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HomeMy WebLinkAboutBLD2009-00108 ilkUILDING PERMIT APPLICAN MRLA09 0eview 0p116 e: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00108 Received Date: 4/9/2009 SITE ADDRESS: 124 LARSON LAKE RD CHIMACUM, 98325 OWNER: CATHERINE A GATES PHONE: 541-758-9763 2200 NW 12TH ST CORVALLIS OR 973301422 MT TOWNSEND VISTA SUBDIVISION: Block: Lot: 11+ PARCEL NUMBER: 801035003 Section: 3 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,512 VALUATION 136,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 112 BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: ,11 Prop: 2 Total: 7 1 Totat___ -2 Routing Date: (� �� Type A Bv: Date: Receipt: �� Approved/Date Permit $1,195.35 LYK 04/09/09 108253 PR® Plan Check $776.98 LYK 04/09/09 108253 �� State Building Code $4.50 LYK 04/09/09 108253 AUG 3 Potable Water Application $62.00 LYK 04/09/09 108253 Jefferson County plannin Total: $2,038.83 & Building pe�artment 9 Jefferson County Building DDsion Permit Nu•: BLD09-00108 Applicant: GATES BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Cedes To schedule inspections, call (360)379-4455 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 CH—(Xi Minimum setback from Larson Lake Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. Erosion Control SEE CONDITIONS 2& 3 Foundation Footing `l-)_0q 191- -('UFert. Footing Drains Foundation Stem Wall af_ (t_o1 Underground Plumbing 1 G Under Floor Framing if 7,2.ac( Straps(hold downs) Ext. Shear Wall Nailing to_ oc Rough-in Plumbing Ct_'1v� _r 4 1 `l Framing 7 Blocking Airseal j' )-d 6( 1417 Insulation: Walls Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing i Wallboard Nailing Gas Line: Interior l%' Gas Line: Exterior L/ ,,�-�- Propane Tank C Heat/Chimney Clearance Z�l�� sI►��-� Drywell/Alt Drainage SEE CONDITION 1 - SPLASHBLOCKS Address Posted ;� ��f D FINAL INSPECTION -2`Z--/- i <— FINAL INSPECTIOFI MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD09-00108 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING C)N 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.) IF NEEDED, A SILT FENCE SHALL BE INSTALLED AT THE EDGE OF CLEARING LIMITS OF THE SINGLE FAMILY RESIDENCE AND/OR SEPTIC MOUND AREA 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. 4.) Critical Aquifer Recharge Areas require special protection measures to mete water quality degradation. The submitte 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. 5.) The identified Fish and Wildlife Habitat Area (Type F Stream), shall maintain a vegetative buffer setback of 150-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed single family residence. 6.) An additional setback of five (5)feet is required from the edge of the stream buffer area to the proposed single family residence. 7.) A permanent physical separation along the boundary of the stream buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 8.) Stream buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer - Do Not Remove or Alter Existing Vegetation." 