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Home My WebLink AboutBLD2009-00184 UILDING PERMIT APPLICASDN ML Review y 204 T Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: ?j2 BLD09-00184 Received Date: 6/22/2009 SITE ADDRESS: . N GARY AVE PORT TOWNSEND, 98368 OWNER: BISHOP BROTHERS CONSTRUCTION PHONE: 360-301-1979 371 BISHOP HILL RD CHIMACUM WA 98325-9709 IRONDALE SUBDIVISION: Block: 126 Lot: 19 PARCEL NUMBER: 962112608 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979 LOREN BISHOP 371 BISHOP HILL RD CHIMACUM WA 98325 Contractor's License BISHOBC093D6 Expires 1/11/2011 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR W/ATT GARAGE & A/G 250 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,019 VALUATION 85,542.00 ADD'L: HEAT TYPE: RAD CODE EDITION: 2006 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 294 SHORELINE: CONST TYPE: DECK: 72 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: (p-23— Type Amount Paid By: Date: Receipt: Approved/Date Permit $895.75 LYK 06/22/09 108633 APPROVE: . Plan Check $582.24 LYK 06/22/09 108633 State Building Code $4.50 LYK 06/22/09 108633 AUG l(� 20C9 Potable Water Application $62.00 LYK 06/22/09 108633 �l Total: $1,544.49 Jefferson County Plannint &Building Department • Lisa Yobbagy-Keller From: 2536065210@vtext.com Sent: Tuesday, August 21, 2012 9:28 AM To: Lisa Yobbagy-Keller Subject: I'd like to cancel permit number bld 09-184. As t... I ' d like to cancel permit number bld 09-184 . As the agent for christopher molly french. Jefferson County Buildingivision Permit Niter: BLD09-00184 Applicant: BISHOP BROTHERS CONSTRUC BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks Minimum setback from North Gary Avenue and Prospect Avenue rights of ways shall be 20 feet. Minimum north and west property line setbacks shall be 5 feet. Erosion Control SEE CONDITION 2 Foundation Footing Footing Drains Foundation Stem Wall Underground Plumbing Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing Framing Blocking Airseal Insulation: Walls Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITOIN I FOR DRYWELL Address Posted Hydrostatic Test FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD09-00184 1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA. FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD. DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS. TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM)AND HAVE A DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 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.) 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. 4.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 5.) 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. 6.) A Stormwater Site Plan has b.ubmitted and approved by the Departmei. 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. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) 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. 9.) This parcel is within the Kala Point no shooting area per JCC 8.50. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) The building height is not to exceed 35 feet. 13.) Minimum setback from North Gary Avenue and Prospect Avenue rights-of-ways shall be 20 feet. Minimum north and west property line setbacks shall be 5 feet. 14.) 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. 15.) 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. •solv c._, e 4 ,,, 0�� JEFFERSONNTY 1 ` DEPARTMENT OF COMMUNITY DEVELOPMENT �' 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �.gsBINC�`<-p� www.co.jefferson.wa.us/commdevelopment Master Permit Application JUN 2 2 2009 MLA: 09 --204 ._ . Project Description(include separate sheets as necessary): /7sr Tax Parcel Property ` ' T 7,• Number: 96 d. // c2 6 d s Size: p {'Q 000 - - . (acres/square feet) Site Address and/or Directions to Property: j Ga'v / O". "G: , /cL4../1 ,-,- Property Owner(s)of Record: Ri. -A/a o , .-o Telephone: 36 O- 3 0/- 1 9 7 ' Fax: email:�s o A.5 nvhdp Q3 P ri•,6orz Mailing Address: 37/ ,a/.s o/u N, , % ':'Q CXi ,rr,aeti�,i iv-91. �c. 3': '""' 1. Co•rl Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies (IriBuilding 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]** 'Single Family Ai Garage atttachedDetached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry 0 Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign 0 Plat Vacation/Alteration** ❑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 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 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 a to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ' :��s� .Gs r� Date: 75 Z0 o q By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide 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 t he or she vents prior notice. / Signature: " Date: (7 — Z° " 21 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 for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: —� r,.