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Home My WebLink AboutBLD2009-00110r • MLA09-00118 BUILDING PERMIT APPLICAftN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00110 Received Date: 4/9/2009 SITE ADDRESS: 840 BECKETT POINT RD PORT TOWNSEND, 98368 OWNER: DIANE LUX PHONE: 360-385-1957 1680 MONROE ST PORT TOWNSEND WA 98368 BECKETT POINT FISHERMAN'S CLUB SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 932200502 Section: 23 Township: 30 N Range: 02 W CONTRACTOR: NELSON CONSTRUCTION INC PHONE: (360)385-3062 31 COMBS PL PORT TOWNSEND WA 98368 Contractor's License NELSOCI972C1 Expires 1/10/2010 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR W/A/G 120 GAL PROP TANK TO REPALCE FIRE DAMAGED CABIN TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 610 VALUATION 52,700.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 17 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 1 Total: 1 Total: _ � 1 Routing Date: , _ _ �`-> 4- 1 3-0q Type Amount Paid By: Date: Receipt: AA V 0 F I Permit $664.75 LYK 04/09/09 105648 Plan Check $432.09 LYK 04/09/09 105648 APR gr. . ; State Building Code $4.50 LYK 04/09/09 105646 Potable Water Application $62.00 LYK 04/09/09 105646 Jefferson County r,ai,air &Building Dew.—— Total: $1,163.34 Jefferson County Building fAision Permit Miler: BLD09-00110 Applicant: LUX 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 . Erosion Control Foundation Footing t 1f Footing Drains Foundation Stem Wall 5 --I0 VA Ik Underground Plumbing Under Floor Framing 5"/7/0 1 94- Straps(hold downs) Ext. Shear Wall Nailing 5-1- _yi 1 Rough-in Plumbing 51-2_ 0r W 6C:4.0- 10 a�I� 7 ZjIUri Framing Blocking Airseal .'),(6-vCt Insulation:Walls Insulation: Floors _41- a '�0( PA Insulation: Ceiling ^,� _4a p Int. Shear Wall Nailing 1, �'tiS Wallboard Nailing eP r3_497 Gas Line: Interior s fr )c1 Gas Line: Exterior Propane Tank '7/2409 Heat/Chimney Clearance Drywell/Alt Drainage Address Posted 14 - tO tc i '�: t t_.,`k 2 (hC;-Y1 FINAL INSPECTION 7/24/0,7 FINAL INSPECTIO UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD09-00110 1.) 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. 2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 3.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 4.) The building height is not to exceed 35 feet. 5.) Setback to Norlth property line is 4' 6". Setback from the South property line is 6' 8 " from the Southwest corner of the Cabin and 4' 6' from the Southeast corner of the Cabin. Setback from OHM on West is 18' 6"from Northwest corner of Cabin and 20' 6" from Southwest corner of Cabin. Setback from Beckett Pt Rd/East property line is 64'. 6.) 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. 7.) The project shall adhere to the Best Management Practices (BMPs) 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. 8.) 10 FOOT SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE and GRINDER PUMP/TANK. IF 10 FOOT SEPARATION IS NOT MAINTAINED BETWEEN THE WATER LINE AND ALL SEPTIC COMPONENTS A WAIVER FROM JEFFERSON COUNTY PUBLIC HEALTH IS REQUIRED, 360-385-9444. 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.) PRIOR TO FINAL BUILDING INSPECTION, PROPONENT SHALL PROVIDE THE DEPARTMENT WITH AN ORIGINAL "FINISHED" CONSTRUCTION" FLOOD ELEVATION CERTIFICATE THAT HAS BEEN VERIFIED BY A LAND SURVEYOR, ENGINEER, OR ARCHITECT AUTHORIZED BY LAW TO CERTIFY ELEVATION INFORMATION IN THE STATE OF WASHINGTON.The lowest floor of the structure is required to be elevated at least one (1) foot above base flood elevation. 11.) Flood hazard reduction measures are to be used as required by the Jefferson County Flood Damage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter 15.15). 