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HomeMy WebLinkAboutBLD2008-00488F • ' . 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 #: BLD08-00488 SITE ADDRESS: 32 BALSA WAY Issue Date: 12/30/2008 PORT TOWNSEND, 98368 Final Date: 8/11/2009 APPLICANT: RICHARD A STAPF JR PHONE: 360-379-5355 BEVERLY A STAPF 211 S JACOB MILLER RD PORT TOWNSEND WA 983688830 SUBDIVISION: EISENBEIS BAY VIEW Block: 30 Lot: D1 PARCEL NUMBER: 948603005 Section: 16 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NEW SFR 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 s no ' THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 8/11/2009 I:\F_BLD_Occupancy.rpt 10/29/19 S UILDING PERMIT APPLICA•N Review 00471 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00488 Received Date: 11/20/2008 SITE ADDRESS: BALSA WAY PORT TOWNSEND, 98368 OWNER: RICHARD A STAPF JR PHONE: 360-379-5355 BEVERLY A STAPF 211 S JACOB MILLER RD PORT TOWNSEND WA 983688830 EISENBEIS BAY VIEW SUBDIVISION: Block: Lot: PARCEL NUMBER: 948603005 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: STAPF CONSTRUCTION PHONE: (360)385-3199 2727 HASTINGS AVE PORT TOWNSEND WA 98368 Contractor's License STAPFC*249J8 Expires 4/25/2009 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI` NEW SFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,689 VALUATION 184,236.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 0 SHORELINE: CONST TYPE: GARAGE: 576 SETBACK: DECK: 236 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CITY BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,469.75 AMS 11/20/08 102978 APPR®V E[) Plan Check $955.34 AMS 11/20/08 102978 State Building Code $4.50 AMS 11/20/08 102978 DEC 2008 Potable Water Application $59.00 AMS 11/20/08 102978 Jefferson County Plannint Total: $2,488.59 & Building Benartmen+ ii 1 Jefferson County Building ision Permit Nu1r: BLD08-00488 Applicant: STAPF JR 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 �/ I Minimum setback from Balsa Way right-of-way shall be 18 feet. i-tS"0c1 / }.f '`' Minimum side and rear yard setbacks shall be 5 feet. Erosion Control SEE CONDITION 2 FOR CONSTRUCTION ENTRANCE STABILIZATION. Foundation Footing ;_ .- `?t1 Footing Drains Foundation Stem Wall 1_ cs _0C1 Underground Plumbing v Under Floor Framing , OM'- D 4) Straps(hold downs) �' Ext. Shear Wall Nailing ,21140v Rough-in Plumbing (64 Framing 2- I o4 21.....-- Airseal 11-71t? Insulation: Walls 6 '\ Insulation: Floors Insulation: Ceiling tt\CI ,/ i Int. Shear Wall Nailing 327-]t)� Wallboard Nailing J..z` /D1 9",_— _ Gas Line: Interior :l / Gas Line: Exterior 4 titi 0C1 Propane Tank Obi Heat/Chimney Clearance 4,1Drywell/Alt Drainage ,7). Zi vq SEE CONDITION 1 FOR TRENCH DETAILS. Address Posted tI oci FINAL INSPECTION c1 / !7 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD08-00488 1.) THE FOLLOWING MINIMUM LENGTHS (LINEAR FEET) PER 1,000 SQUARE FEET OF ROOF AREA BASED ON SOIL TYPE MAY BE USED FOR SIZING DOWNSPOUT INFILTRATION TRENCHES: COARSE SANDS AND COBBLES 20 LF MEDIUM SAND 30 LF FINE SAND, LOAMY SAND 75 LF SANDY LOAM 125 LF LOAM 190 LF MAXIMUM LENGTH OF TRENCH MUST NOT EXCEED 100 FEET FROM THE INLET SUMP. MINIMUM SPACING BETWEEN TRENCH CENTERLINES MUST BE 6 FEET. FILTER FABRIC MUST BE PLACED OVER THE DRAIN ROCK PRIOR TO BACKFILLING. A VEGETATED FLOWPATH OF AT LEAST 25 FEET IN LENGTH MUST BE MAINTAINED BETWEEN THE OUTLET OF THE TRENCH AND ANY PROPERTY LINE, STRUCTURE, STREAM,WETLAND, OR IMPERVIOUS SURFACE. A SETBACK OF AT LEAST 5 FEET SHOULD BE MAINTAINED BETWEEN ANY EDGE OF THE TRENCH AND ANY STRUCTURE OR PROPERTY LINE. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. 