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HomeMy WebLinkAboutBLD2009-00360 1 MLA09-00355 0UILDING PERMIT APPLICAON Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00360 Received Date: 10/20/2009 SITE ADDRESS: 341 VERNER AVE PORT LUDLOW, 98365 ti�`�l✓� UO�G�`- OWNER: �FM4�dl PHONE: 341 VERNER AVE PORT LUDLOW WA 98365-9422 OLYMPUS BEACH 87-89 SUBDIVISION: Block: Lot: TX E+ PARCEL NUMBER: 978900093 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: MARIE PETERSON PHONE: 360-437-8148 107 LUDLOW BAY RD PORT LUDLOW WA 98365 PROJECT DESCRIPTIOP NEW DETACHED GARAGE/SHOP - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 150,000.00 a ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER:CONST TYPE: �p�, SHORELINE: GARAGE: C c�- 3,312 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: 10 Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,273.75 LYK 10/20/09 111118 APPROVED Plan Check $827.94 LYK 10/20/09 111118 State Building Code $4.50 LYK 10/20/09 1111183 2010 Total: $2,106.19 NOV Jefferson County Planning & Building Department • Jefferson County Building G-ision Permit Nu ar: BLD09-00360 Applicant: DOSCH BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks !1 l /, /, . cl Erosion Control Post Holes Foundation Footing L/ c ` -72 l (2 I l`?aK0 Footing Drains (` Foundation Stem Wall y_/rj !I /245 Underground Plumbing Straps(hold downs) Ext. Shear Wall Nailing , / Rough-in Plumbing )747) Framing Blocking Wallboard Nailing Drywell/Alt Drainage Address Posted FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD09-00360 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.) VOLUNTARY MEASURES OF C•STAL &AT RISK SIPZ: • Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 5.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 6.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 7.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) The building height is not to exceed 35 feet. • 13.) Minimum setback from Verner Avenue right-of-way shall be 20. Minimum side yard setbacks shall be 5 feet. Minimum setback as defined on the site plan from the existing shoreline bulkhead is approximately 250 feet. 14.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 15.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. co, IIII , °N o JEFFERSON COUNTY 14 ih \� ;a DEPARTMENT OF COMMUNITY DEVELOPMENT i4 621 Sheridan Street • Port Townsend • Washington 98368 $ 360/379-4450 • 360/379-4451 Fax ' BING` ° www.co.jefferson.wa.us/commdevelopment 0C j 2 0 2009 Master Permit Application MLA: C9 -j Pro'ect Qescription(include separate eets as necessary : '0j4,i-Ei rtp,.- 0nh-r n() , ritH Tax Parcel Number: 9 7 . 0 () Property / P Y Size ( , 5(.0 C1.G'c..�3(acres/square feet) Site Address and/or Directions to Property: 4 I V er ter" qfd5 _ Property Owner(s)of Record: G(_ "F it('‘i L-rc 5 Telephone:, n/1 r_42Fax: i 4 email:_ { : .3 Mailing Address f I W n nV Pr i; Lk) 1 c, hf w p( `ig .7i.t . Applicant/Agent(if different from owner): Mar le A, �f,t, ;)n(y Telephone:)(a) t-{a 1 ) 'T9h Fax:�(U�-t63�_1423f:7 email: !^j Cf f](Y)/a Y 1 f'fCl)/,,cc (Y) Mailing Address: (D--7 L3X 1�k.0 Ra-1, ` L,,(-i- Lob+I )) L& f t What kind of Permit?(Check each box that applies 0 Lot or Road Segregation JBuilding 0 Critical Areas Stewardship Plan 'pi )emolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family tgGarage Attache. 4 etached_ 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .0 Modular 0 Discretionary"D"or Unnamed Use Classification j 0 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** 0 Propane 0 Long Plat** 0 Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑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 0 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 iefso to act as my agent in matters relating to this a plication for permit(s). OWNER SIGNATURE / - Date: )0( 19 U 'I 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 ent to Jefferson County and its employees, representatives or agents for the sole purpose of application review anpi any required later inspections. St ss and right of entry will be assumed unless the applicant informs the County in writing at the ::t: r, on,tpat he or she wa 'or oti / /'�{{��[(((// 1� Date: !al/ VO The action or actions Applicant will undertake as a resu 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 flte.