12.) Construction Materials and Milos of Construction to Reduce Flood Hazarill (i)All new construction and substantial improvements shall be constructed with materials and utility equipment resistant to flood damage. (ii)All new construction and substantial improvements shall be constructed using methods and practices that minimize flood damage. (iii) Electrical, heating, ventilation, plumbing, and air-conditioning equipment and other service facilities shall be designed and/or otherwise elevated or located so as to prevent water from entering or accumulating within the components during conditions of flooding. Locating such equipment below the base flood elevation may cause annual flood insurance premiums to be increased. 13.) New construction and substantial improvement of any residential structure shall have the lowest floor, including basement, elevated one foot or more above the base flood elevation (BFE). 14.) Fully enclosed areas below the lowest floor that are subject to flooding are prohibited unless designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of floodwater. Designs for meeting this requirement must either be certified by a registered professional engineer or architect or must meet or exceed the following criteria: a. A minimum of two openings having a total net area of not less than one square inch for every square foot of enclosed area subject to flooding shall be provided. b. The bottom of all openings shall be no higher than one foot above grade. c. Openings may be equipt with screens, louvers, or other coverings or devices provided that they permit the automatic entry and exit of floodwater. 14-"orlik° cowIJEFFERSO�:OIDNTYr1 • ,.3" DEPARTMENT OF COMMUNITY DEVELOPMENT iW ` `4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax AP —9 � ,�p� www.co.jefferson.wa.us/commdevelopmentR kaivoE..----- Master Permit Application MLA: ( �0 /( P ject Description(include separate sheets as necessary): ota CAI:WI W 414 NA-1)at ivitt ; it , (Luc tv-310 c64/10 i‘c.,-t-o-tiLtek0 dwitatwitS Tax Parcel Number: CNacI,C01 r . Property Size: t (acres/square feet) Site Address nd/or Directions t�o� Piro erty: Property Owner(s)off Record: t1 'LQ Telephone: I ' "�8S'11 x:1 4C/k/ mail. e nfh 44 b0011 f Q li '«W1 Mailing Address: i b V Tt &era u t a' q83 Applicant/Agent(if different from m owner): IC F. .AA1eLSOn Q A oyt r uc, i t?1(t Telephone: 36 - C-39- A2 cdP 301"`i Q3 - Fax:,7� email:;h ked 1 tliSM'CO VYk Mailing Address: 1 OVN11�$ (Q �Q1�"� �Q� s ct � 4( Wh kind of Permit?(Check each box that applies uilding 0 Critical Areas Stewardship Plan - ❑ -tnolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) S"(z - Family 0 Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]**` (_— - ^''� ❑ - factured Home ❑ Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)**APR —9 mpg ❑ Chartge of Use 0 Boundary Line Adjustment ❑ Address El Road Approach ❑ Short Plat** i ❑ Home Business ❑ Cottage Industry ❑ Binding Site Plan** :'.''_--i i Y ❑ Propane 0 Long Plat** ❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substantial Development** ❑Temporary Use ❑ Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: (' DESIGNATION OF AGENT I hereby designate_ l(60 C•�`� �® to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE f a r i-te- O. , kr- Date: 1'I��c 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 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 fferson County and its employees, representatives or agents for the sole purpose of application review and any re 'red lat rtnspe tP toitt sss and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap o th � ts fo Signature: � Iw"`, ____ Date: .6.1).� - (";r1 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 th ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)ev i u a in comp)fan vqi h Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-t a r spon ibi�'t�fo to and complying with the ESA. The Applicant has read this disclaimer,tnd ' ns and dates it below. 