9.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 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 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. 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 Larson Lake Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If an ESA is preseent, then the more stricter setbacks shall apply. �17.) Exterior lighting for residential us.hall not exceed twenty feet(20') in height the finished grade, excepting when such lighting is an integral part of a building or s ructure. 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. l I&N c \ JEFFERSC•COUNTY ' W ' DEPARTMENT OF COMMUNITY DEVELOPMENT '' `4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax wvvw.....,y .co. efferson.wa.us/commdeveent9 2009 �`SBING� .cojefferson.wa.us/commdeverpent9 Permit Application MLA: 09— I I(,, Project Rescription (include separate sheets as necessary):;few dwel,lffS \nou-Se: s-4\ck"Cro "i'd ,s1`11e, ievet;0v,-�ou.v aIA SiV`Cj1Q."t?-r"".!�� rQsdew,ce-�oY`myu,Se c�S eAr-ra��..n.d. Inorn�. rvtous owt��r).GI reis.d.y PYisi 6�yraper- ' ) &s Ctlshop by�1J�y� wel.""l hottise wetl�ct11woYk Ic „f domes �r�ve-uJa�) \ Tax Parcel Number: g0 i _ 03 s--o o 3 Property Size:5..3`,AA 3'-//18g s'C(acres/square feet) Site Address and/or Directions to Property: 12-LI Lay-Sov\ Lc34,-e,-1.-c� C k*t',Irarrw,r , W A ` -$.32 Property Owner(s)of Record: COA9..v\'v\Q, At icf_.: Telephone:C.9It) —7S--$ —` —1. 63 Fax: email: Mailing Address: Z Z 0 0 N W t z t4, c + Lpr J L5 OR CI 733 D Applicant/Agent(if different from owner): Saw,n Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building 0 Critical Areas Stewardship Plan 0 Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) .Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business ❑ Cottage Industry 0 Binding Site Plan** O Propane ❑ Long Plat** • . ❑ Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑ 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 **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: n`-- s i12 c..06s wa'2Y- a.%S pc 1 Cap io E tt.v. -Coy DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signfig thi3 application form,the owner/agent attests that the information proviced 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. Sta, access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap ionifi'a't r she rffs prime t•tice---. C� Signature: (_1-(--) Q -7, 2"J Date: /C$�C / 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 wl the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tr sferable •' onsibili lra, inglirar51 complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signatur can C L ,. t_-C...--- Date: /VG R O 9 J G:\PirmitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • r6 JEFFERSON COUNTY,W o —DEPARTMENT OF COMMUNITY DEVELOPMENT , APR9 2009 621 Sheridan Street • Port Townsend • Washington 98368 p� 360/379-4450 • 360/379-4451 Fax i ; �S. tIN_ O- ' http://www.co.jefferson.wa.us/commdevelopment/ - STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# `J t- I ((p PROJECT/APPLICANT NAME: iJtwle t\v,cJ /C&4& vw �'"7a.:-5 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.