — -- " -1-- - 7,1 1 --1— BEDROOM#- •GoRoOM#.2 REO ROOM 4111 x tiTti 9_ Ei 12'1),11.4 f igli x1343 I 1 I 20 t- - Er. !ifiEillmo WI 1 .12.1x1011 MASTER 6 07 729 x 13'10 ----- 130,_ ..--r .• , ,...---- ___, NOOK KITCHEN ir MEDIA ROOM lax x IT4 11'10 x 1211 'IMI x1340 0 rb.1 `7) Fes Arlint I'm al LWINO ROOM gz1 ENTRy ,...........173 x 12'7 ........ To t° 1ZG x 101 POR2-,11,?0VEDRININGFIcgmvi --- 4 ' It 4 I 4-0:4,1,4 co,P,:nlq.',"4,;thl aliit ".. ',,,itie''','w•,',:k.-'',•••.: ‘: .,p, , ,..„-••,.„ ...„.„ —a; .--.),41.k.1.2., • ''''"1,- '4' i Or i A.!iti•pi joi i -`) + - 1, ',,'' " ' - 2 0 AR GARAGE .--...222:1241 _-----*- , • 7 en , .1011-le,_ Inc-c,01-11 • • 1. ozvco f• JEFFERSON COUNTY Kt DEPARTMENT OF COMMUNITY DEVELOPMENT 4 Kti'' ,y. 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax ` xN ' http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# u J 3c6 PROJECT/APPLICANT NAME: -rl,e- Al c tJ f/ya mp re P I aceme ni 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. 0_,Or\5hei r e t recelcl ce merd. - m_f AppG. 3o a 5 f .67,5-lor3' 1 n_ Q — Existing Conditions Summary 2. •Describe the existing topography. Indicate contours on the site map. Aelly J2 Lfrg/ Cc.)/"M Some S/ti fki f Sr'"i i--►g areq S nt /o0 d re h.-1 9 20 6 3rc cie Gu 1 ci u t`�il f.hC1,ii E /r , re 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. Some_ treed areas t_4)3fl._ opt, Sptees wi M noire a-eye-q/inn 4. Describe the existing soils. Indicate soil type on the site map. .457 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 applic le,and indicate acreage of each. cere /5 rt_.5' s'ea son<7/ eye A- a; 7o X//na T` /7 714' /`)/et- al ) /^" O/9 /tar/ J PLY- �1ziri( d ec) eq ' %.j%l1 ,/izee^a7'•Y /r,wrd le.&,71l4„c)i aPea an e G 1-1- Cot/1er �lc Picia, leash after arPgs �i)'i�r ., A ROVED 6. Describe any excess levels of noise generated by the proposed use or activity: STOR WATER PLAN Q1f r/ra / n,1/s-e occur n 42iiir/�i Con S sic /dY' '1' cif�r- vF .i� `� Storm a) SEP 2 5 2008 Required ,.. ii JEFFERSON OUN DEPT.OF CO DEVtp N stormwater site plan template—rev.10/1/200.3 SIGNATURE: ``III/,/4 5 J E. �'U U S-01v l,'.j li\rV �.1 7iii{ • • 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. cc - LA..) '(ancsi n --Utz, Alf enrrpor nrKs.c-find tQ Qc(j'oi 1i fie! lnf. Q7hP,— w h'on4 /outf]nn Qr;rC►sc road im A) f- iV(c) ecrreroi° prop 56n41 Cr�P.k �'tCIrn center- 5..are-,tea cc)rv-)hq t, mm-k/1r (Yf prcr ot1� -w,-tAno, more. 1hcti, aO9es/ape 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.). /ire 51irrbadano) are- -freed( ureJeveIo pec.l dr fie N sick / or fw n fry ,J lac r�an�� . fb e Sash ea a hid ea5t. 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. uvt9—r��5 po v-Lc 1s,,ill hod .c p k. •I f)/a e./cs cr rd c...e4 kr- w Ill eii z v ft«izrreti oriel l on arm( -Polly gig)s/vrj'jO 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.] ,Ali fUtciti giD s 1) d is p ►rrs P. 11. Describe the performance goals and standards applicable to the project. /fig -1.2 Describe the flow control system: '"`+ • t�K stormwater slte plan template-rev.t 9/1/2003 6 • 13. Describe the water quality system. &do/n? s/- /'s d y otd qn y runs 'zo)Y p� jro rsern splosld/ads /)q- ry 1 Sol /s 14. Describe the conveyance system analysis and design. _te e 1,0 dfQ/r) deze CO715 te)__SQv��i s/�clP d' nc /0 (4s1)(11^5 ' 1tC 1)0/1irn SQz% an /UeyeIti,n 