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Home My WebLink AboutBLD2009-00011 *BUILDING PERMIT APPLICNON MRLA09-0Type: I 0014 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00011 Received Date: 1/20/2009 SITE ADDRESS: 105 BURNT TREE LN QUILCENE, 98376 r,\� OWNER: TSUNG I KUO {�, PHONE: 425-898-0732 MISTY A KUO 2-c)(0-'153— 3cwty L 8420 208TH AVE NE REDMOND WA 980537508 • c2�, {SS'• FL(ti SUBDIVISION: Block: Lot: T 43+ PARCEL NUMBER: 501032020 Section: 3 Township: 25 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: JIM JOHNSON PHONE: 360-981-6067 18034 CLEAR CREEK RD POULSBO WA 98370 PROJECT DESCRIPTIOr NEW PLAYHOUSE & STORAGE BLDG -UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 31,334.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 448 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop °- Total: 0 Total: 0 RLv — Typeuting Date: --------------__....____ Amount-PaidBv: ate :- Receipt: Approved/Date Permit $461.95 LYK 01/20/09 105246 APPROVED Plan Check $300.27 LYK 01/20/09 105246 State Building Code $4.50 LYK 01/20/09 105246 MAR 30 zoos Total: $766.72 Jefferson County Planning & Building Department Jefferson County Building •ision Permit Neer: BLD09-00011 Applicant: KUO BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Coc 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 Setbacks Minimum setback from Burnt Tree Lane right-of-way shall be 5 feet. Minimum side and rear yard setbacks shall be 5 feet. Minimum setback from "approximate shoreline" as depicted on the approved site plan dated March 5,2009 is approximately 312 feet. Erosion Control SEE CONDITION 2 FOR CONST. ENT. STABILIZATION Foundation Footing n Under Floor Framing Ext. Shear Wall Nailing `—. Framing Int. Shear Wall Nailing i Drywell/Alt Drainage ' { SEE CONDITION I FOR SPLASH BLOCK CRITERIA. FOOT VEGETATIVE FLOW PATH NEEDS 50 (7--- FINAL INSPECTION 1_-2_5-_10 t .......3_, I-) 0,-Ex_ RE.,,,,,,,/,, FINAL INSPECTION MUST BE APP VED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT ALID FOR ONE YEAR ilop....---- _ _ A.„4...,,3 i C � l crt tiiz .1 At.. 0 ik. 2Y2�'112 ",-.,6E. GANG-1 & bei & . C2) 2-Mo Wt.l k. a1 c. 'i (' t- cLik,A- 2- 0 ►7, L2, 2 ( Ve,. FK'ct.-Z (...) 14 it; q 111 U $ ck I 1 i ( , .4., .- ro -- I mot,. 7" cp .14--------=2___2s ,e ,.., �� k t tAuaus�-'( SA-EA'�'�4EV ' �;--� -tr 1 14 M c rc tx55 -. ^l 74 t: —v mStrvwAL-.Qf.t,.5 r( z fk V.4t.iRI-- -1 \ ik ir• / 1 CO vr1) Fq m VICelliiS 0 C-gcc_1ac2,ta5 0 - 1 ' . C , I r o.- "r--., - -- i P 305 c q 3` 62) tw� t� AAP _5 +e_iev. p Z r'renc.Lt Lr- ii '' C v ;,2Lk. COcc_KI., . • CONDITIONS for Building Permit# :BLD09-00011 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.) THIS BUILDING APPROVAL BY JEFFERSON COUNTY HEALTH DEPARTMENT IS FOR STORAGE, THIS STRUCTURE IS NOT FOR RESIDENTIAL USE OR HUMAN OCCUPATION. 4.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 5.) 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. 6.) 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. • 7.) A Stormwater Site Plan has been submitted and approved by the Department 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.) This parcel is within the South Coyle no shooting area per JCC 8.50. 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.) Minimum setback from Burnt Tree Lane right-of-way shall be 5 feet. Minimum side and rear yard setbacks shall be 5 feet. Minimum setback from "approximate shoreline" as depicted on the approved site plan dated March 5, 2009 is approximately 312 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.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. (-4,.:, olvCod JEFFERSOfv UNTY • ` j DEPARTMENT OF COMMUNITY DEVELOPMENT `•' ` `4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �gS, NG�p'� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: CP� V\ Project Description(include separate sheets as necessa /4, X V ict `� olki,. Ck .1fiC1/41--Qk ye, 173ui (esI p irc Tax Parcel Number: 5 61 63 aO g.