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 th• efferson County development code.The Applicant acknowledges that he,she or it holds individual and norftrr imf b responsibility for hefi mprin`g with the ESA. The Applicant has read this dis Jaime and si s and dates it below. Signature: Date: JZ/�% l/Cr • • 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 tle assuming the responsibility oft eneral Contractor for the proposed`project. • Date:/�XL�1/7 Signature:J,�` a FAX:GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER .. ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL -.94e Type: Type:Frame T e: Bathrooms: Shoreline: Type of Sewage Disposal: ew ',•)‹Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _ Height: ❑ Individual System ❑ Masonry SEP Permit# ❑ Repair❑ Demolition ❑ Other: Bedrooms: Water Supply:Existing: Setback: ❑ Private well El Two Party OProposed: ❑ Public TY of Total: Name of System: - f N If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank 1 Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove 1 Fireplace Insert i Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: ` 3 2`d Floor Heated Consistency Review: / Other Heated • Base fee: I /1-72 175 Mezzanine Additional Section: Heated Basement Plan Check fee: S,a-� 9(- Unheated Basement State Surcharge fee: l� I- cC Other Unheated Pot Water Review fee: Lb Pt a Garage/Carport _ ),, ( ?-777 Z) SUBTOTAL )3C Decks 911/Rd Approach fee: lsn eZ � Other TOTAL: $��� . Receipt Number: I I ) I Cash/Check Number: 1 )3-7 ESTIMATED COST QUIRED) Date: �n l '-�� r :Fair market value all labor and materials foundation t finish I i 0 00 Initials: L' --. , � Y Storsate `'� .-----APPR(----ic7Er---) ,, ,� STORMWATER Require- 111=.• .= PLAN ���gSON o°�� JEFFERSON COUNTY Nov - 3 2010 `� DEPARTMENT OF COMMUNITY DEVELOPMENT 1EF ER 1 o U T 621 Sheridan Street • Port Townsend • Washington 98368 DEPT.OF O. gt E ' T �� GK.0 360/379-4450 • 360/379-4451 Fax SIGNATUR': ii �,�,�/ ►=4 �11N http://www.co.jefferson.wa.us/commdevelopment/ lip MNIP STORMWATER SITE PLAN SUBMITTAL TEMPLATE imLA1-7 ), - _ 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 ma.. -- 1 ( . €.. e. v-A-1M, 4) et,i(z? ``` t.. Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site ma _ I 3• Describe the existing vegetation. Indicate native vegetation areas on he site map. .u2 0 ' r I ve.Uu t., ..S t I r o �- . (y fi 4. Describe the existing soils. Indicate soil type on the site map. Lo/5(AM 1 G-1 LLB/ -- -- 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. l�0 vu LOC_V 151 — Ole__0x 1' 9 i e-,v\ c&f-e . .e. .. , _.z_Vhcif_w_ULt_. r , x3e.„ cr o rr, :4g . 6. Describe any excess levels of noise generated by the proposed use or activity: only no(yylaA YiDr, -e cW v1.69lpr► trvch E --- OCT 2 C stormwater site plan template—rev.10/21/2008 5 • • 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. Si bpec 4 yd-I� r o rt 5ty,A-K -t-a7 UHO r 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.). kei 5t{'Z S O C,�k,} O A -Fi'�1,�.�L SO. \ .c�/ll D-� 1�a� mats _ "wo jots yc -est- of pobit 4_ boat-- 1cwri . ivy jkk c)rS 5F72 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.- Sti (rr) ,,1/4)a, Y volt bz , 1) c t p r�� ,-* vs��� &xI'ih�-►�c� cLraA,0' AQ b 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.] 