( \A A. ti IS 12 s res`kot v,ce. or 5-acre paVicel w`ttlnA"A o rem, alrec.ck el av >t, D r Vlot,ts owyter s� L 1\ SeioiAc., (peryrltt Q 11e �rir $rtv owe,-to reS, ence-, S oexiS t � • P 10 S d�we.l Cexis t S � f3r�'v�s wa�tr -Pro U.J�LI -1-o tuo it ian_tesr f C2S��fl1eJ 1—F6 I ._ to stAbp• Co n-1To 1 4.�arvn lea t-`r' l i-l-{ tka WriSre t,o-s 4- e 2vlstovts 4-0 splasL lolooks-11n e�y-ks4-(ts In/ed v-, V rr__iA or recited /C�reA -d_Y1tve9 -Plow -ks el)tcinoor5e - ' -tits ct0.VtS� LGr e_ ro o�cacky. lri eS(Se.ecif� r�t�h���(0.`%h0 ClParth s 'c..hou,,, ties tr Wt v Ptoy 4, reve_5e. e. Lot he,4iveS i- re .-fore. area-s Vww over PIA v\1-4.3&e. ti,\vaS6,es, Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map-Part.e.A rLses 3,ra&tA4A, -cr0VT\ L L' OA Lk L Unov114) + t tt� li-R, t CPropaSedO/Srto+OS lext 4 PAS4- g-we94 1in a S,e 'rkeS a Lo,..t) evti.41) MIASi Ehrtaty‘t V16r4-. - ot.±\ Ic es,(Set Cov, owr eve.,AEta c>v, S.rkt_ WV:44) .eXt. _S 1 eipres5e Ck‘i-P.S.-- iv. -4-l1e Cerkav rov+Z., 3. Describe the existing vegetation. Indicate native \vegetation areas on the site map. Ytls� is Vvdw.e,-.7,1-ars•e 5rove tti ke eo epo+l--DoL .P\v-Cmo:_kvt.(i S01 1v-k ,y-ov. #'.7J-e,).) (Alta oLa -dtke_r w\oi..4 c op Gaov,.sMa ati4c.LS-2a1,u s-to f Sr owgun Os.Qerry_iSDl.a.1),C .Arr }lde�t l .e es6v� bUv,s. Srossk. L-a _ arer�.t�4f see-Troow. �.s I,1nvr�€A ar 21-� c.1eA O.reo_—Ot.vv. Yam.-vv'nV ivS_ 1ot1 l2ct, , 4. Describe the existing soils. Indicate soil type on the site map. go El Sus o5rav el\ sekv\..ct*o- lro,y,41llj, sciv y ela� Where exposed) Tres4 pits Sttot. oJkU4-3k• 3-Ltt oc-4-,t't,SyEra.&sI.tiv\(v -t-, vvtoOre CJ 4--,f'it l ruvP,l.ly ej,rt 5—C 1, 'i.{�. ve c,_ 4-int„ Cnv e r e rrnns4 Sc,',1 Yy\o,kihS 0Icser,t6,-l-iosrt p o s s 66 e..,Cale - ar{.o.4- bro 6 tnn o r-o w+k a.,r e..c,, o_r e_ ccS aesca Aia.2 AA 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 facreage of each.l).l s&-ev- se•et.,s lws, iE-rater well,Noo(vtotts was lnot.d-s Ov-e sr,stoh6,,arP,s.No+mujlt fJ,wwAlvs c,.. kcr 0 Qt Yratn S�S0 h-0. rYtut j-ccei-pr-mN.4t ckYovonA limse c ift 4-o.tit\twl(nole, ti lowev-evket oc 9„yive. wdtev�p___ t&s owh_e tr -f-ssl-t,tck vncwi oust 4 'I.er c&l. ' l eE4 t l► --.E. �r r'v C� t s�4ot,�ty s4- 4�VV1aart%y c .L ow;b+cd 1i otas,00'rse�Q (otw o St csntjk across e( i}I`IAr.tiv,4-Gr,Se4;.,...ouvc� c`o I%s tx�l�er gt,� oy e C.-�Lsl�sic-ream �retllk rove fie rs_ t� rr.Acoc hnr't LA/4. C67 r- 6. Describe any excess levels of noise generated by the proposed use or cti� vity: ,i E\D e'v.. eovAs t c-tov\ Sow+ .s c.�Like, ‘at.�ttd1.