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HomeMy WebLinkAboutBLD2009-00367 09 •UILDING PERMIT APPLICION ML Review Ty 366 ype: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00367 Received Date: 10/28/2009 SITE ADDRESS: 244 LEE WAY BRINNON, 98320 OWNER: LOREN W KREUTNER PHONE: 360-928-9402 134 BISHOP RD PORT ANGELES WA 98363-8756 SUBDIVISION: Block: Lot: TX 29 PARCEL NUMBER: 602231005 Section: 23 Township: 26 N Range: 02 W CONTRACTOR: CARL KNAPPLE CONST PHONE: (360)681-8195 173 SUNNY VIEW DR SEQUIM WA 98382 Contractor's License CARLKC"050NW Expires 2/4/2011 REPRESENTATIVE: CARL KNAPPLE CONSTRUCTION PHONE: 360-681-8795 173 SUNNY VIEW DR SEQUIM WA 98382 PROJECT DESCRIPTION NSFR W/ ATT GARAGE & A/G 100 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 392 VALUATION 120,000.00 ADD'L: 703 HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 242 SETBACK: DECK: 280 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Tota1..__—�__ Routing Date: Type Bv: Date: Receipt: Approved/Date Permit $1,105.75 LYK 10/28/09 111152 AP^Rc'EI Plan Check $718.74 LYK 10/28/09 111152 �+ State Building Code $4.50 LYK 10/28/09 111152 JAN ri Potable Water Application $62.00 LYK 10/28/09 111152 Total: $1,890.99 Jefferson County Planning &Building Department Jefferson County Building Asion Permit Nulir: BLD09-00367 Applicant: KREUTNER BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks - GEOTECH RPT: RECOMMENDS THAT HOUSE FOUNDATION �-I -IL ( , BE FOUNDED ON NATIVE OR WELL COMPACTED SOILS AND THE BASE OF THE FOUNDATION SHOULD BE LCOATED AT LEAST 7 FEET HORIZONTALLY FROM THE SLOPE. See copy of full Geotech report in bldg file. Erosion Control Stormwater runoff from the roof should be directed to the ditch at the base of the cut slope or directed to the ditch outlets and onto the forest L /A floor north and south of the building pad area. Foundation Footing `1( I a `' GEOTECH RPT: RECOMMENDS THAT HOUSE FOUNDATION BE FOUNDED ON NATIVE OR WELL COMPACTED SOILS AND THE BASE OF THE FOUNDATION SHOULD BE LCOATED AT �� � LEAST 7 FEET HORIZONTALLY FROM THE SLOPE. See copy of full Geotech report in bldg file. Footing Drains _ Foundation Stem Wall Underground Plumbing 33 - U Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing A .X n _F O Rough-in Plumbing ,1- - Framing ,1) rth .Hlacking-- Airseal Insulation:Walls to-v. t tJ -- Insulation: Floors C U,,t t per�--�-2c1..- 0 o Insulation: Ceiling 62c _ (0 � Int. Shear Wall Nailing Wallboard Nailing Gas Line lnteriex Gas-Line:Exterior Empaae eink Heat/Chimney Clearance (,_124 Drywell/Alt Drainage �( SEE SITE PLAN FOR EXISTING DRAINAGE. Address Posted • • FINAL INSPECTION a,t -ivifo FINAL INSPECTION MUST BE PPROVED PRIOR TO BUILDING BEING OCCUPIED THIS ERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD09-00367 1.) Geotechnical Report: Stormwater runoff from the roof should be directed to the ditch at the base of the cut slope or directed to the ditch outlets and onto the forest floor north and south of the building pad area. 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.) A Geotechnical Report prepared by Stratum Group dated September 14, 2009 was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area and determined that a landslide hazard does not exist on the parcel. The house foundation should be founded on native or well compacted soils and the base of the foundation should be located at least 7 feet horizontally from the slope. The residence should be located a minimum of 5 feet from the base of the cut slope. 6.) 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. 7.) 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) Not more than 2 unlicensed vehillI shall be stored on any lot unless totally sit from view of neighboring dwellings and rights-of-way. Such screening shall me 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. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 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 Lee Way right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 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. • • 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 #: BLD09-00367 SITE ADDRESS: 244 LEE WAY Issue Date: 01/7/2010 BRINNON, 98320 Final Date: 9/13/2010 APPLICANT: LOREN W KREUTNER PHONE: 360-928-9402 134 BISHOP RD PORT ANGELES WA 98363-8756 SUBDIVISION: Block: Lot: TX 29 PARCEL NUMBER: 602231005 Section: 23 Township: 26 N Range: 02 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 100 GAL PROP TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 9/13/2010 I:\F_BLD_Occu pancy.rpt 10/29/19 L JEFFERSON COUNTY• • 41-irk.--soNesI DEPARTMENT OF COMMUNITY DEVELOPMENT ` '4 621 Sheridan Street • Port Townsend • Washington 98368 4... 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment 17,9!I Master Permit Application MLA: ( - 3(..,4 Project Description(include separate sheets as necessary): N 1S c�/ A i A - ). ,y1 ,co } -AR-__ Tax Parcel Number: tp 123 j OOS Property Size:�' 13/22_34(ji,? (acres/square feet) Site Address and/or Directions to Property: 29Q L€E tJ!A ci "Riz►row oto ; lJA 9S-32,0 Property Owner(s)of Record: LOQepk) Kt2Ear A)E2 Telephone:0(0O) q'.$--91oz. Fax: email: Mailing Address: i 31 3I S H o'P NI? E'R-r A,tit,SLES iti.kat ci$s to Applicant/Agent(if different from owner): C.. Al_ p_ K,. L-e L e vv,s r Telephone: jG•D --(--,X/- a/9 6 Fax: SA"c email: Mailing Address: %j4 Se,iv.A./ 0,c„, /n ,Se c,,n< W,a, '8.3$Z What kind of Permit?(Check each box that applies 0 Lot or Road Segregation Nuilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) '' Single Family )j Gara Attached Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Mod 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)*.* ` c O Change of Use ❑Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry ❑Binding Site Plan** .Propane 0 Long Plat** ❑ Sign - 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 0 Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Ma ter<P8gram,Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request V **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: SIGNATION OF AGENT I hereby designate Lfl�l� f�clf Plo act as my agent in matters relating to this application for permit(s). OWNER SIGNATU R CLIP ")i. t L nJ Date: (6- z c,,JT!c? 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 a plication that he or she wants prior notice. �' • /'Signature:�`�_9—ti-'.—L(). �l Date: g—Q' oP'NT).\1 . -CrOCt 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 tederal 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-tra sferons`bil'y or adherin to and complying with the ESA. The Applicant has read this dclaiprer and �qns and dates it below. Signature: / Date: d'6 I ri -p- [ 1 ,..\D :N".....e-\444HF/lD114C#444,' FDTl Lv1DANC\i`..__ Tine r-_ S.r .. • . , • - .,,. .... . • • 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. --Signature�r''\ L'''�-^^�)` Date. 6'(L Q". -r 1'1) "aCA -GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PFIONE: FAX: • CAM- KNAPPLE CortJS'TRt)c'rl csJ C3bO)0€3t-Q19 . ( ) MAILING ADDRESS: /73 S(1R;A:y VI Emile SCQviwt. 1 : R g 3 8-2- CONTRACTOR'S LICENSE WAINS NUMBER: CARL KG 05")ki NUMBER ARCHITECT/ENGINEER: 3AI4. A SS OC 1 ATES PHONE (3(,O)417-0700FAx:( ) MAILING ADDRESS: 1 OOci ‘.,,J \3 th S T 'P Aruc,Ei..&--s ,rw w EMAIL q 8 30 3 Project Type: Fame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Ak'New Wood Existing: a LI Sewer ❑ Addition ❑ Steel Proposed: 2 Bank a Community System ❑ Alteration/Remodel ❑ Concrete Total: 2.. _ Height: 'Individual System ❑ Repair ❑ Masonry SEP Permit# LI Demolition ❑ Other: Bedrooms: Water Supply: Existing: .1 Setback: yf Private well ❑ Two Party Type of Heat: Proposed: .