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HomeMy WebLinkAboutBLD2009-00219 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT #: BLD09-00219 SITE ADDRESS: 20 SUNNY SLOPE Issue Date: 11/16/2009 BRINNON, 98320 Final Date: 9/10/2013 APPLICANT: GEORGE D TRACY PHONE: 206-660-7676 LISA K SIU 3712 29TH AVE W SEATTLE WA 98199-1750 SUBDIVISION: SUNNY SLOPE Block: Lot 11 PARCEL NUMBER: 997200008 Section: 11 Township: 25 N Range: 02 W PROJECT DESCRIPTION: NSFR and shoreline exemption permit (SDP09-00052) 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 9/10/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 9/12/2013 Jefferson County Building sion Permit Nurr: BLD09-00219 Applicant: TRACY BUILDING PERMIT INSPECTION APPROVALS Npplicable 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 V_Z- (t) Minimum setback from Sunny Slope Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum proposed shoreline setback is 69 feet. Erosion Control p/iL/,3 SEE CONDITION 2 Foundation Footing g—i- ( Footing Drains Foundation Stem Wall Underground Plumbing OA Under Floor Framing ,_p_L� ./2 Straps(hold downs) ll �'t� Ext. Shear Wall Nailing i _(_to Rough-in Plumbing t�� -11 -1 I Framing Co -S—-l/ fZ Blocking a_lb_t( �4 Airseal q_lt _ C-> � Insulation: Walls U - ti Insulation: Floors Io —lLl ll Insulation:Ceiling �,' j it 1 Int. Shear Wall Nailing /l ,.3 // / Wallboard Nailing /D...Z.7+)( )."' l Gas Line: Interior P�� Gas Line: Exterior SY Propane Tank kVA Heat/Chimney Clearance 9�/l Drywell/Alt Drainage SEE CONDITION I FOR SPLASHBLOCKS Address Posted /zl i3 /../ . . FINAL INSPECTION Cil (0I ry 9c., 9.(f(o(r?JII FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR UILDING PERMIT APPLICA N ML v Ty 232 Review iew Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00219 Received Date: 7/13/2009 SITE ADDRESS: 20 SUNNY SLOPE BRINNON, 98320 OWNER: GEORGE D TRACY PHONE: 206-660-7676 LISA K SIU 3712 29TH AVE W SEATTLE WA 981991750 SUNNY SLOPE SUBDIVISION: Block: Lot: 11 PARCEL NUMBER: 997200008 Section: 11 Township: 25 N Range: 02 W CONTRACTOR: LAD CONSTRUCTION INC PHONE: 206-947-4022 PO BOX 6415 BELLEVUE WA 98008-4017 Contractor's License LADCOC1948R7 Expires 12/27/2010 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 185,871.00 MAIN: 880 CODE EDITION: 2006 ADD'L: 880 HEAT TYPE: EEE OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: GARAGE: SHORELINE: CONST TYPE: DECK: 240 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 1 Total: 2 Tom-1----_ Routing Date: f-----� 7- I 4-oq Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,475.35 LYK 07/13/09 108748 APPROVED Plan Check $958.98 LYK 07/13/09 108748 State Building Code $4.50 LYK 07/13/09 108748 Potable Water Application $62.00 LYK 07/13/09 108748 NOV �b2009 Total: $2,500.83 l8firu".rnr County Planning & fluor , CONDITIONS for Building Permit# :BLD 1-00219 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING 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.) 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. 6.) 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 issuec' 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 e maintained in an orderly manner and shalit'reate 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.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) Minimum setback from Sunny Slope Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum proposed shoreline setback is 69 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. 13.) 