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HomeMy WebLinkAboutBLD2009-00052 • 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 Al Scalf, Building Official PERMIT #: BLD09-00052 SITE ADDRESS: 684 SEAL ROCK RD Issue Date: 04/1/2009 BRINNON, 98320 Final Date: 3/29/2011 APPLICANT: KENNETH S BROCKWAY PHONE: 360-636-0383 KAREN F BROCKWAY 3510 PLEASANT HILL RD KELSO WA 98626-9719 SUBDIVISION: SEAL ROCK Block: Lot: 4 PARCEL NUMBER: 992800004 Section: 26 Township: 26 N Range: 02 W PROJECT DESCRIPTION: NSFR W/ATT 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 THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/29/2011 I:\F_BLD_Occupancy.rpt 10/29/19 i I • • I cYW A-0-HIGH r POURED CONC.FOUL ET10N =J ALL BY OTHERS ?.0 HIGH r•I— _-_-_E'-1 POURED CONC. 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CUSTOMER E Il r5 BY OTHERS P CUSTOMER RES SBIILTY TO l-Y1X10 H PROVIDE FOUNDATION MD U H J ADJUST FLOOR AND ROO NNE' P FRAMING FOR THE CMV DECK '3: pyYa I I IAS PER CONTRACT) x ZO C b 1 G �ofr'. y Q22 P2-o ce c0ne, -1 eaK- Y UPPER FLOOR �-R - - ..._.� • • CONDITIONS for Building Permit# :BLD09-00052 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 FINAL, EXISTING CABIN MUST BE CONVERTED TO NON-HABITABLE STORAGE AND CHANGE OF USE PERMIT TO BE FINALE:D 4.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF DISPOSAL 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.) PRIOR TO OCCUPANCY & BUILDING FINAL - FINAL APPROVAL OF BLD09-00081 (CONVERSION OF CABIN TO UNHEATED/UNPLUMBED STORAGE) IS REQUIRED. • 7.) To help prevent seawater from intruding landward into underground aquifers, a 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. 8.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 9.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 10.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 11.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 12.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 13.) 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. 14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 15.) Not more than 2 unlicensed vehi� shall be stored on any lot unless totally sped from view of neighboring dwellings and rights-of-way. Such screening shall me 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. 16.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) The building height is not to exceed 35 feet. 19.) Minimum setback from Seal Rock Road right-of-way shall be 20 feet. Minimum setback from SR 101 right-of-way shall be 50 feet. Minimum north and south property line setbacks shall be 5 feet. 20.) 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. 21.) 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. Jefferson County Building •sion Permit Nur.: BLD09-00052 Applicant: BROCKWAY 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 (O _3--cft Minimum setback from Seal Rock Road right-of-way shall be 20 feet. T -M-inimua setback foam SR 191-right of way shall be 50 feet. Minimum north and south property line setbacks shall be 5 feet. Erosion Control SEE CONDITION 2 Foundation Footing (gr3-041 Footing Drains _j/—O t Foundation Stem Wall Underground Plumbing Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing n Framing 4, Airseal Insulation:Walls I Insulation: Floors p iU Insulation: Ceiling3)(:( (0 Int. Shear Wall Nailing tt Wallboard Nailing rillOAA(2-A(4-S/L,0 1---71— Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITION I FOR TRENCH Address Posted 3(�i I FINAL INSPECTION 514,1 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEIN' THIS PERMIT IS VALID FOR ONE YEAR MLA09-00054 UILDING PERMIT APPLICA.N Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD09-00052 Received Date: 2/24/2009 SITE ADDRESS: 684 SEAL ROCK RD BRINNON, 98320 OWNER: KENNETH S BROCKWAY PHONE: 360-636-0383 KAREN F BROCKWAY 3510 PLEASANT HILL RD KELSO WA 98626-9719 SEAL ROCK SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 992800004 