HomeMy WebLinkAboutBLD2009-00060 "'WILDING PERMIT APPLICA•N MLA09-00067
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BI nn9-00060 Received Date: 2/26/2009
SITE ADDRESS: j7L (Y)C3 (2
NORDLAND, 98358
OWNER: GREGORY T KISSLER TRSTEE PHONE: 206-852-7407
STANA R KISSLER TRUSTEE
11310 SE 77TH PL
NEWCASTLE WA 980561662
SUBDIVISION: Block: Lot: T 16
PARCEL NUMBER: 921094014 Section: 9 Township: 29 N Range: 01 E
CONTRACTOR: LITTLE & LITTLE CONSTRUCTION PHONE: (360)385-5606
2009 4TH STREET
PORT TOWNSEND WA 98368
Contractor's License LITTLLC157C5 Expires 2/28/2009
REPRESENTATIVE: LITTLE & LITTLE CONSTRUCTION PHONE: 360-385-5606
2009 4TH ST (360) 385-9733
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOr NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,164
VALUATION 450,000.00
CODE EDITION: 2006 ADD'L: 890 HEAT TYPE: EEE
OCCUPANCY: R-3 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER: SHORELINE
CONST TYPE: GARAGE: SETBACK:
DECK: 527
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: OTHER
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 3
Total: 2 Total_ 3------
Routing Date:
Type n Paid By: Date: Receipt: Approved/Date
Permit $2,953.75 LYK 02/26/09 105477
Plan Check $1,919.94 LYK 02/26/09 105477 APPROVE[
State Building Code $4.50 LYK 02/26/09 105477
Potable Water Application $62.00 LYK 02/26/09 105477 APR Zg 2009
Total: $4,940.19 Jefferson County Planning
&Building Department
Jefferson County Building •ision Permit Nu,: BLD09-00060
Applicant: KISSLER TRSTEE
BUILDING PERMIT INSPECTION APPROVALS applicable 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 t/ Minimum setback from Moen Road right-of-way shall be 20 feet.
Minimum north and south property line setbacks shall be 5 feet.
Minimum setback from top of bank(per site plan)shall be 76.6 feet.
Erosion Control SEE CONDITION 2 & 3
Foundation Footing
Footing Drains
Foundation Stem Wall s
Under Floor Framing
Straps(hold downs) j
Ext. Shear Wall Nailing
Rough-in Plumbing D
eY( ` A:14 o Aos P S It 2? <<
Framing c(
L- ct �CxZ .1)6.52 l i�C—l7 �t (mom
Airseal
Insulation: Walls (1I,-2-M
Insulation: Floors ` L
/4-oci
Insulation: Ceiling Dq
Int. Shear Wall Nailing S-z( . Vl
Wallboard Nailing 1D-1,--0
Gas Line: Interior Q ('- �l t�
Gas Line: Exterior
Propane Tank R r
Heat/Chimney Clearance try[
Drywell/Alt Drainage SEE CONDITION I FOR DRY WELL
Address Posted Lreb
FINAL INSPECTION I 'J _I L, ((
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD09-00060
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.) A SILT FENCE SHALL BE INSTALLED AT THE EDGE OF THE CLEARING LIMITS
ADJACENT TO THE TOP OF BANK PRIOR TO ANY LAND DISTURBING ACTIVITY.
THE MINIMUM HEIGHT OF THE TOP OF SILT FENCE SHALL BE 2 FEET AND THE
MAXIMUM HEIGHT SHALL BE 2 1/2 FEET ABOVE THE ORIGINAL GROUND
SURFACE.
THE SILT FENCE SHALL BE BURIED IN A TRENCH TO A MINIMUM DEPTH OF 5
INCHES BELOW THE GROUND SURFACE. THE TRENCH SHALL BE BACKFILLED
AND THE SOIL TAMPED IN PLACE OVER THE BURIED PORTION OF THE SILT
FENCE, SUCH THAT NO FLOW CAN PASS BENEATH THE FENCE AND SCOURING
CAN NOT OCCUR.
ANY DAMAGE TO THE SILT FENCE SHALL BE REPAIRED IMMEDIATELY.
SEDIMENT DEPOSITS SHALL EITHER BE REMOVED WHEN THE DEPOSIT
REACHES APPROXIMATELY ONE-THIRD THE HEIGHT OF THE SILT FENCE, OR A
SECOND SILT FENCE SHALL BE INSTALLED.