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.) PRIOR TO OCCUPANCY & BUILDING FINAL - FINAL APPROVAL OF SEPTIC SEP07-73 IS REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT. 4.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF SEPTIC TANK COMPONENT. 5.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 6.) Critical Aquifer Recharge Areasy require special protection measures to rate 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. 7.) 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) 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. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) The building height is not to exceed 35 feet. 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. 14.) 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. 15.) Minimum setback from Balsa Way right-of-way shall be 18 feet. Minimum side and rear yard setbacks shall be 5 feet. ON R }lI'�._ L J!\r E D �4,g's cOO. JEFFERSO4OUNTY W k ' `; DEPARTMENT OF COMMUNITY DEVELOPMENT al ti " '4 621 Sheridan Street • Port Townsend •Washington 98368 NOV 2 O ZOI� 360/379-4450 •• 360/379-4451 Fax (� COUNTY-4:4 0'� www.co.jefferson.wa.us/commdevelopment Jf FFCRSON COtt1111 DCD Master Permit Application MLA: 046 (n. 1 Project Description(include separate sheets as necessary): NEvJ lr'*LF_ FAMIc.Y (ZESIDE4C - Tax Parcel Number: 9 4 g (003 0o 5 Property Size: 1 51 00 Z (acres6quare fe y Site Address and/or Directions to Property: )(X X BALSA vJAY PORT 'ChwNsE.r.►a t , Jb . 98 Ge, Property Owner(s)of Record: R I GN AR-D BEVERI.Y S'TAPF Telephone: (3(.,/3) 379- 5355 Fax: SacmE email: S L f eed.coM Mailing Address: Zil S. SAGog MILl.C2 R.b, POKr TDWNSF-/JD I WA• CI83b3 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies Building 0 Critical Areas Stewardship Plan Demolition Permit ' 0 Variance(Minor, Major or Reasonable Economic Use) Single Family I,R,Garag( Attache DDetached 0 Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home ❑ Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry ❑ Binding Site Plan** ❑ Propane 0 Long Plat** El Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑ Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provid- a =.s and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any requir-d later nspection . S affs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicati•'••_ e •r s •nts,•nor notice. Signature: '.e1�L (�►A.- Date: 11/2d /0 S The action or actions Applicant will und-rtake 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 wi not iolate 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• corn liance h e Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable r po ' 'lity and complying with the ESA. The Applicant has read this disclaim an ips and dates it below. Signature: Date: �/ ZG U s G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 0 BUILDER STATEMENT 110 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: STA PF ConlsTRuc.Tlon) (360) 365 - 31gq (3(:>0) 38s-67Z1 MAILING ADDRESS: 27 2--7 +{Als-n ,s 'We P.r_ 9834,8 EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: S""rtit PFC EVE Z 4 9 J$ NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New X Wood Existing: ❑ Sewer 11 Addition ❑ Steel Proposed: Z Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: Z. Height: K Individual System 1.1 Repair ❑ Masonry SEP Permit# CTl—00073 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 3 jgr.Public e 1 QC4 c% C Total: 3 Name of System: C 1TH OF ?0RT To'JNSrj.1D 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 Main Floor Heated EH Bld App Review: a 0 IbS9_ 1�j,g,is 11 O 2f°Floor Heated Consistency Review: 1 51 ('') Other Heated Base fee: IU C _ Mezzanine Additional Section: 1 Heated Basement Plan Check fee: q 5S, 3 t Unheated Basement State Surcharge fee: l 01 Other Unheated Pot Water Review fee: CI 5 o0) Garage arport }� SUBTOTAL .