Section: 26 Township: 26 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: VICEROY HOMES PHONE: 206-941-9815 JEFF HERLOCKER 1902 GOLDEAU RD E PROJECT DESCRIPTION NSFR W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,374 VALUATION 142,997.00 ADD'L: 206 HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: 1,086 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 288 SHORELINE: CONST TYPE: DECK: 296 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Totat-- Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,234.55 LYK 02/24/09 105460 APPRDVE , Plan Check $802.46 LYK 02/24/09 105460 State Building Code $4.50 LYK 02/24/09 105460 APR 2009 Potable Water Application $62.00 LYK 02/24/09 105460 Total: $2,103.51 Jefferson County Planninp & Building Department �4,�S°N cod. JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 1' ` '4 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax • Is,1:11NG,sO� www.co.jefferson.wa.us/commdevelopment Master Permit Application `1 _ � ,l MLA: ` ,�`7 Project Description(include separate sheets as necessary): =5 f/ / J Jai/y i'e/(i>i � i ctJ 6'c3� 71` VicerU m>> / uG iox�� y � �. Tax Parcel Number: / ? g aOOU p y Property Size: a yev ,.5� / (acres/square feet) Site Address and/or Directions to Property: Eby 5 eaj i k & • r,t Property Owner(s)of Record: c1// c )" tun Telephone: &()- (o 0 $3 Fax: MailingAddress: ll email: / `i,?�GA/rJ�ty�Cfi/�tlfi{/ff. Applicant/Agent(if different from owner): Telephone: Fax: Mailing Address: email: 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) IN Single Family V Garage Attache /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)** 0 Change of Use ❑ Boundary Line Adjustment t-r- ❑ Address ❑ Road Approach 0 Short Plat** C ' Q ���9 ❑ Home Business 0 Cottage Industry ❑Binding Site Plan** ❑ Propane ❑ SignID Long Plat** , 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** __ _i ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** 0 Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* ❑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 "Reqres Pre-Applition Conference Please identify any other local, state or federal permits required for th s aproposal,if known: I hereby designate V�' / DESIGNATION OF AGENT l�,er UG C to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE c a0& Yc'/-lYis— r[ "n� Date: '02.9—/),,9 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 ap ,licatio that h she wan prior notice. Signature: / / G� < Date: The action or actions Applicant will undertak) "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 a responsibility for adher to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 144.4 `. /q c� Date: !/ — j G:\PcimitCenter\###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 resp,orisibility oft e General Contractor for the proposed project. l� �� Date: o� Signature:•'/ c�i � � � GENERAL CONTRACTOR OR MANUFACTU ED HOME INSTALLER: PHONE: Fes' ( ) ( ) EMAIL: MAILING ADDRESS: WAILS CONTRACTOR'S LICENSE NUMBER NUMBER: PHONE ( ) FAX:( ) ARCHITECT/ENGINEER: EMAIL MAILING ADDRESS: of Sewage Disposal: Frame Type: Bathrooms: Shoreline: Type Project Type:New OF Wood Existing: ❑ Sewer ❑ Steel Proposed: 2-- Bank 17 Community System ❑ Alte ❑ Concrete Total: _ Height: g Individual System ❑ Alteration/RemodelSEP Permit#5E0o7-00007 ❑ Repairmo ❑ Masonryther: Bedrooms: Water Supply: O Demolition ❑ Other: Existing: Setback: AI- Private well ❑ Two Party Proposed: .