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HomeMy WebLinkAboutBLD2009-00235 i M 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 #: BLD09-00235 SITE ADDRESS: 533 CASSELARY RD Issue Date: 09/30/2009 PORT TOWNSEND, 98368 Final Date: 12/10/2010 APPLICANT: BRIAN VAN ALLER PHONE: (360) 683-3438 PO BOX 757 CARLSBORG WA 98324-0757 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 902233002 Section: 23 Township: 29 N Range: 02 W PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE 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 THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 12/10/2010 I:\F_B LD_Occupa ncy.rpt 10/29/19 Jefferson County Building Dion Permit Nu BLD09-00235 Applicant: VAN ALLER BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 - U � Minimum setbsck from Casselary Road and private ingress/egress 1` .easement rights of ways shall be 20 feet. Minimum north setback shall be 250 feet. Minimum east setback shall be 5 feet. Minimum south setback shall be 100 feet. Minimum west setbackis 98.5 feet. Erosion Control SEE CONDITION 2 Foundation Footing Footing Drains Foundation Stem Wall (7 k) j Underground Plumbing Under Floor Framing .-12,6\ I O )4-- Straps(hold downs) Ext. Shear Wall Nailing p_to Rough-in Plumbing Framing t L ,_ o 00 Blocking '1 Airseal a�3 *(� Insulation:Walls t� Insulation: Floors / . �,3..(n fz 1 Insulation: Ceiling ! /"� - [ Int. Shear Wall Nailing (o — la Wallboard Nailing i _ 10 Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITION 1 FOR SPLASHBLOCKS Address Posted FINAL INSPECTION j) _ Kit> FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR BUILDING PERMIT APPLICAtON MLA09-00248 Jefferson County Department of Community Development Review Type: I 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00235 SITE ADDRESS: 533 CASSELARY RD Received Date: 7/23/2009 PORT TOWNSEND, 98368 OWNER: BRIAN VAN ALLER PO BOX 757 PHONE: (360) 683-3438 CARLSBORG WA 98324-0757 SUBDIVISION: PARCEL NUMBER: 902233002 Block: Lot: + Section: 23 Township: 29 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE:: TYPE OF IMP NEW VALUATION 202,989.00 MAIN: 900 CODE EDITION 2006 ADD'L: 900 HEAT TYPE: EEE HEAT BASE: HEAT TYPE: HTP OCCUPANCY: R_3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: 528 SHORELINE: DECK: 198 SETBACK: SEWAGE DISPOSAL: ALT BANK HEIGHT: WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 3 Total: 2 Total: 3 Routing Date: C3CC) Type Amount Paid By: Date: Receipt: Permit Approved/Date $1,570.55 KAS 07/23/09 108782 APPRO\/Fi Plan Check $1,020.86 KAS 07/23/09 108782 State Building Code $4.50 KAS 07/23/09 108782 Potable Water Application $62.00 KAS 07/23/09 108782 SEP r4 Total: $2,657.91 Jefferson County Plannt.. & Building DepartmP. Aoki CONDITIONS for Building Permit# :BLDu9-00235 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.) 