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. g/7 >`a 13e Used 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. Lr j oe tcwc, / s exc 17 Describe the proposed surfacing material. /tO C) add 1 tid-nq 1 c o-Hc,c e, U Ad h %y minus /rr P e ui areal t� nQ r , 42 m earsesfin� ()Jr)))wd)/ 18. Describe methods for restoration of the site. gcv s Qr� �xs i��� s'� � As" ktie/c,, / 5a rr,e ir,ucv g q / /A t // 6,e r�mave &1h,,., o�ct' ifcirrLe l_r re!r7UuJ fdQ) i/ Byc% to daNai 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. '/.11)4 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. 5c0 f!c /s /n 4 4ppi u-'d ii ;cos 6e/�i"i‘e - R ECIEJiv t fl AUG 1 y )nnqt. Lie diitc I .9 stormwater site plan template—rev.10✓1/2003 UIJUII COUNT f 'JCL: • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) I 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. ✓)o clecirIn j, wi`// 6e nCCeS'Sgr i 2. Establish Construction Access. Rood Qrvadr di/rfry a1re/tdy • is e 3. Control Flow Rates. .C1 5 n c zj i—q� )/` A na xee,-r.7 run 4 ("CC QIrin y 4. Install Sediment Controls. f/U/ 5. Stabilize Soils. `yA' 6. Protect Slopes. �/A �r'1`r9z/nG� /erne I. 7. Protect Drain Inlets. �/ stormwater site plan template—rev.10/1/2003 * 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Control Pollutants. 4/ " / 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). Cc>>jl r4-/ need 's/ 11. Maintain Best Management Practices(BMPs). cat-eictr- wl'// 6 P qL )tee 8M73 12. Manage the Project. Con is tuij/ tce present d f' P ie_/--1 pL )ne,f , 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). > C1"i C1 r!3 n.) c C' b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). E.}rr}414;i ; tt 4If 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. k6trea4/11 'i 1/ L ` l t IA) ))(1 SEOC( 1,., ' P/C's stormwater site plan template—rev.10/1/2003 9 CC CC jj� ++� liEFfL`lSuw Lii�,Ni • • , • b. Descriptionri of special requirements for working in or near environmentally sensitive areas. ✓/A 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). /Pr, o re�-ts iZe a pri 61Qtrk ,Q/ 71A: 5 f/:►r 5. Construction Phasing. a. Construction sequence S/ e ppep $z ion]gIoi 1 �i ;mph 3c j r(y izc j li`7 n�h3- e.t/etIrrr) /gr�cs e qp r'n� b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). 1. Provide a proposed construction schedule. AJif gOQ1:thA/PM c ic Jimt"_ II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. ' 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. 7,� Hoof is owner. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. +,+ Pe r1 c�/ if SQ. Q,hss>�,4d1/ 71/ 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.AS a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations storrnwater site plan template—rev.10/1/2003 10 11,1 • 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. //-6 (LADOWNER;'AUTHORIZED EPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: 0.411W. Al- Olt JEFFffiStit [MONO Ott • stormwater site plan template—rev.10/1/2003 12 l 1 , I I 1 I _ _ I 1111111;164. .��.c� . 1 • `- -. ' ' i ' t 4. l C.r7 ' 114Plit -7.-.) I CV (-----`-'->----"1 :3 1 �� i, , (I. ,...) __,,L I:4 I M L C —� I 41 I . / , ' - - r i_ 1 _y T_. �'1 --.. t I 9 , ,, I�� , ._,..,.„_., . --, .., _ , , j, , _ , . , , , • ..... ?� ,... .y��y(r1� wa ck rI W_ k ,,, i ). ., +U� _ lett . i ! 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