3.) CONSTRUCTION ENTRANCE ALL BE STABILIZED WHEREVER TRAIT WILL
BE LEAVING A CONSTRUCTIO SITE AND TRAVELING ON PAVED ROAD 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.
4.) Well must be decommissioned prior to final approval. Application for inspection must be
submitted to JCPH and notice of intent to Ecology.
5.) Water line and any portion of septic system must maintain 10' minimum setback
6.) 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.
7.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
8.) A Geotechnical Report was submitted in conjunction with a SPAAD application in 2004.
The report addressed the stability of the geologic hazard area. A setback of 76.5-feet
shall be measured perpendicularly from the top or toe of the geologic hazard to the
proposed development.
9.) 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.
10.) 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.
11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
12.) Not more than 2 unlicensed vehlik shall be stored on any lot unless totally s ned
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.
13.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
14.) The road approach permit(RAP09-0016) must be inspected and finaled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the
final road approach inspection.
15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
16.) The building height is not to exceed 35 feet.
17.) REVISED 5/13/2009: Minimum setback from Moen Road right-of-way shall be 9 feet.
Minimum north and south property line setbacks shall be 5 feet. Minimum setback from
top of bank (per site plan) shall be 76.6 feet.
18.) 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.
19.) 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.
20.) 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.
•
JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
*4 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450. 360/379-4451 Fax--
www.cojefferson.wa.us/commdevelopment
www.co.jefferson.wa.us/commdevelopment
F E B 2 6 2009 �-7
Master Permit Application MLA: _ I
Project Description(include separate sheets as necessary): New Single,,Family Residence
Tax Parcel Number. 921 094 014 Property Size: •64 acres (acres/square feet)
Site Address and/or Directions to Property: SR 116 to Robbins Rd, North on E. Marrows tone Rd,
East on Moen Rd, Property is at the SE corner of Moen Rd & Lip Lip Ln
Property Owner(s)of Record: G&S Kissler Trust - Greg & Stana Kissler
Telephone:4 2 5-2 2 8-8 5 21 Fax: email: s tanagreg@yahoo.com
Mailing Address: 11310 SE 77th Place, Newcastle, WA 98056
Applicant/Agent(if different from owner): Little & Little Construction - Alex Little
Telephone:360-385-5606 Fax: 360-385-9'733 email: alex@little-little.com
Mailing Address: 2009 4th Street, Port Townsend, WA 98368
What kind of Permit?(Check each box that applies
®Building ❑Critical Areas Stewardship Plan
❑ Demolition Permit El Variance(Minor,Major or Reasonable Economic Use)
RI Single Family 'Garage Attaches uetacnea 0 Conditional Use[C(a),C(d),or CI**
❑ Manufactured Home U Modular ❑Disa+etionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
❑Home Business 0 Cottage Industry 0 Binding Site Plan**
❑Propane 0 Long Plat**
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed`Yes*Use Consistency Analysis ❑Plat Vacation/Alteration**
0 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 ❑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 Little & Little
-/Cons t. to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE ✓- i) w;✓(' eL_ Date: ` /67
By signing this application form, owner/agent attests that the information r
gp o pro
vided 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 fail 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 attomey'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 ' on that r she wan prior o iCe. /
Signature: � Date: CYZL ZY71
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-transfe le res si ility for a eri t and complying with the ESA. The Applicant has read this disclaimer a signs a datesda it below.
Signature: �� Date: ev 1r�Z� !
G:\PetmitCenter\###NORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
III •
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 responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
Little & Little Construction (360) 385-5606 (360) 385-9733
MAILING ADDRESS: 2009 4th Street PT, WA 98368 Emualex@little-little.com
CONTRACTOR'S LICENSE WAINS
NUMBER: L I TTLLC 15 7 C 5 NUMBER
ARCHITECT/ENGINEER: ProDesign Engineering PHONE (360) 377-1026FAX=( )
MAILING ADDRESS: PO Box 699 Tracyton, WA 98393 EMAIL prodesign@hurricane.net
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
x New x Wood Existing: 0 Ll Sewer
❑ Addition ❑ Steel Proposed: 3 Bank 0 Community System
❑ Alteration/Remodel Li Concrete Total: 3 HBeiight:ft x Individual System
Li Repair ❑ Masonry 8SEP Permit# 0 8-0 019 0
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 0 Setback: ❑ Private well ❑ Two Party
Type of Heat Proposed: 2 7 6.5 f t x Public
Electric Furnace Total: 2 Name of System:Quimper
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:
underground TanlC>1 Above ground Tank Size of Propane Tank: 500 gal
I Heat Stove ook Stov I Woodstove (Fireplace Inser) I Hot Water Tank I Pellet Stove I Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes Is
When applying fora 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.
