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BLD2009-00088
MLA09-00099 BUILDING PERMIT APPLICATION Review Typ e: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00088 Received Date: 3/24/2009 SITE ADDRESS: 131 SHORE DR PORT LUDLOW, 98365 OWNER: JEFFREY A REMBAUGH PHONE: (425) 350-7307 GAYLE S BERRY REMBAUGH 131 SHORE DR PORT LUDLOW WA 98365-9257 PARADISE BAY ESTATES SUBDIVISION: Block: 13 Lot: 13 PARCEL NUMBER: 983401310 Section: 23 Township: 28 N Range: 01 E CONTRACTOR: TO BE DETERMINED PHONE: REPRESENTATIVE: C.D. GALLUP PHONE: 800-888-8715 3726 PACIFIC HWY E (253) 922-9351 TACOMA WA 98424 PROJECT DESCRIPTIOI' NEW SFR W/ATTACHED GARAGE TO REPLACE EXISTING CABIN TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,096 VALUATION 200,000.00 ADD'L: 428 HEAT TYPE: HTP CODE EDITION: 2006 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 593 SHORELINE: CONST TYPE: DECK: 468 SETBACK: 70 BANK HEIGHT: 7 SEWAGE DISPOSAL: ALT WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: 3 l a51 o 6/ lc4S Type Amount Paid By: Date: Receipt: Approved/Date Total: APPROVEr APR A 2009 Jefferson Co> y Planning &Building Department 1 CONDITIONS for Building Permit# :BR-00088 • 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.) A SILT FENCE SHALL BE INSTALLED AT THE EDGE OF THE CLEARING LIMITS ADJACENT TO THE TOP OF SHORELINE 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 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 -SHE 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.) PRIOR TO OCCUPANCY & Bt.ING FINAL - FINAL APPROVAL OF SE SEP08-166 IS REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC P MIT. 5.) A MINIMUM OF 10' MUST BE MAINTAINED FROM THE TOE OF GLENDON POD TO STRUCTURE FOUNDATION OR FOOTING. 6.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 7.) 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. 8.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 9.) 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. 10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 11.) 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. 12.) This parcel is within the Paradise Bay no shooting area per JCC 8.50. 13.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 feet. 16.) Minimum setback from Shore Drive right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from OHWM (shoreline) is 70 feet. 17.) 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. 18.) 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. i 19.) Residential developers and indr�aal builders shall be required to preservefeline vegetation and reduce the associated risk of erosion during construction andy future activity which may impact the stability of the shoreline. Jefferson County Buildinglaision Permit Ner: BLD09-00088 Applicant: REMBAUGH 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 164I 1 Minimum setback from Shore Drive right-of-way shall be 20 feet. 9...,, Minimum side yard setbacks shall be 5 feet. Minimum setback from OHWM (shoreline) is 70 feet. Erosion Control -2 ,oC( SEE CONDITION 2 & 3. Foundation Footing - c Footing Drains " 1 Foundation Stem Wall Underground Plumbing Under Floor Framing 4-1CM 91 Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing Framing TT11 tt( -1 � I_o -- Blocking ( o°t 'CVO;It Airseal _l Co ao-o q Insulation:Walls Insulation: Floors (( 0-6 5 Pe Insulation: Ceiling Int. Shear Wall Nailing l b _CC( Wallboard Nailing Gas Line: Interior & tI-OT Gas Line: Exterior 0 2D-e Propane Tank fv -143- c- Heat/Chimney Clearance /O,_d�)� � F Drywell/Alt Drainage SEE CONDITION 1 FOR SPLASHBLOCKS Address Posted t b)-0-64 c r,} FINAL INSPECTION 0 0 1� FINAL INSPECTIONN MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • ti 4 • 11/ 9" C�� JEFFERSON COUNTY ' - DEPARTMENT OF COMMUNITY DEVELOPMENT '' 621 Sheridan Street• Port Townsend• Washington 98368 360/379-4450• 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application/ MLA: 0 6L`ao Project Description(indude separ sheets as necessary): "7 6-w 5 F 12, Tc f i 5 PLA-C-G 6>`t 6 gTrz �AS�� Tax Parcel q Property Number: /834-0 /3/0 3/2 Size: 18 S© 'mar' Pr (acres/square feet) Site Address and/or Directions to e Pro PrtY� /3/ sl?O,QF ,lea/PC f 4AcY-ouJ Property Owner(s)of Record:Jl;.p 4 6AYL.E Kf;MSAU(,k Telephone:4ZS-350-1301 Fax: — email:payeizAti @ mall,.Wfr\ Mailing Address: sficao. Q2t IEReT LiP4•0W. \NQ clQ, (r Applica ittn, if different from owner): AL-I--.U P Telephone: hod-' 8iS4(-" 7 15 Fax: 253 9 2 Z-- 435/ email: 9 44.c-uP(d,SEAvwfr. cover Mailing Address: .i 72 c -- /,v y, 7;4 cc'dp74 `eiA jeliz¢ Wl)at kind of Permit?(Check each box that applies Building ❑Variance(Minor, Major or Reasons ES �i mibp5e)' 3 .; ❑ Demolition Permit / ❑ Conditional Use[C(a), C(d),or C] ` I ''`=''� 'Y _�� Single Family Il Garag Attached)Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)*" ❑ Commercial* ❑ Boundary Line Adjustment MAR 2 4 2009 ❑ Change of Use ❑ Short Plat** ❑ Address 0 Road Approach ❑ Binding Site Plan** ❑ Home Business ❑Cottagelndustry 0 Long Plat** •Ok Propane ❑ Planned Rural Residential Develo 1rit,(RRR ',�Q 0 Sign ❑ Plat Vacation/Alteration** FOp eTu `I'I tiff'�I ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions*" ❑Stormwater Management 0 Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ 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: DESIGNATION OF AGENT I hereby designate C.D U to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 10/ By signing this app• tion form,the owner/agent es 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 access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application at h she ants p' r notice. }}�� Signature: Date: /t5 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 responsibility for adhering to and complying with the ESA. Pie Appicant as read this disclaimer and signs and dates it below. Signature: �QJZ__ !j� a. Date: C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc 9 • r . BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that t e are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. !FIN (l `�l �\ 7 y?r-�. j -fk,,,hail jj Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: MAIA ^��9 71g z f=a,e �..r%,e�c_-To.e ( ) ) MAILING ADDRESS: EMAIL: pQnn MTh CONTRACTOR'S LICENSE WAINS '' I E ERCIIN L�UjV I I ti NUMBER: NUMBERt. ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: VNew /Wood Existing: I I Sewer O Addition ❑ Steel Proposed: 2— Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 2— Height: VIndividual System ❑ Repair ❑ Masonry 7' SEP Permit# 0$ —0 0( 6 C ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: 1 i Private well I I Two Party Ty of Heat ,• Proposed: -Z.— , /Public ,4 7 v,f5' Total: 3 70 Name of System: If this is a Commercial Project ou must answer the followin : Num a arkirrg Space,: Current: 2 Proposed: L Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees, etc) urren Pro osed IBC Occupancy: IBC Type of construction: Will you have Food Service. No • If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: ❑Underground Tank 0 Above ground Tank Size of Propane Tank: / ,.L ❑Heat Stove ❑Cook Stove k7 Woodstove ES Fireplace Insert ❑Hot Water Tank 0 Pellet Stove ❑Other Is this appliance being installed in a Manufactured/Mobile Home? YesC/ i 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 �/o y� L EH Bid App Review: 2 I�13 7p 3.00 2nd Floor Heated 4Z8 2 J 1I ' Consistency Review f 3. CO Crv (- Other Heated 1 Base fee: t5 -1 53. 