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Home My WebLink AboutBLD2009-00006 lIC MLA09-00005UILDING PERMIT APPLIC .ON Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00006 Received Date: 1/8/2009 SITE ADDRESS: 429 WINDRIDGE RD CHIMACUM, 98325 OWNER: KEVEN ELLIFF PHONE: (360) 821-9414 SUZANNE E GUILLIAMS 2282 HENDRICKS ST PORT TOWNSEND WA 98368-7039 SHERWOOD FOREST LARGE LOT SUBDIVISION: Block: Lot: J PARCEL NUMBER: 901275009 Section: 27 Township: 29 N Range: 01 W CONTRACTOR: VAN BEUZEKOM CONSTRUCTION PHONE: (360) 821-9285 161 CENTER RD CHIMACUM WA 98625 Contractor's License VANBEBC964QS Expires 11/10/2010 REPRESENTATIVE: ERIK VAN BEUZEKOM PHONE: (360) 821-9285 161 CENTER RD CHIMACUM WA 98325 PROJECT DESCRIPTION NEW SFR ALSO A/G 80 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,522 VALUATION 160,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 230 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: • Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: 1 i3t09 K Type Amount Paid Bv: Date: Receipt: APPriC5VeED Total: APR a 2009 Jefferson County Planning &Building Department Jefferson County Building •sion Permit NuS;: BLD09-00006 Applicant: ELLIFF BUILDING PERMIT INSPECTION APPROVALS applicable Code' 2006 International Building 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 Minimum setback from Windridge Road right-of-way shall be 2, Minimum side yard setbacks shall be 5 feet. Minimum south pry setback shall be 45 feet to the adjacent commercial forest lands. Erosion Control 1 ‘tD(,' ' SEE CONDITION 2 FOR CONST. ENT. STABILIZATION Foundation Footing j O ( Footing Drains Foundation Stem Wall Underground Plumbing ;4 (oq ,2 Under Floor Framing TrtVS �'SI�`[ Straps(hold downs) t 7 / O7 91-- Ext. Shear Wall Nailing [ Rough-in Plumbing Framing /Z� Blocking 7-1 J c Airseal 7`r; O' Fl; Insulation:Walls Insulation: Floors Ott Insulation: Ceiling _fD �'� Int. Shear Wall Nailing I `e , Wallboard Nailing C Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITION I FOR DRY WELLS Address Posted 11' FINAL INSPECTION '�1-\ 8A C 8(f 'ttt FINAL INSPECTIOt/MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 11. BUILDING PERMIT • :i.. Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD09-00006 Received Date: 1/8/2009 SITE ADDRESS: 429 WINDRIDGE RD Issue Date 4/2/2009 CHIMACUM, 98325 Expiration Date 4/2/2010 OWNER: KEVEN ELLIFF PHONE: (360) 821-9414 SUZANNE E GUILLIAMS 2282 HENDRICKS ST PORT TOWNSEND WA 98368-7039 SHERWOOD FOREST LARGE LOT SUBDIVISION: Block: Lot: J PARCEL NUMBER: 901275009 Section: 27 Township: 29 N Range: 01 W CONTRACTOR: VAN BEUZEKOM CONSTRUCTION PHONE: (360) 821-9285 161 CENTER RD CHIMACUM WA 98625 Contractor's License VANBEBC964QS Expires 11/10/2010 PROJECT DESCRIPTION: NEW SFR ALSO A/G 80 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 160,000.00 MAIN: 1,522 CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE OCCUPANCY: R_3 HEAT BASE: HEAT TYPE PRO OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: SHORELINE: DECK: 230 SETBACK: SEWAGE DISPOSAL: ALT BANK HEIGHT: WATER SYSTEM: 2WELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,329.75 KAS 01/08/09 103047 Exist: Exist: Plan Check $864.65 KAS 01/08/09 103047 Prop: 2 Prop: 2 State Building Code $4.50 KAS 01/08/09 103047 Total: 2 Total: 2 Potable Water Application Pp $62.00 KAS 01/08/09 103047 Total: $2,260.90 Directions to Site: SEE MAP QUEST MAP AND DIRECTIONS IN FILE HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPEC THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY - SEE ATTATCHED •CONDITIONS for Building Permit# :BLD09-00006 1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA. FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD. DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS. TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM)AND HAVE A DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. 