11. Describe the performance goals and standards applicable to the project. U 1 l t-e-mcal -tt i to?al..A- +-A.e. SI Ve_ I t,ff-1 s F e4i1_b(.e_ 12. Describe the flow control system. We do nor 'Pl axi o r1. active-� t ex iS ' Du � J 14(1 i S 1 c ell stormwater site plan template—rev.10/21/2008 6 • • 13. Describe the water quality system. (; •1Q.or-_ 0,4441-C 1-a-4� CLet 0(1 st'IJ1 L t3liV 'F O ( f A o.)66-.,( I � 14. Describe the conveyance system analysis and design. ic) rs . i nfa naJvYLd h al Dr ti-V1 dry �l ,t sp `'�'`' 15. Describe the source of fill mat sica characteristics of fill material, and deposition of excess material. We_ doerial, ph n o f -h II - Lk.- + 5 t e-ve-.t- LuL Axe. 106 rKwl ek A.A.4th 00 S t-bk.0) `t-t p Uei rct.p K y 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. SIa,p w�l( fat)e_ undo.✓ `51 9 Lb pa e() ID 6661, c4eck rivAL re) jury! pL,r,c\ 17. Describe the proposed surfacing material. _ 'Pr r e-W AY dt rem. ewl s t-s -- we_ w t 11 b pni 18. Describe methods for restoration of the site. (L{ era-f 1 tl 217 __lull I ciSt - reitvr , e1 t t old e . . ex( sty, 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. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. N/ 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. NM. stormwater site plan template—rev.10/21/2008 • 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. • — no c(ea,rut Le_ r Cl •i 5 `aJ1It (beu 2. Establish Construction Access. Ek t`) 1/Y)0� ri /w +' — 1. SF 3. Control Flow Rates. reux) n 4. Install Sediment Controls. oa) ru2124 ..�{ rya i4 C rU - 5. S bilize Soils. , )ar CA �. OY vi 6. Protect Slopes. � � ►-1-e ►s / te- ��tl� elIop. Tt' k 7. Protect Drain Inlets. 1 r4. stormwater site plan template—rev 10/21/2008 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Control Pollutants. IV/Pi — Bc ( L t4 i f- r o 4 KID paltotUl 6 • 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active constructio site). -Clean 5.tpiimw a1C t,��t.11 - p��� t aft) 11. Maintain Best Management Practices (BMPs). E h Sobtdntruct r will (ecttVe 1 nt-ru chi)(IC O() SAE 1ti[laAtIq1t.VL► 12. Manage the Project. . Of my ci art l t_ �� 101 . 1 15gl aFn�r M .d 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). NM b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). IV/A 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. L. stormwater site plan template—rev.10/21/2008 9 :I .. i �_�� ay • b. Description of special requirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility, settleability, per eability,depth,texture, soil structure). 5. Construction Phasing. a. Construction sequence SJi-e_ Vr?Q , 'fool,ii.66+-1 c n Sei S5e5 4 [du Dal paAtud6. i� .r v b. Construction phasing (if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. Goe r z c pe c evt ra v e to pl,�..rc 1i e w wl cat pa S E ck trus t..�sec, . ©r14I Lu�.�l ,'vk� . \ Feats . Go r ete- iks . II. Wet Season Construction Activities. I a. Proposed wet season construction activities. 01l fit.t 1P.•,'F l O C ► L4 ' )n e try f r6'?6 -et cj c�.,tr b. Proposed wet sehlon construction activities for environmentally sensitive areas. I LA A pro p&' .r �J itvil e, - qu'l t-k iy-- 7. Financial/Ownership Responsibilities. a. Identifythe property owner responsible for the initiation of bonds and/or other financial securi ies. 't-r n n.r2,V' .in �� -11 e-a/ k'�0�t.-1Ati n W LIZA p(0 / 1 Ka.),A 5 � ,u r�tA('S-lu . b. Describe bo4,ds a d/or oth � � r evidence of financial responsibility for liability associated with erosion and sedimentation impacts. ( 04 StIYVcMCCt borA r.uit L 14)u( 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 stormwater site plan template—rev.10/21/2008 10 i • Stormwa',. 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. 2 OALANDOWNE OR AUTHORIZED REPRES NTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 y U W C � O. 0 1- W 2 W ( p Z M m O 14.....,4, r•. 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