�- Ii Public Type of Heat: Total: .2 Name of System: - 0'c ri C_ If this is a Commercial Project you must answer the following: Number of ADA Parking Spaces: Number of Parking Spaces: Current: Proposed: 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: 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert i Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured I 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 1 Current Proposed For Office Use Only Amount Revision H Bld App Review: I Q CO Main Floor Heated / 37`/ q I • ,• 1. .J W 2 ' Floor Heated 020 / 537' Consistency Review: Other Heated Base fee: 1 a 5 4 55 Mezzanine Additional Section: Heated Basement Plan Check fee: 6 V OD•L\ 1State Surcharge fee: 4 O Unheated Basement O� / 1�0 tt01 1�b Other Unheated fo t Pot Water Review fee: I a nb SUBTOTAL �''1R,5\ arag=/Carport yet 11� J 11/Rd Approach fee: ���Decks o2/; 1 4a��� Other TOTAL: $ a3-1q,51 Receipt Number: JEN all. , Cash/Check Number: l2321- ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials found ion to finish`C( O1htia : - _—____- G:\Pen itCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc Storrnwate : )`, AF :� . VED Require. 4. , STORM �': ,,, ! ER PLAN 1-4es-ONs?,_ , __ ----- ii 6' JEFFERSON COUN 6 6 i', DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 �- O� Fax 360/379-4450 • 360/379-4451 F �S `t N� DEPT.OF cc T JEFFrRsn >� in. MENT http://www.co.jefferson.wa.us/commdevelopment/ SIGNATU F 4 STORMWATER SITE PLAN SUBMITTAL TEMPLATE • IMLA# lJ l -54 PROJECT/APPLICANT NAME: Read 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. `� 6 Etia a nv-iv - ,5tai y Gl e2 f a-1 :‘l si5. it- oil clircc eizei rc�a.zz , 7h15 /S on - / e GC f J s CJQtZyC also inc-i es .i/6PS-P'1,17eit.- ,�TG'f7z r'2— Existing Conditions Summary �/ 2. Describe the existing topography. Indicate contours on the site map. TA/-5 7 t is .has citify /e ve/ c%`7-4 a , s/epc di pel-Acetis ,17_ _ Ives cc 5i kvf- 1--i.5e-- kei,L•//c/ /he p;-v�se / O1fse situ f/ol it leve/s- cwIL GZ.✓c//vi at- 7Yze 6«r it of- / e 47 3. Describe the existing_vegetation. Indicate native vegetation areas on the site map.I h e p w posec( house 5 i.to i 5 cO W re W: sl ei-t cyce-s q./ _i2e ve l. e re-a-C o f +ke, Let- !-irz s (1, -(<'e , efg ,f- tt1_e c chststs a F -t fr- �1 P S etrizt vV0.40Ie s. 4. Describe the existing soils.'IIndicate soil type on the site map. -The— sQ-/( s >;e_fy rocky_ 1 ht` 19iti-Ica v Site I`s 5rklati �r�ve( tr Pi f" rU yt �1�y� t<— 1--- �� >P, ift2 -) 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. liti ate v ara1vt5 -Pr6At the west ik,it/i 0.0 major ere ivvx 5i'Ice ft . Co • 5-for a_t-_r `5 'sori c _( -v\f-- +h 11'0 cKy, gaz_vcily sit i ( - 6. Describe any excess levels of noise generated by the proposed use or activity: T�erP Itili(( � c�i� tlnri e�u�-itiy�� � % �s�_c? !mooe� C i.str l� .till' der 1"6 a1q -1--icota4__t- oci (x)oY'K stormwater site plan template—rev.10/21/2008 • • 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. Th.c 5 LaRe. of tine ii,tvict %.s wi4-k vU weflav\s, va. tevc, or e Kffy-evr>s9 a�j 2--L c4 a - 8. Describe ttie general vicinity of the site, including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (streams,wetlands, lakes, steep slopes,etc.). Lof i s b raerefl ort e tAies± loy wy 1 Dl 5 C� rill a_ 10 _ram cl, `t"i al l oDg• —111,C5 is CA, r"e 9 Le 1 ar cc, 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. 5+oran weer 4ir-rim tite roof sAtew �it.1,1.{ cL spxse`Q l,r use oic ciotov► 4auis r,,cv�vu� �v per-for-wed' Brae 1 t r7.4 r ct ro .d .e_ pert-- t v- of s ti /- -1-p a -PIA i sty a be chi s pe rse f Q wa.d ar clrk t fc.k. 1 e 1 v way a-©-ft►er LYv p'v4 d U.s areas lVieux storv�. iJ er clmt I 1 'tit 1 5t tte co, N-L 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.]r Sltin a].Q ��� h0 v-eP, - o r -4.ert+1/vte 4 -kW IF-(' 11. Describe the performance goals and standards applicable to the project. 7 Th eve° w L t bP_ ' �.tst lour-e oP 1a -02. rJO s1IS1 Whit I9 �� 04-0.1--rkr( redYvaiLejo -r 41 o -6214n4,4'zo1a Wit( UP_ k arks it a-ror t 1J -I-tIF 12. Describe the flow control system. eve ski L-t71 I2e 11,e or via chatx14,P leap " -c1o“) w i`f'fit a V t y ict i i 111.1,2_1 -Ft n Lt.) e-i1512 �'ace ±k1122 et e °r4YYi t"er - ra.4 yr S, 6 stormwater site plan template-rev.10/21/2008 • • 13. Describe the water quality system. 