{1- .ems SA.vs6m STORM -WATER STORWATERPLAN Stormwate t ► ► MAY 1 2009 Requir- • �1�, ►`• storrnwater site plan template-rev.10/21/2008 JEFF R$� SOU 5 DEPT.OFCO DEV I'ME ► SIGNATURt //fAR .411;A . J BUILDER STATEMENIIP 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"assumigg the responsibility of4t a General Contractor for the proposed project. Signatu : .. (7. -V t �_ X✓ Date: _ -1/o 1 09 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: fcNew X Wood Existing: O ,Nit't ❑ Sewer ❑ Addition ❑ Steel Proposed: Z Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Z Height: `Klndividual System ❑ Repair ❑ Masonry SEP Permit# app.f;'-e cQ -p✓ ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: © Setback: f' Private well n Two Party Type of Heat: Proposed: - ❑ Public E?l-el -ric re s . v:c-e.,d-el!ec'E,1\Is2ttte.� Total: Z Name of System: hy6kvov\.ic, t,Jlso!av-(pare 1,,P0-4- If this is a Commercial Project you must answer the following: V'JcG,- 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: NJ i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No A/A- . 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 1Z s T i 1233�o�EH Bid App Review: 2"0 Floor Heated T Consistency Review: al3 Other Heated . Base fee: . 195 3 ---) , Mezzanine Additional Section: Heated Basement _ Plan Check fee: Unheated Basement _ State Surcharge fee: ,4 . Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other �{� r tk t ST? row' i )posed \ S`t _ •9� TOTAL: $� �3 � r Receipt Number: IOp 1 15' i 01 Cash/Check Number: 1312 E ED COST D Date: • ^� air market value of all labor and mate • foundation to finish 4'l3 010 0 0. Initials: ..._ ________ Th G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc r • ID1 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. S e S o.',:10vp,., 0.15o gk,ce.,Yllty N a#+-aC\ A prrvl`_ewers r lt, es+ s�.el, Cxplat,,;LQ., eN 'te... oV-'1t1C..03 ovek_S 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.).-11,,ts p\ - t.s ovt e o- Sevv eva4 5ir)nttai- S -c,cre + tercels Tv1P f 1'1tTo_v_, v,ti J,A 144,V_psi tL� /06s4--ov e well 4y-e_e dk (03.)-I,.n n In. a3- l girder owe kG�-S a \a wv •d .r. 4 fps CIPavpa, pr si-yAYes.-�'o`- VA�SeS, U4ati-teS OljtC. WAAtlSYou:nj, 7r'r�5 - , ' w -a •.ro. St Aar. •4--c..rk i h si eta\ra e k.s\ .Q pr t v,.i 6 0,-4 �CIL, ems_ b e-a e- si.4e. �p lcon_--C r ev 4 creeks, 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. C n-trki\tA.206e v c+tn aQve .nt€'c4 9 fe. wkA\ (0�-Ctti\A`� A.:s4,ers�ol,_� 1 kt_.e.,c s�i 11 �na.ve-lu'F4-evs cQ,ts - Q-kaY-5t1,s \pia dowti e c;c pat a & e_v.4iat s-c - Sptct A Mocks Ji-6 d\'rec. s4.,, t>,tW�l`4.er'{a , a' n4-1\v,t, e 4.0... e) 4.1 o rari * (ti\A •iv-,V.ate.�a4nw\ vo-1-6i�s tr&U�s c�, c.\treck Lcla 2r 0.wat comr --�tkekc e. `�sci,.G - -e ,Liz ►vto+Le A ur wove- wes4- o� +L2. c .rA.veuoa r,)I,verP goo a . \,Y\cl 1'6 t'b IA 1s aeY\m45;1 c 4 b 004.s 4..v..c_4._c 54-a. .dk..t..4 W ccItv 1...`*1^�\ra.�1,., seas o . 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.] 1\14 11. Describe the performance goals and standards applicable to the project. s i\-k- bv. G sIrvrrn at..er ova tin sYee, sa*Lc.--k- W 4 y)6,$-t v e.., ko(apt 4s art iJ ouor-tslot �- se, as. 4-6 t16 4e. v-e_v,,,,c iet,. o-c e.Q A-urto-er,_ awe,„S 12. Describe the flow control system. CI.%l,\.ec1,- `tvt u -hers oy\ v ike.v.`2.. CDV‘V2ki t ve_y re.A - to w io a+Ls Vt.a.. ko.,,sr,ki_s d- 0\ow..