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HomeMy WebLinkAboutBLD2008-00439 MLA08-00433 BUILDING PERMIT APPLIC ION Review Type: ! Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00439 Received Date: 10/8/2008 SITE ADDRESS: 81 MARTIN RD PORT TOWNSEND, 98368 OWNER: ALMA D TAYLOR PHONE: 360-385-3964 81 MARTIN RD PORT TOWNSEND WA 983689768 SUBDIVISION: Block: Lot: TX 42 PARCEL NUMBER: 001291008 Section: 29 Township: 30 N Range: 01 W CONTRACTOR: NORTH PACIFIC GENERAL CONTRACTO PHONE: 360-440-0563 SHAWN KLINGMAN 39023 SHERLIND DR NE HANSVILLE WA 98340 Contractor's License NORTHP*920KT Expires 5/30/2010 REPRESENTATIVE: NORTH PACIFIC GENERAL CONTRACTO PHONE: 360-440-0563 SHAWN KLINGMAN 39023 SHERLIND RD NE PROJECT DESCRIPTION NEW DETACHED GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAfN: VALUATION 18,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 320 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: I Type Amount Paid By: Date: Receipt: Approved/Date Permit $293.25 LYK 10/08/08 102781 APPROVED Plan Check $190.61 LYK 10/08/08 102781 State Building Code $4.50 LYK 10/08/08 102781 JAN 7 Total: $488.36 �� � Jefferson County Planning & Building Department Jefferson County Building Oision Permit Neer: BLD08-00439 Applicant: TAYLOR BUILDING PERMIT INSPECTION APPROVALS Npplicable 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 -1 rights of setback of waysshall from be 0 feet. Man mum side and read and Black Bear r yardsetbacks shall be 5 feet. Minimum setback from edge of category Ill wetland shall be 60 feet. Erosion Control SEE CONDITION 2 FOR CONSTRUCTION ENTRANCE STABILIZATION Foundation Footing V ^-c). Ext. Shear Wall Nailing -3-I �(, `� r fc Framing 3 4_p "V_ -4;F velitAtt-Braivage SEE CONDITION 1 FOR SPLASHBLOCKS. Address Posted _' q"-eCi FINAL INSPECTION 1 11_0 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD08-00439 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: 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 MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 3.) 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. 4.) 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. 5.) 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." 6.) 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. 7.) The project shall comply with ruction Stormwater Pollution Prevention (VP) Elements#1 through#12 of the iepartment of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 8.) 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. 9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 10.) 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. 11.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 13.) The building height is not to exceed 35 feet. 14.) 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. 15.) 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. 16.) Minimum setback from Martin Road and Black Bear Road rights-of-ways shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. Minimum setback from edge of category III wetland shall be 60 feet. JEFFERSOOOUNTY • I'W Vy. r3 DEPARTMENT OF COMMUNITY DEVELOPMENT ~ \ d 621 Sheridan Street• Port T wnsend•Washington 98368 360/379-4450 • 360/379-4461 Fax--= - __ '1`91-i7NG,S0 www.co.jefferson.wa.us/commdevelopment OCT - 8 2008 r Master Permit Application . „ M ' ; MLA: L. Zr�3 Project Description (include separate sheets as necessa Tax Parcel Number: 00 i 9..e3 j O0, Property Size: ,j pZ Site Address and/or Directions to Property: acre quare feet) Property Owners)of Record: Telephone: (03 ©- 38"5' c� Fax Mailing Address: S ,sue T� email: Applicant/Agent(if different from owner): ESS Telephone 3 D- G �F.,� �Ei✓F�' C an/Tir7,9C r-o,'s�l�/D- �f 3 Fax: 1�e7 3� •gs-7...22 Mailing Address:ZLf 3 SNP RQ email: ►�, r's/h PAG �� `r�p What kind of Permit?(Check each box that applies ',,,i pt uilding Demolition Permit 0 Critical Areas Stewardship Plan Major0 Variance(Minor, or❑Single Family (Garage Attached/ etached 0 Conditional U e[C(a),C(d),or C]able Economic Use)❑ Manufactured Home ❑ Modular ❑ Commercial* 0 Discretionary"D"or Unnamed Use Classification ❑ Change of Use 0 Special Use(Essential Public Facilities)** 0 Boundary Line Adjustment ❑ Address 0 Road Approach ** ❑Home Business ❑Cottage Indust ❑Short glSi ❑Propane ❑ Binding Stee Plan** 0 Sign 0 Long Plat** 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0Plat Vacation/Alteration** ❑Stormwater Management SPAAD ID Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination ❑Temporary Use ( ) 0 Shoreline Management Substantial Development** Wireless Telecommunication* 0 Shoreline Management Variance 7 Forest Practices Act/Release of Six-Year Moratorium 0 Comprehensive Plan/UDC/Land Use District Map Amendment *May require a