1-A bikildiou � c S �s (evet aka 'I Lo gravel ace vac ( Soy( 5 l OL-P-CeLttiiin 14. Describe the conveyance system analysis and design.propo / Ink fink c�fZ st f �O Gl� c�O wits aradrue_I Gc S Ctild at-al62 `�G )Lim/ octi, p 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. No (fa LU GL be_ viece_cs-afy. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code.v �/ ewctik( `b L°SS�/%t ( �c.! /� G �{v ( I & y S lNtCt. t ire tr.i ltrer>Q l C°� c cis c kcf o k IS Ca e 17. Describe the proposed surfacing material. ass ace. L2ark Gu7GL /o r✓ ct &Pew 18. Describe methods for restoration of the site. l ke okay c e L - W e L( /e L�tP I `-doe f^ o P • 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. Al/ 4_ 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. /VIA 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. (,e_ cci,k_ (42 5- Sg P 141;t stormwater site plan template—rev.10/21/2008 • 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. 2. Establish Construction Access. 3. Control Flow Rates. �,efiel M(na vAz e ? 5iot4_ t -e-tre5t'eiVLe �t-c ss, CUrr.-0 21 iv1s[u 1.4 t( ctlo sof-la c i-u 1,i- o r 4. Install Sediment Controls. f' � NC c o -f-r0 I 1 50/� N c,..t o �1J( ) / 1 Li L��C r 5. Stabilize Soils. 6. Protect Slopes. �^ No star e S ;,U t C� I✓ c�<S 7�r.�6—G eP. 7. Protect Drain Inlets. stormwater site plan template—rev.10/21/2008 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. /l / YT 9. Control Pollutants. AV/1- 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). fv7,„, rMaintain Best Management Practices (BMPs). i Lc) r(.(_ i(),e__ c)ku 5 i t 'C. c=LAX- I�IG- C-cf)q_5-`�r�-c-cc-4`o 0 12. anage 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). n // Slav vYl / GLE7 —t� i� l�lL�r 'L� 7 `( �l��t/� 1, G�/� 1/I117L ��' S/ll jl/ r l��)47 Clu"c,1 2C�� ,�7YG�LttS i� lid�// �.-� c-n >- , • Ll b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). cc/J- o er1!/-!9 e i,z vii(5j- e,cells.. 7`,,;s• rb-l7 6t iiie eaiI-( G / dial I'VrA- Z.(1.;7% 4/le1' 7q bi-iC i-iieki C/<Zt!iiel 4. e E'icS1- o '( g scy ,I'/c_7`' f�e‘-: , /2H_/ir- .P pit h//`c di` 1--,--l-7 • 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. -There zd/ be II/ S. /' /r im 1�i i�� / /�r�e��/1. JL�ccl WI1/e'er �� cJ�e<rT/ stormwater site plan template—rev.10/21/2008 9 7 . . • • b. Description of special requirements for working in or near environmentally sensitive areas. 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). 1� /S * e� all " c / 5. Construction Phasing. a. Construction sequence t- k pi pi -i Kt Dii, - 762rtdc,-ip/i cu/ ron rr1�e �$/ ; </�d y r' v icy i n1 77`f-e ✓or cLf P F i,c!e o r ,,e,`/4la.Y7,/`/4 Ls/2 e`Ji /ap,-- SG i v1 b. ionstruction phasing (if proposed) c/fg/e -1r /// h /9i 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. n s 'n - ) _Amor-- iT/ - d- .f t �, J /Z�c,-0/J'/I� —5 �— ??�� II. Wet Season Const ction Activities U // a. Proposed wet season construction activities. ,04i- -cSc,rn f� Jal Ai/73 5<.. 'r fU b. Proposed wet season construction activities for environmentally sensitive areas. '4y19- 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. 4/4- b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 1 8. Engineering Calculations. Provide Desig Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations 10 stormwater site plan template—rev.10/21/2008 • 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 REPRESE ATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 12 stormwater site plan template—rev.10/21/2008 , i t I; r ‘ ' t , 1 it ,i I 1 1 1 ), 1 g s tI c i i 1 1 1 t.... Os' 1 cr,4 1 I ? , t t , ..1 /C11 ;Cy- 1 ! I I i, 1 % ‘ i I .. . Iv,i 1 .4.,axemot,414,1, 4.443, wstra I II " "'''' ..0 '0,.....e C) 1 11 eilk ey) 1 5 ,1 4-- 1 i I Till., I 1 I : 1 . .., ......_ .... 1 i , 44 , • 1 XIIP'10 ,. , Z i ...--.--.....e. pi ,10.) P•••1 1:14.-•,./...., ti? ,, ,,..,r.4114),, t , 1013J . P , , . „ = `, i,...9"-'us• , , ‘ 1 0 ,, ...,...- ._ 1 • t '..i , — —1 L' — ------- -- - / • '-' • , 1.4 a , . 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