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HomeMy WebLinkAboutBLD2009-00109 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 Al Scalf, Building Official PERMIT #: BLD09-00109 SITE ADDRESS: 418 OLYMPUS BLVD Issue Date: 06/2/2009 PORT LUDLOW, 98365 Final Date: 3/2/2010 APPLICANT: DAVID CARPENTER PHONE: (206) 829-9131 5327 SW MANNING ST SEATTLE WA 98116-3127 SUBDIVISION: OLYMPUS BEACH Block: Lot: 28+ PARCEL NUMBER: 978900021 Section: 4 Township: 28 N Range: 01 E PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE ALSO A/G 110 GAL PROPANE TANK and Shoreline Exemption (SDP09-0029) 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 no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/2/2010 I:\F_BLD_Occupancy.rpt 10/29/19 1UILDING PERMIT APPLICASN ML Review Ty 117 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00109 Received Date: 4/9/2009 SITE ADDRESS: 418 OLYMPUS BLVD PORT LUDLOW, 98365 OWNER: DAVID CARPENTER PHONE: (206) 829-9131 5327 SW MANNING ST SEATTLE WA 98116-3127 OLYMPUS BEACH SUBDIVISION: Block: Lot: 28+ PARCEL NUMBER: 978900021 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: HOME ASSOCIATES BUILDERS INC PHONE: (360) 437-0931 RON GREGORY 22 MCCURDY LANE PORT LUDLOW WA 98365 Contractor's License HOMEABI027J3 Expires 6/4/2009 REPRESENTATIVE: RON GREGORY PHONE: (360) 301-6375 22 MCCURDY LANE (360) 437-9638 PORT LUDLOW WA 98365 PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE ALSO A/G 110 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,001 VALUATION 310,000.00 ADD'L: 1,216 HEAT TYPE: HTP CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 93 SHORELINE: CONST TYPE: GARAGE: 429 SETBACK: 70 DECK: 628 BANK HEIGHT: 40 SEWAGE DISPOSAL: ALT WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 3 Total: 2 Total: 3 Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $2,169.75 KAS 04/09/09 105647 A PPi c Plan Check $1,410.34 KAS 04/09/09 105647 VED State Building Code $4.50 KAS 04/09/09 105647 Potable Water Application $62.00 KAS 04/09/09 105647 JUN O 2QD9 Total: $3,646.59 Jefferson County Planning &Building Department Jefferson County Building Desion Permit Num.: BLD09-00109 Applicant: CARPENTER BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2 06Inte national 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 Minimum setback from Olympus Boulevard right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback as measured perpendicularly from the crest of the shoreline bluff to the single family residence shall be 40 feet. Erosion Control SEE CONDITIONS 2& 3 Foundation Footing _ Footing Drains �--`r) G , A� _ ` r e pal�,��:��,, l� Foundation Stem Wall _� Underground Plumbing Under Floor Framing Straps(hold downs) ') - Ext. Shear Wall Nailing b W n� � Rough-in Plumbing ( � 61 /rt Framing ('JTrr3 Blocking (0 ,-( 6c? Few Airseal A°L../4 Insulation: Walls F `- lF� co 2Insulation: Floors 2‘1,2 J`17 Insulation: Ceiling ))172 - Int. Shear Wall Nailing K i iit(0 Wallboard Nailing `� II '.Z`Q 1 (q27 Gas Line: Interior Gas Line--Exterior Heat/Chimney Clearance Drywell/Alt Drainage `7 (G� ,�C,acd -?�SSEE CONDITION I Address Posted , FINAL INSPECTION 4.7,1Th FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BLD09-00109 • 1.) Stormwater will be collected via infiltrators and a ADS bio-Diffuser Leaching Chamber. (See attached stormwater collection sheets attached to Stormwater Plan). 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 3.) A SILT FENCE SHALL BE INSTALLED LANDWARD OF THE 40 FOOT SHORELINE SETBACK FROM THE CREST OF THE 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. 4.) PRIOR TO OCCUPANCY & BUILDING FINAL - FINAL APPROVAL OF SEPTIC SEP04-00114 IS REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT. 5.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. PERMANENT PROTECTIVE BARRIERS ARE REQUIRED ALONG THE NORTHEAST END OF DRIVEWAY TO PROTECT THE RESERVE AREA FROM PARKING, DRIVING, AND OTHER LAND DISTURBING ACTIVITIES PRIOR TO FINAL-MUST BE INSPECTED BY HEALTH DEPARTMENT OR DOCUMENTED ON SEPTIC RECORD DRAWING. 