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.) Ensure new water line is installed a minimum of 10' from any portion of the existing primary or reserve septic system on the adjoining parcel and on this parcel. 4.) 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 standa'ds as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 5.) A Stormwater Site Plan has beeibibmitted and approved by the Department Community Development. Once the subject permit has been issued the applic nt 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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. 8.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Minimum setback from Windridge Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum south property setback shall be 45 feet to the adjacent commercial forest lands. 12.) 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. 13.) 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. 40 • , f. r-77 , , -. -,- . ,. rolic 06, JEFFERSON t,OUNTY ' \q r3 DEPARTMENT OF COMMUNITY DEVELOPMENT v o. ''4 621 Sheridan Street • Port Townsend •Washington 98368 J'�'f 8 Lcrq 360/379-4450 • 4 451 `•� Gnu( oco �qs �p� www.co.jefferson.wa.us/360/379-commdevFaxelopment • "v r ►l,�i , 4IIN Master Permit Application MLA: Oct-5 Project Description(incle separate sheets as necessary): d0.� Tax Parcel Number: V° I 2-9S O( Property Size: £ 35 (acres/square feet) Site Address and/or Directions to Property: 'I IiiiwVid0 e i i/ Iwocam, wA /83 )S Property Owner(s)of Record: gill°/) E// - /' 5a mi t%',/l►A41'JS Telephone: 360 IZ I ejq/11 Fax: j si email: Mailing Address: //ia map/d 44 . (/v[ r1 S 4fr, r 1414 Cld 36e Applicant/Agent(if different from owner): ,YI L V -t&. 10 e ote.. Telephone: a V-z-I- c- Fax: email: Mailing Address: I(e, I C -Tdi C14,0 ?C-U''"- "� What kind of Permit?(Check each box that applies X3uilding ❑ Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) ,"Single Family 0 Garage Attached/Detached ❑ Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home 0 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 ❑ Short Plat** ❑ Home Business ❑ Cottage Industry 0 Binding Site Plan** Propane ❑ Long Plat** Sign 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** 0 Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 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: / LDESIGNATION OF AGENT I hereby designate '(,4 114 1/41'i Jet to/y, to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE e ��;: Date: I(7/09 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 application t h r she wants prior notice. �j Signature: • Date:.__/ ['0? 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-transfer ,yes sibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 7_:(-) Date: l— —Co G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.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 assuming the sponsibility of the General Contractor for the proposed project. Signature: c":2,7 - Date: / CS y GENERP�L CONTRA TOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: r1e.- ?,v‘. ai,C)) 6Zt`jzIS ( ) MAILING ADDRESS: 161 �44 EMAIL: CONTRACTOR'S LICENSE 6 (� WAINS NUMBER: V 1 E ' NUMBER ARCHITECT/ENGINEER: ••PP�� PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New ,A Wood Existing: Cl Sewer O Addition ❑ Steel Proposed: Bank ,1 Community System O Alteration/Remodel ❑ Concrete Total: L Height: N Individual System ❑ Repair ❑ Masonry SEP Permit# O Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well X Two Party Type of Heat: Proposed: �- 0 Public e-4 el ,ry Total: y Name of System: If this is a Commercial Proiectyouu must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(indudes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Ta!3 and/or Appliance Installation permit,mark all items below that apply: I yriderground Tank Ni Above ground Tank Size of Propane Tank: 60 ('�' t/Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank i Pelletstove 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 l 014O1 f,EH Bld App Review: , 3 00 2nd Floor Heated Consistency Review: f I 5.00 Other Heated Base fee: l 3 a 9, 15 T� Y' l '' ' Additional Section: Mezzanine r _ Heated Basement Plan Check fee: -. Unheated Basement ,?