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HomeMy WebLinkAboutBLD2009-00075 S CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD09-00075 SITE ADDRESS: 640 TALA SHORE DR Issue Date: 04/27/2009 PORT LUDLOW, 98365 Final Date: 12/21/2009 APPLICANT: DAVID NEAULT PHONE: (360) 620-2629 ANDREA NEAULT 640 TALA SHORE DR PORT LUDLOW WA 983659782 SUBDIVISION: TALA SHORES#3 Block: Lot: 22 PARCEL NUMBER: 998200322 Section: 15 Township: 28 N Range: 01 E PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 120 GAL PROP TANK 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 Cno THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 12/21/2009 I:\F_BLD_Occu pancy.rpt 10/29/19 Jefferson County Building [ ision Permit Nu•r: BLD09-00075 Applicant: NEAULT 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 7 L� Erosion Control F:: t::ot ndag 4p n t/`3in- PI d k , Foundation Stem Wall Underground Plumbing I_�9 Under Floor Framing t l Straps(hold downs) Ext. Shear Wall Nailing ,r-.G Fib Rough-in Plumbing g'—Li off Framing Blocking Airseal Insulation: Walls P_1(1-CC/ '-m Insulation: Floors Co g'O-`l 514 06 Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing P21)-°1 Gas Line: Interior Propane Tank Heat/Chimney Clearance ll Drywell/Alt Drainage Address Posted "X.& Ca # rx. -t-a knO FINAL INSPECTION 2 7e„,rfX FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR •UILDING PERMIT APPLIC•ON MLLA09-000 89 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00075 Received Date: 3/16/2009 SITE ADDRESS: 640 TALA SHORE DR PORT LUDLOW, 98365 OWNER: DAVID NEAULT PHONE: (360)620-2629 ANDREA NEAULT 640 TALA SHORE DR PORT LUDLOW WA 983659782 TALA SHORES#3 SUBDIVISION: Block: Lot: 22 PARCEL NUMBER: 998200322 Section: 15 Township: 28 N Range: 01 E CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License KELLES1150LF Expires 6/6/2009 REPRESENTATIVE: KELLEY SHIELDS INC PHONE: (360) 385-7156 DENNIS KELLEY (360) 385-3115 260 KALA POINT DR PROJECT DESCRIPTIOP NSFR W/ATT GARAGE & A/G 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,342 VALUATION 246,730.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2006 HEAT BASE: 911 HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 539 CONST TYPE: DECK: 96 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Total: Routing Date: Type Amount Paid Bv: Date: Receipt: APPAtiVEDPermit $1,816.95 LYK 03/16/09 105565 Plan Check $1,181.02 LYK 03/16/09 105565 APR p1� �Qg State Building Code $4.50 LYK 03/16/09 105565 Potable Water Application $62.00 LYK 03/16/09 105565 Jefferson County Planning Total: $3,064.47 &Building Department • • CONDITIONS for Building Permit# :BLD09-00075 1.) 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. 2.) A SILT FENCE SHALL BE INSTALLED 50 FEET LANDWARD FROM THE TOP OF THE 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.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN LETTER FROM STEPHEN ZENOVIC STATING THAT THE STORMWATER FACILITY HAS BEEN CONSTRUCTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE "STORMWATER POLLUTION PREVENTION PLAN" DATED MARCH 2009 AS PREPARED BY ZENOVIC AND ASSOCIATES. 4.) Water line must maintain 10' min. setback from any portion of septic system. 5.) 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. 6.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 7.) VOLUNTARY MEASURES OF•STAL &AT RISK SIPZ: 1111 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. 8.) 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. 9.) 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. 10.) A Geotechnical Report dated October 30, 2008 prepared by Zenovic&Associates Inc. was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. 11.) 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. 12.) An Engineered Stormwater Pollution Prevention Plan dated March 2009 prepared by Zenovic and Associates has been submitted with the building permit application. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) 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. 