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 i ing landward into underground aquifers, w development activity on Marrows une Island, Indian Island and within 1/4 mile o 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 Geotechnical Report prepared by Shannon &Wilson, Inc dated June 18, 2004 was submitted in conjunction with a SPAAD application on June 28, 2004 for the subject parcel. The report addressed the stability of the geologic hazard area. 10.) 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. 11.) 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) 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. 14.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 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.) Minimum setback from Olympus Boulevard right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback as measured perpendicularly from the crest of the shoreline bluff to the single family residence shall be 40 feet. Minimum setback from top of shoreline bank is as follows: The standard setback for residential structures, including common appurtenant structures such as garages and workshops, shall be thirty (30) feet or one (1) foot for each foot of bank height, whichever is greater. This setback shall be measured from the bank's edge when the bank's height exceeds 10 feet. When the bank's height is less than 10 feet, the setback shall be measured from the ordinary high water mark. The setback shall not exceed 100 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 hooded to prevent the light source from 6ein g 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. ON • • w,�� t\ JEFFERSON COUNTY 47 . ' `�'1 DEPARTMENT OF COMMUNITY DEVELOPMENT ~' ,c 621 Sheridan Street• Port Townsend •Washington 98368 360/379 4450 • 360/379-4451 Fax wvvw.co.jefferson.wa.us/commdevelopment �SAINGt J Master Permit Application �tf —� J MLA: O I Project Description (include separate sheets as nece r pose.e. ,R. -_Lop_ett le F�co.l I ee te -- Tax Parcel Number: co gCOo r Prope y Size: 141;CIfJ0 S'�=• (acres/square feet) Site Address and/or Directions to Property: 4 t 0I y vn bits ik ; -Vvr-+ 1•64 %Cu,) q Property Owner(s)of Record: D�� 4 � ;QU ral 10 eV CArz.Qs Ni.r Erz.- Telephone: 0 vti.) tr: ei q 131 Fax: email: C rpd COc'OtricAsf,fm{i-- Mailing Address: 5.341 SkA% el afill i n f a{. S e 3 t-f e G[2//6 -30 7 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: Wh-t kind of Permit?(Check each box that applies ❑Lot or Road Segregation Ail,:uilding 0 Critical Areas Stewardship Plan 0/Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) [l Single Family `Garage tie� "` T tached 0 Conditional Use[C(a),C(d),or C]" ❑ Manufactured Home .0 Module 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** 0 Home Business 0 Cottage Industry ❑Binding Site Plan** 0 Propane 0 Long Plat** 0 Sign - • 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management 0 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* 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 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: e DESIGNATION OF AGENT I hereby designate & _'Z) J . GE6C• l - to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 1,42W IBy signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access nd right of entry will be assumed unless the applicant informs the County in writing at the time of the a pl' that he nts prior notice /'Signature: Date: `�" / '"c"'9 The action or actions Applicant will unde e as 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 wi the Jefferson Co . development code.The Applicant acknowledges that he,she or it holds individual and non-tralr respo si. -• ering to and . plying with the ESA. The Applicant has read this disclaimer and s' ns and dates it below. Signature _AV •AV' "/. Date: el / iiern 7 r•\nP,, ,r. ,P.