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HomeMy WebLinkAboutBLD2009-00209 • 4111t 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 #: BLD09-00209 SITE ADDRESS: 7872 FLAGLER RD Issue Date: 09/17/2009 NORDLAND, 98358 Final Date: 3/1/2012 APPLICANT: ANDIRS VANAGS PHONE: (206) 524-0448 ARIJA VANAGS 7030 16TH AVE NE SEATTLE WA 98115-5735 SUBDIVISION: Block: Lot: TX61 PARCEL NUMBER: 021294025 Section: 29 Township: 30 N Range: 01 E PROJECT DESCRIPTION: NEW SFR W/ATTACHED SHOP ALSO U/G 500 GAL PROPANE TANK 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 L no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/1/2012 I:\F_BLD_Occupancy.rpt 10/29/19 • MLA09-00226 UILDING PERMIT APPLICATION Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00209 Received Date: 7/8/2009 SITE ADDRESS: 7872 FLAGLER RD NORDLAND, 98358 OWNER: ANDIRS VANAGS PHONE: (206) 524-0448 ARIJA VANAGS 7030 16TH AVE NE SEATTLE WA 98115-5735 SUBDIVISION: Block: Lot: TX61H PARCEL NUMBER: 021294025 Section: 29 Township: 30 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW SFR W/ATTACHED SHOP ALSO U/G 500 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 96,880.00 ADD'L: 784 HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 864 SHORELINE: CONST TYPE: DECK: 174 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date: i OR 0520 Type Amount Paid By: Date: Receipt: Approved/Date Permit $972.75 KAS 07/08/09 108698 APPROVED Plan Check $632.89 KAS 07/08/09 108698 State Building Code $4.50 KAS 07/08/09 108698 SEP 2009 Potable Water Application $62.00 KAS 07/08/09 108698 Total: $1,672.14 Jefferson County Planning &Building Department Jefferson County Building Dijon Permit Numb BLD09-00209 Applicant: VANAGS BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes 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 _ _��, K Minimum setback from Flagler Road(SR 116)right-of-way shall be 30 feet. Minimum side and rear yard setbacks shall be 5 feet. Erosion Control SEE CONDITION 2 Foundation Footing Footing Drains rc‘t vl. Foundation Stem Wall -,-13, A Underground Plumbing 2 Under Floor Framing Straps(hold downs) 4,la//D Fe, Ext. Shear Wall Nailing cf f 15- 12. r� Rough-in Plumbing 4/1 / uPJ qI silt )k- Framing Blocking Airseal 1-1/l f ll ,- n Insulation: Walls • '/ Insulation: Floors ` Insulation: Ceiling / _ Int. Shear Wall Nailing Wallboard Nailing _(L (l L___ Gas Line: Interior f Gas Line: Exterior 9 1,1\t t r0 Propane Tank Heat/Chimney Clearance 7 1 c 11E Drywell/Alt Drainage ), ^ _ l� "C` SEE CONDITION I Address Posted 3/i J I — )1/ FINAL INSPECTION �' .� FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD09-00209 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 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.) Proponent shall submit an original written confirmation letter from DOT stating that the approach has been installed based on the conditions of the permit Number 46754. 4.) 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. 5.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 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 comply with Construction Stormwater Pollution Prevention (S P) 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. 8.) 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. 9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 10.) 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. 11.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 13.) The building height is not to exceed 35 feet. 14.) Minimum setback from Flagler Road (SR 116) right-of-way shall be 30 feet. Minimum side and rear yard setbacks shall be 5 feet. 15.) 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. 