15.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. • 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 17.) The building height is not to exceed 35 feet. 18.) Minimum setback from Tala Shore Dirve right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from top of shoreline bank shall be 52 feet. 19.) 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. 20.) 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. 21.) 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. 22.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan as signed by WDFW on August 28, 2008 and the applicant on August 29, 2008. ��4SON Oo�. JEFFERSON•UNTY • rz , _DEPARTMENT OF COMMUNITY DEVELOPMENT `' 621 Sheridan Street • Port Townsend • Washington 98368 ,i00" 360/379-4450 • 360/379-4451 Fax .ys, INGeO www.co.jefferson.wa.us/commdevelopment R Master Permit Application MLA: rl. �j� Project Description (include separate sheets as necessary): J1 L `�i hN�L(r 1t 101 . 1DClvt-L,- 1/3/ TT— � _:— A/ )2D %AC Ft"C,Ip )�(1L Tax Parcel C"'l a Property l 9 L.-3 Z Size: �t/ Number: Z ��.. (acres/square feet) Site Address and/or Directions to Property: ( 4 1 t Stelee a . Rik- 1ubL,ou) (J A e 3 C- sT Property Owner(s)of Record: P/aUL it / J a12-L�4- Al EAu.a i r Telephone: -3 bet — 4 3 1 — CI la $7 kW" Cad3(ort (OZC Z(,,Z. !• email: C.:1 h t wt e k. or' eji ,cc� Mailing Address: GAD 'rpm `3 —� � y Applicant/Agent(if different from owner): Telephone: Fax' email: , Mailing Address: What kind of Permit?(Check each box that applies ❑P'.ilding 0 Variance(Minor, Major or Reasonable Economic Use) Demolition Permit 0 Conditional Use[C(a),C(d),or C)** 0-Single Family 0 Garage Attached/Detached 0 Discretion ry"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular ❑ Special Use(Essential Public F s au ❑ Commercial* 0 Boundary Line Adjustment ) 6 ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach ❑ Binding Site Plan** 0 Home Business 0 Cottagelndustry 0 Long Plat** ' Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** • ❑ Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance 0 Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment i ❑ Forest Practices Act/Release of Six-Year Moratorium ❑ Tree Vegetaion Request *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: N DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: X 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 it's 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 ac ess and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required lat r inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that or s ' prior notice. Signature: Date: , , fl y c �&a / h ZZOi 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-transferable resp sibi. fo ering,to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 1 t, Date: c OA (I✓ h ZOO/ \PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • or BUILDER STATEMENT The signer of this statement does her ce that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility o General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: k4;Ll t+it3-i2S 1 !-)c, . ( 3(.0 ) 385-1t sL (3(co ) 3g5-7AiS MAILING ADDRESS: $2.ico Vext.pt ei-- _ Pgr haw f t,„p EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: KLLL(..'-s 1,2 1 Sa L F NUMBER ARCHITECT/ENGINEER: kL`- St+i L Q, C& .LS Sim l Di PHONE (3L,d ) 39'1)7- FAX: ( ) MAILING ADDRESS: z c, S, f ea'(j6 r Pr _ri..,.r!{LL ' EMAIL Project Type: Frame Type: I Bathrooms: Shoreline: Type of Sewage Disposal: 'D New X...Wood Existing: ❑ Sewer ❑ Addition H-1 Steel Proposed: _ Z Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 2/2- Height: % Xt Individual System � ` ❑ Repair ❑ Masonry SO I_ S 2 SEP Permit# [N Demolition 0 Other: Bedrooms: J W ter Supply: Existing: Setback: Private well ❑ Two Party Type of Heat: Proposed: 3 5�N, Z ❑ Public covD Total: Name of System: Ncrf- - If th V 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 A pliance Installation permit,mark all items below that apply: I Underground Tank bove ground Tan c Size of Propane Tank: t"Z-O 6;A14u' 1. i Heat Stove i Cook ove I Woodstove Fireplace Insert Fireplace i Hot Water T nk i Pellet Stove i Other Is this appliance being installed in a Manufacture ' ome? 