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. 4.) 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. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) Not more than 2 unlicensed vel s shall be stored on any lot unless totally�ened from view of neighboring dwelling, and rights-of-way. Such screening shall ri1�t 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. 7.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 9.) The building height is not to exceed 35 feet. 10.) Minimum setbsck from Casselary Road and private ingress/egress easement rights-of-ways shall be 20 feet. Minimum north setback (commercial forest lands) shall be 250 feet. Minimum east setback shall be 5 feet. Minimum south setback (rural forest lands) shall be 100 feet. Minimum west setback (commercial forest lands) is 90 feet. (The Administrator has approved a reduced setback from the required 250 feet to commercial forest lands to 90 feet). 11.) 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. 12.) 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. • 0 wow Q" JEFFERSON COUNTY �1Jj ,y DEPARTMENT OF COMMUNITY DEVELO MENT Ci •GE � '4 621 Sheridan Street• Port Townsend •Washington 98368 � 360/379-4450 • 360/379-4451 Fax ` /ING www.co.jefferson.wa.us/commdevelopment 1 Master Permit Application Jiffififfloi rr rn A : :l( r, IA CD Project Description(include separate sheets as necessary): NE't"" J7 6 r-r, H(ME ANO !NJ AL1-Ai,u-,/ OK FpirvFit 4- .SE/)i,c. Tax Parcel Number: c ti z- 233 -0 Z Property 7 p y Size: A c:r FS (acres/square feet) Site Address and/or Directions to Property: p a A r 7 u,,,,N S PN. / +v A 5.3 ? C.ASJ�L qF,I�/ R(t uNctiS PO: Tv c:.AsyFLMY /RD.. / C.A.UE _AAI , Foil r Property Owner(s)of Record: /3/:I A nz VA n/ A/ �. R Telephone: ..3Lv' L v.? - .143 V Fax: 3bc • b .?- Z r# / email: YAiv.sidRV <, C�YP f'N,f ugh Mailing Address: P.o, 50 K 73 7, C AR Ls h i3;qe,• WA, 9 32 c'. Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation I21Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) a Single Family Garag Attache Detached 0 Conditional Use[C(a),C(d),or Cj** ❑ Manufactured Home .0 Modu 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** ❑ Propane 0 Long Plat** ❑ Sian 0 Planned Rural Residential Development(PRRD)/Amendments"* ' ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: SFf`tiGRn�iT r1!C1rfcA4 Fr-r,M 'T 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 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 that he or she wants prior notice. Signature: i41",_ 4A-- rya - Date: 7-is--0 9 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 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: f5/Li_ A— el— Date: 7-/S-o 9 0 AD BUILDER STATEMENT The signer of this statement does hereby certrfy 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: l��/ti.t. AL-- C"'lA4— Date: 7/j 4 0 7 FAX: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: ( ) ( ) k i ylN 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: ❑ Sewer Di< Exis o0Proposed: Addition Steel New C Woodt 3 Bank ❑ Community System Total: 3 Height: i�C Individual System // ❑ Repair ❑ Masonry ❑ Alteration/Remodel ❑ Concrete SEP Permit# () ' —51v ❑ Other: Bedrooms: Water Supply: ❑ Demolition Existing: 0 Setback: Q( Private well ❑ Two Party Proposed: :Z CI Public Ty of Heat: ted Total: -_ Name of System: R,a4 to If this is a Commercial Project 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 p 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 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,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. 4 • Square Footage Proposed7o. , a r o t Revision Current � rOffjce lJs� �-:��,�� �� Main Floor Heated EH Bld App Review: 2°Floor Heated - Consistency Review: 3 Other Heated O Base fd-i 't Mezzanine Additional Section: __--- Heated Basement , Plan heck fee: ,0-Z c}e-, Unheated Basement Stat7, ur ge fee: 4. 0 0 ,. H...... '.'� ;i ' ,i i,, , - - ''` 'b Water Review fee: / Other Unheated 100 �"_, SUBTOTAL (� Garage/Carport 2 5 2` �1.) i (G�Z �, . `1 1 911/Rd Approach fee: , Decks I 1 a 'Z, 'DM gar t. -T1 Other . . TOTAL: $ " n I . ` z' Receipt Number: 1 OS I ga . 20 i .sci Cash/Check Number: r' (030 ESTIMATED COST(REQUIRED) Date: 3 l a� 'Fair market value of all labor and materials foundation to finish Initials: i I I Of O0O r`,\po„„;,{`p„,...\ttiatFrlR MCtk##\TIP TI PnP MC\C,,..P.+.TIRTI P,,.+.,c\l'f„-tP.Pn.+,.:r A...,1:.-nr:n.,S_'HL11R A7.,.- ID • tr4e?,4 ONc° RIK J,it ` Y -C, JEFFERSON COUNTY DEPARTMENT OF COM MUNITY DEVELOPMENT$114 JUL 2, 3: 2K3 ,,,,.6, 621 Sheridan Street• Port Townsend • Washington 98368 �`�` l0\N„..., � 360/379-4450 • 360/379-4451 Fax C e �t,�l 'atlV http://www.co.jefferson.wa.us/commdevelopment/ JEFFER !.'- CR DC STORMWATER SITE PLAN SUBMITTAL TEMPLATE 1 MLA# 0 a-, -i- u PROJECT/APPLICANT NAME: BR/A n/ V/t„� /4 L L f 4 1 Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. / 0 COA/s?RP(7 A /61b St? F r, fool PR4"7' 5/,✓6L fut,n,LY REs/rfNC,E oA/ AP Ex/J„".G- cL.EARP.0 - 2000 S6. F T, hA/vb /n/ cf.,.7r4 OF 7 AeRE PAM6i-- , Ek/J),,v G- CGR4vvL PA/v6 w4Y w/1.1 RE ✓r/'/: sv ActF.sr s/7E • Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. -5'4PRo1pFA7r .SLO/FS how.