- ❑ Public '�Ec i iC Total: .2 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: i Underground TankLAbave ground Tank Size of Propane Tank: /De yAL 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 CPI 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 e.- EH Bld App Review: 17 5 r - 12 I 2 Floor Heated c ) �� Consistency Review: { Other Heated L�- Base fee: Mezzanine Additional Section: ------ Heated Basement Plan Check fee: I 7 L- Unheated Basement State Surcharge fee: / 33 Other Unheated Pot Water Review fee: ( /1/ Garage/Carport , i.Q SUBTOTAL ( IC Decks c 911/Rd Approach fee: �SU �7 �� (--X Si? - � Other TOTAL: k$ )Li Receipt Number: I t I q2I Cash/Check Number: I I I - to �. 7E15 COST D) Date: `2et value of all labor and ma Is foundation to finish �,� 2 I Initials: Ir..,„__.:✓-,....,...\-FFifHFCIAA4Cliftil\FIAT)PC1P A,fC\C,...P..t 11R FI Fr,..nc\Macrnt Pxmit Annlirotinn S-'HLrlR rinr • 3,.,: �imwater B 's Require • APPROVED STORMWATER PLAN (."----. 0N....-6,, I, JEFFERSON COUNTY BAN - 7 2010 �`', , ,1 DEPARTMENT OF COMMUNITY DEVELOPMENT _..� 621 Sheridan Street • Port Townsend •Washington 98368 1EFFERSr oU O� 360/379-4450 • 360/379-4451 Fax st�� �R•CO A ..' ' „�T �1IN0 http://www.co.jefferson.wa.us/commdevelopment/ - is• STORMWATER SITE PLAN SUBMITTAL TEMPLATE iMLA# CO PROJECT/APPLICANT NAME: ICRt=011J RR Rest bENet= 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. `�D C(1 USTQ►)c_T A IO 5 �' FT' Si N.16 C D�t41c.E o N E1Lj c -i+V v Cii...E14f2_IA I)6 I D Ri t1E / PAR OW AREA CONS f s'ri to G OF I0,©©o SQ FT; 5i-rE is 5, 13 ACi2Es , 22-341e2.g C&.VT: Existing Conditions Summary 2 Describe the existing topography. Indicate contours on the site map. 517 2 4 II r S/r E 1AJ ITH Ex t S1TIsJ , LEVEL_ N-DNIES t'TE . Le7T -- 1 S e19UE12E1 �9 L1 AJATI)2 (%EL�`�T,O � E�LE T' 'FOIL 1:ZtJAD -4- i4Dr%1 E'SI TE 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. FIR , AftAPLE, LEPA►21 ALP t 2 , 5ALAI___ 1 FEi2ai , AS'soQTeD f -F-2Rs 8S EIU-ri 12 e 720PERTL( I ovr1 tie- Exc_E '-r Poe_ EX i SIlya 'RDAs FIDM_E S t_Ti` 4. Describe the existing soils. Indicate soil type on the site map. 1 ¢ ht) t .AA1p y 1 L©Ar1A A On •Rtic+. 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. Lv-r toes Oc•-r- I- ot,C) M21.4 (Ai A"reiZ t"i2.OM STDR11/\ "RA) t7Tr- . S it:014A w A.-rE-2... E X II-S PR o 1''EItT 'B y NI Eye}et)5. 0-c cj'TDiz-vNI IAJ TEi. D rrGt4 E.s ili -r LL ROAD t ICU 5 E'►�"r i C___ IN efa� 1 A7 -r-14 -,c 6. Describe any excess levels of noise generated by the proposed use or activity: OTJt.-L 10D(ZWIA1.,_ CON 0c,Tt 010 poISt 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. PRov R-ri LPEs VP,C4M WEs-r -ry E.tST , ?Rt.-Pea-rt.( Cyz$UEQ U LO 11-4 -r EEs i4Nth Q-r-ATIt O 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.). S2�0 No ND wJ✓ST DC p KCAL.. f r&E s rrE LET Lc,ac 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-1 << A-- VIA vTE . t � tSPEZSEO T kJ p1J1. 4.S 'fo 1MPER311Dt�S 5L312t-Ate' -MTh- -IRO►n_ e A&' ANjD "Butt-c• G. S 1TE 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.] 1N O T- Ik..) Geo Cr) 11. Describe the performance goals and standards applicable to the project. 5(TE I S AL 1?EADy i L.O 9 W E L t LL 6A11ti-� DID c-ro bvt w ATE 2 1u L.p OSTR o c-'r1 ©rO bc' E 12. Describe the flow control system. Ef( 57-1 it)6 tOu S to,Jj LL ` E iir 1--44 E S ArYIS f�S € IDSZ.E CONS—TR.OATi stormwater site plan template—rev.10/21/2008 6 • . 13. Describe the water quality system. ST/D12,01 )* T'EfZ 'D r re_ 1✓ S AJ-RE1ct t. IU ST&L.L_eD 14. Describe the conveyance system analysis and design. Pep pose 'Tc D 1ZA id%) Za S Ts -n!) S'T"/)tars&W ATIE( 7 i"rc_F►E'C g')c i S^r'i iL E)L) -PRO PG Caen,/ • 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. 'BL*L.C) S tT'E I S L.a�td�i__ �` D .F1 ,J EEvtD 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. -0 vrl C AT)Dvk)/ Poo-r r A7 V 5 l3 G/L r'► i- l4 S E L� '�L L7 r✓ `�l2 +�7 - 17. Describe the proposed surfacing material. Al IOtTu Z cL S o► i.