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 4 EH BId App Review: 1?Al I 5PSI6 ID 73.CO -2' Floor Heated r Consistency Review: t C�. ) Other Heated Base fee: '�k(t0 (,mo ; -Mezzanine Additional Section: "I ' Heated Basement Plan Check fee: I Q 6 Unheated Basement _ State Surcharge fee: ` D Other Unheated Pot Water Review fee: 100-DO Garage/Carport SUBTOTAL 5 39, 14 tkCA-5[ 3$-1AI Decks —e ` a515.rf] 'Y1brd l 011/41PIN '.4q--4 1bC) Other TOTAL: $ 3 1i355.4 1 Receipt Number: I 0 c-7cL1j — Cash/Check Number: 4-1 ESTIMATED COST(REQUIRED) Date: .F ' a et value of all labor and mate ' foundation to finish V2)5 (6--) Initials: -----D G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 4 • • APPROVED STORMWATER PLAN ffenid JEFFERSON COUNTY APR 2 7 2009 t DEPARTMENT OF COMMUNITY DEVELOPMENT „A. 621 Sheridan Street• Port Townsend • Washington 98368 JEFFERSON COUNTY �O 360/379-4450. 360/379-4451 Fax DF,P7.OF('OM!a1J 1 Y�w1:1 OPM� http://www.co.jefFerson.wa.us/commdevelopment/ SIGNATURE: STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# (�`' PROJECT/APPLICANT NAME: ha FP L.Lj' 4T D tENC kl_ / ()AVM N cl1.Lf' 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. RF_r►%o1il_ ExTSrrNis Mc9 tnt aft W9Wt£ . * RAM L3 F�LJ 1,0uct? s _rilSCAU_ SEPrrc.r S'isl£Iti1 A►oO sU.91?mwt11T.rz T1.1tra AST Rt&C,TIAM Existing Conditions Summary MAR 1 6 2009 2. Describe the existing topography. Indicate contours on the site mp. Sr re_ I4-A-S CI1►aSrsTA.b.1 Q,- (y DQwwwA ail & &Laa2_ 1::IQ0vt4 IALA cl4o24 DPSV& (oorl7t: 1,-;A51 To TEE oP of TI44' RLLOIPS_ 114r mtI21.6JB BAWL is '^ So" 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. E-A k L V E R-s w.oc r o f r v t.t_o P e n ,a a.eA r) r_ •T N P rZ-V_ TI% Fry h At-OFP TRFJF,S AT t.1.9S► Fin Away ALO rIL.ESS, ALDwl(., T++J'- 4. Describe the existing soils. Indicate soil type on the site map. CA44(31 AR'( SA1�13Y LoAW1 % 10P 2.9 " S11J1I`t LPAH1 . i1-41•$.) LAvdae DF iL.s InAY1K (3bs-toPs►J a2,11— 3$ ': 6£cLL..) 3r.') " Sb1'LS A.R.? 013.-Yv.O 4/ViAn`( I O'.i a I=1'iiJt h� rVlt .ti th SAN0S. GL Lr4L T,=LL AT — OE E 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. STorti41L&JAT1?& 1Y AP(F1LL S RATF'.s d- SFrPS OL.t nt- MA 6419AL , r 60v17 1 ME._ AC T1L.L L.Ax Erg_ iti,.►.10PF— FQIely+n. •1 % C P_ LIZ_ ZS PrP&D DoL u 114S RAw11t, To ('L,T Lc t o►J T I4 L S hnQ E. 6. Describe any excess levels of noise generated by the proposed use or activity: Notll<• '(t'LcAL L.Evt Ls FQo, S LE FAlva St4tnx1- A.111 C PAT e O. storms/Apr sift pion templaft.doe-rev.1O/12/2009 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. srL S LoPL w Sb t43.fs h i wt,1 T(-) BEAC ii 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.). SATE Ic RoRotrUil S•( TA LA S R OR.S-t/C- 10 t14V. t)FSi At.)4 Noon CH1.\AL_ TO 1Na ENS11 a- STtiV 1;Avv\n.1..x L ct.Ut s iH1� NoRT o- 5l�i�TH o►-)-S3�t liiFLJ LQLA'P t I UnRtNL r.Si CU(3.0 .o sT.rc , Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stonmwater 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. STokivu 4C EA F tZ rv\ t5IUti) RasistA f..1 BE_ rr,L+—dc i o . 't Nf: Rcx.2r= (��Trty RS a-- PtP At, , rST2NLti '-I I" (2C PIPE THAT' _ . zt:�v�1,s 00wt.1 1tie_ I ANrc ri- DLSCNAR6€S 1'0 1'RE I•ioo • 10. If the project requires the use of stomiwater 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.] 0 tt.a`I Rf_c-L,.cl2L 1RR.,AI mE►.) MAR 1 6 2009 11. Describe the performance goals and standards applicable to the project. I,DAL_ IS zo C0L1_E.c.t ALA Ur T I+L ROOF Rt ►Jr)FE Av..36 (flt.\uey it 10 1tti? i-uloo CAtaaL, Rt .1 S14o 4 t-o 3� fk-ua) i3 Rk►-s ot;e2 THq_ 13AtJt{. 12. Describe the flow control system. FLCt,J Co►J" es.)t_- Noi CO sbrmv.ter site plan tamplata.doc-rev.10/12/2009 • 13. Describe the water quality system. 4)r t✓2 cx(A.,AL1i~^( S'{S Ta' \ ►s1---)IT (LEB &Zit). 