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HomeMy WebLinkAboutBLD2009-00384 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 #: BLD09-00384 SITE ADDRESS: 244 FRANKS LN Issue Date: 02/16/2010 QUILCENE, 98376 Final Date: 8/16/2010 APPLICANT: MARK C WILSON PHONE: 206-949-7572 DANITA R WILSON 23707 SE 221ST ST MAPLE VALLEY WA 98038-8435 SUBDIVISION: SEAHOME Block: Lot: 4 PARCEL NUMBER: 992600008 Section: 36 Township: 27 N Range: 01 W PROJECT DESCRIPTION: NSFR and shoreline exemption permit (SDP09-00090) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no.' THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 8/16/2010 I:\F_BLD_Occu pa ncy.rpt 10/29/19 Jefferson County Building Divn Permit NumbellE3LD09-00384 Applicant: WILSON BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 3 11� to Minimum setback from Franks Lane right-of-way shall be 20 feet. t l Minimum side yard setbacks shall be 5 feet. Setback from top of shoreline bank is depicted as 77 feet from OHWM. Erosion Control 3\t 11O i SEE CONDITIONS 2& 3 Foundation Footing -? \kb y Footing Drains '� Foundation Stem Wall -11 t,� Underground Plumbing ,A k b \c ck Under Floor Framing 1 Straps(hold downs) Ext. Shear Wall Nailing (((7/z] (0 Rough-in Plumbing `I Framing i-'\co-�t Blocking Airseal Insulation:Walls t.� 7- ,c - Insulation: Floors Insulation: Ceiling (,1 l- t o ` Int. Shear Wall Nailing Wallboard Nailing S_I Io_1 p w,a 1 r 4 Uy'P44 ( is--tD Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage (b_ (0 P� CUSTOM DRYWELL- SEE CONDITION I Address Posted F5_1(2-1D FINAL INSPECTION 8-I(0-10 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR UILDING PERMIT APPLIC•ON MLA09-00379 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00384 Received Date: 11/19/2009 SITE ADDRESS: 244 FRANKS LN QUILCENE, 98376 OWNER: MARK C WILSON PHONE: 206-949-7572 DANITA R WILSON 23707 SE 221ST ST MAPLE VALLEY WA 98038-8435 SEAHOME SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 992600008 Section: 36 Township: 27 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979 LOREN BISHOP 371 BISHOP HILL RD CHIMACUM WA 98325 Contractor's License BISHOBC093D6 Expires 1/11/2011 REPRESENTATIVE: LOREN BISHOP PHONE: 360-301-1979 371 BISHOP HILL ROAD CHIMACUM WA 98325 PROJECT DESCRIPTIOP NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,232 VALUATION 343,468.00 ADD'L: 826 HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: 1,232 HEAT TYPE: HTP OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: GARA CONST TYPE: DECKLE 688 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop; ._. _3 Total: 1 -- Total: 3 Routing Date: • f I-23 Type Amount Paid By: Date: Receipt: A PPFRIVF p�^q Permit $2,360.15 LYK 11/19/09 111249 r Plan Check $1,534.10 LYK 11/19/09 111249 FEB I(e State Building Code $4.50 LYK 11/19/09 111249 Potable Water Application $62.00 LYK 11/19/09 111249 Jefferson County Pian itiitdin p Total: $3,960.75 apartment • • CONDITIONS for Building Permit# :BLD09-00384 1.) ONE DRYWELL IS PROPOSED AS APPROVED BY JEFFERSON COUNTY ON FEBRUARY 9, 2010 BY THE PLANNING MANAGER. THE DRYWELL WILL BE CONSTRUCTED TO 8' X 8' X 5' HOLDING UP TO 12 YARDS OF GRAVEL. THE DRYWELL SHALL BE A MINIMUM OF 10 FEET FROM ANY FOUNDATION AND PROPERTY LINE. 2.) A SILT FENCE SHALL BE INSTALLED LANDWARD OF THE 35 FOOT SHORELINE SETBACK FROM THE TOP OF THE SHORELINE BANK 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 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. 4.) Septic tank and pump chamber must be located a minimum of 5 feet from the foundation of the deck. 5.) 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. 6.) VOLUNTARY MEASURES OF COAL &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. 7.) 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. 8.) 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. 9.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 10.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area located outside the 200 foot shoreline jurisdiction. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 11.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 12.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer(located outside the 200 foot shoreline jurisdiction) shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 13.) All construction activities shall not encroach upon the landslide hazard area buffer located outside the 200 foot shoreline jurisdiction. This includes the storage or preparation of materials. 14.