1 C ' Signature: Date:C\ . ? " 61 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc BUILDER STATEMENT 6 • I The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming,the responsibility of the General Contractor for the proposed project. •r f /� Signature: a�.-L r-1- l.A z.i/"' 4' '''l/ ate: 7{/ 9 0 ? VE G L CONTRACT R OR ANUFACTUIIED HOME INSTALLER: PH/ONE: FAX: .MG�ON, cON OACki ow (ice) 38c-3o6 Z (3 ) 'A—•3%h L MAILING ADDRESS: 3 1 C6 S p I ace tthiy'`Q EMAIL:AIL: loc k2Ti1r 31Q MS N .cow\ CONTRACTOR'S LICENSE �+ - WAINS NUMBER: WIL_ pc_Ziaci NUMBER ARCHITECT/ENGINEER: r ,, v ! �1 PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Pr sect Type: Frie Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Li Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: I Bank ❑ Community System ❑ Alteration/Remodel El Concrete Total: Hei ht: ❑ Individual System ❑ Repair I l Masonry " A L SEP Permit#See QG-Sc11.3 ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: — Setback: ❑ Private well [I Two Party Type of Heat: Proposed: i ❑ Public Total: • r Name of System:;;__ __ / ------- -----„_ _ If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed ` ,, .,._ .„ . IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this lioparie'jnk and/or Appliance Installation permit,mark all items below that apply: a! '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 When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,ail property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. D Square Footage Current Proposed For Office\Use Only Amount Revision Main Floor Heated0 iitn..,,,• I 4 /�,yq 1 EH Bld App Review: 13.00 2-Floor Heated "-) Consistency Review: Other Heated Base fee: C (0 (` `- \�� I Mezzanine Additional Section: O CI\ Heated Basement Plan Check fee: i \? nh Basement ��J��Unheated _ - State Surcharge fee: ^t 15D Other Unheated Pot Water Review fee: =- Garage/Carport SUBTOTAL Decks g�/Rd-AP k e- 1-1 Oal 3`1(pfQ.1t/LL.��R 4 11. OD Other l� TOTAL: $ (Z?se 7,S (.. / 2 6 .8-� Receipt Number: /U S 6 Y O 6'Vg ` Cash/Check Number: //11/?� ( CJ // ESTIMAT D CO,ST(REQUIRED) Date: 9 1 9 9-9-•Fair markbt value all labor andmart�ria/s foundation o finish -0 (J / a (�V r ' C Initials: n G:\PemvtCente ###FORMS###\DRD FO \Master Permit Application 5-29-08.doc • • APPROVED STORMWATER PLAN , ONa. r eiff q rig4AV JEFFERSON COUNTY Aft WA DEPARTMENT OF COMMUNITY DEVELOPMENT' 4 _ 2' -IA b ,1 621 Sheridan Street • Port Townsend •Washington 983( JE ON C �S$7N0�O http:/3/www.co.jefferson.wa.us/commdevelopment/ s1 TuF o p T STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 09 GO I I ?sr PROJECT/APPLICANT NAME: V t ii 10`0 '4V1 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. 4 4004 acacig,,,,),@840,,i %. ‘ iiNttiloo RidTguat,Seirpjuita) lb 3,*I)fp a, UJQwiQQ 40 Ntattlzsa'cal delm - ; '• - ko,ial Existing Conditions Summary 2. Describen the exist{i�n topograpty. Indicatejj [[A'' contours on the site map. EQ 4"10 i 3. Describe t e existing ve etat-ion Indicate native vegetation areas on the site map. a9 ' r _' APR 1 4 2009 - 4. Desc�ribe� the existi soils. dicate soil type on the site map. 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. CL, _ No oar,% _ . w ° 6. Describe any excess levels of noise generated by the pr`oposed use or activity: Ck5\41 .<14:" ("kill 44"11/4 LIA5*AA-C6 I'V'tikiP &)-(\SI-( -.\' stormwater site plan template—rev.10/21/2008 5 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, stee• slo es,etc.)on the site, Iridiqate locati non the sit- ap. 4A—C-i ' ` . 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads,and.sensitive/criticali areas t (streams,wetlands lakes,steep slopes, et .). � ^� '• , W ` tt— � YJ.ecr�+ .. v r 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. tt 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 dr specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. 