► Date: 2-0--"0r G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • 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 assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: S';s 1.,„ ,6 r 0 74-X er_$ Co.-1,5 74' (36 9) 3°/ `l°l 79 ( ) MAILING ADDRESS: 3]/ ,3 -/, // /C L' CA fr..,"p a�t EMAIL: CONTRACTOR'S f CONTRACTOR`S LICENSE WAINS NUMBER: V /73 I/O 6 o 3D 6 NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New 1 " Wood Existing: 0 ❑ Sewer ❑ Addition ❑ Steel Proposed: ,� Bank i 1 Community System ❑ Alteration/Remodel ❑ Concrete Total: a Heht i..Individual System _ ❑ Repair ❑ Masonry " SEP Permit# -i 7 - ` 7 ") ❑ Demolition ❑ Other: Bedrooms: Water Supply: r Existing: ,.� Setback: ❑ Private well ❑ Two Party Type of Heat: i Proposed:Total: �.. /L/, y Public P y ro,d ,a -, 1 .'a S 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 is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i_Underground Tank (Above ground Tank) Size of Propane Tank: 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,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 . ,N r --,Z1 89 EH Bid App Review: r13 2nd Floor Heated Consistency Review: 213r Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: 1( � •Zl Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: IOb• Garage/Carport ,2 0 , TX; oZ SUBTOTAL I SlaZ•49 Decks 2 193r. q3 ?� 911/Rd Approach fee: cp.I 2 Other TOTAL: $a O' C.9 Receipt Number: I O 33 Cash/Check Number: i `T5�42 3'c ao ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish to-22-cq wCoo, Initials: i''f - ..11't G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • • (resON �,° , JEFFERSON COUNTY R4 DEPARTMENT OF COMMUNITY DEVELOPMEN T ,. 621 Sheridan Street • Port Townsend • Washington 96368 $cam. O 360/379-4450 • 360/379-4451 Fax "Z1jN httpJ/www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE I MLA# SJ !-zoLl PROJECT/APPLICANT NAME; ct t a i S h o 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 separate stormwater site plan map. Application or to submit a Project Overview • 1. Describe the proposed developed conditions of.the site.: site map. P ► n and relative size of proposed improvements on the. r -,4;s rarY, 4 f wog dew , w9 '. .- a- �0, 1J,: id, As,.. w, f d /n fs O-F - e-es 4--P-1. P , •- _ .,: - - Existing Conditions Summary ' :t g 4 ,/�..f! ¢ -: n; �_• • •:).' _ ,;_.'_ ._W:-:• �' y1: :• i r..: =.V .j:. fir•: . � . '•1 _ ...T.�•a - .1 2:_..__Describe the existing — ' .._ _� __ topography. Indicate coirtours on the site map.= ... ij/'Afiaa� Sing t fi0,11 . 3. Describe/ the existing vegetation. Indicate native ' /e 7�S 6— ,-( Vegetation erB8S On ttte site map.�P wens IA, :AA 44,Adt.s 4. Describe the existing soils. Indicate 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). I existing stormwater drainage to and from the site on the site map. Depict separateg map, if applicable,and indicate acreage of each. drainage basins on the site map, If VFTU 6. Describe any excess levels of noise )ener N % ;1 vity: Ilk , - stormwat i M 1 Require 11i�: tEFFERSO ��UN DEPT.OF C'O i) F •: ENil CIGNATURF U - /ll • • 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. 7v,4- 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.). / r' t Permanent Stormwater Control Plan • • This portion of the Stormwater Site Plan consists of the selection and Instaliation.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•impeniious surfaces;pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and How control facilities are not exceeded. g. Describe.the developed.site_hydrology,as proposed. Indicate whether stormwaterwill be_fully--dispersed(I:e;per-BMP T8 30-—� to the Manual)or,If not,-what types of stormwater flow control will be-utilized for the site or s- ge - within the site. Locate these facilities on the site plan and differentiate proposed fadlrtJes' ro, pacific hold dtschar areas 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 an differentiate proposed facilities from existing facilities. [This is normally for large'projects or projects that involve the potential for dispersion of-contaminants.] 47/1 11. Describe the performance goals and standards applicable to the project. 12. Describe the flow control system. 1r • /. / t x 1 • S 13. Describe the water quality system. /VA 14. Describe the conveyance system analysis and design. /17/1 15. Describe the source of fill material,physical characteristics of fill material.and deposition of excess material. 0 >te -la.- 464Lje471/, • 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. ]] 13 ,C IL:- -CI li/nth 615 rl.'ra�r Ur0IAri -Can..571fHc11{tA 17. Describe the proposed surfacing material. Gr70.11.t / or dr, t/'t.wwv .. _ ._. . 