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer(located outside the 200 foot shoreline jurisdiction) from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 15.) Critical Aquifer Recharge Areas ma uire special protection measures to mitigwater quality degradation. The submitted oposal 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. 16.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan as signed by the applicant on January 15, 2010 and WDFW on January 11, 2010. 17.) 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. 18.) 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. 19.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 20.) 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. 21.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 22.) 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. 23.) The building height is not to exceed 35 feet. 24.) Minimum setback from Franks Lane right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from top of shoreline bank shall be 35 feet measured as follows: The standard setback for residential structures, including common appurtenant structures such as garages and workshops, shall be thirty (30)feet or one (1) foot for each foot of bank height, whichever is greater. This setback shall be measured from the bank's edge when the bank's height exceeds 10 feet. When the bank's height is less than 10 feet, the setback shall be measured from the ordinary high water mark. The setback shall not exceed 100 feet. 25.) 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. V • 26.) Lighting fixtures shall be designed an 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. 27.) 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. ` • • ' ,to,rmWat ReQu'kr APPROVED AT PLAN STORMW FEB - 92010 JEFF TY OPr DEFT.OF C'''`i1Alo r)►�/� SIGN ATIiR �-_ I--I I I—IIIIII—III—III 1 l 1 l l—III— O _ lil— t DRAIN-► PIPES — —I I I ) SILT CLOTH OVER ROCK III I csU�U�6 CsO6LigU _'--III III • _ ; 1w1�.1�.1w.1w.1 IIIIII IIIIII ` `41.1i _ _ _.�_I1_.�_IOV_IOV_��_ _ z • • • • • • • • II —II_� • • • Iw•w•w•w•w•w� III—I I I— ..J r-1-..1r'---.1-1'1i-1f. 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TYP, DRY WELL DETAIL �•5ON C JEFFERSON EFFERSON COUNTY ' DEPARTMENT OF COMMUNITY DEVELOPMENT '' ' `4 621 Sheridan Street•• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax ' p0 www.co.jefferson.wa.us/commdeveloment /`9biING P Master Permit Application NOV 1 9 -^ MLA: (�I -379 Project Description(include separate sheets as necessary F Tax Parcel Number: /9., 6 ©O 0062 Property Size: /�S` 937`sue 4'i (acres/square feet) Site Address and/or Directions to Property: '1'&/y fr-G,j kS 44„4- (VIA, /ce.,G r w%9. 9 e3- Property Owner(s)of Record: /14a r /C" �, /s 0,) Telephone:2©6 9z/`} 7,5 7.a Fax: email: Mailing Address: 3)0 7 . .5 E. /s 5 7-i . /Vla y/e LI4 //ex/ i r//5/. 9po.3 Applicant/Agent(if different from owner): •Zo re.. P,,5-.4/Q/ Telephone: 3 6 UU 3 2/ 1 929 Fax: email: Mailing Address: 3 71 49, Ls 4, -,!//::'e i"��i ,-r,a r «.,, ,, ,. 9 e7.3 5- What kind of Permit?(Check each box that applies 0 Lot or Road Segregation ►::uilding ❑Critical Areas Stewardship Plan 1V-Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) S Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** O Manufactured Home .0 Modular 0 Discretionary"D"or Unnamed Use Classification O Commercial* 0 Special Use(Essential Public Facilities)** 0 Change of Use ❑Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business ❑ Cottage Industry ❑Binding Site Plan** 0 Propane ❑Long Plat** ❑ Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions*" 0 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 0 Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: Q f DESIGNATION OF AGENT I hereby designate 4 Pe et //0' sus a to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE- ( , c_ Date: I/ /7"4' ) 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 the wants prior notice. Signature: L . .� Date: //-1 7- L 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: A ,.. �At •;;_-� Date: /f"/7 -6 1 4110 • 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: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: /i,SA of' Se 04 e%s <oe/s j NO) 30/ - /9 71 ( ) MAILING ADbRESS: 3?