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. 14.) 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. 15.) 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. 16.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan as signed by WDFW on August 28, 2009 and applicant on September 2, 2009. SON • cO JEFFERSON COUNTY ,��4 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax 1,9NO�0� www.co.'efferson.wa.us/commdeveq i m n 2009 Master Permit Application MLA: 0 l-t95o2, Project Description(include separate sheets as necessary): Tracy/Siu Cabin Tax Parcel 997 200 r no Property Number: Size: 18,593 Sq. Ft. (acres/square feet) Site Address and/or Directions to Property: 20 Sunny Slope Lane, Brinnon Property Owner(s)of Record: George Tracy&Lisa Siu Telephone:206 660 7676 Fax: 206 282 1720 email: george.tracy@comcast.net Mailing Address: 3712 29th Ave West;Seattle,WA 98100 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies OBuilding 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑Condr:ional Use[C(a), C(d),or C]** i Single Family ❑Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification 0 Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** 0 Address ❑ Road Approach 0 Binding Site Plan** ❑ Home Business ❑Cottagelndustry ❑ Long Plat** ❑ Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign 0 Plat Vacation/Alteration** 0 Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management 0 Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑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 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 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 app tion that he e is prior notice. Signature: Date: April 16,2009 The action or actions Applicant wi 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-transf ble respons •" for ad to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: April 16,2009 c:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2O06.doc • 1111 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. Date: April 16, 2009 Signature: — J U i 1 3 2009 E: ��' GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: 660-7676 (2� )282-1720 LAD Construction,Inc. EMAIL: Same as owner MAILING ADDRESS: Same as owner WAINS CONTRACTOR'S LICENSE NUMBER NUMBER: LADCOC1948R7 PHONE ( ) FAX'( ) ARCHITECT/ENGINEER: same as owner EMAIL MAILING ADDRESS: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Project Type: Wood Existing: 0 ❑ Sewer D New Proposed: 1 Bank ❑ Community System Addition Steel D Alteration/Remodel 0 Concrete Total: 1 Height: P Individual System ❑ Masonry SEP Permit# ❑ Repair❑ Demolition ❑ Other Bedrooms: Water Supply: Existing: 0 Setback: V Private well Two Party wood ❑ Public Proposed: 2 Type of Heat: Total: 2 80 Name of System: nE t rear If this is a Commercial Protect you must answer the following: Number of ADA Parking Spaces: Number of Parking Spaces: Current: Proposed: Proposed Number of occupants(includes owners,tenants,employees,etc) Current Will you have Food Service? Yes I No IBC Occupancy: IBC Type of construction: If this is a Propane Tank and/or Appliance Installation permit, Size ofrk Pall items opaee Tank:below that apply: ❑Underground Tank C]Above ground Tank ❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 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. Amount Revision Square Footage 1 Current Proposed For Office Use Only EH App Review. Main Floor Heated 8� i 1lb 1-73- 2n°Floor Heated 891 IL.00 Consistency Review ( Other Heated Base fee: , ^15 35 Mezzanine ll SDP Xrnp �q"7 Heated Basement Plan Check fee. c15 8 Cie) Unheated Basement State Surcharge fee: ^ 50 Other Unheated Pot Water Review fee: �T 100 Garage/Carport SUBTOTAL . aj Decks qc a, 911/Rd Approach fee: 240 Ek t 5T1 i Other TOTAL: $332J . $3 Receipt Number: 1 O r1`'t 1r- - 1851012a Cash/Check Number. 