5 ( .00) Mezzanine SDI Ir,¢_.. 9'7, 0 Heated Basement Plan Check fee: I 00 q, q4 Unheated Basement State Surcharge fee: Li .5D Other Unheated Pot Water Review fee: 100.00 Garage/Carport 59.3 t5 L`o• 19 SUBTOTAL 3451. 19 Decks 4¢ 119'D 5D,911/Rd Approach fee: Other TOTAL: $3451 1cl -6(16' 7 /.c. , Z 4 6 45. Cla. Receipt Number: )V 5(O 1 I o 10 Cash/Check Number: 3 01 pi L In c 4 ESTINJATEB COSTAR f f l '�15(}1 Date: 44cj I;irfoundation cA `-- 11 ) f V 4/'2C0 w�0( - )6' Initials: ' A'\ C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc • • • , aN c RECEIVED , °', , JEFFERSON COUNTY Ai DEPARTMENT OF COMMUNITY DEVELOPMENT MAR 2 4 2N9 , , 4. 621 Sheridan Street• Port Townsend • Washington 98368 $ �C7 360/379-4450 . 360/379-4451 Fax JEFFERSON COU�J1'I DCD SIN http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# O R- t q PROJECT/APPLICANT NAME: -lam R AO y L 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. }(6r6 � - `-'"E6 .6s-0,..1,G6..S -.. oE<or[-t Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. F1�� r'N f4.. 1 rT KG J7©wt E�iSTW�t-c, CAa�1 4 A *,E Pc.AGE- W ► .SSld) SI3e4.LC -FA-N/I LI gers , to n-H A-7Th GD G Agiv<.E. G6 V c 2f�Gi..C- (D 1- --6 7I'I L Ate.Pr-G, 6/ ADD i at U G -'e- s�C- -W12-0X I S To 1 L oT . Existing Conditions Summary / 2. Describe the existing topography. Indicate contours on the site map. C-X/ST!�C� /(#'d 6"4 y /S c95EG AT/U L y A: .a - "A,- zz- c,as .A7s0 T "iK/✓Y T 77 Al S4-0,c7rr-ey T t7 2- /4 T 5 �i/-ArJc .76 35°10 G/2- /7 ( t c- .,.A.✓/G S/tc- /S K:7 C7-,g�Jg v! /c .,r/ s44p�- 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. J -7 mac. L c /S C Giecc-Jr- L y / c/ 4-e(4-SS .4 /7-lzd' ,.gielJS14 o A) ,40,.., 6.,_ IOC -&z-- -sim 6. 7 L o-7--(jyc f e_ -rs z- 4. Describe the existing soils. Indicate soil type on the site map. p�� �,-y /s 0N z.4.,"0 ,y-7-Zc o«.7-E 1/6&y 6,e.,4U (/ 5,L3-- L o,grsr ,So/ S i,o-t- ,-e_hr s carp 2e — �o -re-o6e4C--5' 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. S'E� . ''. o X' so/_.eS�S /Gird 7-6 cfr AL( 4 c_. rc.r--T C o Lop /CA c_ /4:5-6--S-h•r6.A.,7' 6. Describe any excess levels of noise generated by the proposed use or activity APPROVED "�-CAUXzToic.- foA E-.✓ .7>>ff1 /9 454'. ST MWATER PLAN r�,0Jvf'7`-x2 c/ c Tia-->.' ,-5-)4J - /Z.0 j TA/ //,4re.- sec..,7",.../„--�sse,r— a,A /1— K ", 'Ic.,,�A/Xy APR - 6 2009 Stormwat s stormwater site plan template doc—rev 10/12/2003 Requir JEFFER O UNT 5 Requir OF CO . Y EVEL ENT SIGNATURE: r + • • RECE VEIL MAR 2 4 211U 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. J� R 5 � OCD /5 3S To /o '7o 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.). ��/S 77)41 f7 b,3 )11:1 io.k7 t'ga tc 4 o 7- 7'0 art cr5-19 a✓Ss_s 4 doss J 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 fr m existing facilities. C'v-J7".&<-0 02-)(-/X Giio.4, o1 f -7-4) 064.1 0,96vAfo, to 1-H' . z,95pi cr c is o,-✓ ),I r7/s+- > e< ho v.- 0 1 7N y° A o r-'s-� S3'44s / 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.] �,Q �J 11. Describe the performance goals and standards applicable to the project. C;i-v_s-rU Si 47- A Lis cv, �vecL 4o"7--, 12. Describe the flow control system. 714 A-e)c, -_-c -7-6 — 2 - t -€ uJ stormwater site plan template.doc—rev.10/12/2003 6 • • a RECEIVED CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPgPIR 2 4 Z119 The Construction SWPPP addresses sediment and erosion control during construction. The BMP ' +'ii -. . ..f in the template that follows must be installed on the ground during all construction phases of the projec • 4 0 'en .