/ 8/:s.4,„ Al /l pi), (A,r>',2 L N.r, EMAIL: CONTRACTORS LICENSE / WAINS L� NUMBER: x_s 0 SC Q 93 D 6 NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAx:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: k- New VI Wood Existing: 0 ❑ Sewer O Addition 0 Steel Proposed: 3 Bank I l Community System O Alteration/Remodel 0 Concrete Total: __ Heht: , X' Individual System O Repair 0 Masonry SEP Permit# 0 Other: Bedrooms: Water Supply: • DemolitionExisting: r� Setback: pd' Private well ❑ Two Party Type of Heat: Proposed: / H Public P/`cc r' c. Total: / Name of System: • e/raA t /'L',r"/" 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 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. Square Footage _ Current Proposed For Office Use Only Amount Revision Main Floor Heated /A2 3 a I-0U(p'4_ EH Bid App Review: r1 2ntl Floor Heated fi 2 6 ,$1,132:70 Consistency Review: 9 /S r Other Heated Base fee: a-Nco. 15 Mezzanine Additional Section: //,, Heated Basement Plan Check fee: /.23� 1ZIQoco`'�'o 1531 . 10 Unheated Basement State Surcharge fee: 4 .57) Other Unheated Pot Water Review fee: Rap Garage/Carport SUBTOTAL 14-1$j. '75 Decks 6. s g 1...1 -� 911/Rd Approach fee: ,Sn - Other TOTAL: $ i .r Receipt Number: 1 I i 9)(,�q �`C [ G t,y Cash/Check Number: 5 —y6 ESTIMATED COST(REQUIRED) Date: I (-- q 1)9 •Fair market value of all labor and materials foundation to finish Initials: _;; 300, 0 0_0. ._,... %11111rT/lT\.,Pl{u.u\nfln,W\n wroA r`.._____Inn ll Tl__—_\•r T-__-_• A- II__-__r nn no J__ r • • . . iegSONc iglil ° , JEFFERSON COUNTY %4,1 1 DEPARTMENT OF COMMUNITY DEVELOPM ENT . 4 621 Sheridan Street • Port Townsend • Washington 9'368 O 360/379-4450 •360/379-4451 Fax http://www.cojefferson.wa.us/commdevelopmenti STORMWATER SITE PLAN SUBMITTAL TEMPLATE (� M[A# 0-1-511 - PROJECT/AP?MANI NAME: r 10. ^ 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 separate stormwater site plan map. Application or to submit a Project Overview -• 1. Describe the proposed developed conditions of.the site. •Indicate site map. position and relative size of proposed improvements on the . s �.� �, te s d� Id ram_ - .� ned -ko r a- �hui ExistingConditions Summary••. 2.i1;i,4i: 4:—;*. tii:bi zr >., : - ,.-t .• • • ;, - - i . 'fi t - .1,�,�yF1.1 .;j, '•i 2.- .__Describe the existing topo ►ahY. Irid sate ooiifouis T. ' - -- d ori the siie•map. - ' • • —. .. r a la,.-7—.s e f or ` • 3. Describe the existing vegetation. Indicate native.vegetation reason the site map. I- 6--c .• runs W, A/t • • . Indicate soil type on the site map. • -, +•--. , ,-, 4. Describe the existing soils 5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site—above,stormwater drainage to and from the site on the site t separate ate,below,end on the the sit Indicate If applicable,and indicate acreage of each. • : Depict separate drainage basins on the site map, If /` * ri' A-APPROiED ,-- . .• S RTO MWA t ER PLAN 6. Describe any excess levels of noise generated by the proposed use or activity: EB - 9 2010 • 3 1 Require __ IT DEPT.OF 'OM , El. mtk SIGNATURE: * " .-.11' s . • 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. 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.). j • Permanent Stormwater Control Plan • • This portion of the Stormwater Site Plan consists of the selection and instailation.of.the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium"size projects am required to have the totals calculated of ail'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 9. Describe..the devei - oped.site:hydmlogy,as proposed. Indicate whether stomn�rater.wul bo fuijy dispersed-(i:e;perBMP-`r3:30- in the Manual)or;if not,•what types of stormwater flow control wilt tie-ullllzed flu efts ors' .. threshold within the site. Locate these facilities on the site plan and differentiate drscitarge.areas -tor J / • proposed faCltitles���i��x,�sti!�g"�facilittesyaa;,:�.��; S tl !l 11r` ��^y W L /! —i Q �'�►. �{Ct!YCO ��'•.1 II�_�43iCjlr { • �,.�.. • 10. If the project requires the use of stormwater treatment facilities,describe the types of stonnwater treatment facilities proposed for use on the site. Locate these facilities on the site plan anct differentiate proposed facilities from existing facilities. [This is normally for'large'projects or projects that involve the potential for dispersion ofcontaminants.] / Y /� 11. Describe the performance goals and standards applicable to the project. //j- •12. Describe the flow control system. • • 13. Describe the water quality system. • /V 14. Describe the conveyance system analysis and design. k 0'v 1 �i 47-4. • 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. lA e 737 LJ --_C O I L -Pe-0rra j I Y'e V /1 i i'1Gf • • 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code.. BOt A- a5 !'