18. Describe methods for restoration of the site. 1 �1 / / cot/0 / u' '.f/ f 1 A �t et 71f-4'Fa / {�f3-ersrl' %°1R 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 indude ,,,jist the Manuals here. ' 1 20. List here and include any special reports or studies conducted to prepare'the Stormwater Site Plan. IV,.. . 21. List other necessary permits and approvals as required by other regulatory agencies. if those permits or;mitals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describse conditions or restrictions here. t L 2 2009 • • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction template that follows must be insreseed on the ground ring all construction phases of the template sedimentw and erosion to The BMPs indicated by the applicant prev Aacis to environmentally sensitive areas and off-site areas. Consult the Construction tor in the Pollution Preveeon Best pa Management Practices ns (BMPs) Pancketfor nwater project. The proponent is responsible for development. guidance, particularly with rural residential SECTION 1-CONSTRUCTION SWPPP NARRATIVE 1• Construction Stormwater Pollution Plan Elements. wilt be addressed. the Describe how each of the Construction e to the address d Identify in the ype and location of BMPs used to satisfy SWPPP elemente s not has been or 2-15). writing. Descriptions of the 12 Elementsrequired element. If an Is are found at section 2.5.2 of the��(beginning on gable 12 Required Elements-Construction SWppp g 1• Mario Clearing Limits. ....pf cte i f 2. Establish Construction ACeS. • • • ./,. , r', .ai 1 G .• 3. Control Flow Rates.` 4. Install Sediment Controls. ./I e Cie Gil I I A r.Q 11r ` ,CJ�C 'o7f ` 3 uc 5. Stabilize Soils. • , 71'Dn .ors r r• , C• u �!1 P +t PCB_. �'/'. 6. Protect Slopes, -"7 ,‹c J �l 1 ' it , ff 14,-; T !1 f� S d_S •-cam 7. Protect Drain Inlets. / Xr.. �' ;:mot, %<.,,-,�_ 'lr .z. ,I n f�; J DGYC" ! # 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. t 2n`f" fee / f , ; 'ram'/ �,'-r tl idE. 7/4' .S?.a/ e. /. 9. Control Pollutants. s 1.5 S�ps r- ►Ave r. /l ry A rid 01.5 "1't3 r C O G.-e c L is b✓'i I/ & c/Yrt n e 61 Du T i A JI Q, aG.9 ie! Ct r t,,* . 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). Do + .fee 71X, 5 E a P'0 O3 .. aS >1:.A e.e i 3 da i /,' wQ 71 e- 1l+4. 4u.n 719 f Si le 11. Maintain Best Management Practices(BMPs). �r+ 1 O• c.0 -liv LA tlC r� is �t I S / n ±AC -1,'�� i r .1 ,S t)�rt C r"t3A1 * - q.s0 4"fit Town d can S•7`a ��iz / 12. Manage the Projecx: - ,• ... _. . � . ; �.a..:_ - .., .- ,.,, ..-- bu� .)eyi- I -5 * v et-5 -10*7-. - or II p l et • GI /"T' 3.rt-f3 ' k- - 4 A• be#f i Mrhe0.7*t•r COet.ekr 1^1.0l.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). • b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). Ato 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. A/0/17C I U 2 ? 2009 !r wv� • • b. Description of special requirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context o soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). f the characteristics of the on-site 5. Construction Phasing. a. Construction sequence b. Construction phasing(if proposed) • 6' Construction Schedule. -Wet season is October 1 through April 30(page 2 21 of the Manua)).;I• Provide a proposed construction schedule. _ -- _.._-II.-------Wet-Season-Constnction-Activities: — —— a. Proposed wet season construction activities. b. Proposed wet season construction activities,for environmentally sensitive areas. %y 7• Financial/Ownership Responsibilities. .a. Identify the property owner re sponsible for the initiation of bonds and/or+other financial securities. b• Describe bonds and/or other evidence of financial responsibility for liability nY associated with erosion and sedimentation 8. Engineering Calculations. Provide Design a. .•Sediment Ponds/Traps. Calculations on a separate sheet for the following,if applicable. b. 'Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations • 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-bullts")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. 7 (LANDOWNER OR AUTHORIZED IZEO R (DATE) VE SIGNATURE) ZJ —� DA THIS SPACE MAY BE USED FOR ADDITIONAL NOTES.'IF NEEDED: • • • • • • JUN 2 2 2U._ ' > P ° ,4 •0 a§dfn0-.s ' ,u-,zl [ 1 . . 1 �+-� y"If .o-.zl ' o-L o r Nil O „ co �.. y w f a Z - • n r ry -4 r Q m- .9—,Z .9-.L , ^ ' ! • el _ n 1 1 .9-,L .v,8-,L ' II ' .0—.0l ►', a I :. 1 0 /\) 0 A a • 0 wl - W' \ NVJ OOOH /M 30Nvt1 ;� S I 1 �. Ir_, Z V" V z ;1a o 4 r Z O 1.1 w I— Os - Q N a. n Y Z 0 n O n 9—.• I .9—.f 1 + .0—.S v, n D AeuNrd r " 0 pi! i N Li/ w �y Q g fli§x u • ll r Q m n mm` .0-.9 R .,-,. a 4 ' .0-.f .I, :. 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