5 i c52� ESTIMATED COST(REQUIRED) Date: q •Fair market value of all labor and materials foundation to finish Initials: �� 97 P k OOh0U• 1 C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK$6\Master Permit Application 12-19-2006.doc 1 • Se.g,St3N Cp JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 'O ' 360/379-4450 . 360/379-4451 Fax J U L i 3 2009��"�iS'� http://www.co.Jefferson.wa.us/commdevelopment/ J STORMWATER SITE PLAN SUBMITTAL TEMPLATE - imuk# .0q- 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 map. Z64- veil 1-ett)ErAi. g ,Nrirs 0# -P- in{- care, 01/r es0eK4tk) a) v Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. <5 to pp Lein I (areas 5- p Gt �, LJc cove, Lc L htveJ -has, 5 t c (4‘ 4- 0 0 �� °r � � cv u�ck 1�.� l0-24 c�e�Cr-at�S 3. Describe the existinc vegetation. Indicate native vegetation areas on the site map. I ,' • 1 S C •f G L a`I Sav p�- _ '>^N, t K r a 4 1 e-s a"( Q M 01,4 ly ana ko rss Y Jr`C4scs did Vat`tcrls tAlee S Knave -takeN et . 4. Describe the existing soils. Indicate soil type on the site map. ff karkck breach cold -}-{�Q c( 4-se( ' �x� "4,e 4? act. o 6ae( ct�a�le -Fite 5. Describe the existingsite hydrology �c� ����� (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. r ur �Gce Wei. ( `( 4— 1Nc4 ` ,( cc �e4c1Nr m $ Q vt.t0-e- .(. &to chaNnret o�c We er �� c coro -5 nssporly Iri t C' 6. Describe any excess levels of noise generated by the proposed use or activit p 1' STORMWATER PLAN mort"'l41 No1`5e, - ro+« ccf„rs-f- NOV 1 6 2009 Stormwat r B Requi e 1EFFERSOstb N DEPT.O. 1r, NT stormwater site plan template—rev.10/1/2003 St(i�ATli• „!/ ii f'I. _ — .. � _ • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slop setc.), on the site. Indicelocatio the site map. 5 , eecLlJ. cu4 - �cf 4%et n wL:c� npPot S a _5t5,vn;C.cµ4- pop.k_0.t.b,,, o akd6Tea 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (streams,wetlands,t lakes,steep slopes,etc.). kk II,, II II act Jac + to4 am Oeuc�.evoto ea . Mv5� Eo c t►`ry aiec, have. dew , �t'itoei___ (o k rags rat`a 110 ,e. &p a cc,Y.ss room( ci,o'te ir-Lit Pree-ti, Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e.,per BMP T5.30 in the Manual) or,if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. A-tl $4t'wt wa .tr- ua11l ,e. -MI L AiS-Fupseck. Tike. iz,roseJ cow s4tljue. t& * ecfi e,ss -I.Q../ A% o Pr i-Le -4c,'- ( era1x - y I 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 th?(potential for dispersion of contaminants.] I RW'c►Pc> - Nok- Neec €c te,d- Paall ii-�e.S bas onr a 'gfly d:spe�'3� 1 to A/ • 11. Describe the performance goals and standards applicable to theproject. W P IN Nd 4v ;w,pa.4 e $'•(-e a s �i m'' e as Foss:L.lc - 4c Lave 4 e fos4 ckevole fi s-i-ofw wa4e,r wtad-6-1,A 1-1,e pre c-levotopea co,vd,`4 ery . 12. Describe the flow controltt system...,. LL II �Le �u<<c� S i I t S N e. AO APA P�GrI oN a- e-a ikAt 5 QNy ex is-i-t,./� -claws t cl,ry aNck et -1-elre,ace ',ett-ea . JWe iN#eNr( jo acl,.hie -c'vlt dL pefs.koN. i i 6 stormwater site plan template—rev.10/1/2003 ... • • 13. Describe the water`quality system. f 1 �t Co..is-t ru )r t N s; -e sts c��y a urKk,\ oc ckS=-P.e* o/yy ` -'`N wa ems, 14. Describe the conveyance system� analysis and design. Tocc . crag IV po0 k l U Sp e -ce( K 01.4. 