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Home My WebLink AboutBLD2008-00476 MANUFACTURED/MOBILE HOME INSTLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD08-00476 Received Date: 11/6/2008 SITE ADDRESS: 107A CASTILLO RD Issue Date: 12/22/2008 CHIMACUM, 98325 APPLICANT: RICHARD L LECHTENBERG BELINDA H LECHTENBERG 107 CASTILLO RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: TX32- PARCEL#: 801031012 Section: 3 Township: 28 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: 932.-0o92 DEALER PROJECT DESCRIPTION: ADU - MFH MODEL - DARTMOUTH SERIAL#'18771.1986 MAKE: MODULINE YEAR: 1986 SIZE: 44 X 28 Directions SEE MAP QUEST DIRECTIONS AND MAP IN FILE To Site: 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 FT(,--Sct�riw 1-Lb --0 i3 t 01.-Az..;�,. 2-1 2<fI r`t FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR SPECIAL CONDITIONS APPLY- SEE REVERSE MLA08-00455 UILDING PERMIT APPLICAN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00476 Received Date: 11/6/2008 SITE ADDRESS: 107A CASTILLO RD CHIMACUM, 98325 OWNER: RICHARD L LECHTENBERG PHONE: (360) 774-0042 BELINDA H LECHTENBERG 107 CASTILLO RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: TX32-i PARCEL NUMBER: 801031012 Section: 3 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION ADU - MFH MODEL - DARTMOUTH SERIAL #187711986 TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP ADU VALUATION 17,000.00 MAIN: CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $168.00 KAS 11/06/08 102913 APP��VE�Potable Water Application $59.00 KAS 11/06/08 102913 Total: $227.00 DEC 2008 Jefferson County Planning & Building Department • SPECIAL CONDITIONS CASE # BLD08-00476 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.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 4.) The application was reviewed by the Jefferson County Department of Community Development staff on December 18, 2008 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: wetlands; landslide hazard area 1; SUSC aquifer recharge area. 5.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 6.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 7.) 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. 8.) The project is located in clossroximity to an identified wetland and is su to the delineation provisions of Section 18.22.290 of the Jefferson County Code. Based upon the proposed location of the project in relation to the identified wetland, the applicant has agreed to maintain a buffer(setback) that exceeds the standard buffer requirements. The approved revised site plan identifies a setback of 350 plus feet from the edge of the wetland to the proposed ADU which is also located at a higher elevation. The applicant acknowledges the additional setback and agrees to maintain the extra buffer, therefore, waiving the wetland delineation requirements of the Jefferson County Code. 9.) The applicant is proposing to create or add 1670 square feet of impervious surface and 1670 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology 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. 10.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department 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. 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.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 13.) The revised site dated December 17, 2008 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated December 18, 2008 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 14.) This approval is for a1232 square foot ADU only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 15.) The parcel has been designated as RR 1:10 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 16.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 17.) 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. 18.) A minimum of two (2) on-site parking spaces shall be provided for the ADU. 19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 20.) The building height is not to exceed 35 feet. 21.) 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. 22.) 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. 