��5 , 1 57gv 1H,Co"l�► .• p6 Decks ��3Q 911/Rd Approach fee: 1 5� Other c1 ' TOTAL: $ 7 5 CovERe,� PpR�I# 15G 3a1� .�$ aq o q Receipt Number: 't©a.C`lj ,-----+ h/Check Number: �1 e 4'a35 C� `Z l "l ESTIMATED COST(REQUIRED) ate: t t/�©2On •Fair market value of all labor and materials foundation to finish 31 1_16l 10 5. 00 Initials: (/> G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc . 3 • i {Ilk JEFFERSON COUNTY 4 DEPARTMENT OF COMMUNITY DEVELOPMENT _ iii -,,_ 621 Sheridan Street • Port Townsend • Washington 98368 .qs G�O� 360/379-4450 • 360/379-4451 Fax iIN http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# CRY- PROJECT/APPLICANT NAME: gc4,442.4) ST 1-Pf ., . 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. NEW COm57gv 11► J OF A 1(0ic9 50 , Pr S.F. e. oro A- 15i60Z Q PT PAfz-r1A-LL'1 CLF-A--F-D BLD&-. Lor ACLE55€.4D $y DR IJEwky ,OFF Pal✓#1I Ron. - BALSA rvk41 Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. rgOrn 504n4 BotkwoMw C 34I.SA wA-1) LOT- 15 fi*r fie. la ' -r ,J Sc-oPg.5 lb `11& IJo rZ f M°g,,x 1st 1..A-Ic 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. Lor 15 MO -rt' GL O w ir-1 1 1e A-1 41 'TizF.' 5 4. Describe the existing soils. Indicate soil type on the site map. I Fun R- 7 LoT I i!,..k.,D4 LrOAw‘ I L'RMI M1X 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. Kb Thni Dtl,1 IIMER- , &10p DR n,JAlps IQ TH15 F._,,►-nlei Agrzit of NFv/ OCAF6-oPeliTiAlr APPROVED 6. Describe any excess levels of noise generated by the proposed use or activity: STORM WATER PLAN RPi',,ktrE fI AnfTlt.iP1afFl) Ff�oM 5,r,g . Ube 2 9 2008 0 yStomiw. ,y I' 0 Re uir� 1���� •� 1EFF ' i �U q DEPT.OFCI ' �D_, M T �r' SIG.ATUR l�r AI/�_.r,- e stormwater site pit lt'/nbl'Rely Mr OCR • , 5 • • i 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slo es,etc.)on the site. Indicate location on the site map. N�A- 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.). 7N15 4L1E L5 /4/ ►4'/ A16A- of AJEH! RESIDFrnmAI DEA)6LoPEAevr SK 11-) -6i4 OF 1-$5 A RKA Mx Be_ N 9 S.C.t _ 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. ALL _vv siz- WILL gg- c-olon41aK.1) 4 IALO DISktsi rre r6DF f17i t M r T t_ l.(1tk € A he"OLL€P "Tilicou&14- COAJn xik ou 5 (utrra-5 i T1(3t41Lt&tea To (I) I•1F1LTI noiJ ?P. cry 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.] kilik- 11. Describe the performance goals and standards applicable to the project. -1115 5/rS 'IA'S 6r-zr,4 ari . /Jo tJ CA) L k-t„ - Tb ►ALc. P I- 12. Describe the flow control system. t . N1A • storm atet'site plan.template—rev.10121/2008 6 i • • 13. Describe the water quality system. MIK 14. Describe the conveyance system analysis and design. D00.1$1.1SPotti-r5 ou_ 6E -ne,44-n_wiD fit✓ rnJ 'r126 4 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. pF1Lt__. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 010t VF...,4rl*A, /Y — 8a SM,r 6rRkDf..D �D EtzD A-n DA) W ILL } GorAtt-A SA,I (/t UDi- 5L 0 17. Describe the proposed surfacing material. 3�y't — gaSAti-r D e-i vrziAmAi S(�2 1 e ' ,. �DPSDIL AcS t7t� pow D� c1� p AauJ 51724a Uit 18. Describe methods for restoration of the site. -To P Co r1-r M7N- 3/'i" — 6.,„41 `►/to-k15 041010,J r A —foe Sall, vt5 Ptntte IQ 011.4.0 19- oi0 NNAJ l-IpvtL $thA/D W 14 ill+ FY LSTh.1 V I►!rt'f1tiQ/rl VEtelifficriJ 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. CIA 20. List here and include any special repo s 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. —PTt 1 F t-r MD A-PPe0,41.44 J! stomIlrrFFr4�'l'r'bj 7 iF�it 'pl�bh{nFIfP�l �118 • • 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 Volume II Section 3.2.3 of the Manual (beginning on page 3-7). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. i lh S S t ISLRfzA 04 �AP�z D 2. Establish Construction Access. ALKJ A-N EXt5T5 3. Control Flow Rates. I►MPes-VIok) Stt,eFiti'14S ) '1D I^1FiL A-rib") 1 jcA- 4. Install Sediment Controls. Ncr 5. Stabilize Soils. f`Ur hi F, ED 6. Protect Slopes. NI? SLuPc:5 7. Protect Drain Inlets. No DP-.Ai J N Lt r stormwater site plan template—rev.10/21/2008 8 • S 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. N/A 9. Control Pollutants. NiA 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). A0} 11. Maintain Best Management Practices (BMPs). EAtc4- Sufi-6ov7gat,rUlt- -n ( C�:t Ns - -tDA)C oa) — 5ir>i qtkuttbiLAAc £v612A2 (vAirfMop,L -r Pecs G r Ar ALL -1-7wizS 12. Manage the Project. Off Al Y (. Aian cavneAr 1y wick gc, 1914,5 r Ai- AL 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). TFh 5 ARj, ( A NON - BuIt_r -our $,O A-L OEvELoP&c✓r _ A No <srP-1i 5 r 1 Ki 5 DrL vt/FLaZ 44v15 17MM7- MIA__ BE Oi STIAR.6E0 b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). NO ,DomustR .044 Wr77 ) god Medi 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on o'adjacent to the site. ;aw ire, W+ 'I'd 44i stormwater site plan template—.rev,10/21/2008 9 • • • b. Description of special r quirements for working in or near environmentally sensitive areas. A/4 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).s rn No Pa7 7AZ fZ05/0A1 Aeoik.veS 5. Construction Phasing. a. Construction sequence �LD ettApOrrI ---7 G/,✓/SEf y /hO4/11i b. Construction phasing(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. SS7 1 P l hJ II. Wet Season Construction Activities. a. Proposed wet season construction activities. rYC,41/41709 1 FtDk uOnno't) , fa-iwm ), b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the of bonds and/or other financial securities. ,E/� b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calc lations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. N b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations to stormwater site plan template—rev.10/21/2008 • • • SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan,a stormwater site plan,and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. a. Vicinity Map b. Jefferson County Approval Block c. Erosion and Sediment Control Notes 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation(e.g.,tree lines, pasture areas, etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales, interceptor trenches,or ditches. b. Show all temporary and permanent drainage pipes,ditches, or cut-off trenches required for erosion&sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades, dimensions, and direction of flow in all ditches, swales,culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s), pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth, length, and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe,and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s), if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g., concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the cons{ ti+ ,e,k iarppl s should be located upstream and downstream of the project site. NOV 2O �k stormwater site plan tell y OrtaNff BCD 0 • . Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the be •f my knowledge. 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