15. Describe the source of fill material,physical characteristics (of fill material,and deposition of excess material. 6e- I>1,00 cod Si tes . 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. (� No p`Gce►► eq4 aNc cowl a c��o-ii o+ QN� A exCs��nr� coral / wta�e,��a�5 +S re��lre,cF• KN J Packed ctruskecl rock dNveway 'Seirve.5 as Qcce-S . 17. Describe the proposed surfacing material. NON 18. Describe methods for restoration of the site.� t ' t-�e. oyv/y iMp c# wi\\ \ -i-t�t 6ckitc.' t 33 s(-ce se( ?. .6v(`Ackt`.~c I t&cer1als wAt 6e s-f-gEed dk -Re c4&'?veway. s 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. N/A 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. No spec;a1 r-e?or• -S Inave 6eeiI &Ateco cec 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. JUL 1 3 2009 stormwater site plan template—rev.10/1/2003 • • 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 section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. we c'lre ntrs�" c-\eariN -} .e ra� + ;s oN aN exts-V&I5 cleated le.re-led area "s°p?o1-fs� sotwte 5-5 a'i ( we-eaS 2. Establish Construction Access.QXtbk:14s GdtrSLect cWvetAuty �ha+ W a S ;x S (-12l G 5eocwa1 • eat-5 C5c) 3. Contras'Flow Rates. 1 ',1 (, c - CO el- +i5 v 6eA o t ' � L e,s .`^� L u; *Las Y . ‘64►y am 1 f MriffilMMTEINIMERVAIWI ... � � r,l{ � 1� .. L• .. .fir u ► �—' - ` t. Ge 4. Install Sediment controls. al\ 6ecl 5. Stabilize Soils. I U t\le Sa+``�t t N 5 1 kau.°0,) A�s . I( Y4i say is arm 5 ()pact omei Ikea vl �7 COwi mac ( amet aye Ve..4., ( 5kWe.t 6. PrQtest Slopes. fires. wits pike vko I7 I,PckcleA - 10(1e1 `iv3 s e e eaA--s a8a.' 1 a eto-f. Slopes ct r-e +%. w c-041 c �� act ea/ Jy VeSe+ ct cJ I'441 at e0.S e-S ���1 c�►�e c S . CoS sL �rl—►' —a--e a S ��� Nod' 7. Protect Drain Inlets. ere i s No i`a t`rt a 11,6 „ ct c�I Cori " . ere, nj e a f r er 1- s Cr lo ov-e e>iv y �L a C w t.N 1 4 C e-'5 t-OCQ 6 c r,rc�l A e e Jgi."' +`a+ Lis 1,/wug 1( a ck rct W f e 441•01 I4 -HA& weld„ `) ervi7 - 8 stormwater site plan template—rev.10/1/2003 • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. —1-1.P-,r-C are Ato ckatvnit S or ou 'I2 OM MII►= In 9. Control Pollutants. Ca Ny �at'k CWiff 5 WM)0 .& a c J vo a Suo� a s ,. •-1-L a Q4e < <`Nc �iyr ,t�ewie yerl Lr 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). -e sly 1 aiy, .,}, ua a otJ cil4 yv all Wa�tr 11. Maintain Best Management Practice (BMPs). o . c if' • .atl c�aera Cts WCI( Rs bv;l 12. Manage thetProject. I\ , I t t 1 n l l e -- T aM. a 2esy•. CON C .✓` ON W '' b, "-N.r1 a( - 4SGS o e C4N$ 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). o-rv/ try. E kQ4" cat.)fd 6e a- P, ci wcr00 p (-�,�( 4- w N 6lo 4-�,e b� k r n ( tt �ld�,vQ S -� � C2wci.i b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). CI ©c.., . i Nq-1-v ti,i �'Fed bQI" G,A.c c c :5 � ,/.Q/ �e �-I„ .,�, C�i II 1' �v •�s� N � Od�II � -t-c� �h G / l/ _ w 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. ~ rlr j u „- 13 009 stormwater site plan template—rev.10/1/2003 9 •b. Description of special requirements for working in or near environmentally sensitive ar as. AI e pike ae, Ateecke ay fo4it5 i ti 4. Erosion Problem Areas. Description I p of potential ity,dep erosion problems bllU structure). in theO context of the characteristics of the on-site erodibility,(e.g., 5otis a'-c. e,r s4o 6(e. NoNc _se . as • < so .Cs 5 ,r so t N� a ke a P .fie 1 -)olicioNA pibi- wed us -6 6ack v`ij GQ 5. Construction Phasing. Construction sequence P ' a. t� v�r[�a�t.rN, �f`4 Wt�bY�, l�cr a��r/5,1.