•tI 4P l ble for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the ons ruction ormwater 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. CrG --0,9,& /s �,-/ C 6-- 45-779/v? , r_SG-0-r /5 /7,/ Gi,e,Ll SS . -.7./3.i (J/Ze-9,Ncd Z.9_,GL i6:7 z .sn/-77 7k- .5?o . ®,,,i /1 VS E- v r.4.7 ' 2. Establish Constructs Acc ss. 76 6 s'•F- I C7 Z /lc.c&- _c .j/7-$' ✓$ 4 .s SE-7, b.) Abos, ice,sf}-G_, 6L 4C•Ecs s 7 6 6- ?"9 14-/ ///-`(5 ,e�s� 3. Control Flow Rates. 1 21/.A 4. Install Sediment Controls. .�// 5"1v.A- 6 ,1- -7"- 2/3t5A��N S/pec c de)aJ- Gcu /r am 1 se.1910 A9 -s .i,.�i Esc �t"„sr�c7-i �/ , 4'- ' 5. Stabilize Soils. ,�// �> / / O ;l�C-2/, ..6,5W c ftwi,l GiA.2 , ILLS4W 6. Protect Slopes. --- 6)9,4yez _5.4 g::5•0 /--,--2,-„ _5--y, e,„.„,) _'/,per,ty L v 7'" `7-6 9_5" 4,,, " %r o2,4; . s'.F" 17—b Lt./ 1/L�-. s0 sP (/4ee-T . 7`.0 .�-7--& 7. Protect Drain Inlets. (71/4 y stormwater site plan template.doc-rev.10/12/2003 8 • 13. Describe the water quality system. //%1 RECEIVED MAR 24 vS 14. Describe the conveyance system analysis and design. JEfFERem ] ,rnio„, ,,,,J ♦13 dv„,,, yb /V/X 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. /1/4 17. Describe the proposed surfacing material. /T h` '" c vs J1 to p4c _- 18. Describe methods for restoration of the site. Ez7 6 arcs. -- 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. 7/74 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. C) 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/71 stormwater site plan template.doc—rev.10/12/2003 7 . • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. _ \y, J /lllll%y14 LL_ i _ MAR 24211 9. Control Pollutants. ?y/..7c1 JEFFERSONJ COUNTY HO 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). X/79- 11. Maintain Best Management Practices(BMPs). --- -1.t u ' Sl LT/, ,�Er�G I f �9J d� 57,A Lc/ 12. Manage the Project. 1_ - _7G- / 'e--7'V Gam--S A-'- i)STb 77pi✓ 'T,�9 CF /A/ �,�� r,f i/C /2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 4.ix,27 4 b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). x� .i'T 7V A s9 SGT/,..9 z‘ 1 P �',� 'ss' __SI e7,e-5- /.a--erjj 0-- Z '7-27 3-f'7 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. ././ stormwater site plan template.doc—rev.10/12/2003 9 • • • b. Description of special requirements for working in or near environmentally sensitive areas. i1,/,1 ' xc,- OSaov 224),n S/ 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). RECEIVT A//:/ MAR 2 4 z: ,J9 JEffERSON COUNTY DCD 5. Construction Phasing. a. Construction sequence-. u>>✓ �jy1J'/ 4,77c i iJ .J4= 1/ /p/99. 11Dz_c‹. A/C1 ) 3-F' 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. ,yJ9yt-1, 7-, 9 II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property ner responsible for t initiation of bonds and/or other financial securities. CP'j4. G 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. A///.a• c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template.doc—rev.10/12/2003 10 - J 1111CCEIVED MAR 2 4 209 Stormwater Site Plan Changes If the F ' submittedgtoer DCDhpri to toake changes c construction. The submons ittalo he shal9inclly depproved substit eto a es thaf in• fie,M. .}d o,- changes, revised.-10 revisions be drawingspriorP9 9 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. • HORIZED REPRESENTATIVE SIGNATURE) (DAT ) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template.doc—rev.10/12/2003 12 / / / \ \ - - - mac / 16'-3 I'' / • ESS �• 3.3' 1 CID I : CLEAR r. r rE �y 11 ...... °' u,„ \ . , 6 I � _j: 1 i I '' LT/ k, 'Ii' /. < -- 0. I /r''3/ /� -T I.7 1�= -�g-e 6� VI r 7':— - F 88 I 1 y - m 1 ® .I m3 \\ 2,Om h l A @. T'V ❑1 I,m �rA m s m 5 % 7140 444 •F \ ae E -j-7N-- : \ y 't -/---/- A, u- / / F. m M. 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