-- 18. Describe methods for restoration of the site. S t -pves.ro u'Cc,e"rAT► on.) Al rc2 0 StPTIC. . 0(l_>9 s r-rE c_eLIEc• , ALRE19Wy DoruG 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. A p 4 /U/ 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. Ail A- 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. S Pri L + 1:›12_19 i r0 El 5-roam W A 2 t) i rL14 Es RE')t s o w-r- TN AT T( t rvk C— stormwater site plan template—rev 10/21/2008 7 • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE • 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at Volume.II Section 3.2.3 of the Manual (beginning on page 3-7). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. AJ O C iY r'p _Le C. el)OE efE J 2. Establish Construction Access. "E X L•Sn rlUG D i 0-G tAbI LI 3. Control Flow Rates. •'17Q A 1& U r A 5-To aw u3 ATEQ. 7 rTLt-1 E s 1\3 STYk C A F:'T MaTar e- 0 SEPT L- i r1.)e-1;n4 4. Install Sediment Controls. Ex (s•1—i it) Nok-ru Pia r U>•c1e A i) Q 5. Stabilize Soils. �X I dTI tt) (1)rA'TL.v.Pt Ly E?A 6. Protect Slopes. ikTUR tL t r ri or) , Ex IS'T-j 11/f�. 7. Protect Drain Inlets. N 0 D RA IA) ( rt7 L-ETA stormwater site plan template—rev.10/21/2008 8 • 41110 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 1 -rcH£s ARE Vac Li tvED 9 Control Pollutants. `-RAP—V-__ C4 r P4 , A S tit !_ K �-r 62.. }4A7A420 ouS 4 A t S'Pi LA S (OIL. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). ('t= SL�2.i 5'Tcb2r+�c , T`2 iyt L Tt7vvk�Fn �)C-r� �Y t Tt►t)(. 'fit TC N� 11. Maintain Best Management Practices(BMPs). U i/)l&-L—1Z l GrL/ I V /C r i 0 iL) ©/v S t rvt AitlR G iL Ai"r"- tnJ tr1-1 'D I laEC-.7T-1 (Irk) T 0 S t' -E - op G Elio E 2 c_T(D2 t:J t L t` 3>✓ ©ir•J s tTE Pt,rL► t- v Co r.) s--r2� ;t ) 12 Manage the Project. o i2 6 cry (LA L e 0 to-r'i2 A r B 0 IN p c TS O ($ Tt4►s 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). aN o `3 pt s-ru 2 t'3 A n1 t 0E- A -rc-'c t=Rio L O rV S r RAJ L-rt o r'.) 0 140"E f RZO W► . A DTA L F vt.7 f Horner �rt� -- b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). vv‘t IV t vim►,U N 0 O ' "ID 2A t vO `-2 A' r ►t ; 'U4 E C. I U t rU n v.)w 2 3. Environmentally Sensitive Areas. a Description of environmentally sensitive areas that are on or adjacent to the site. CCU � 8 stormwater site plan template—rev 10/21/2008 9 • • b. Description of special requirements for working in or near environmentally sensitive areas.. N/ A 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). Af DPt '>��fZt S<<�� lRci L--fC-erOS �`TEQL© Si jTE4-1 TuM 69-o0'2 5. Construction Phasing. a. Construction sequence 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. '72)EPEIN.7 ot• Ea_Ml-r kaTCG?UISiTanr0 II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. Lotzc ry K lac'Lr-rnu E2 b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts €12-5.f W<<__ E S i?O ik/S t 1:3( t.., I T� 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. r� b. Diversions. /0 c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/21/2008 10 • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems, treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts") when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LA DOWNER OR AUTHORIZED REPRE NTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template-.rev 10/21/2008 12 90 0 N w 6. U 7 U i o< 10 c.a 33 RU e r 3^ 0 cc yy co2 n �'N Cp y < m / 4 -.1 C C CA•= o Z O a Q s: `-�+ C o Iw (gA SQ 34. Ai Ai -, Qo R Q n = n N 3 ( (0 Vi Vi Vi vi Vi �n Ly0 "� r rmaa +3w P O O 0N K <� Q a) i< /V� .o�N m1 �oN� //� ,2 g p 0 f 0 c<<o O N 0 < a Z << Q a) zN 8 W C7 co{{) E 00.6 m 0, ' �( O •ZI dJ W� 00 a a Z� W K�F< 2 ^., W-xvN O\K ?N3a VJ .O 2 >> yy =dh O Y ro� X X & _ [1 o a I. = 25 . _, N »x cD o (tj z 1088808088800 mig o 6 00001 ':. 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