-Q Property Size: 5 ac.r (acres/square'rtset) Site Address and/or Directions to Property: g3 Bvvin1 lTee_. QuukK\e i1Srf c1 n l- Property Owner(s)of Record:/ "T31,tx\pN I M S` Pr 6 Telephone: l t< b o-}3J� J Fax: email: Me(*1A0 Up CO n AtnQt Mailing Address: L �� ri ` Vt_ NE- e ( kJA- c�e c3 Applicant/Agent(if different from owner): .3. wt. S 1,t.�5C>'1/4.._ Telephone: 3 6,0 .-`i &/-(y 0 f07 Fax: , email: Mailing Address: /'O3 4( L/e,ct,r C- �njrrs `ek Vc -d St)c, 1.4J A l$3 '7C What kind of Permit?(Check each box that applies Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification 0 Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑Home Business ❑Cottage Industry 0 Binding Site Plan** ❑Propane 0 Long Plat*- 9 Slgn n Planned Rur^ R sir+ential me (PRRD)/Ame m ** ! y• ..,. .....G! ,,e,,:,.,,...:... Deve!op, ten' � o�rt : ents ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stomiwater 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 0 Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment r *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 J 1 L \wt.'S C V""— to act as my agent in matters relating to this application for permit(s). OWNER SIGNATU /�(iA 1-• k4y„---f Date: 7-��®/O By signing this application fo the owner/agent attests that thnformation 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-late,inspections. ffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appli ion the, e or "-- s r notice. Signature: Date: /272,0 d The action or tions Appli 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 makgs 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 plianceyuit+rt#le Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transf- • - - •= sibili s or adheri o and complying with the ESA. The Applicant has read this disclaimer and sign and d tes it below. Signature: ! ',-- Date: / G G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 0 BUILDER STATEMENT IP 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 a suming the res nsibility of the General Contractor for the proposed project. �, Signature' A- k i,. Date: 61,r�/c'r GENERAL CONT CTOR OR MANUFACTURED HOME NSTALLER: PHONE: l FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: U Shoreline: Type of Sewage Disposal: New / Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: Bank 2�1 ❑ Community System C) 0 Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: K.Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: �� -t- Name of System: CcdC.itNe-►'1..t 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 Bid App Review: r-13 -2"a Floor Heated Consistency Review: / � Other Heated Base fee: , cot � Mezzanine Additional Section: �r Heated Basement Plan Check fee: `` 0 c —1 Unheated Basement State Surcharge fee: 5° Other Unheated Pot Water Review fee: RtY I�^^� Garage/Carport SUBTOTAL10-0•1- 12— Decks 911/Rd Approach fee: Other TOTAL: $ ' 2 Receipt Number: 05- 440 3) Cash/Check Number: I I ESTIMATED COST(REQUIRED) I Date: I�� n •Fairealue of all labor and materials foundation to finish 5 1Initials: � . L/CXJ G:\PermaCenter\###FOAMS###\DRD FORMS\Master Permit Application 5-29-08.doc + e • . SON co A JEFFERSON COUNTY - ►� DEPARTMENT OF COMMUNITY DEVELOPMENT JAN 2 0 2009 621 Sheridan Street • Port Townsend • Washington 98368 ,gip 360/379-4450 •• 360/379-4451 Fax VINO http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# C J'I— I PROJECT/APPLICANT NAME:� 4./6j--z kek, /ki s 7 kcio 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. !�'k a8' py,%us S70 e a 4y/k Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. ,Batzp Al a/rcc 8E 4aTn ✓l 7i cxisi74/k- ��. stzr Ea .tee Beek 4alir Fay 761E 4(/i7 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. earE1�S, 1ELI) K4VISs- 4. Describe the existing soils. Indicate soil type on the site map. Cy719'4I 0 /QOCkY SO/4_ 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. Ae*4/h66-r 6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED STORMWATER PLAN MAR - 5 2009 Stormw Requi d I\ dab stormwater site plan template.doc--rev.10/12/2003 JEFF: 1f 5 DEPT.OF C:,4l�l all N SIGNATURE. AS AI?' , • • J A N 2 0 2009 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. 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.). , T 6god4 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. 9. 