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HomeMy WebLinkAboutBLD2009-00265 MLA09-00266 OUILDING PERMIT APPLICA N Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00265 Received Date: 8/6/2009 SITE ADDRESS: 261 S BAY WAY PORT LUDLOW, 98365 OWNER: STEPHEN MARINKOVICH PHONE: 206-226-3736 LISA KARIN MARINKOVICH 8047 FOREST DR NE SEATTLE WA 98115-5230 OAK BAY WATERFRONT SUBDIVISION: Block: Lot: 53 PARCEL NUMBER: 976800033 Section: 29 Township: 29 N Range: 01 E CONTRACTOR: HOME ASSOCIATES BUILDERS INC PHONE: (360)437-0931 RON GREGORY 22 MCCURDY LANE PORT LUDLOW WA 98365 Contractor's License HOMEABI027J3 Expires 6/4/2009 REPRESENTATIVE: HENRY M SOUZA PHONE: (360) 379-8338 DESIGNS BY SOUZA INC (360) 379-9136 164 SWANSON PROJECT DESCRIPTION NEW DETACHED GARAGE tic- R Mr3 TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 111,366.00 ADD'L: 943 HEAT TYPE: EEE CODE EDITION: 2006 OCCUPANCY: HEAT BASE: HEAT TYPE: HTP OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: 1,539 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: X'O Total: 0 �. Routing Date: Type Amount Paid By: Date: Receipt: ate Permit $1,060.95 LYK 08/06/09 110701AP3DAe5v E D Plan Check $689.62 LYK 08/06/09 110701 State Building Code $4.50 LYK 08/06/09 110701 DEC (9031010 Potable Water Application $62.00 LYK 08/06/09 110701 Jefferson County Planning Total: $1,817.07 & Building Department _______,„„................... Jefferson County Building Di.ision Permit Nun, .r: BLU ,y V �fU16 JC APPROVALS a Applicant: MARINKOVICH BUILDING PERMIT INSPECTION To schedule inspections, call 360 379- o pplicable Code: 2006 International Build:ig Cc Requests received after 7:00 AM will not e scheduled for hatater than0 AM the day of the inspection. - -� ELECTRICAL areby CA permit must be si n the Washington State Department of Labor& Industries. 9 ed off by the State Inspector to the County's untY's Framin Ins Inspection Item p Date g pection Approval Signature Notes S /'^ SetbacksrillUor Minimum setback from South Bay Way right-of-way g ht-of--way shall be 20 feet. Erosion Control •pproximate 155 foot setback from the ro Foundation Footing M SEE-CONDITIONS 2&3 P posed garage to the OHWM Footing Drains ��� elanillerd. Foundation Stem Wall Underground Plumbing -, 'V �` Straps(hold downs) _,`( Ext. Shear Wall Nailing �`_� Rough-in Plumbing Framing �� Blocking MR �j .. '- 1 Se f_;,,, -rl ;;. xi c c_/ Wallboard Nailing a a ` f h �' rot Drywell/Alt Drainage Address Posted �.`��SEE CONDITION 1 h'ar`�ca ( —f3 ij C I VlS In ( 1, '1 -// -- Y c et ►if ' . 'L FINAL INSPECTION IMLVIMIIII FINAL INSPECTION MUST BE APPROVED PRIOR TO THIS PERMIT IS VALID FOR ONE YY AR DING BEING OCCUPIED CONDITIONS for Building Permit# :BLD09-00265 1.) THE FOLLOWING MINIMUM LENGTHS (LINEAR FEET) PER 1,000 SQUARE FEET OF ROOF AREA BASED ON SOIL TYPE MAY BE USED FOR SIZING DOWNSPOUT INFILTRATION TRENCHES: COARSE SANDS AND COBBLES 20 LF MEDIUM SAND 30 LF FINE SAND, LOAMY SAND 75 LF SANDY LOAM 125 LF LOAM 190 LF MAXIMUM LENGTH OF TRENCH MUST NOT EXCEED 100 FEET FROM THE INLET SUMP. MINIMUM SPACING BETWEEN TRENCH CENTERLINES MUST BE 6 FEET. FILTER FABRIC MUST BE PLACED OVER THE DRAIN ROCK PRIOR TO BACKFILLING. A VEGETATED FLOWPATH OF AT LEAST 25 FEET IN LENGTH MUST BE MAINTAINED BETWEEN THE OUTLET OF THE TRENCH AND ANY PROPERTY LINE, STRUCTURE, STREAM,WETLAND, OR IMPERVIOUS SURFACE. A SETBACK OF AT LEAST 5 FEET SHOULD BE MAINTAINED BETWEEN ANY EDGE OF THE TRENCH AND ANY STRUCTURE OR PROPERTY LINE. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. 