//1/,LL. F/to,v, WE:; 7v .6117" iv/7/,/ Lfo' co-= FALL Ai 7F1 EA-7Rjh HIGH fAL Luw Po,'v?J, A (3.AAJA/AGi: PA770A/ /31^",jLi) E,x,J)J' novoi /n/ 711E A'),IJGYE of 7/. >: PRo,F.n,'Y W/7)/ S444r0/v,i - CAA/n/A6C W1:r/— 7,2 f-Arr, 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. 7NF F_Iv7, r: PRu/1A;; r.r U/✓D,Xv/itxtg t , /T P'43 LQG6K� 5 TO 7 YEAR: AGO w/7// 7//L ,EXCS7./i'N Oft 79. N-4 CoRivfA 140,rAr I 70 / /-/c/y Cf_QAR A4'c RC-/14/AvivG. PR0/.E4,7, is- co -w.. i- /.,/ SPF_G6,n/t r F'# r p/RjWfzr 4. Describe the existing soils. Indicate soil type on the site map. �RR,Fj-, 7 I/ijr�F..r n,vr q/'C!'J , AS RE/oa;FT, /p";/ SEP7/e. rl;s/ever — a T, 8Ro%rn/ o.“@v,c ?.:)Pl'u,L L7 70 14j" yFLLo3n/ 13Rowni .SANrr,j L0/141 /$ 7,) 30" - )'FLLow /3/10w,✓ GRAv,.cLr JAA.r; Zv 4,+n , / 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. .SFAitrIVAL- S7OAM '^'11). FLUwT PRu1. tX/)7,.v1 CiFAA C{/% To %//L WF_ri L[.PN/LL) 7n Oi.'c ii i/l6E//i?ff� 5k/4LF /v AliOnLE OF PAv/M7t C,ow'v hiLL 79 ?/f, !4S7, Ti) EO1bf.I7rt, P10/F4.77 . A 5/44iL (L Or r//An/ ,rcA L' ) ., r wi{A/vr EX/ill AT 7/1E -Sf c 04,0A, ox tel orrYkit, to v 6. Describe any excess levels of noise generated by the proposed use or activity: STORM WATER PLAN .vO EJec.ril /✓o,s.E l 3t,) T /VoPa,AL. No/Sf OCv /t/n/G. CLA/ti6 i/NT7AVe?/wv, SEP 29 2009s StormWaterSu`is�-RequIred11► ' ' IEFFERSON.�UN _t1FEHSON CUlitlih fl DEFT.OF CO t. i •VEI ENT stormwater site plan template—rev.10/21/2008 1 a7 ar 1( \+.Tl R V // l ._- A W....-.v. �. �� • li 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. 7 HI_ PAofTA71" sL oPF-r- FRo.v. _ WF-rT 70 .&11- w/7/Y A" FLF_v.471on/ Ch'A//LE O d90' AT ITs r►n..rT Er71?Finr . f/v`//RE PR .PA-7J, 4/vJ' 7NA0uL/, Ar PAAiv /v 71�'Ic Ci'v7F O.F 7-me PRoP!'A? A sPIAZt- SF'l.ru,v,L 4N1�?L 4N/4: FX/Jf A r � 7Hf ,S,E- C oA/VFA 0? PAorF-n7Y, 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.). To 7#1 iv!rT ANr, Nonitl AAL' CC Mott/4 L. ropfri LA/vt,5 PAAZ,ALLY CLF_/1Reid w/TN SCAT7rrAc; J7A/'OT Jt P/A * c 4504P, jo 7HE s04'71> /s AA/ BO icAE P,A7,ALLP' Po..W7F, P/!R7//tLtl/ c1-FAIM 7Ahcr 10'i7N Nt7 FF..A/►147/Fi// T7At/c7uRfr coa►pLPI4? A7 710.I 7/mF, ° r/�If. �fTT /T /1N vMPIvEL-ofTJ fu/►Ps7F4 Pfrc-L , HA cA.:rAf ) S7ANL A/0 (-11,7/cAL /SFrvr/ 7/v$ AMfnr Apr., buve vry /7H/►^' / /ZF Cif J/7F 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. ALL Sivlanvs 17.47"A w/L(- /3f "FULLY U/sP/Tl ii'' THE Affet7rr PRoPorFP S/ZF PhLlr WELL- /no17;')F 7BF /010 /mPMViovr- 7o7iL , ALL LGJ=.AArr., AAPAs-t DA/VF_ w4YJ, v s/7E ; LI7/Ll7/tt, . .0R44A, F/6LD5 Awl; LANAIcAPri AJtAs4r CvmJ3/,v`Jry ART-_ Lf1'r 79 / Z 10 of •'111 7177hL PAofp:R).Y, FAO' 7//E /3da.T14.4. .S/7F T/IMP /5 /'►YPRO)r, Zt5O1 tj F FLOW PAT.H IA/ A v7" T JAre T,o/r, 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.] PRoPOik' 70 ,A,o E& 7REAT F•✓T P: AC/G./ 7/rt' bnsEr, on/ A Ft,4.1-Y Oa PF1t7 PLA/v, 11. Describe the performance goals and standards applicable to the project. 