16.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. i III o co 4rillik JEFFERSON COUNTY '� DEPARTMENT OF COMMUNITY I3 it_iOMENT !C'1[)h ' '4 621 Sheridan Street• Port Townsend •Washington 98368 4. �� 360/379-4450 • 360/379-4451 Fax �'M1 www.co.Jefferson.wa.us/commdevelopq}�tjt — 3i 2[ 9 Cs Master Permit Application r, , ,,:tT„ ..1-1 .. lt•.ia `� ; MLA: O C'L o�a(o Project Description(include separate sheets as necessary): t..±� �'ti - i kWh" i? z7 vi ,6j1-,05„4Z9// _1r 7 /4.. Tax Parcel Number: ,' /•-.2.7 -D'6 Property Size: /i;f (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: ? / 1-q Telephone:.lc f2/' `1 -Paw G4G. 3�D—:3a 27 62 email: 6'6itis Vet ralS„ o'YJ Mailing Address: 7O / 71 1,1 �6�` _77ZE/�, 9F//6- - 5 i Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies 0 Lot or Road Segregation jZQBuilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit / ''''`� 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family 1);1 Garage(Attachecj)/Detached 0 Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home .0 Modular � ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)*" ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** ❑Home Business 0 Cottage Industry ❑ Binding Site Plan** IA Propane ❑ Long Plat** 0 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)* 0 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 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 •rovide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and a ' required at-r ins• ctio Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the -•plication that • •r s,6 wants • 'or notice. Signature: _ .r _ _ — Date: l/t)7/ d 09 9 -" The action or actions Applicant will undertake as a result f 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)e n if you aiin o ' the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-t nsfer ble respo ibilit for adhe ing to and complying with the ESA. The Applicant has read this disclaimer and 'gns and dates it below. Signature: Date: r0e7 09 a • BUILDER STATEMENT The signer of this ement does eby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will b assurping the espo ibilirpRf the General Contractor for the proposed project. / Signature: f Date: 07A CP'9 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: New litrWood Existing: 0 0 Sewer ❑ Addition 0 Steel Proposed: i Bank ❑ Community System O Alteration/Remodel ❑ Concrete Total: / Height: X Individual System ❑ Repair 0 Masonry EP Permit# 7 e ?/ ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: © Setback: ❑ Private well U Two Party Type of Heat: Proposed: / }(( Public Total: �— IV- 'Name of System: ,e 4�f,4.v7- Pl1fM e kg 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(indudes owners,tenants,employees,etc) Current Proposed , l IBC Occupancy: IBC Type of construction: Will you have Food Service No ` ' If this is a Propa Tank and/or Appliance Installation permit,mark all items below that apply: nder round Tank I Above ground Tank Size of Pro e Tank: t 94. JUL + 3 L63 I Heat Stove - Cook Stover 1 Woodstove 1 Fireplace Insert 1 of Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home es %ter 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 fqr office Use;Qn'y!. ?' Amount . ;R vtsgn Main Floor Heated EH Bld App Review: ry 2.oa 2nd Floor Heated Q c� .�r� Consistency Review: ' •OD Other Heated ` Base fee: Mezzanine „__,, . Additional Section: -___._ Heated Basement Plan Check fee: p�J I 2 . 3(,a -- l Unheated Basement State Surcharge fee: 4 5 O Other Unheated t`�L./, r.p t`t Pot Water Review fee: 1 O.OD r t 1`t Garage/Carport - SUBTOTAL I t /I Decks /1© , a`� ,, i 911/Rd Approach fee: �,/� 4o ,1 Other W/4a�l+7Y � 1!' 