\_s,,okt, e ev ciQtn..s- , sp(flAk oLock-9 or. 2-t K-S I ) G Icee- pcd.s o-c ,,.,,st.vp,l trocJs, Cc.U,v e.,, f-.o ,�` ',.,n a_z_sc vSe Lra 4 risk).v it tL --PVC_ � ceat v- Trove.) akr.lnrar ,e, o v.,-L, c t(aakblocic/pad. tv\s(at.4t vJ ho v_, . tL ,-t1 cto..�,p;ates site plan template-f[e4 tonin0 r - - yy t08 • • 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. rivs \e- LA.iO4\ ov.\It, d-'ot,pes wM Tttiv, is Nre-exis4-it„sTis.es;4\.e_v„� l's sit-o34-e.a ch.& c v i 1-�,'t.. -(-1_i a.,r�. 0 ovn-vvrj,4t r -Pvv- s e tmotAv t Ckl t I vnArtc 4h� \�a r v c..ret�4 \r-e1714.itt.a Jp, t t^a t prrorec.* t.,.v.oktvskedd-kncal- eleun is-to b� INN v\tk,vuti 2. Establish Construction Access. �Y --exAsk-k• clv ,'te_� 5 Iv�s c.c��s� Yes:r�e task, �cb :c6.S st-EQ.,�i_pe --V revk (v es Se;pi-ie- vwcatAv,c1�., Orel CLCcx.SSed -Craves „tee 3. Control Flow Rates. �xco,vA.,-1-‘'ev, 4- rep vral-Et v S�„�u rK �Pe.- Q..ow.ip.e. -J c�.�r,vS 4 r j Sec,sov I So Onop� .,lt nnA --1 aw, Z-o o�l,,�vct��t{ -� bI�eYc c1� ' lI rc�rslr���- eximOrv,P�rxt � C b8� 4 S+to.)& o \e p�C.� 'cam OAr v iwr � 4. Install Sediment Controls. v v 1rnr�-4 e�r.c�,l 4c�l �v pIas 4 a,., 1cayv.Csv s4Y-o w 6ale_s ova 1.4.,n5\ce Ipe Ste e ore- i��J le p\\es 5. Stabilize Soils. M lcL oo.1A 1 Ye. s\e des. c t+1n s � C owmec ck 10acA‹Qt(lecQ e,ccave, l'C ,n 6. ��Pttrotect Slopes. ( 1 C_OVQ>e- a.v..3 -esciF>as_PrX_ S VY\v. G,t.‘ 7. Protect Drain Inlets. 4 I 1� E eY aVwt Y Pr �I��� a\t„..Y„ 1�d�2'4 ( � i�{ear V11G I 2 rt vo C°Avavtiv� ci.//So Gr d�s�ur�oiv2 aNn.iv\ okv`o,:kv. iV\Ae„k o�uriv �otA. 4ti-LA-c#4CA" stormwater site plan template—rev.10/21/2008 8 • b. Description of special requirements for working in or near environmentally sensitive areas. A —G.l CGv rac tov< L'ay.crr,nncr-o \Ye4 t < Lr-`�s� Sri �f�G S �5�2�- S<'Et. 8..,04A) 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). t)ro10 5. Construction Phasing. a. Construction sequence L Sep-��c vv�ouv\v 4r ri,hk w(-roonS,por`� C�1n� 2.) 1Powrt-r<4vte`�rr sLor—6a.acct )-tv , 4l) Lu o vt6A" S e.k_43 2.v---Lo Vo kA s e.! (ant kc t.( ok 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. eS:v, /IBC, �i ve.—.a,O`3 CbOinArtPt6 Sr)‘1.1- s •,Y\ACts cri-\°vi��es dr;ns�v 'ly, acrestolevt�t II. Wet Season Construction Activities. a. Proposed wet season construction activities. v<4r-Q,Y<-0‘r Vo's 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. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. Ill t 8. Engineering Calculations. Provide Design Calculations dons on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. /vedr_ b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template-rev.10/21/2008 10 • 1 4 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. Lilo 81 0, (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 • 13. Describe the water quality system. A/A APR - 9 2009 • J 14. Describe the conveyance system analysis and design. n_,e4 tt S c� Q.'r�te r 'tir�cv Sp�4Ae,\DVtltAts I V10.1t0w'{ \Lid 6,A TO CoYn�Ytuk. Tev ekt pwa row` onvt\mn rA Sze nSP a tmo, to v t ois -ex ile.