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. GUr9TE4 M'ii Mee D4f' Avf /Ma> 40/1/T OedriAJD1 /2 a//4t/r' .c orty. 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.] N ,9 11.E/De cribe the performance goals and standards applicable to the project. fV 12. Describe the flow control system. stormwater site plan template.doc—rev.10/12/2003 6 I • • 13. Describe the water lity sy tem. , A71 : _ Vi, j a/4ln ,47..e&eie . JAN 2 0 2009 14. Describe the conveyance system analysis and design. AI/,J 15. Describe the source 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 Uniform Building Code. Uw 17. ,De/scribe the proposed surfacing material. NA 18. Describe methods for restoration of the site. git- 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects projects only and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals hid 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. A/At- 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 vs iiicctions here. /// stormwater site plan template.doc—rev.10/12/2003 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicate .' t�pp. ' : t in the template that follows must be installed on the ground during all construction phases of the project. The propobonentis re .o 'ible 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. fit2404 Iporwie 2. Establish Construction Access. /th P/Seht/ c i fWA/M-7/,0 f/. 4I)/G P/A1 eth O,t/ A e.A 3. Control Flow Rates. 4. Install Sediment Controls. /174- 5. Stabilize Soils. 491 , — t'i c RE Ps TvR BE") . 6. Protect Slopes. //V SegOrS `` 7. Protect Drain Inlets. stormwater site plan template.doc—rev.10/12/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. J",N 2 0 2009 9. Control Pollutants. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices(BMPs). 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 area roads). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 � yards).� 4�-42NA/G 3. Environmentally Sensitive Areas. escription of environmentally sensitive areas that are on or adjacent to the site. ify stormwater site plan template.doc—rev.10/12/2003 9 • . b. Description of special requirements for working in or near environmentally sensitive areas. JAN 2 0 2009 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g., bility,settleability, permeability,depth,texture, soil structure). AID 5. Construction Phasing. a. Constructio sequencg 46Wed -7'4-AJ"--rgeg �7 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. —7;4"I o'/°,02 --./r4e3 .= °*7 II. Wet Season Construction Activities. �,� a. Proposed wet season construction activities. N: ddddd b. Proposed wet season construction activities for environmentally sensitive areas. N� 7. Financial/Ownership Responsibilities. a. Identify the property owner responsibl for the initiation of bonds and/or other financial securities. A-do /,),7 A. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. 1 9 c. Waterways. /(f//- d. Runoff/Stormwater Detention Calculations 4/1/- stormwater site plan template.doc—rev.10/12/2003 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. NDO ER OR AUTHORIZED REPRESENTATIV TURE) (DA E) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: J r,", 2 0 2009 stormwater site plan template.doc—rev.10/12/2003 12 to ' nY d z 0 C a 0 * x o pp_2 0 iD .; , proo %ddd F 0 0 : '3yWIXO 13 No o = 3N 38 0Hs o qai YQj � I I N \ • .ck... . .. 1 I 1NA,20 4,7 (14 -- _ —4-0;4- 1 ,....„,,,,op . 1 +1( Q _ A ..., . ,______„, ( 4 —dS-YtPICI 1 0-, r . us,r),.. <, • I d I 1 Q ,, 7,i SECTION 4, T25N, RI W, W. M I SECTION 4, T25N, R1 W, W. M. ,.,--- 1—_____r r 1 11- N O 127f h7 ° -„,1r 0_ .. 1 �I I— co rrlNII 1[ C-314 C' I s 1 �— o s L • Z ', I i. . ' IF r-tj o i , L I 1 z p �!: A 1 1 Fesezve • r rill I 1.' C2' !`1-1 r �r1 D 1 .._ xiCll ___ Ir. , , ,--d A ' , — Cil �� 4 t - :v ` ,-„, 9\41 -,-)q ......:1_7e. ,li i i -'-1 i- �� 9 ri aip n- x i 4- 8 ii 6.c00,4 ^ IV mom osrriv . o � m t0cn Z n m ON—SITE WASTEWATER PLANS • SAILS APPLICATION NC. i $ 0 • co A m p' TAX PARCEL # 501-032-020 0 - �` - I., 0 865 CARLSBORG ROAD, SUITE E, NI o SHALLOW PRESSURIZED SYSTEM FOR SEQUIM, WA 98382 i PH (360) 683-6300 FAX (360) 683-5652