23.) Minimum setback from Castoad right-of-way or any ingress/egress ement rights-of-ways shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If an critical area is present, then the more stricter setbacks shall apply. 24.) An address of 107A Castillo Road, Chimcaum has been asigned to the parcel. Castillo Road is Private (P553). 25.) Potable water is provided by an individual on-site well. Well review was finaled on October 24, 2007. 26.) A septic permit(SEP02-189) was cancelled on August 27, 2002 and is now filed with SEP07-318 that was finaled on July 11, 2008. A septic permit (SEP91-145) was cancelled on April 15, 1991 and is now file with SEP07-318. A well review was finaled on October 24, 2007. A building permit (BLD07-0534) for a single family residence was finaled on October 24, 2008. 27.) A wetland delineation was not required for this application due to the proposed ADU being located greater than 350 plus feet to the east from the wetland and at a much higher elevation than the wetland. 28.) The proposed ADU is located approximately 451 feet from the eastern boundary and 30 feet from the southern boundary at about the 250 foot elevation. The parcel continues to slope down to the west of which the wetland is located at approximately the 200 foot elevation mark. The slight landslide hazard area is depicted on the county GIS maps in the middle of the parcel in a north/south direction. The parcel at its eastern boundary is approximately 320 foot elevation and drops to the 200 foot elevation over a distance of 821 feet. Therefore, no geotechnical report was required for this project. 29.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. 30.) This building approval accounts for 240 GPD of septic system capacity and BLD07-534 accounts for 360 GPD of septic capacity, as designed and approved SEP07-00318 is sized for 600 GPD. The minimum daily design flow per residence is 240 GPD. This septic system is at capacity. JACK WVESTERMAN III ,�. � f,, Jefferson Count urlhouse ASSESSOR i P'Str' 1►/1 Box 1220 1t Townsend, I�".% 98368 ,. MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: "'L�- l I t 0- tb..6 ADDRESS: 10 q PHONE NO. j3 0 - 17,5;1.- D O 4 al-- The purpose of this questionnaire is to obtain information regarding either the current location of a mobile home or the previous ownership Arid loralion of'a'4ohile home. This will help our office determine whether the mobile home is already on the tax rolls in Jefferson County or if it has been moved to this county from another area. NOV -. 6 2008 10MOBILE HOME DATA: (A) MAKE mo MouC (B) MODEL LtJJ 'Y L1t (C) YEAR 4 it, (D) LENGTH ' (E)WIDTH (F) SERIAL # U'/ 1 / [ ` 6�(✓ (G)YOUR PURCHASE PRICE (Do not include sales tax) 1 //ad v PURCHASE DATE I fib/p? 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) (A) FROM WHOM DID YOU PURCHASE MOBILE kttl &CM (Iceepc/ril) ADDRESS 14 L L f St iVY't ✓ 0 (II)WAS MOBILE HOME ASSESSED IN4EFFERSON COUNTY LAST YEAR?Yes ftery If Yes, Previous address of mobile. If No, What County was Mobile assessed in last year. (`(COu- � C O(AAA-4(1 3)WHERE MOBILE HOME IS TO BE LOCATED: (A)WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes No (B)IF LOCATED IN MOBILE HOME PARK: NAME & ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBILE HAM nAmi PARK: rr NAME OF LAND OWNER: "� 6L&L - l< l LOCATION ADDRESS l G C ,e.L Raee REAL PROPERTY PARCEL #/DESCRIPTION L9 lO h 1 Signature of applicant THANK YOU FOR YOUR HELP! SS-Q �� JO COSSELL, Property Technician • • I ki 1.4 iri. Ii _....., C ....... I •c.::. ,-- 2 (..., . .....), z---- t,---r. r , , --) ...:: ---.-- ----.... •••=._ C.: C..--.) C-= L.I... 0 :1 LL4 ......""3 1 c....• _......... iieI • (c, JEFFERSON C UNTY tiDEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax ,/SN�-cps www.co.jefferson.wa.us/commdevelopment r Master Permit Application { V�}MLA: OR- 4 .5 Projec in ude escri tion( se ar sheets as necessary): L I*f[sru h E H`L tY t I I] Tax Parcel / I - � Property Number: (nQ/ Di/ 0 � Size: _S, a /C (cs (acres/square feet) Site Address and/or Directions to Property: I o17 ehsr l_,0 0 j Cif]mfCu hi w6g E , �� Property Owner(s)of Record: Zce7i Lie j ertee--1 i Telephone: . `j6p 0 - 7'74 -il �D . Fax: b 4 a?t 6 e- e iL __r ° I' f, (� Mailing Address: )0(I £A,�'7-/Lz kd - cw f/?)f�C UIy)i (jr/i9- v(Fc. p'� i Applicant/Agent(if different from owner): - -7„'_-1 Telephone: 3/0- 7,�Q2-DD¢c Fax{ /9 -,3 rfC/-ei-a,!