\r‘ev` e. c�14•L -coos C, CI)rc..Cv\S I i`A1YYN140.Lel u.):j SENruo,A:vv‘ crr 5 15. Describe the source of fill material, physical characteristics of fill material,and deposition of excess material. e�r‘' t;s avcR 4ck4 - be 1.64 ,e'retert k3 skci l l oc- c uA s��2 - evtu.\ 2'Par vo � �a �a h i H {�vT_xcesc • t I I -(11/ t'k clYtitt eaay .(t rv+ \ pro v Q1\1- - Yro 6eckS Vec i.e. .QVn 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. ( t)v\e,r-e P 0-4 wy.,8,MV\t`r- watt `re yzl.. c t } a-I-LertN\se s(rovek) coke-el br^�rrocv .4- mke opeeal-ea by prn/pr ow�nev (10�4c, sl-ovv‘ipw ova i. 3-add:k,nt YY1nrt.- os i S€741eS 17. Describe the proposed surfacing material. N U S V,>r-�E„Giv.r .cpt.d-e._•r' Pro p o sea., 18. Describe methods for restoration of the site. e_-01 arecS ' 'IAc vedt,v . wine rQ +r. .. ca. S ‘r,, • QI ettivv Hp 0---1kr ) 4 av\--b 4 y)fro rice t ve c i es ; W e,•e.t� Ota4 t kii4 Si v is vnok CFo r o• �.V\rxv�a lac pw1- ?v \4`2-�t was La e.r f tA2 1 .�JCrrnt v.P l S�1-a��] toclLes 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.'V/ A' 20. List here //a and include any special reports or studies conducted to prepare the Stormwater Site Plan. /V- 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. VJ�rvvLSc �pp�tr_a, ulnS vac. Woph�vc4 is ex. es-4.-e „at �w�a�-�l , a �o� �,�cs ee a r - rev. craL e t t� stormwater site plan template—rev.10/21/2008 7 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. APR — 9 2009 �ny1P C'ep, Yac'k--O' CNiv ru.f "•!f 4,4e. . S_eF41'1_ On.ptxV.A evS!Ar rypv-0ryfa'L2. VY\PL.SuKP&- li ire �ak�v. ! r�ir) i.yn .�y- la Y\ rclex-cA e�rnc Sian �t. �u.vteerl' crQas r,u \ �Ce c ,, e, C]�'� , , p v.c, clnahTne.ts ou41.e,ks cLcCe�3.-e \r vesleboAtt 0 ov\s�rt�c�tn4� 9. Control Pollutants. l�fJ,n'{Y'Ac..t--GY S l U; y-o.+.••n w cc+;S C'\Arxr c p l I u4,1_,K . e:51, s 4e,. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 1i v10,6 \AeeTe4}4S +rtkiv, is e ,,s L-c \neer.(e�Q �� �ttPc t.V0 2� - Cenv err�vQ W�@ya cc va��.vti.( boati Sows ! t �1 'E.�,4c V to vvnr,c c+ !v. , «vat t A <o,ew\S a o 11. Maintain Best Management Practices(BMPs). C)\p .e' v t�,rr �h. \DY�vsess.-.x •ec4- c 4v, *vvs'to-Pollow` (YIP is 12. Manage the Project. t �c.�..)v c��c O` rQS pCwt; \ . \rQ l�ireSe� a 4 +✓s c�t� era �'re��v --coy Ove .c(I=�n'� 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). Yee\ 2_-CYowp0.4kc (de io t Co, o_S 54-r.AAS; a Q'cr�r c.�esf pro Perry f fvz)sec--0 a-crass ec`-otar, /`(e'+( - coouid be_a eG+ ! ) 0.s 1.14 tvvv,etn\�s —ve ogr l (rtr c pr _v4. `� sv,.rGc��lG �rQv+� lOu titot t' s; +.`(-o`fkQYw, �-o.Y s ov. ��. 4 ck Y�ecev -Po si'f� 'f i+ . roifed b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). c&.LoKg Sot ectee_nP c vSovv L-1(112d, (ne.also v�ce_ ram-566t t C�Y0.`1vtv�\. T YOLtQ� 4 1 sc{-eevn, O a w�a3-l1. circaQY'- co sAr;_ czt,eve_ he..Ati1 ar- 'S prevtovs cie.Ve0VNYIA.tA.* cC- LCMk� k-vc e_--e_A4-er -AO(A) rnLa.v� `/ea- s co, 3. Environmentally Sensitive Areas. a. 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