71.) /mpPrcr 7Nf s/74 AT L /77LF A Posr/ALE , tiv cuAAF-A0T S7oAA'► vv47F& (-Loh/ /'A77Efltif Lv/LV /3E AJ`Fx(l s T//f3 Life of J7/4.�4v 134LEr AND PL/1N)/NtT WILL O/Jcvt//tA`t g/2of/O... on, /7/r7.1../A.8ri3 A-4Na 12. Describe the flow control system. N o r k/s7/A,L- Fi ovv1 'y✓/L L Be AFF.F41 'f '//r /3✓/ /A/6 J /.7/f /S O%v A" F_ k1J7/1V4_ &) AT *A/DLL FL(.tn/ P 17F' N ON7O .711L7:17(,51/,vL Vg F.7/ITFl obWA/ ,y//.L. .51- cat c/lA Aft E DtRIA/G- OR AFTA& G Tr"J`1- ;tAilEn '_, \`' .r�._y' JUL 2 t 21iJ3 ' stormwater site planmplate-rev.10/21/2008 ` , rr rt II C'" {S;l i,h{ I • 13. Describe the water quality system. yNF Rv,Lr s/7F /r 171r /4N,G OA/ /1/6// t;Rov.,vD, w.0 wizZ vjF �7/�.t>✓ thisc /11✓LcH/Na- , ©n/ 3,r7vADF/,; 6,R0414v0 Ai 1v1`L4. Ar &,t/*Jl 7o cov7AoL- f fl0.rio v A.'G Fr'-ii& An'i .57o/0+,‘ i% 47fA 7/ A MAY DLO'+✓ FAO' 7)ir /3✓.LG J/7f_ 14. Describe the conveyance system analysis and design. w PROPurk 7o Da4►.r-‘, 1:, wA/SPOwjr AN4 J7o1: cv t7F.R c A/7v EX7AN !'l 5Pc.41// fiLO[,l'J Wiz// VF.60147Fr,, S ' F/-viv Ph7//J- Lfi1,7/Ny AW4)' FRon-, R vr,La,ve .s/7F_ r Ni O C x/r7/4.4. VF_6I74762 L. 4 NZ j- , 15. Describe the source of fill material,physical characteristics of fill material, and deposition of excess material. M//vim AL FILL /AL A r PER✓/R It,. //_C Rv/L t, //vL /LC /r 1N/71114.-- tOX /-�1iFA , . J 1/4 70)iL Ekc4v47,u,v iVF_r-� P� p0A Buie—wive. 7o7/1LS /% YARC'J. Mir /1•147FA141_ 140/2.1.- 8i PLAC!'_y o,v Jot, 4 S i/ O F s/7e AND BC P'LLEC RAC on/7o ri7E AFIF.k /GO✓Avr4p10,v /r Co,+e\PLi.TI . 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. DR/YJrv-1T Lv/LL eo,v,,17 of 1/�t ,�iNvJ RATAcr PLAcct A ' 714vc,N Av C0AIPAci14,, tv/7/i /} s" 70.,E /toLLfA ( c7Na.Y ,4Ar+✓ .GAR/vJE N/4Y APAP A/ F:p.m# hf�r0 (7/v,V/IL /?ocX) 13v,Lriw& F0v4.647/ON W/LL Rr . PLAcYr Or1/ 17. Describe the proposed surfacing material. vNr.,,,r7✓R13 Ft G4 ovA, ,v A/F C r�f,4Ay, rx,l7r,v4 £ R/krw#Y Wi -L. /3,t. w//rlt MF-EL f w ', iPr rTH '/��t. MrNil /3 At/it?/',/S7vii3r CuNJ� � ) y 5/7L w/L.L 8/EE R1 Pt, i.p rev, GR4✓'r ( AP.Pgvar, SOO'Sti.FL) 18. Describe methods for restoration of the site. 7/yk GAA 1. L'AivP L..AY /.r FX.J 7/.✓G ALL i/S7LiRL rd GRot„vl, AAi/lJ- 4'J1.L >3r2 RF.PL4,v7Fs 'r "i OA &ADv. ovP,,A 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 ru j la t,.l' als here. • 1I ] t Al ,Q .JUL. 2 < ?( ;-i 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. JEEFir'iSC! Cfiii'i y ocp 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. SAn z Y�7/ s 7IM Anil; /,�An/.