��i d��ry 5 r i l�l'�'e+"..�tnr— +,�i , , _. -t c� , b. Construction phasing(if proposed) . 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Prov(de a proposed construction schedule. —r,. ► „ 1 R , ,d US4" 6*r ` ''k¢- 1� ove," �uNcla�;ov � '[-�`ar«,`rr� � v�oo-F : S� ly .i � g � �" -1-10e. Next- 6 utQhfAs II. Wet Season Construction Activities. a. Proposed wet season construction activities. t r n -...- - 5[`,�`/`IC5 [ i hf -el'i aJ' t\Af i5 b. PProposea wet season construction activities for environmentally sensitive areas. Name- 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for a initiation off bonds and/or other financial securities. G T^V ' &W1Jt' bu;1 k - � y 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. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations to storrnwater site plan template—rev.1 N1/2003 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 f the affected pr rty. (LANDO NER O A ORIZED EPRESENTATIVE SIGNATURE) (DATE THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 12 stormwater site plan template—rev.15(1/2003 I C c f— t4 IN. ..* al It— it it. at it-- tt O 1 ► i it I n � O Y c m Z • I - 4. r O II 0 .a i Ai. ro ft _ ta K 1." 1 • C 2 \\ \\ \ \\ \. ' 1:4 1 4 -7 / i H- `` x t 11)71 i t ak NJ°� ' n I r - - °` g da M isi 4.4 O 0 a2 4 tt _. _ a 1 ("r E I! , -i- - OHO O 1 i 1 i , 1 ! Jill 0> i tI P 1 { 1 C1C t • 0 Ng O -r-kil Il m m m O r ii o w r § �;it <A • bO oa CI � b J!lliiJ 5 N `Q l ® 104ill O .5 //lam !!f!I//// !!!//i' !!!j//!/!/!!/!l!//! /,/!//!A !/JY/�J ,... , y _ a— `S w f^ Q z Q ; _.,.. q Ok • y d :/ • 1 I 1 I I ) IQ I I 1 . 1 i I 4 F b; + y --°1 r 4 tk -1- Iciti& a .4op* el . /<. , 4 (t,j i v -< cg ,...., g o § - I: % N # © 0 b; o I I I I V 14 - j't 4- Z —1 [--- Z -l- D' L - 1 i MP ;VW i le 1 II I 1 §7 11 c > i i TO Ingig i lID oct-Q\ ck mu, oc,, -a3- �o REVISED SITLAN St 1- dated?/dip U / 'S Has been APPR0VED7�7 StprWNa r by JEF RS OU U1, re DEPT.OF M Y .V ReA SIGNATUR : 98'-3' / BOUNDARY LINE / / /J# .4. — _..— - - I t / / o • ♦ �s UPI 4 -.46'-3' 16'-10 --„/ e•-2' I L: p ' 21' .46'-6' 16'-0' PROPpSED DESIGNATED RESERVE 16' GRO DRAIN FIELD AREA — 61'-3' I UTILITY P POWER . �� Jr T 47'-4' 3-4_ ----\ 72-6' 7= SEPTIC 1 11' 46'-6' PLAP LINE I ° 23 EXISTING DRAIN FIELD EXISTING 80'-2' '1 30'4' 1 UNDERGROUND 11' PROPANE I e 44' ' /—E0' UNE�\ / 1 1%Co$66 • COMPAC'ED \ ss.'". ` DESIGNATED RESERVE r GRAVEL ' DRAIN FIELD AREA '-'7'-/ DRIVEWAY 1ij / r� '-46'-6' \1 � I 13' ;!' /rf II r r•Q o ca a-N c"'EXISTING 1, /%/ .//ii/i-: ��:I.�,• ' `uNDERGROUN e x 14,`K( �' g a fPOWER '//ramiI••o. r �i.LINE / % / ./ ;I_ / I.Iii i//� j �,` 11° lP. 30' �� Igg-3• TRAILER AD EXISTING ��� I I DECK 20' t ' VA iI ' i ;• IJ seef c 4N k, mN,S.I PROPOS o x �-o deck too i/vq *•STING _--- i , J Y BLDG _ ---- J 1/ .. [ �o '�— _4.__ / SEPTIC 11�DI TANK I. PUMP FP : I ta 19 WATER LINE IO • Ids t C,, , rli ' " I WELL 36'-3 f f 0 Goa Rioa ilfit i .., O \\ / ? • — — _ STEEP 'SIGN BANK �,�.,1 a 5/ I,; I SbC,.A!k -0 Gov _ BANK ^"D 9 IN Fa Meander Line �_ _ L , / 1 1� i ORDINARY HIGN .." WATER MARKr 11111/11l�-1 .--. ..----/-1 / :3- G STAIRS TO- 19-8' ll BEACH IIIIUI! 9 BEACH 16' / C..L) c / / V / / Random Line _ — _ / / 9822 SITE PLAN N SCALE:1"=20'-0 0 ' Hood Canal G`r' tg.1 4NvN/ N1 1 <q,, itch--IFzo6 - 4'D - 76, 7 fr w. i 11 7oDo8 ' �. .trt 1 r 1 )1 47 \/, 1 p..A' P e�25/21 / S�frti4 j I..!-� � �,, J JUL- 6 2010 '°.�i JU - 6 2010 Al