"f 0 x; *r '3 fR�S+1 : .. r rt ° ,a _..sy;e + .'ems'4 .
rz
. r , y? ,E
Square Footage Current y ii4 i t ..R u : P :: , ' t ,,n . .A z 4;: y .
Main Floor Heated - i' ` EH Bid App Review:
1,164 _ t 4 13
2"0 Floor Heated 8 9 0 4-4 r . Consistency Review I
(05
Other Heated ; Base fee: � q j 7
Mezzanine i t1 "" - _ -�c
a *- `>> XivP 3 �
Heated Basement ,, ' 4 +; Plan Check fee:
P` ;rv:, ./2 1 Ct ICI LI-
Unheated Basement F E B 2 0 2009 ' State Surcharge fee:
Other Unheated 7 - Pot Water Review fee:
Garage/Carport I f SUBTOTAL q
Decks 5 2 7 -, :;, 911/Rd Approach fee: i 1_i1
t •
Othernr
TOTAL $ r�7 ILj
Receipt Number.
e4.51-7-7
`,' {dim Cash/Check Number.
' a--1-7 ) cP
ESTIMATED COST(REQUIRED) Date:
.Fair market value of l lemsteria(s foundation to finish - _ c ►
, � Initials: --�--._
G:\PemutCenter\###FORMS###\IRD FORMS\Master Permit Application 5-29-08.doc
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g0N
1,11N64„ JEFFERSON COUNTY ;- 2 6 2009►.q DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368 t•
14, �r-�O 360/379-4450 . 360/379-4451 Fax StormWat`r
8IN0 http://www.co.jefferson.wa.us/commdevelopment/ , .Ii�►
Requir'-
►
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# PROJECT/APPLICANT NAME: GREG & STANA KISSLER
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 I anri I lecl arrlir�tin'y, vit a
separate stormwater site plan map. APPROVED
STORMWATER PLAN
Project Overview
1. Describe the proposed developed conditions of the site. Indicate position and relative s.ze gf,Rrgpoteq ire -nts on tee
site map. MMRRtttt
NEW CONSTRUCTION OF A 2, 054 SQFT SINGLE FAMILY RESIDENCE
�t rIF Rc.• '•, NT
DEPT.OF '• !,�'��DrVE •`ME T
SIGNATliR:: 1.
Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
THE EXISTING SITE HAS A GENTLE SLOPE TOWARDS AN 88FT BLUFF
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
EXISTING VEGETATION IS COMPRISED OF MOSTLY CONIFER
4. Describe the existing soils. Indicate soil type on the site map.
EXISTING SOILS ARE INDIANOLA LOAMY SAND AT THE WEST END OF THE SITE
AND CASSOLARY SANDY LOAM AT THE EAST END OF THE SITE
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.
THE EXISTING SITE PERCULATES NATURALLY DUE TO A SAND AND TILL LAYER
AS INDICATED BY NUMEROUS SITE VISITS
6. Describe any excess levels of noise generated by the proposed use or activity:
NO EXCESS LEVELS OF NOISE WILL BE GENERATED BY THE PROPOSED USE.
CONSTRUCTION WTT,k GENERATE TYPICAL NOISE DURING WORKTNG HOURS ONLY
stormwater site plan template.doc—rev.10/12/2003 5
7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams,
steep slopes, etc.)on the site. Indicate location on the site map.
THERE IS AN 88FT BLUFF AT THE EAST END OF THE SITE. 1-EDt 2 6 2009
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.).
THE SITE IS ADJACENT TO RESIDENCES TO THE SOUTH AND WEST, A ROAD
EASEMENT TO THE NORTH AND AN 88 FOOT BLUFF AND ADMIRALTY INLET
TO THE EAST
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.
STORMWATER WILL BE FULLY DISPERSED THROUGH TWO ON-SITE DRYWELLS
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.]
11. Describe the performance goals and standards applicable to the project.
BEST MANAGEMENT PRACTICES ARE TO FOLLOWED THROUGHOUT THE PROJECT
12. Describe the flow control system.
SILT FENCING WILL BE INSTALLED AT PERIMETER OF THE MINIMIZED WORK AREA
stormwater site plan template.doc—rev.10/12/2003 6
• •
13. Describe the water quality system.
N/A
- 2. 6 2009
14. Describe the conveyance system analysis and design.
N/A
15. Describe the source of fill material, physical characteristics of fill material,and deposition of excess material.
N/A - NO FILL NECESSARY
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
N/A - NO FILL NECESSARY
17. Describe the proposed surfacing material.
DISTURBANCE WILL BE MINIMAL AND WILL BE REPLACED WITH NATIVE VEGETATION
18. Describe methods for restoration of the site.
DISTURBANCE WILL BE MINIMAL AND WILL BE REPLACED WITH NATIVE VEGETATION
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.