`-.N 0 8 State Surcharge fee: 4.5o Other Unheated . Rot Water Review fee: `CO` Garage/Carport SUBTOTAL Decks i f ) 3SAD. 911/Rd Approach fee: Other it`,- ab36 40 TOTAL: $ a5 GD Receipt Number: 1 051 Cash/Check Number: ESTIMATED COS QUIRED) 1 VI a,7 a I Date: I i 8 /6 •Fair market e of all labor an foundation toYlnislr &t q j Ova Initials: G G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • R ECEI\�E j) g1:?..5. C eri, JEFFERSON COUNTY :TAN0 8 222r1 ,DEPARTMENT OF COMMUNITY DEVELOPMENT __..�� 621 Sheridan Street •• Port Townsend ••Washington 98368 JEFFERSON COUNTY �CU �'�.. 360/379-4450 • 360/379-4451 Fax SIN http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# Cq—3 PROJECT/APPLICANT NAME: PAT((4 Eii4 c 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. o �C'ON S4-(� -- "P (S.-Z 1 4i p j i - J 13 R.er3 • r� K. a '' cc Existing Conditions Summary j 2. Describe the existing topography. Indicate contoursoi on the site ap. _ VV'el k itUf ' c� Gled, -o I -apt- +Le- 4 p C.i- 'a Wl C__ t. itvve st _ i lei al u rr L 45 c c�r" `-.-� %- +rees out. ` pveloe.-n . 3. Describe existing vegetation. Indicate native vegetation areas on the site map. r AO 3-y -s 03t3, ieay- po LO 1 p - 1S- Zv pock ;-1 d' caw-- yw v• s�3t�'�, - s �fViN?t15 co �s z 04ter YA 4. Describe the existing soils.lndicate soil type on the site map. -Ile- 631I+'S 5 -�-& feir AR_ . NI) ctzsl 1115 ✓r.-ya.' 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. 1 -M.i (VD pe 4i4-s)- o4-- 4p bi- Liu t . .• 1O APPROVED 6. Describe any excess levels of noise generated by the proposed use or ac ivit : STORM WATER PLAN male (ort6✓oc,A-i'(N k)zits MAR 1 1 2009 Stormwat-r : le 14 JEFFERSOiUN Re uir- • q 41, �- � -j DEPT.OF r� �L•V . b• ENT SIGNATUR,.• Mil 1_ I L �.4"' i stormwater site plan template—rev.10/21/2008 i 5 • • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes, eta)on the site. Indicate location on the site rnap,. A- p.m I pi P s I ►ee- ts . 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.). pvp d s �A c -- 04— l- v got . pit OA_ gp''`i'e,', 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 plarl,and differentiate proposed facilitieA from existing facilities. et c yvd&-- w i, I I I 4 'f�>+S c.�� I2- lay__ 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 thatryt t involve the p o am ential for dis ersio of cinants.] ' 11. Describe the performance goals and standards applicable to the project. fa_ s,i;6Vt ' I ik - GA2-- -' li asp -Joe . -- �- 1G� CrfeuEit q P Ce-S 't�,1i 77,�i � '� 12. Describe the flow control sy tem. E,t;{1t VLO e`� 't_lVt i41 3 0 9 lurf ^5 •' 1 stormwater site plan terftplate—rev.16/21/2008 6 • • 13. Describe the water qu{allity system. Y { • --3 -,....k vof- Pe- ) st,i -efea-shri--) 14. Describe the conveyance system analysis and design pip pr iA fIsvrlspcy-� 4 -- sc, . of B a,-/ 1 1 k, fi 414 u t a•i. C 6a siet..5 15. Describe the source of fill material, physical characteristics of fill material, and deposition of pixcess mat vial. (AK- rc , v\aF �( . (nit_ c,J1`A o f tAt a excess 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building� Code. �,r��'�. � 1-1�� ,•��1-�— ��y +�"''rrtivs eas�aE� I r�la�.� b� �-d�� c�N.e- 1 J i _)� f n -f 04 1✓l �OS 5 ai'. \ 0{!'