11f� W,t� GL ,f,I �J , YUt 1E i f\ l(Ut�.r � r e 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 �"Marge"projects or projects that involve the potential for dispersion of contaminants.] - _f ° WQ 11. Descrf rmance goal anddsta�ndards applicabl{e to the project. ribe the((��e a 9V3irl"(47") 414' ‘ '''' %.4241 kA) CININ'tittO ' . ,tlittlIt)AtAIV 4 ... o -�f 11)6 W aL-stika 0A60441. 00 12. Describe a flow cont system. N1 Ist- stormwater site plan template—rev.10/21/2008 6 • • 13. Describe the water quality system. J art! ' rae 015,124,46) MANAt. U.42-tt, wc, Walk, uut;t , lg a ,c c r cr 9 14. Describe the conveyance system analysis and design. . VIP•ii W 0114 O. 4 i° . a ' •R tl) zoto,k wc,,, 0,,, ,,b,,,.4evi,2„,64. ,,t,:,,Lo,\). . 15. Describe the ource of fill material, [h�isical ch racteristics of fill m ter'al, d epos f excess material. LUO Una JO a.. soei NIAA , rituit& \ptj , w 16. Propose methods of place nt and compaction sistent with the applicable standards on Appendix3 of the Uniform Building Cod q-/ 3 yu1/44, cNAP2,3(3/P:',)--to-i -av&aAzia tzus- 17. scn e e pr posed surf cing aterial. , 3/4 . "' °TAW n z.1.44.04,(Tho-4 04 watt) 444 e6cdkrt4iA 18. Describe methods for restoration of the site. B litaa) 4-1 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. 111)Pk- - APR 1 4 2009 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan _, r 1\ 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. c11MQ stormwater site plan template—rev.10/21/2008 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 SWP P 1. Mark Clearing Limits. ratiftal-11410111444.00:* 44 E. Pdrikati\' 2. Establish Construction Access. ca t fit , :0:0 .ted • "Nvil PRAOL44 3. Control Flow Rates. 4. Install Sediment Controls. 5. Stabilize Soils. N1\ 6. Protect Slopes. It� tatty 7. Protect Drain Inlets. hi?I‘ stormwater site plan template—rev.10/21/2008 8 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. • N/4 9. Control Pollutants. ? 10. Control De-Watering (the act of pumping groundwater or stormwater away from an active construction site). N/A 11. Maintain Best Management Practices(BMPs). 12. Manage the Project. dry 'rjAZ 3A,,,44.<0 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential '' areas, roads). QkQ ( 4M . of the downstream drainagepath leadingfr the site to th receiving bodyof wa er minimuri\dist o 400 b. Descriptiong 9 yards). s. 3. Environmentally Sensitive Areas. APR 1 4 2009 F ' a. Description of environmentally sensitive areas that are on or adjacent to the site. Uttwel tuA6 —At; t6.,\ &ZVI) 11.00tiA4* (44 PiL4r stormwater site plan template—rev.10/21/2008 9 b. Description�of special requirements for orr working in or near environmentally sensitive areas. 7 vr U 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). • A i 5. Construction Phasing. a. onst c n se•u-.ce 46§4 ,��C1• . eta 40 ail • b. Construction hasirig(if proposed) , �V 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a propos d_cituctionre. P < 1' \ II. Wet Season Construction Activities. a. Proposed wet season construction Pinkt -- b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identi the rope owner espons Ie or a initiation bo 14st/or of f financial s-c es. 1.4 ejorii tallow - b. Describe bonds and/or of er evidence of finan al responsibility for liability associated with erosion and sedimentation impacts. AyA_ — 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/21/2008 10 0 • 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 owner affected • op-1 rty. ?., i \ WM,Cvu. ALL____ 4 - )2 -a1 NDOWNER OR AUTHORIZED REPRESE ATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 • ,,8- 61 II 9-1 11 Sil -I ir I` ,...,, if .,,,f7„ , 0 7 ,. a. Ca yam.---. c r . 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