� r/rcLr r` Perim/7 At 5.307- 0005.4) wr:L1 PE' t/7 it ADAo9 — 000o3 stormwater site plan template—rev.10/21/2008 7 • 41) 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. N L C LFBIAIv 4- 7 sae Ir cnr A C X.67/Jv Cur, A 5r+4tL Ainov,v7 Oy S To b Yf4A OI-G Ap-DFA W/XL_ 13f J4,F,M ovF, Ff o>,-. l3 v,i-D/•ve- 3.7/s Sb,ink F/A f &EPAA S/1r�i-I vlT w/yL C AeFL4/v7FA At.v/1Y iAo.N. l3v/ir,,IA/ t.-- 2. Establish Construction Access. 7 N.E &AAt'FL I ivr vAy ,+'k tR.RAI?Y ,E`X/J7J, Ac.0/7svti00L. RoLP 1,v/t-Z /3r Ps-AcPb Iiv 7H/'v " AAFJrtr ALbIv'. Tint oAr W4> 3. Control Flow Rates. FLow AA,IJ- 5//011L.& IvL?J / i.'hL` .571t4w ta3ALEI WlLC� $t PL4eP21 /ti xisT/iV.- I7A4//VAGC S14i4LL• 70 v J/L?FA AMY .Sf_vtAE 370A,"-‘ Fa-O"I,•e 4. Install Sediment Controls. .S7/t/!L/ 134LFr AT .JOV7// 5i2I2 or cuti SIAvcJ,t,n, 5/7f. , t17RA Ai4/t(I? ©Vf,` 0 L/JiuRR, F_.4 jolt- AAEAT_ 5. Stabilize Soils. I`_ OF 37, L.. Mvec/> AA/J el, GRot,,vt C v6A pL'A'7eA'C5 o"✓ .)iv Y fXPurr:21 SO✓L3 .• 6. Protect Slopes. v5f.: vF GR ""'J co✓Fk Asvt 57RAt—' .et/Lreh PI-A(fr (?wtA, A/vY b/77 1,1?b SioPf-r> AI-7/1oL4 /> , Z DO "vol.- BriLF/vIe A>v, St-uPF.J- w/ii Rt= gFFfics/= t', . 7. Protect Drain Inlets. .N a rRAIn. INLF7J F/ oft. SvR/tovtit"'vL f'R 1. 131a /4FF/_`c't'6t/ . It c1. , t. LI If' '�jr 11c'�t u e stormwater site plan template—rev.10/21/2008 4111 • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. W,L L n.r,T i)/T isi A6 )(if I,-v G ✓.1.5 E 7/1)r/r . r Ail/A' r- 5 LvAL , s 7kAly B E 4. P.4(F.5 eN .71,'/10E 'Tt7 PAo7f'T ,Ex,S7/NG FLD3..J„ 9. Control Pollutants. A SPILL k,T w/Lc— J$L ov - S/7,G TO LLPA-v P07F,v7//1 i L 64;R Parr PAl,vT CIA cl/fnti ,c:44- 5P/LLY, A / IXCA✓A)u( ALSO /f Ci - s /7k. 7'(:/' R/,,no✓F A/vY P07FA.))/1 4)v7,}r.,/.n/0". ) 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). l FOR 7F.0 No tv goA put/IPA/4- 6Rdv4/r 14/4)FA 7//6 5/74 /r 49,v /} �'�O�L , ivy/cli C 0L LFc)T ./t/,, W47, A . ,/_- W/tiIF_R, A PUMP c 4A. /! 1_rt.A>; pi v.xxr Ta ,uMf GRov,v f Iv147F/\_ /./7 0 VFbf.in)/u,v ANS, ALLOL,/4Ti TJ ♦^/Litfl 71/A01.4 /7 11. Maintain Best Management Practices(BMPs). 7 her IF°Ar r i Fi-UOA, FIE 00,/-(/A'Gr Co,vr AA(if" W,LL- RPcf/VF /Air7AGl%•u,vr ov S/71 piAivAGfMt-Ai% , L Iv/LL /3F Do/A.& f.P., St�A.40') ALL. /1c7/ v/T/r.r RiLATF,C To O,r7 A A4,4 W/LL tea. ovr& .Tfr Phipg .ALL AITEelr tie 7///s PLA v. 12. Manage the Project. MY .5r z OP. mil- /?c'/Lri,NL cam-,. 7RAc7vA. W//Z.L /TE .QREyF/+'T AT ALL r/MFS UVRI,ve. Cci /p.s7oeLe1,0A., 7,2 rA'}'vRG /�/vFoA ( E1P1F.v77 OF 7N,J' f -An. • 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 7NR PAo,P21,fr A/OA7/�/ a.) 7J/ /:Ari A/v. -kT AA l✓ ALL VfG1.:747r1 LAR(r PA,g 41.r . 