2.) A SILT FENCE SHALL BE INSTALLED BETWEEN THE PROPOSED STRUCTURE AND THE WEST PROPERTY LINE PRIOR TO ANY LAND DISTURBING ACTIVITY. THE MINIMUM HEIGHT OF THE TOP OF SILT FENCE SHALL BE 2 FEET AND THE MAXIMUM HEIGHT SHALL BE 2 1/2 FEET ABOVE THE ORIGINAL GROUND SURFACE. THE SILT FENCE SHALL BE BURIED IN A TRENCH TO A MINIMUM DEPTH OF 5 INCHES BELOW THE GROUND SURFACE. THE TRENCH SHALL BE BACKFILLED AND THE SOIL TAMPED IN PLACE OVER THE BURIED PORTION OF THE SILT FENCE, SUCH THAT NO FLOW CAN PASS BENEATH THE FENCE AND SCOURING CAN NOT OCCUR. ANY DAMAGE TO THE SILT FENCE SHALL BE REPAIRED IMMEDIATELY. SEDIMENT DEPOSITS SHALL EITHER BE REMOVED WHEN THE DEPOSIT REACHES APPROXIMATELY ONE-THIRD THE HEIGHT OF THE SILT FENCE, OR A SECOND SILT FENCE SHALL BE INSTALLED. 3.) CONSTRUCTION ENTRANCESOALL BE STABILIZED WHEREVER TRAIO 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 SMALL 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. 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 applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 8.) 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. 9.) 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. 10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 11.) 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. i12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. Pre-existing legal lots of record less than one acre in size in rural residential districts are subject to the stormwater requirements in Chapter 18.30 JCC and must meet the "Area of Impervious Surface Coverage"to the maximum extent practicable as determined by the administrator. Lot coverage is defined as amount of impervious surface, which includes rooftops, driveways, concrete, etc. 13.) The building height is not to exceed 35 feet. 14.) Minimum setback from South Bay Way right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. The site plan shows an approximate 155 foot setback from the proposed garage to the OHWM. 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. 17.) 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. ��oN eon JEFFERSON COUNTY• al k3 DEPARTMENT OF COMMUNITY DEVELOPMENT y'9 '4 621 Sheridan Street • Port Townsend• Washington 98368 360/379-4450 • 360/379-4451 Fax qs G O� www.co.jefferson.wa.us/commdevelopment Master Permit Application A``r,, — 7 20G9 MLA: ( A (0(� Project Description(include separate sheets as necessary): _ , Tax Parcel Property l Number: 61 •7 �Q 0 , )3 Size: .� 11 3 i Ic 3 (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: ST evt of L i S'. Kt�,2;,�;, yv' P 2t nJ p t7(0 22( ?� j ; YFax: i chJ:c:i j Tele hone: email:.7(4.1Y1( ccr.)pe,t(v\5arrkvice. Cc Mailing Address: g104.7 T-a rte ci i72cc9e, iv c , Se.Ai i 1<6 1 LA) iN of g i 15°. Applicant/Agent(if different from owner): Telephone: &60) •3 7' cgcfio Fax: email: SY►1ri@ r,v e�ir�Scfr�1C.Cont.Mailing Address: What kind of Permit?(Check each box that applies ❑Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a),C(d), or C)** ❑Single Family &Garage Attached Detached ❑Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* ❑Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑Road Approach ❑Binding Site Plan** ❑Home Business ❑Cottagelndustry ❑Long Plat** ❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** U'Stormwater Management ❑Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑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 r!/V .�I�� , to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE _\ ! � .+� �� s .�i --. Date: --- /—e....7 cy 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 attomey'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 be assumed unless the applicant informs the County in writing at the time of the applicati that he or she wants prior noti T. J c_ /(`�(Jf A — — r-J Signature: . Date: �' The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more thre tened 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 developmen de.The Applicant acknowledges that he,she or it holds individual and non-transf le responsibil for hering to ndcomplying with the . The Applicant has read this disclaimer and signs and dates it below. Signature: 7, J/ t /' t`w .