N/A
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
N/A
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.
N/A
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 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 E'd Z 6 2009
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.
CLEARING LIMITS WILL BE MARKED PRIOR TO EQUIPMENT MOVING ON-SITE
2. Establish Construction Access.
CONSTRUCTION ACCESS WILL BE INSTALLED AT THE BEGINING OF THE
PROJECT
3. Control Flow Rates.
STORMWATER WILL BE MAINTAINED ON-SITE BY HAY BALES AS NECESSARY
4. Install Sediment Controls.
SILT FENCING WILL BE INSTALLED
5. Stabilize Soils.
SPOILS WILL BE COVERED IN A TIMELY FASHION TO MINIMIZE RUNOFF
6. Protect Slopes.
SLOPES WILL BE PROTECTED BY SILT FENCING
7. Protect Drain Inlets.
N/A
stormwater site plan template.doc—rev.10/12/2003 8
• •
12 Required Elements-Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
N/A 2 6 2009
9. Control Pollutants.
POLLUTANTS WILL BE LIMITED, CONSTRUCTION DEBRIS WILL BE MAINTAINED
IN A SAFE LOCATION AND CONCRETE S:PILLAGE WILL BE DONE IN AN AREA
THAT WILL NOT DRAIN OFF-SITE
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
DE-WATERING IS NOT EXPECTED AND WILL BE CONTROLLED IF NECESSARY
11. Maintain Best Management Practices(BMPs).
BMP' S WILL BE INSPECTED AND MAINTAINED THROUGH THE LIFE OF THE
PROJECT BY THE PROJECT FOREMAN
12. Manage the Project.
PHASING AND COORDINATION WILL HELP TO MINIMIZE IMPACTS
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas, roads).
RESIDENTIAL TO THE SOUTH - ROAD TO THE NORTH - RESIDENTIAL TO THE
WEST - BLUFF AND ADMIRALTY INLET TO THE EAST
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
DOWNSTREAM DRAINAGE PATH FLOWS FROM WEST TO EAST, TOWARDS THE BLUFF
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
THERE IS AN 88 FT BLUFF AT THE EAST END OF THE SITE
ADMIRALTY INLET IS AT THE BASE OF THE BLUFF
stormwater site plan template.doc—rev.10/12/2003 9
110 •
b. Description of special requirements for working in or near environmentally sensitive areas.
A NATURAL VEGETATIVE BUFFER WILL BE MAINTAINED, CLEARING LIMITS WILL
BE SET AND SILT FENCING WILL BE INSTALLED
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).
THE SITE IS FAIRLY PERMEABLE, AND WITH PROPER BMP'S IN PLACE-
EROSION PROBLEMS ARE NOT EXPECTED
ILL L. G LuJ
5. Construction Phasing.
a. Construction sequence
INITIAL SITE WORK WILL TAKE PLACE IN MARCH WITH THE BALANCE
OF SOIL DISTURBANCE OCCURING DURING THE DRY SEASON
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.
INITIAL ACCESS AND LIMITED CLEARING WILL TAKE PLACE IN MARCH WITH
THE BALANCE OF SOIL DISTURBANCE OCCURING DURING THE DRY SEASON
II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
CONTRUCTION ACCESS, LIMITED CLEARING & GRADING, CONCRETE & FRAMING
b. Proposed wet season construction activities for environmentally sensitive areas.
7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
GREG & STANA KISSLER
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. N/A
b. Diversions. N/A
c. Waterways. N/A
d. Runoff/Stormwater Detention Calculations N/A
stormwater site plan template doc—rev.10/12/2003 10
I •
FED 2 6 2009
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
(....,1
owners of the affected prope
l
(LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) 4!,7
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
12
stormweter site plan template.doc—rev.10/12/2003
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o D KISSLER RESIDENCE LITTLE & LITTLE CONSTRUCTION g H Q
W 1 v �Nordland, WA
`' T. (360) 385-5606 F. (360) 385-9733
`o '� 2009 4th Street, Port Townsend, WA 98368 - r-•I