Pre—Application Conference 0 JeffersonCounty Shoreline Master Program Amendment Tree V 0 Tree Vegetation Request ease identify any other local,state or federal permits required for th saproposal, if known: reby designate . r ��N, ESIGNATION OF AGENT to act as my agent i S��G✓/ n matters relating to this application for permit(s). ER SIGNATURE AL '. ` I Date: t O b ..20or Ining this application form,the owner/al-OF.F sts that the information provided herein,and in any attachments,is true and correct to the best of ?r or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet sult in this permit being null and void. •r agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and es which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application Ind any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the he applicatio t he or sits-prio otice. e: Date: 1,0 3 �.fc3f0 n or actions Applicant will underta ed species and could lead to a potential"take" f an endang ere species asttho a termsmay negavely are definedimpact�in the federal law known as the red Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this o been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding .ven if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual ensfer resp �eri to and complying with the ESA. The Applicant has read this disclaimer d signs and dates it below. ur '�� Date: 10 13 �C' er\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc BUILDER STATEMENT The signer of this statement does hereby Certify that they eyC are the erOwners e proposed fthe parcel jrefproecerenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Date: Signature: FAX: PHONE: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: /��� 'r�D ���3 FAx: � Cy' 0 k>"i/ Cz�`z�_ EMAIL:�J� f{i� cT��e laC � �i0•T/l9CIbzL _ •-� MAILING ADDRESS: 34iQ�s Spe/r��0 �� �F �S�/G///G EM09 AIL: CONTRACTOR'S LICENSE ,�l �4, � 4• NUMBER NS NUMBER: /V 04P/P c2, PHONE ( ) F ( ) ARCHITECT/ENGINEER: EMAIL MAILING ADDRESS: Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Existing: ❑ Sewer Wood Bank ❑ Community System 0 New Proposed: ❑ Addition ❑ Steel❑ Alteration/Remodel ❑ Concrete Total: Height: ❑SEP Permit#Individual System — ❑ Repair ❑ Masonry❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Proposed: ❑ Public Type of Heat: Total: Name of System: If this is a Commercial Project you must answer the following: Number of ADA Parking Spaces: Spaces: Current: Proposed: Number of Parking Proposed Number of occupants(includes owners,tenants,employees,etc) Current IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No �— mark ll items If this is a Pro ane Tank and/or A liance Installation ermit ofe Paopaee Tank:below that a i Underground Tank i Above ground Tank i Hot Water Tank i Pellet Stove i Other i Heat Stove i Cook Stove i Woodstove i Fireplace Insert Is this a liance bein installed in a Manufactured I Mobile Home? Yes / No ,all property When applying for a permitd installtac a propane tank you must also submit a site ane tank to all property lines,)an showing all of the buildings and septic systems components, lines,tank location and size,distances from the propane includin• the reserve area. Amount ' Revision Square Foota•e Current Proposed For•.Office Use:Onl Review: Main Floor Heated EH Bld App Consistency Review: 2 ' Floor Heated lEIM Other Heated Millill"11111 IMIIIIIIIIIIII Additional Section: NM Plan Check fee: Heated Basement III . State Surcharge fee:,a+ Unheated BasemenK+' ' 1 . Pot Water Review fee: Other Unheated t SUBTOTAL i _ _ Garage/Carport 3 2 0 t 5- 911/Rd Approach fee: Decks TOTAL: nom Other { Receipt Number: IIIIIIMMICash/Check Number: E 'ATED COST(REQUIRE _ Date: MEM Fair market value of all lat2oband materia s foundation to finish Initials: GAPe tCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc eater = y�''•i. i Requires 11.7; , APPROVED g,., ON a STORMWATER PLAN JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMEI T JA N - 7 2009 4 621 Sheridan Street • Port Townsend • Washington 98368 191 360/379-4450 . 360/379-4451 Faxw JEFFERSo OU Y DEPT."��INa' http://ww.co.jefferson.wa.us/commdevelopment/ OF c T ur: F OPMFN SIGNATURE STORMWATER SITE PLAN SUBMITTAL TEMPL MLA# "455 PROJECT/APPLICANT NAME: /9Loth4 �1a2f 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. .}-/� 1� [� -/9�9�//(0 E �� J/E C�2! �/ /C Gf c "C.1� (�,' '�` E 7,S"'..,�1.,",y,�raki;1 /./ % 320 "` F,fY OCT - 8 2008 Existing Conditions Summary i f 2. Describe the existing topography. Indicate contours on the site map. 7c-Z/9-7— 7-Ple r-Xy ' 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. GF 9 SS 4✓%7 / 77(C-Fr ()2/9,vy t 4. Describe the existing soils. Indicate soil type on the site map. ,S/97✓,2/ Z /9/Y2 Gt/Z7-f/ S2'2 /e /e0C/ 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. P/.