\ttttteFnunactttt \nun POP nrc\r...o .,,ur, \,, n_. .A__,:_..:__r nil rin,-- M. • • 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 ing e r spon f the General Contractor for the proposed project. ��; Signature: 4Date: - I— 'o ei GENERAL CONTRA OR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ,,?F �ti��,�� �3u��r2ms, //i�= _ (346 30I--6 315 ( -V�3E N(� ' lyur/ efe 1'' l�s edli CD/) MAILING ADDR S: �������D��ft� �fj{ �����AIL: a � /� CONTRACTOR'S LICENSE WAINS 7 ` /��/j NUMBER NUMBER: p'/�?�,�,� / 1713 . ARCHITECT/ENGINEER: jV2,/ 721fl/.j� 9e ?SC' PHONE V.02. 18��,-i/f 17 FAX:(4 to.-fifg MAILING ADDRESS: / L` EMAIL Pr ject Type: Shoreline: Type of Sewage Disposal: J° F me Type: Bathrooms: YP g p I ' New g Wood Existing: ❑ Sewer ❑ Steel Proposed: Bank ❑ mmunity System ❑ Addition Masonry Total: Height: / Individual System ❑ M o ❑ Alteration/RemodelRepair ❑ _ SEP Permit#0/-00 a❑ ❑ Other: Bedrooms: Water Supply: ❑ Demolition Existing: Setback: 0 Private well ❑ Two Party Typeof Heat: Proposed: t % t Public �ry Total: — t me of System: (2(i):'f. ' If this is a Commercial Project you must answer the following: A AD Parking Spaces: Number of Parking Spaces: Current: Proposed: Number of Proposed Number of occupants(includes owners,tenants,employees,etc) Current p Type Occupancy: IBC T e of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Ta i Abov ground Tank✓ Size of Propane Tank: //0 e1 d l i Heat Stove i Cook Stove i Woodstove i Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / 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 I Current Proposed P Office Usie ,,. _ Amount Revision I P ,,. ` Main Floor Heated t rit 5' H Bid App Review: '15 Q/j 2 y ated / l/ • r71 , C6nsistency Review: (U It,a 15 . - Base fee: a i r r'�5 Other Heated �-�F�'1 : ; �C7"l fit► , ,., '" Ct tl� Additional Section: Mezzanine`' ---______.___-_ Heated Basement Plan Check fee: i 1 I b, 511 1 Unheated Basement State Surcharge fee: /1 -5o • Other Unheated Pot Water Review fee: CO_ ©O EQSUBTOTAL (� �j Garage/Carport "/ 'U� ,,561 1 0•S V 1 oh-fee:. /g nn Decks D `_1"I T W Other rizeiVqTOTAL: $ 4 lD`' . 561 2 c 1 I Receipt Number: 1 O fi(Q 4'7 �, ��`� ash/Check Number: s 5? 141. r1 .4 I `-i45 ESTIMA COST(REQJJ D) �,L 2\a .'ate: ( � .Fair market value of all labor and ma ;els foundatio mid Initials: 6 Cq g':/0 IP,00' b6 -- l ? , G:\PenniitCenter\###FORMS###\DAD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc • • ¢,SON Ca RECL:I Y�':'' Di ( q, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT APR — 9 2°3d & 621 Sheridan Street • Port Tow Fax •Washington 98368 1%Ne° 360/379-4450 • 360/379-4451 J�F����� �/�� 11 http://www.co.jefferson.wa.us/commdevelopment/ D�� STORMWATER SITE PLAN SUBMITTAL TEMPLATE I MLA# CA"- `1 I PROJECT/APPLICANT NAME: 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 ma 4 _ � ./ems Existing Conditions Summary 2. Describe the existing topog_ra ndicate contours on the site map. 3. Describe the existin. ve•etation. Indicate native ve•etation areas on the site ma.. AG -` r 4. Describe the existiin• soils. Indicate soil t se on the site ma.. •-e 1 ZfF1'f 1�r 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 a••livable, and indicate acrea•e of each. . `. � 6. Describe an excess levels of noise •enerated b the •ro•osed use or activi STORMW tilliStormwa ' �" Require► ' ' �•rg�_• • 1EFFE out DEFT.OF CO. i/ Y D site plan template—rev ?C;2?;2CC8 . SIGNATUR.• �,/ �' stormwater �N N Alg , r • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, stee slopes,etc.)on the site. Indicate location on the sitelmap. / ,.#4/4,42,A4a .., 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilittiies, roads,and sensitive/critical areas (streams,wetlands,� lakes,steep`slopes,J et�yeti �� ����! 9 , Z j GC ti Z�i/ �i GAJA /lames �'�v- GG° 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. surfaces, and projects are gd to have the pervious surfaces to verify that th calculated of alle rth esholdspervious surfaces, treatmelnttfacilities pollution-generatingimpervious control surfaces, and pollution-generating facilities are not exceeded. lly ersed (i.e., per BMP g Describe the developed what types of stormwater flow ontrte whether stormwater will be ol will be utilized for the site oruspecific threshold discharge areas in the Manual)or, if not, types within thesite. Locate these facilities on the site plan and differentiate to proposed facilities from existing facilities. 