�, i'•. / — U' T Date: C:\Documents and Settings\caul\Local'Settings\Temporary Internet Files\OLK116\Master Permit Application 12-19-2006.doc Ill • BUILDER STATEMENT The signer of this --•ent does hereb --s ify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be- • in• . e res.p• i of,a General Contractor for the proposed project. 06-0 Signatur:;-���/i .LEI �I�i '�. Date: GENERAL,.CONTRACTO ArNUFACTUR 11 OME I +ALLER: PHONE: FAX: r /cr�� .©rryr &/>es,i,'/ ail 20i-637 (3(►) % "?.`-4,38 MAILING ADDRESS: (pc? / el//RD / LA/ �i/ide60tl41/36 MAIL: �SiI�CQ�f/' 17ae 'roIGjCCiw • CONTRACTOR'S LICENSE / WAINS NUMBER: u/one/9/3/d)7%_ NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Pf6lect Type: F me Type: Bathrooms: Shoreline: Type of Sewage Disposal: rJ1 New Wood Existing: A J r - 7 20c9❑ Sewer i i Addition ,1 Steel Proposed: --(1-- Dank ❑community System Total: Height: Individual System LIEl Alteration/Remodelepair LI MCasonry sonnyncrete 0 SEP Permit# ``;- �'�(C )M7 Repair ❑ Masonry " Li Demolition Fl Other: Bedrooms: W ter Supply: Existing: Setback: Private well LI Two Party T e of Heat: et, Proposed: a Li Public YP, Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: ❑Underground Tank °Above ground Tank Size of Propane Tank: 0 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 I 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 properly lines,tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 73 2"O Floor Heated J 4 Q --1�,55Consistency Review: 1 Other Heated -/ Base fee: I OrcID 95 Mezzanine A.' lC ti ri �["I/ Heated Basement Plan C ck fee: OA I_2J Unheated Basement State Surcharge fee: ...4_.5)" _.- Other Unheated Pot Water Review fee: Garage/Carport I5, .4.129i SUBTOTAL 3(E O-1 Decks 911/Rd Approach fee: ,-1,is Other TOTAL: $ Receipt Number: 1 1 \C""7 1 — " I3txo Cash/Check Number. , (C ESTIMATED COST(REQUIRED) Date: `�J 'Fair market value of all labor and materials foundation to finish ---c___-Z___5 ___'''‘ZP Initials: c- D C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK&l\Master Permit Application 12-19-2006.doc INIMIniemilmmlinli. • • i 0 1--) a , il i'.i .. 2 ' . •N , es , .. .:::::•:.::::::-i.i.::::: - ® 6:,.,_ '' iy......;....-..;.....:,.....:•, ::..::::,'::,;::. ,A-- .,:.. . ..-........ ,......-.-. .. .,:. 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Ty — 4.841hio ,i n ! .1i H 111:41! 4PiO 11' i',' i 'I 1 45 li !I iii'il !ii',111 Pi-iiiii ; i 4 P, r I T - i it 0 '•• ii,,ill lu.514 O i 1 , u 5i 0, ill,..,: ;1;;.• ; 1-il j s m F. e If 7 1 1 — — cT -013 8,7,' . ..0... -1 oca' 121--L,to * s' . i 1 0 CD 0 , > ' i Diail. ry ill Marinkovich Garage > Stephen arid Lisa Karin Marinkovich 5 > ; cs i (.3 PARCEL,V6900033 CO • • 0 § /0 • 1 ,41,1, HFN CK I 40/1.r.._41 , /1: \ t!! ,' et/sAkIP MO \, iv\ 10),D A *1.r _— a-• I I O r i._ 0 .�. 9 '-4 ,S . co a I k N o S ! ' S m , y �____ . . 0 a O gg _ ii Ifx v-o 7 c1. A co F I. R MI > > Q N — — = c n' c I Marinkovich Garage 8 i Stephen and Lisa Karin Marinkovich 0 w n' v acEue=r"ones ccn o r II r • . rt,i' , , JEFFERSON COUNTY :, t , DEPARTMENT OF COMMUNITY DEVELOPMENT / :- J r"`„ '„ , 621 Sheridan Street • Port Townsend • Washington 98368 tJ 360/379-4450 • 360/379-4451 Fax 'SINGS' http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# L/'1 C-Q&C, PROJECT/APPLICANT NAME: Qy j '.� LAJ,A(1X V'I P�C.g 11/��-- .C.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 ' provements on the site map. . Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 3. Describe the existin vegetation. Indicate native vegetation areas on the site map. L-ek.