�'D��TG �7ix / / i9 r/—- 7-MT- 1 /92n/G✓/f-J•- /2 (o //ECf x x-V(/9 i,X6-557z624/„) %s'/ 4/ fi7-4'6/9t7" Cofe/17 -/C O 6. Describe any excess levels of noise generated by the proposed use or activity: /✓e2,Pi -L /VOZSF ,�4(l2Z4vlo C04/.-77? c TZ-cx storm,Ifiliratkairevgjggry EgF 5 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, stee slopes,etc.)on the site. Indicate ovation on the site map. c`-,/(6- 761-AY / //O77457- Cates( 7 1 fotp5 e✓9-i G✓ l✓ a 7— /7/pz4<S, G✓ -leg.-✓gf Q- _ /fS - ,5-z/6'r L4.7i zS fl-�9-T (9- S Z-4-714). i 8- De aribe the,generlil'vicinity of the site;including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,'wetlands,lakes,steep slopes,etc.). P,O,W / . ..Soar T c �aet T t7N�5 Z, f d�i T--66 o,,r,✓7 �-/e&/9 /9wE i -,5"2- $Z 99 c- 7 /15. 7/7' T/9 I(4 r L .✓OS .,/ 77716 E/}Sr- s -o , 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. sJ`©0297G✓�7-61* , Gef'Y' �.s _Z.477o Zr94/s J 7/`L/ Vi/a 5rf}/1740Z�‘,- /9 E-% 2-r✓ ,'*?6 ‘9f" G�aA/ST2/cz -. . 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 normallyfor large"projects or projects that involve the potential for dispersion of contaminants.] N// 11. Describe erformance goals and standards applicable to the project. 12. Describe the flow control system. .2r/L . L✓z// /19/6 ,5 Pf/V&Loc.k<s a/✓,96- stormwater site plan template—rev.10/1/2003 6 • • 13. Describe the water quality system. 5277 zs , P — ,-s02Z e'Y-ZVKS. /6i7 14. Describe the conveyance system analysis and design. ‘V, 'w/1/ 9,01�S r,1- <.S,/ //// Lo c rs' 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. A70 7-z'// 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. .SL 9- 33 G✓z// �51 . may, /)7z/vuS &? -4 -1 a27.,�- �� ,2�51- 7` � L�zT PL�i tE" G'pll2,�'>t-?s 1 s i :" ,, :1 , / 17. Describe the proposed surfacing material. i i Co4/C/6-7 SL/B /o a ,2P/ OCT - 8 2008 : 1 18. Describe methods for restoration of the site. i Co4/fTt c-7-z��✓ ci,e-V Ea z�T-z-/l� ,��.Z-1 -,j�� 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. 20. List here a include any special reports or studies conducted to prepare the Stormwater Site Plan. 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 restriction here. . tottati'!li rOillr' U.Cli stormwater site plan template—rev.10/1/2003 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in 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 11. Mark Clearing Limits. .5-zr6 ZS CZ /9,CEt2, tz.i" G/pfl./ Exzs Tzs�L 2. Establish Construction Access. �jc i'S7' b 27 ?2s6 k/e9-,/ 3. Control Flow Rates. SG(/7,c/9Ce- 27.5 v t/-L 7//9-7— ✓��IZ�✓r /�7//� 4. Install Sediment Controls. ./etril CJ,- ✓� 0e17 ,a(FZ E- 5. Stabilize Soils. 6. Protect Slopes. 4/D 7. Protect Drain Inlets. /✓O PAP/9- -1, storrnwater site plan template—rev.10/1/2003 8 • 12 Required Elements—Construction SWPPP(continued) 8. Stabili a Channels and Outlets. �z r 9. Control Pollutants. 10. Control De-Watering(the act of pum groundwater or stormwater away from an active construction site). Sze _7-.' �z 11. Maintain Best Management Practices(BMPs). /// 47, ,t`, S G✓r// �CG�z�/F �rt.F�/crzo-✓S ( 12. Manage the Project. v1/ co C j 9 z SJ Ez/7oT4/� lci E,✓D Co4vfT.Pe-r c 7`-717,/ •c `'2. Adjacent Areas. • .?} a. Description of the adjacent areas that may be affected by site disturbance I(i :<+Streams, lakes, we1ands7 resId ntial areas, roads). is 1 I 4/61—L/+ )/, :f' T 77/6 E95 C 'Ec70CT — 8 2008 L1 TY `';iLNT b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 2 /✓6--7—L VDS //nZ,0 S G,/r9/ G✓ -✓ •77` r92,�✓�' 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. G-7 7-1-/9-�'OS D/2/ /90aceT 7 e6S 3�/9-// th- 4/ 7�lZ G✓/ -✓ �/}Z n/z�lo stormwater site plan template—16y0 A' 0 y �• 9 b. Description of specs I requirements for working in or near environmentally sensitiye areas 11/E G✓z// /2// CO'S a C7- ( /e- * zz oz 4/C`r AIDS Pa.SS z. � 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). //D GoQO��o E 5. Construction Phasing. a. Construction sequence Szrc e;e67a xA7/27 b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. e2L�OB 9 — A/a II. Wet Season Construction Activities. a. Proposed wet season construction activities. SzT� ,e6e6/f .1/,0 7`Zo� �/Zr9�'I��ly/ ke .21/ .• ��a��✓lv 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 TWyY-0,e b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. $ SOr✓A/ C-SSo/✓Szz ,?--1 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template-rev.10/12003 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 ted property. (I•� NER OR AUTHO R RESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/1/2003 12 o cf\ ( r , , _ 7_. > , , x Ki rr ° 40rri u) z.1 w - , T, k i\ ' . ci.. 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