14. Describe the conveyance system analysis and design. tl Qj PZPF b/o SLOP. CA1J iIAN111-ri- (L 634 LFS. - 21^W o F- F►UM Roo t5 of TktL cnOICAL a 14OM - Oink/1.J(' 114ti 100 •{FA2 Fveisa► x S L e SS T-1-140 ID. 2 (_Fs. 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. o FILL fAT 1AL (aTIr (BE. 84OL 44r 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. — u0 STG EA2114 (*NA, A-SSocrlar Or-vS-�CT. 17. Describe the proposed surfacing material. �RIV$i.,3A'( t; e iAc,l4dn R.oC.K L i LL 13F 1ASY'.Vi_ 18. Describe methods for restoration of the site. SITE e-r) Ati1i1 LAe1nScAPi O. 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. 1J O C a.eatAt'2ey 20. List here and include any special reports or studies conducted to prepare the Stomiwater Site Plan. (;Ear C & tL A L. iZe max MAR 1 6 2009 21. List other necessar y 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. NUNS normwrtr site plan templat .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, 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. tw�y S.i'LT Fc1�1C.G 11'4 ( At FA.SCcQ ,\l C,LEAkX' LD L IftA1 2. Establish Construction Access. 7-0 STALL 9 "— ())" Lt,A2‘( SArt‘LLdn l uN►K4utT..c11J 1JZRAw1G.ff 3. Control Flow Rates. Co- n tnQ1 L (WA SPAso1.) SILT F♦.1JCe l�i!_4 PR¢iiv'1.3i QthTJ(lc F F_fno 1-EAl/ 5./rF . 4. Install Sediment Controls. S j LT F F NC.iL 5. Stabilize Soils. SPvrroki) SE AD !ov U! cTRAGO, 6. Protect Slopes. T EQDSS?)t- ai-A1J14.1;t4 (NJr& At\1,4 SLOPtz 6Rt,ATtE)2_ INA.1J 3N:IV. MAR 1 6 2009 7. Protect Drain Inlets. 1v-) r 5( 2TS --r A%-)•c ORA11-) 1kA AI COLALO 2 EL.e�v1� 12-a.)nF►-: stonnwater ate plan tamplete.doc—rev.10/12/2009 0 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. '-35 IA.Lt.- uoAR2'S sPALL_ S Pt}sn PA n Ar iohl Otnl'LE 9. Control Pollutants. ALL- PG. ck PkontnC.1 S +1 r)(z rya=tIn1CL1.1(.. SHALL_ k.eklib' Cn►JZA1.A.\ONE►JTe 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 1.10 D1;.1_1AT 92r►.�L, �_E���(> Fc a -1 R.- S PRDTECT. 11. Maintain Best Management Practices(BMPs). S i 4K.W1.S 12. Manage the Project. Cho5t2Ac1 (1tAfLttJC, PA E.4s©r.1 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). An AC ttJT A2t;AS SKptnLA .Ot' i3E. AFFPCrEll) b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). A H " P.><pt. 1 vt✓i s FR.cwt TM? G&aaGii_ L..P RtiSLC)r C_n►.9't11,)tA,r't Dot-)N 1R' ISANr.._ A nr cc' NAa(,as to 1 N-2_ or)d ( AtJAt✓ 3. Environmentally Sensitive Areas. MAR 1 6 2009 a. Description of environmentally sensitive areas that are on or adjacent to the site. STEP P (hAR-tViP PAt<JK AfPR.4Yz MA_Z t-`( SD� t-+ t4 stormwater site plan template.doc—rev.10/12/2003 6 • • b. Description of special requirements for working in or near environmentally sensitive areas. �t-tSTAL.L S.rLt Frdt)tE. I.. .0 t.) ' tt (YrcttARR anio..111 ( ji aZtJ SD- of •V>(' r')F f“AtJk. 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). � - STClL 3O LS ARC OOeft. b co_ TCIA.47 n►J(1 CARE e-NNci,.) v) Pik' TAKE 1.1 To Cr)vvt Pinc, fl 5ca L. 5. Construction Phasing. a. Construction sequence `.)TALL PiAC t 3bS G•ta osm-y.V LT I=kUl ( rt9,Ov1_ eyscts ►.tothe) 122 CST t.] 'A C i C o t-1 0 c ) wavrw, b. Construction phasing(if proposed)• 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. ( .&flLPi r SlaplaMAER 3C) II. Wet Season Construction Activities. a. Proposed wet season construction activities. ao$'1_ 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. DAvI,p LAPhInt.r b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 1•.101-31z. ; PR12SGci IS Tvo SMALL. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicRable.6 2009 a. Sediment Ponds/Traps. — b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations 0. 113 Lt=S Frnwl (,A&A(,E_ liot sv Av.exa Li I (LA-IL 5lb9—r4. stormw.ts,ow plan ampmAoc—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 stcrmwater management BMPs),the applicant shall submit a final corrected plan ('as-bunts')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. 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