`-O)e r 4—\---12_e 5 QM.d. aA.,c)c- 4. Describe the existing soils. Indicate soil type on the site map. Utl/114 1 q cav 6 Lti ,.C`.lz.'UVN k. 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. 5k,r)c v rv(i -{-t)cska_ W,C i, 6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED i;t rAa(-A eim (, Icy\ \ry,tc STORMWATER PLAN DEC 21 ' 2010 StormWater 's n Required JEFFE' 01UNTYr\lstortnwatersiteplantemplate.doc-rev.10/12/2003 Req nFPT.OF('1I'i..SIGN'ATUR : �iii T' [.F�F NF T • 1 ' 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. ,Ol_f ( 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas urns,wetlands, lakes, steep slopes, etc.). '(:; — 7 009 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. C,-o -- LO c (-10-AA. t nt Vl .o 11- -ram s A_ m ielc 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.] 412(- 1 1 Describe the performance goals and standards a plicable to the project. \ t - Lto eA A-%v '- 2 cx�c�ihk 1-1°% re, V3 i'16(\ 'CO 0A, -k o r\ 12. Describe the flow control system. stormwater site plan template.doc—rev.10/12/2003 1 • • • 13. Describe the water quality system. Pc 14. Describe the conveyance system analysis and design. 15. Describe a source of fill material, physical characteristics of fill material, and deposition of a cess material\ill ePl.k4f A...Le-A-1(cY1 Wj vyyk (--Qtkt t-0_, CUVL-..) * . q 11(1.(kA eAA OD 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. N eV 17. Describe the propos�ed surfacing material. ( FA:,. i �'JVJ 18. Describe methods for restoration of the site. N,R 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. 11 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. NA 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. stormwater site plan template.doc—rev.10/12/2003 7 0._...e_., -A \ _.,. .,1° CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Const•action 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 ,Ilution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE r1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or ill be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to he proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 1 Z he..ired Elements—Construction SWPPP 1. .-rk Clearing Limits. ,_.,. 7 al,','' 2. Establish Cons' ction Access. 3. Control Flow Rates. 4. Install Sediment Controls. 5. Stabilize Soils. 6. Protect Slopes. 7. Protect Drain Inlets. I -oplatedoc—rev 10/12/2003 8 • 2----- -0A- .-- , . Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Co rol Pollutants. l u. Control De-Watering( act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices(BMPs). 12. Manage the Project. L.. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). ! ((�� N N' b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. (ikYc nAlk `kb `i LiD c c,* - C}-YL--t1 `1)-Q1-c ,plate.doc—rev.10/12/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. o ict Q W<e.ktk0 >, s rt?QA f-f1iQ co_A it, 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. 5. Construction Phasing. a. Construction sequence t �- is k rti.N0c4-tom I ' ),) t Cb'c,v•w; 1r1k et\bI r, � b. Construjction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provid a roposed construction schedule. . II. Wet S son 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 responsible for the initiation of bonds and/or other financial securities. -ke.012art. '3 [A Yct.A tY1 yak b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 0,01)VV.t S 0-`4 .:.Q O t t��LL 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 ,plate doc—rev.10/12/2003 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 cr,--0-ted. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as acted. 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. 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