�-(lr''—' SL ! e-o At�9 cJL� CA)/ 0' t N b Cd:44 17. Describe the proposed surfacing material. s- -k X or-- .. Cc r A C4,44w * 18. Describe methods for restoration of the site. yv►e a1/0'-1 —/. i.Jf,1 — d-e._ ovl.14 iv s/ik- it cLr Ail 644 u ,-fir ei/•. w„; 0 ck f ps / ° tv 4. •.r-1 Parv1 vsts w,i)c.. pIIk-5 a 14 ai-d- i '1ot c.,. 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. ri - A. .1\ d C iE,li �`Y l D 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. rb +r< goo ` i� f� 'j �9 11 :�r;fl fr g .C�i:,:� rrrrnr?".l r{{�; „,,i.v f 21. List other necessary permits and approvals as required by other regulatory agencies. If those ri19t 'or`� fr't5Wrs 1nbtae conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here./ r A1 ' ,111- stormwater site plan template-rev.10/21/2008 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 Volume II Section 3.2.3 of the Manual (beginning on page 3-7). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. Na ctrefen . - 2. Establish Construction Access. • `Aire-7e--t • a re.-44Y-a-\ LA3 I ik be_ eA-1,-,..„,e4 3. Control Flow Gk s. p3 G�� t L�i`42-s a- k A_ "� s,jam-- 41.a 4) 4. Install Sediment Controls. g�r1. comas ki)wk 644.1) curl •+ l 13-Ae 5. Stabilize Soils. Wt._ LA)r�� u (WOs a �r411"k c!- ' 41.3 REC1�i�� h ) 6. Pro*Slopes. ;j '� tA_ pcOtc*J-) I .,,,„ v LliY� 6�.�i1 Lij1I 7. Protect Drain Inlets. 60 " c.J i 5 10%iI ! JV p1 � � w 1.11 b�c_ cE-0 i b�+ stonnwater site plan template—rev.10/21/2008 8 • • RECEliVED 12 Required Elements—Construction SWPPP(continued) 8. St bilize Channels and Outlets. }x.=r t• rt,•: �, N.A-. silk �=` ® �U=ii.7 J[FFEii E; CH O' 02 9. Control Pollutants. 10. Control De-Watering(the act of pumping groundwater or stormwater awayfrom an active nstruction st . YtL-ce 3 'l r�..u� — oi 1�t vr+ ;✓ 11. Maintain Best } , Management Practi s(BMP F1 gibs kapd it 46a_ 4o QfriPS o 12. Manage the Project 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). P rn 50— = Grist— I b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum/distance of 400 yards). EJvI c'f�✓i e dk(� —jav--, -- I� . chi J i eta- sa 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that e on or adjacent to the site. 10 0 ei1V in) stormwater site plan template—rev.10/21/2008 9 • b. Description of special requirements for working in or near environmentally sensitive areas. M ; 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). 00Nr- i✓ 5. Construction Phasing. a. Construction sequence 4-autAikowyk. pw, Jr) CPA, .51,t 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 coristruc ion chedule. / �� - %.� } p�f ,M1 6 �j-ram. 1 � , Jd �`� f�-v Di � �' � II. Wet Season Construction Activities. a. Proposed wet construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property own r responsib a for the initiation of bonds and/or other financial eG TT; if b. Describe bonds and/or other evidence of financial responsibility for liability associated with e n giihhentation impacts. � � ` ry �..{ �` it Li 1 ��i�.r r �V ui11 �� 1f 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. ( Waterways. pt- c. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/21/2008 10 I • 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. (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: R ECEWED ,J ��Ir�n N 0 8 LU'v.:i JEFEEPO COUNTY DCD stormwater site plan template-rev.10/21/2008 12 R SIN R C m Irn O W= . 0 141A 5 I— _ x ' 8 S '-'. 1 --1 1 2 t ec .'.!. iloolp L e.). . z ri., I, . . \ 6' 1-�-1 0 17, ® m ii `h � •l,.. my^ ap � .i 7➢E _D C D+ +Q"1 I m R b ~ • b A €� fl $R rn 7a e I. .r. V' C • Ty', '.)jib" I 1y.LiTl 3i10 y -.I3 1'__' L.I" 3'0" 3i0q fliViiIY 2. " 2!bU12!Iv -11I°isr .}I� yy 34. 1^ III I = 3pg0 I ,0 I�iI .. N r 1III .,'a ii i "�IIIII II r t, , J o� I ! 6 - �=j 'i i ,!I I !, ,I I4r 1 '� t � Ili I T��'1 .. . iiii,1 i I , er p p-; ;',I IIIII i1. 4 I Q 4,1 Q— r+ IOIIIi! 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