7riti3F P.RoPFlz7/;J' w/LL Ivor f:E AFFEci F_ r . T/NrAE- AAE A/c) .S2Mi'hr i_,A - ok LvA i-AN.-.r 71/A T WILL 3/_- A Ff.E e 7T,t.. b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). (,),QA tit/ AZIv P.A)Ii h.F.ttj- TA.TI /1l-T Fv/`. 3.1.4-u r'/v oLy PAorp ).>*/ 1HAvvc, e/ 1,v rk,s7/.vi .SIv4LF, 7IIAry FLOI.,Y OU 7 HP,4 t.r 7`/Rovd/t /44.fte A F4, &3- rr ,ARF4 ros, APr.Aox, u�u ro A TAA,lv,l412 .Sw1/_I 04, 7/1E- WE'," pore of enrrA4_4it RP. . 7iLC *P.A7/v �/IFi✓ PLO -I 5,/:,7// I ArTFRL-Y J ., 7/lf 31—A1.r 24 /Soo 7'0 A ctnvc, T C cr/vL. vn/L'fS Pp, 3. EnvironmentallySensitiveAreas. A'vf t_iy fi .�,strilS,N6- I/t/ 7/y/.1 F/r'LThS Fn:r op NA a. Description of environmentally sensitive areas that are on or adjacent to the site. A SMea..lt- Low LAND, "El 1.-4.,1i. A "� / Ir#? 1 Ae*F_) F.x,s1f //v 7/7F. .Sov7h �ATT c,Al!1/TA or 7Ar • '`) -; '�' � v' JUL e3 1�Jd 3 rni; I L+LL t ? � l � �r stormwater site plan template—rev.10/21/2008 9 • b. Description of special requirements for working in or near environmentally sensitive areas. NA 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). N>Jv' r Rf_ Sf:rA-' 1 J17l if LEvf1- ANr Ic_4'+'1 M/n/i. 'AC- r5.xcAt, A1,eiv w i- - RE Rec<a/Ar/)) rv_R t1;a'k F0tiA//7A? "./ IA/.1 Li_.r oP l3v"L.Psn✓6. 5. Construction Phasing. a. Construction sequence s/Tr PREPAA ,€ ,.'� J=ov/v .n1.10/V, FRP.fr f/✓ IRY M' 1 '?Ai" ri4vrs LA/v)i.Stgyi/vC- 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. Si7E P/ EP, $' .3PPTJt PRA/.vr/r,->_I. , Lr/L oA/1 AIvt,LJr 09 FovivroAlrav AA') tiv C- - SFP7, Col , /n/7F.A /%r/v,s nvv.D vv75- II. Wet Season Construction Activities. /5/v7A4tvc f_r AfVP i.AiV JtoP,^ 6- OCT. °9 a. Proposed wet season construction activities. IF Co/les7ALc7/D'v /T baLr, Cif /4,7o P2Awr PAopor,E TO .570E i7Abi-/2.F 5/7I h+vr Ca/.7-fn./Liz ,//v SPR//v6, b. Proposed wet season construction activities for environmentally sensitive areas. olv 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. AA/ (/AJv ALL-AA b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. Pr.-PrOti41- RESPo,11/5/I3/a /?Y 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. 4/A a. Sediment Ponds/Traps. t "t r b. Diversions. c. Waterways. l d. Runoff/Stormwater Detention Calculations Ail 2 �!`' • !cWPN1N C,► ONVII DCD 10 stormwater site plan template—rev.10/21/2008 • • 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 affected property. alt., .7 - 22- U Y (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: RECEIVED JUL 2 3 2143 JEFFERFAIN COUNTY DC[l 12 stormwater site plan template—rev.10/21/2008 r--- eawoi.l aulllH SOOZ 146F✓do0 .Q coWOO'SaWO aU ! 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