1`], I`� TOTAL $ ` "n l ot b, l`i` 't Receipt Number: I bg(G g ' Cash/Check Number: 5oo3 ^ESTIMATED COST(REQUIRED) Date: Asj.,o_q_ .Fair market value of r and materials foundation to finishInitials: , • • Ncatert, RECEIVED JEFFERSON COUNTY DEPARTMENT OF COMMUNI .TY DEVELOPMENT � _._ 2009 , . 621 Sheridan Street • Port Townsend •Washington 98368 to GAO 360/379-4450 . 360/379-4451 Fax JEFf t S ITN http://www.co.jefferson.wa.us/commdevelopment/ CO 'BCD STORMWATERAs T UBMITi'AL TEMPLATE i, MLA# bq - ag-to STOR WAWAP BAN 4,76 / 4;4 ;________ i Please answer all of the following questions .o tt@ERst Kro2oQility Where the question calls for depiction on a site map, the applicant may choose to either incor5orate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. _ EFFERSON COUNTY Stormwater BMP's Project Overview DEPT.OF COMMUNITY DEVELOPMENT Required SIGNATURE: 1 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. ro G i e atibP/I3�o /6 17! Jrie /$orb/ ak1 1 � "VP 4/ice. 7 X Td M J, ,as-iue /S e /2 0 o' /TGre€As/D.6e '/.5 /S3b A'e//6 D/7 4 a Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. s«x-ilie)ne awied4 ) Abbe 6WiWAl, TDJ 71' ,.'4t 2-9 Wes; /oot/9. ,,a /* PEE '• 6dr / 4S W/�;o, . P.' 4l IS !9 /1/3�,Pict D 045 �� it ro 7R/,c'c�-4-/. v. 7?- 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. • `nl `Aron e W vM T 5 / icZ /j,GG.G ff/I t 2 7iW 4. Describe the existing soils. Indicate soil type on the site map. ro 0-141 ," A/� . .voyLd9,y1A9$ /'/. /8"rrm✓se-y"/, �,�L / /9'"-3o"0449, m/1.1 '/s,43,v,1� ,e. -5-7/)IUb- 4��j, /J '' 87"Ta 64'/I f at/e a e , 9,H4J pie aeon -L., 3B' 64' 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 acres a of each. S'iTe/sfx i ''72 ✓Weer9r9 }' 'f 011 . 10eCr/ en'/5xx'a f wE 0;i(4 ogtoomf woe a/t/off• ai /C V.. 6. Describe any excess levels of noise generated by the proposed use or activity: 1.4TiAgoatiz fiGQS Aci/d/t A e � M/r.5X"t? Al.e. '/ C6/6 ,�d .,--- - stormwater site plans template—rev.10/21/2008 • • 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. 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.). ....._. __ _ _ _ . Tm� T 13/}y uici ' ��0 X/ 1- • y�0,A//e7�f'�� bJJ/r ".�lr�aTZV�p��loNo ��/ 25 V , /Ale,e /I�CiV! 69.,1/Cj aii4(/ l/fJs7 13 � 7 / eLS/1a d ®.tlGt f'/ 4 re- rLtre1`pD 4,,) 02/-2' 4'• Me 4D 4V 29¢'0,0 • Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the ap opriate stormwater control BMPs and facilities to remain in place after Construction of the project is completed. • ' 1"' "' I "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. , 06a, f. P4/0. PE-A/A/4tJD 2,Pr.O P JAJ , SNz5Pl's/Z6 r AReFAI i2e.c O j7�,el',r J .A. te-ea 7Z)XIf oPS ✓c7t AtoEpesrifewirey 1110Y € ‘Me-/x c ,A,Ll1 Creif /q 7) 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.] '-a' 7z 417G16a' ,i � ' j/7E mx.1A94aei3 049,4X Paov 976'c W? e W/y row/, D . ve-A0 roeeriti 32 54 °o /; E6/f 11. Describe the performance goals and standards applicable to the project. P /Jew ,s'o,u,r? erc. ,t/o .44/Ws isike 6-e /ye Ar7TJf D vTTF{e-e-N— 7'PagewitWT 12. Describe the flow control stem. RECElivEn"7See wee JUL 8 2c83 JEffERSON CfluNTy r;l stormwater site plan template—rev.10/21/2008 6 ! • 13. Describe the water quality system. ,4 'z O/P/L47 /C/o57- /,c ifGo 1(/Q-7026 Y�f 6l$ / ,eaZzia..kg 4/6GG ,U,7-,e4! Ram 14. Describe the conveyance system analysis and design. rfi 4'' ' w4 6', 3e, J 6ysay_,0,e paeyafgecs 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. ,C'b ,6/c �l�}�'f 1.K ,Cl M ' �Y� /W-A441.4k-e-41/4-f/I GUZ67, Pb -Ae ,S3 4 74 //zy/eetwee/210 Sy37e e/ ,PeAtafiris-40. 