��`? email: r4irra„ 4a...)IY1$/1,G� L.f7 Mailing Address: �(�r/_�r�SF) �D , wa e&2' What kind of Permit?(Check each box that applies ❑Building ❑Variance(Minor, Major or Reasonable Economic Use) EI Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** ❑Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** Commercial* ❑ Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry ❑ Long Plat** 0 Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetation Request *May require a Pre—Application Conference **Requires a Pre-Application Conference Piease 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 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 be assumed unless the applicant informs the County in writing at the time of the appli tion that hQ or she ants prior notice. ,' L L `_ Signature: �� f S 2L w1 0,the,rVi� Date: 1,, ,%/P(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-trans rable esp sibility forr adheringg to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 7/4� sibility - c. 15 3- e_ CO•i-CL(,�'1 ) 9 i411 r ./ Date: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assumin the responsibility of the General Contractor for the proposed project. Signature: `1/�Date: a7.e GENERAL CONTRACTOR/,, JOR MANUFACTURED/ HOME INSTALLER: PHONE: FAX: g Ede M l/A4W-- j i &o �/,1.422 .— ( ) ( ) MAILIN�DDRESS: �" EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Fame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ,t ' New -Br Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: � Height: vindividual System Repair 0 Masonry SEP Permit# Water Supply: ❑ Demolition ❑ Other:_ Bedrooms: pp Y: Existing: Setback: VPrivate well 0 Two Party Typ of Heat: Proposed: 0 Public Lt-- , Total: --s 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: 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. Square Footage Current Proposed For Office Use Only - .Amount . Revision,,444 ;.' , Main Floor Heated EH Bld App Review: 7D. Ob 2"°Floor Heated Consistency Review: ) 5 1 OD Other Heated Base fee: 1(98.00 Mezzanine Additional Section: -,____1 Heated Basement Plan Check fee: Unheated Ba(s'(m i ' . 1t:„,li \'Y 4 J[) State Surcharge fee: r Other Unheated Pot Water Review fee: Q f�,Oo Garage/Carport LuutL SUBTOTAL _l Decks EFFERSON IRO lf 11�111 1 D CO 911//RRSLApproach fee: `�.� Other ll'1 .1)(A. TOTAL: $ 5 OD Receipt Number: a ' et I3 Cash/Check Number: `'l ESTIMATED COST(REQUIRED) Date: I I f i g i g .Fair market value of all labor and materials foundation to finish Initials: - G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • JEFFERSON COUNTY d ;. DEPARTMENT OF COMMUNITY DEVELOPMENT � _ e 20P, 0, §t 621 Sheridan Street • Port Townsend • Washington 98368 C) 360/379-4450 . 360/379-4451 Fax http://www.co.jefferson.wa.us/commdE:velopment/ JEFFERSON COUNTY DCO STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# Of?)^ 4 PROJECT/APPLICANT NAME: L- 4e/l b>?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 site map. i 0 Co-n-a '.�.c.-t� cr.. . 44 F M c;�vu� ► --4-&- x Q ez..) Mon } [ ID �^�-i�.'; �„k" l t.. �.' u AA 9,A. a.,.• Existing Conditions Summary• U JJ�_ 2. Describe the existing topography. Indicate contours on the site map. fo Q kto q�rv. �, - w oLh rr Cunaa U,Q.41,61;c- c 3. Describe the existing vegetation. Indicate native vegetion area on the site map. 41)1-Alki C61410 I a Eei2v.." ) 4. Describe the existing soil, . Indicate soil type on the site ma Le- rEdit 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. APPROVED 6. Describe any excess levels of noise generated by the proposed use or activity: STORMWATER PLAN {BRA J c \o..Q, no, Q 6 ti 0A+C44AA/u/''r 11 T. - DEC 18 2008 Stormwat r 'sJi -4\ Require JEF RS C T \ DEPT.OF 'O, , I D• jv1ifNt stormwater site plan template—rev.10/1/2003 SICiNATU E: 5 • • 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. AILS/pi-4 -6D LO rl, u)za o 731.) f'.12MA/11 �s� b n'l X f OD) t t t 1 cLC.e--{:0 - 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (streams,wetlands,lakes,stgep slopes,etc.). _. )(A /idly k d', ` bt) - 9-Gt4 {J Gr UM 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. kltak YU ►/Cljt-Q.Q A"- rn4 L,LAL .