4,01 ri „th/d1-0t&ievO elletml, , „ate /60/../e70 .4-A),,di 1,641/ 10. If the project requires the use of stormwater treatment facilities, describe the type s 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 goalsstandards applicable to thc � (' /C� ,v� cP�c� " / . IL �.1� "lid ± l 12. Describe the flow control system. i y ,' f r . .� .y c� 6 1, 1 t• stormwater site plar)e late,rev.10/2112Q06 • • r 13. Describe the water quality system. , MiPqN COUNTY HD 14. Describe the conveyance system analysis and design. ` 15. Describ the source gf fill material,physical characteristics of fill material, and deposition of excess material. 7 94erc`'€ e,e,.. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. e4 ..che,' 411,edir BIZ) _Pf-4459" //.621/..e,/- d'il-p1e- • _ .. 18. Describe methods for restoration of the site. 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. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 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 /I3 stormwater site plan template—rev.i 0i2i/2008 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 Volume II Section 3.2.3 of the Manual (beginning on page 3-7). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. Idt .� 2. Establish Construction Acces i t/ 2-t/ 3. Control Flow Rates. s� 7a ' 4. Install Sediment'- Con rols. S 5. Stabilize Soils. 6. ProtectSlopes. ,4,(6-&`;/?-2/ 7//lfizilf-Af Ll. A\I1C l_d ; 7. Protect Drain Inlets. '-'t it L 2!Ef Enc'1 '9C EJ Y ]C[1 8 stormwater site plan template—rev.10/21/2008 I • • � ,,��i ,I[' ] l� j� 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. m L ' vl JEEE Drr; 9. Control Pollutants. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices (BMPs). 12. Manage the Project. i OY 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). �l� orally b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 3. Environmentally Sensitive Areas. a. Description of envifcM- nment Ily sensitive areas that are on or adjacent to the site. � S ��?/ V 1 4 b 64e,e0 -716417storm:valor site plan,emplo.., rev 10/21/2008 9 • 0 b. Description of special requirements for working in or near envirormentally sensitive areas. 1 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). R- C E_PVT l 1 5. Construction Phasing. a. Construction sequence b. Construction phasing (if proposed) JEFFF ' ` 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. , _kZ,z_---___62.c5re<i, 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`prgperty qwn r responsi e for the initiation of bonds and/or other financial securities. 13e 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. 0 ( b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations 10 stormwater site plan template—rev.10/21/2008 • A • 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 correslcct toningthethebest ofConstruction my knowledge.`I also certify that this orksheet, I as the papplicationn isr being ade attest that hwith the full knowledge and hereine information provided consent of all co owners of the affected property. (30 7 (LANDO ER OR AUTHORI E EP ES NTAT SIGN E) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 1l`\ECEI\TED AP - , 2 .7 JHrtN CC!1 i( 11U 12 stormwater site plan template—rev.10/21/2008 y I I'N'i 8!,. iri l', i On i,,,-.P.'4,* 1 1 1 "" 1 iliii Mil q ''',, 6 rio T pi v pq A!q A2C i 0 bA 1 y 1 iao„ 11 m D 1. 'Gg lor (•fls6 o; zt I �od IiJIllxA a�u R 8IRnI Pi 9 'Ni g _l q_ Al ! li t 1 -!;1i apQi r i SX ilIx � of t�$ olbgbg A o 04 b a _ � i $ Fo 1A " IS F n � pypy pypy F r &' i �u0 . A D " n d d F. N 6o St AA • • T / / / / 6-4, / 17-6" / i %U O0 1 6050 PXD. 0 I2OWN 1 - - - - - - - 1 Ii RI-""5 1 IJJi I 11li mum. _N 1 N� . 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