4tZ A/.V s,4y4t.L) 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. " ,a j?ujel ar,/,04erICvakiry,24/ /i' .P.42/lam. 'B 81t�'/�'C� htZt ' 17. Describe the proposed surfacing material. 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 of lJ.i �c[,lisL l e Manuals here. �/� " a JUL 2,1 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. JEFFERSTii COUNTY CCO 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. r4.77e *C i ' $7xwir it 7lv,I tee‘fSi /4efi s-av, .eiet(w4 74Ax, st'rmwater site plan templato—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 SWPPP 1. Mark Clearing Limits. J/?JJ ,e,mwegiftt vim'¢ X5j -D- l4 f' ,, -Jt, tfe-l2a.sa /2"� 2. Establish Construction Access. 3. Control Flow Rates. del/ gL7,C 77Z t, fiifr'..4 //4"./.:re ,f/P W(7a oaf d• 4. Install Sediment Controls. higrAgdezn. .1s,rl4 i Dvfty- �M./gi iz6SeaAirstir 5. Stabilize Soils. 6. Protect Slopes. RE C JUL 7. Protect Drain Inlets. seV 4177-/ /A//E7T d s/ J1f1 fi ON CQUN f` ((��CO,J U stormwater site plan template—rev.10/21/2008 8 • • 12 Required Elements—Construction SWPPP(continued) RE C E 1 Vp, 8. Stabilize Channels and Outlets. D Xi g't*g /)7 8 gi n? 9. Control Pollutants. y( ''°}1! Ina 4 'I tip/Cc l'T71) ei; r JPP ROdG, �72zir ' !!//I GyAr /5- M'h2 i- e6g za 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). it/OVA. e4'a, i 11. Maintain Best Management Practices(BMPs). /VVJ/G4/d0 ,0a1A0f • 614.5 Ga4 . E' rectAha 6cEZErgi. pir4.G) P/e-O44t1-0/3' 'iI. / �ie1Av/ J 1 .� p,eEr t)% /D"t //7A(' 46 aezrl`.0,4A4.77. 41/_ 12. Manage the Project. /41/GG ' M/s171 DGr'4g/ iG Gt' e/C 1:kmeg. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). �, w / ©iCO/ 134e , t�tG£or7D 6/9,60ra,► . %ma y,o4 /s aes , s7,¢y. -jI,CJo, //3-,er vpY b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). Poiel/4//9ff 711 Ta , ,g4 7'// r eiicar.or,x/, Q IPA/ 70 Pit/, i AfM (c /?Ice ) ME/weTU,a8 , /,cam/ j/xi P,9- . / o i ' // . ,� 5 ' // JJ ,C4p,gP .L r,v/S Avy 4'W7i0P. /`?�'TS'/43174�,5 ibitp/TID,24z ,aP. t ra c /ds" W`tr ,€,,D_ 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. itidi stermwater site plan template—rev.10/21/2008 9 b. Description of special requirements for working in or near environmentally sensitive areas. if/Y,9 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). eft j �a�fi&lo,5, Z /�.r'✓8q,G�,FG�ic 5. Construction Phasing. a. Construction sequence . lirtVAT ' m 41' t,Qi 11/w9 , rfiaAV,SrP/Z 7 A Z5P-- i '6if1 b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. ✓� � /t/VYil ® i�-f/�/6al'. �, fit/P• /419/ II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner respons ble for the initiation of bonds and/or other financial securities. &)ors de‘/,1 ir4 4091g b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. Alegatr,‘ ieterrgAVAS46:7GlJ / REC L IV J 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the follovyinc,, o!if appfca ���a. Sediment Ponds/Traps. Jt b. Diversions. c. Waterways. JEFF °SON CON DCO d. Runoff/Stormwater Detention Calculations l I LIWl}19 h 11'r 1 �+ stormwater site plan template—rev.10/21/2008 10 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 a erty. D7 as oy' (LANDOWNER OR AUTHORIZED REPRESENTATI E SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: RECr �➢ JEFFERSON COUNTY DCD stormwater site plan template—rev.10/21/2008 12 it \ /-jf.--, III 2¢.0„ :El . Iiii I ...„,, _____ , , ul.....' .- 1 /4 3-//f I. REM liii! l k• ' _L 1-//4/_ d///%f /o// * /2L//% /4f-o' o Z//' u p1//4* Sl0 a -- Ill __ _,. . , —Fai--.4.1 -:,--, is _ _____ ___ ___ , 1 iiI _In hid I .. MEMEIWi■�I _ �.�r� 'II 'iiiiur I I I �� uI4. '_ If v.4I imminialICI N: Him _ iiiiiiiiiittimmi I I I>•1111; - a o, III. 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