/_'f.21evi otr0t4cid •�'Of1,S1•/c.c?`'� 17. Describe the proposed surfacing material. - G 17a u-c/ a n drl r/t. y .. 18. Describe methods for restoration of the site. - daciAfJ / n •w � 1 �i na�u - ife -Pr-.rep 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 Indc in ude the Manuals ;Lr. • 20. List here and include any special reports or studies conducted to prepare-the Stormwater Site Plan. 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. , • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWppp addresses sediment and erosion control during construction. template that follows must be installed on the ground during all construction phases of the project. preventing sediment and erosion impactsThe BMPs indicated by the applicant inthe Pollution sedimentPreventiongiros(SWPP) g to environmentally sensitive areas s 1 on The proponent Best Management Practices BMPs and off-site areas. Consult the Constructiono Bible for Pevelopment. ( ) Packet for guidance, g Particularly with rural residentialdr SECTION I—CONSTRU ____ SWPPP NARRATIVE 1. Construction Stormwater Pollution or will be addressed. identify the Plan Elements. Describe how each of the Cons wto the proposal,justify Identify tywriting.type and location of BMPs used to satisfyConstruction an element emento has been 2-15). ascriptions of the 12 Elementsrequired element. If an Is not are found at section 2.5.2 of the Manualapplicable 12 Required Elements— (beginning on page Construction SWPPP 1. Mark Clearing Limits. no "i' c /�, 1 La Yd n • 4 le) 4 • 2. Establish Construction'Access, .. .. ii 64 9 %JCS • • 3. Control Flow Rates.- - ------- , -- 14,1ot // 4. Install Sediment Controls. 3 JY3 • Pf �04 e. ( s 7ri h/ 6�4r u • 5. Stabilize Soils. s pur , n a Grkv . if %Y f ', a . Yr • 6. Protect Slopes ,, t., .Fe" ,-a 5- r . c� 7. Protect Drain Inlets. "%fir., : i s 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 1 / i , ,, f Teel IA, c _, s p r h_'titil u� 0 1i/t'r ..5?ro :' can r o7. 9. Control Pollutants. DP Uf l s 25 Jerry[Jf tr' O `I We e i..✓/ earl) &$ CI G t ; < In C is j Wi // 16Z C ketrieed 171-4yL _A •-aOf r-ct9 -e rt its • 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). Do rti + .S« 74!, c 5 7to i e a ?/U 4 I-irk, 61.5 . 4, vas . t.//e 4-vet /e' 11 c l Cam„_y ar4 7IV e 11. Maintain Best Mana ement Practices(BMPs). �+ ti t - ga,n do sr� _i S i ntC .�'-Yr`/�, h� i s d art u rr31tw c�t.a.S0 Flit 5r4wn j C'_� S7/tt �z � f 12. Manage the Project ,•: . -. - : Y�r'= .��.-�,�.a �. r _ ;.., :, r�� „_ --frA f ' /' . 1 c£T 1,S O'/1 G� li t f E 0 t�) LVTJ/iF` rrf/ja- ::.�t� • . '._ . f „ I n • d L t' t+Yr f1 0._ - 't A- -he hc i 44rh46:A.—# et-r_ -C Oete34:1•10#1.c 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). /1/t'JA/C • 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 ofenvironmentally sensitive areas that are on or adjacent to the site. s • 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,settleabiiity,permeability,depth,texture,soil structure). 5. Construction Phasing. a. Construction sequence Fe, frao.�� b. Construction phasing(if proposed) • 6. won le' Wet season is October 1 through April 80 t• Provide a proposed g (page 2 21 of the Manual):; - - P posed construction schedule. _ eason Constnx IotrActivities: - - —-- a. Proposed wet season construction activities. b. Proposed wet season constriction activities,for environmentally sensitive areas. • 7. F Dwnershlp Responsibilities. .a. Identify the property owner responsible for the initiation of bonds and/or+other financial securities. b. Describe bonds and/or other evidence of.financial impacts. responsibility for(lability associated with erosion and sedimentation 8. Engineering Calculations. Provide Design Calculations on a separate a. ..Sediment Ponds/Traps. sheet for the following,if applicable. b. 'Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations • • 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-buUts')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 comet to the best of my knowledge. I also certify that this application is.being-madeiwith the full knowledge and consent of all owners of the affected property. J/ -/ 7- (LANDOWNER OR REPRESENTATIVE SIGNATURE) ) �� • THIS SPACE MAY BE USED FOR ADDITIONAL-NOTES,IF NEEDED: "' `+' •"`"'_"` ""` .l� 0 . -.. 2V-0" PE. ...._____ . . 1Y-21., I Li I ..1 I—r1 0 1. 0 : : & 0 I ,... 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