-� 1/. 1 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 f "large"projects or projects that inv (v the potential for dispersion of contaminants.] eid4 11. Describe the performance goals and standards applicable to the project. 4votiV1444:A/t6,1e1 4)e (1- 0-)ti d,<,/..e,1,,y • , 12: Describe the flow control system. 11 !4 ,y jl NOV -- i; 221 JEFFEEPA CHM HD stormwater site plan template—rev.10✓1/2003 6 0 • 13. Describe the water quality system. . a, d-- -./✓L� era X /,�2 4.-0:1 14. Describe the conveyance system analysis and design. . 15. Describe the urce 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 Appendix Chapter 33 of the Unifor Building Code. R.EC lit _ , 8 17. Descriibet�h�e Qproposed /s,�urrfacing material e r� n NOVQ1� 4,, cctma LaAliscztenci_ . 18. Describe methods for restoration of the site. , a _ 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. /1/1q- 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. /09 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. =- it)0--i gi6it-LiarpigAti-)4- . V,iiree-4/141 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 1. Mark Clearing Limits. 61-444/ /VIA tali- ..1V-&1-4Li-kj., paead.iif 2. Establish Construction,Acc ss. a_Py1/ge_"1 /Lei 12,61,) //�ont Rates. [� 4. Install Sediment Controls. 5. Stabilize Soils. An-&--‘74); rhal-&-A-7 9444/4 6. Protect Slo 7. Protect Drain Inlets. --A stormwater site plan template—rev.10/1/2003 8 • l� s:�` � VED 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. N O V -- 6 Lvai` JEFFEBSII-Etr TY U�U 9. Control Pollutants. 10. Control De-Watering(the act of pumping roundwater or stormwater away from an activ constructi n site). 11.,Maintain Bestyy�� Management Practices(BMPs). /7/ 14 12. Manage the Project. . k2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential ar as, r ads). air) 124U-a b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yar s). 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template—rev.10/1/2003 9 • I b. Description of special requirements for working in or near environmentally sensitive areas. m 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. Construction Phasing. a. Construction sequence b. Construction hasing.W proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). / Provide a proposed construction dui COV- Aier) i 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 responsiblpfor the initiation of bonds and/or other financial securities. �G�IC QiI �j p 1�i12 - b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 4-0-29-7- /t t y . 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the folio t,.if abplicable.` 4 - a. Sediment Ponds/Traps. b. Diversions. ./ N 2t10 c. Waterways. d. Runoff/Stormwater Detention Calculations cr;P ;1 1 1P1 \r BCD stormwater site plan template—rev.10/1/2003 10 • • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. 4//,rne (LANDOWNER OR ALIT RIZED REPRESENTATIVE SI A i RE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: RiE .,E I \`I TN D NOV - 82 (l JEFFERSON Cain RN stormwater site plan template—rev.10/1/2003 12 �-� 4+ 4 t o,f t�¢� Yen ;,''%:;‘,:,',.. . •r4)1 I / \ \ _ \ <9 • t�d�1 '� � ' a : M Z 25, I yr � Y4r� Ac 'a( — \ I �''.' 2' S? g I 7.,____ "0/•.) / %), X i \ . 'dat ,• o N, A Q2 - 't . , 4.., 1 t § ' '°°_) ^' I / 1 � � I,, 1 � r p r Willtifil i s4 , il . i . , ,.. r...., I ' klefr i ,L. 1• Mkt:: q4jjj ,//'$ ,„, lik_ _....,... c, c.... rri • 4, 1, 0 '_i •al l f - :.. „„ O�„ 6fr0, c ii,,, ,- • 1 ---, \ , a it. 0., , utt : -. . . . . , 4, c, i ° alp. 6. i!, •N) i I n allimiL .. . . _ — n 324't _. 4 , /L . , 1 ! : , . . gi A 03 II . \ • __ !; 41+ 0 I : . _. 7------__ _ 4 I /1— -- H ' / S6� •• •- o •• • • o cD tee, ,,. i C .t ••::- -- - . 7, L . . —' '� czi o •'00•• 6g••• n ' p. �;� I \ •-< N �0., \ . 0 1. m?C I \ 2 ).I; ` 1 A , \ NO N 1 J • I y Z v f Ti • , t.--4 7. 6.6. ---- rtA % C, ' ;'•- \ . i ) , V I nil E A �, "RECORD DRAWING"WING" z 2 o i TAX PARCEL # 801-031-012 SOILS APPLICATION, INC. o � N a, t 863 CARLSBORG ROAD, SUITE A, 5 PRESSURIZED SYSTEM FOR SEQUIM, WA 98382 03 LECHTENBERG PH (360) 683-6300 FAX (360) 683 5652