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HomeMy WebLinkAboutBLD2009-00397 • • 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 #: BLD09-00397 SITE ADDRESS: 1771 OAK BAY RD Issue Date: 02/4/2010 PORT HADLOCK, 98339 Final Date: 9/2/2010 APPLICANT: ARTHUR LARSON PHONE: 425-235-1984 JEANNE LARSON 6620 112TH AVE SE BELLEVUE WA 980066424 SUBDIVISION: SURACE/LARSON SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 921073023 Section: 7 Township: 29 N Range: 01 E PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 120 GAL PROP TANK and shoreline exemption permit (SDP09-00091) 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 (ono. , THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 9/2/2010 I:\F_BLD_Occupancy.rpt 10/29/19 1 Jefferson County Building Divn Permit Numb.)BLD09-00397 Applicant: LARSON 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 � � � Minimum setback from Oak Bay Road right-of-way and private ingress, egress easement rights of ways shall be 20 feet. Minimum north property setback shall be 5 feet. Minimum setback from top of shoreline bank is 107 feet. Erosion Control SEE CONDITIONS 2& 3 Foundation Footing .- // /,L Footing Drains Foundation Stem Wall ;5//e/,) Underground Plumbing Under Floor Framing ;(7 0\(Iro Straps(hold downs) l Ext. Shear Wall Nailing Li (0 Rough-in Plumbing Framing �(2-.410 Blocking Airseal Insulation: Walls I25-I (C Insulation: Floors Insulation: Ceiling S' 9-- Int. Shear Wall Nailing Q 0 Wallboard Nailing �(, ._ C7 1� Gas Line: Interior q, 1 Gas Line: Exterior Propane Tank Heat/Chimney Clearance 11_2_,, .to Drywell/Alt Drainage SEE CONDITION I FOR SPLASHBLOCKS Address Posted Cis -2-1 0 t-e FINAL INSPECTION q_-) F FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 1 OBUILDING PERMIT APPLICAMON ML Review y 388 T Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00397 Received Date: 12/2/2009 SITE ADDRESS: 1771 OAK BAY RD PORT HADLOCK, 98339 OWNER: ARTHUR LARSON PHONE: 425-235-1984 JEANNE LARSON 6620 112TH AVE SE BELLEVUE WA 980066424 SURACE/LARSON SHORT PLAT SUBDIVISION: Block: Lot 2 PARCEL NUMBER: 921073023 Section: 7 Township: 29 N Range: 01 E CONTRACTOR: HILINE HOMES PHONE (360) 379-8600 94 KALA SQUARE PLACE PORT TOWNSEND WA 98368 Contractor's License HILINH*981BT Expires 2/10/2010 REPRESENTATIVE: PHONE PROJECT DESCRIPTIOP NSFR W/ATT GARAGE & A/G 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,248 VALUATION 127,432.00 CODE EDITION: 2006 ADD'L: HEAT TYPE: PRO OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 484 SETBACK: DECK: 96 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 p1.np--- Total: 2 -- Total: 2 . Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,150.55 LYK 12/02/09 113482 APPROVEr Plan Check $747.86 LYK 12/02/09 113482 State Building Code $4.50 LYK 12/02/09 113482 FEB Potable Water Application $62.00 LYK 12/02/09 113482 Total: $1,964.91 Jefferson County Planninc &Building Department • CONDITIONS for Building Permit# :BLD09•97 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.) A SILT FENCE SHALL BE INSTALLED LANDWARD OF THE SHORELINE TOP OF BANK ADJACENT TO THE PROPOSED SFR FOUNDATION 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.) A Stormwater Site Plan has been s itted and approved by the Department of� Community Development. Once th ubject permit has been issued the applicanTlhall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) Not more than 2 unlicensed 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. 7.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 9.) The building height is not to exceed 35 feet. 10.) Minimum setback from Oak Bay Road right-of-way and private ingress, egress easement rights-of-ways shall be 20 feet. Minimum north property setback shall be 5 feet. Minimum setback from top of shoreline bank is 107 feet as depicted on the approved site plan. Minimum setback from top of shoreline bank is 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. 11.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 12.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 13.) 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. ! f 44/`'.)oN c°� JEFFERSON COUNTY �' DEPARTMENT OF COMMUNITY DEVELOPMENT h J° :'3S>y `. 4 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450. 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 0 Q ---,3 Project Description(include separate sheets as necessary): I off�- cam/ A ( I ( A p.)4(i, Tax Paroel Number: cl 2 I - f 73 -02,3 Property Size: 1.3 47 8 (acres/square feet) Site Address and/or Directions to Property: 1771 - OAK BAY RoA D PORT HAPLOCkj WA c18339 Property Owner(s)of Record: A RTHUR +.1 EAANNE LfARSON Telephone: y25-235 - /98 t, Fax: email: Larson 662O(&a0z. cofa Mailing Address: 6600- , / 2TN Ave. S. E. , BELLEVUE, WA} q oO6-gI/ 4/ Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) XSingle Family rage AttachedTDetached 0 Conditional Use[C(a),C(d),or Cj** ❑ Manufactured Home • .0 -- - 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** - ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** - ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** 0 Propane ❑Long Plat** r, ❑Sign -. - 0 Planned Rural Residential De4el priseItf3DyAmendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration-- ❑Stormwater Management 0 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 ❑ 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: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correctto 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 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 ' ht of ent will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice. Signature: Date: /2/02/07 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 cor9plian9e with theAefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable respoxibigiAr adhe[ o and complying with the ESA. The Applicant has read this disclaimer,and siggs and dates it below. ISignature: (/a i, ,9� Date: /2 c� l�`� q/ 411 • 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: HILIAIE HoirI S (36.0) 37q-8600 (360) 3,q-4-171 MAILING ADDRESS: 94 kALA SQUF)RE PL. EMAIL CONTRACTOR'S LICENSE PORT TOwnu5END, v'R 98366 WAINS 0 NUMBER: H I LINH 98187' NUMBER ARCHITECT/ENGINEER: ABDELOUA NAB ABROV.S PI{,p PE. PHONE (253)77©-ZZ9¢ FAX:( ) MAILING ADDRESS: 1I306 -621-DAUEi Foy,4LL0p` WA 9837.3 EMAIL gabrayse_)1,'I'inellovneS. COP') Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 3( New )( Wood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: 2 Bank 0 Community System O Alteration/Remodel 0 Concrete Total: 2 Height:, Individual System ❑ Repair ❑ Masonry 6 SEP Permit# 08-ocr 6a O Demolition 0 Other. Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Ty f Heat: Proposed: 2 , �(Public Type - rx— Total: 2 107 Name of System: P 1)D I 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 U• nderground Tank above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove,'Woodstove I Fireplace Insert v>'Hot'Water Tank I Pel et Stove I O r Is this appliance being installed in a Manufactured/Mobile Home? Yes I 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. .f-t C y t 'tt , tom' f4 ..L : i+' k:}3 Square Footage Current Proposed i t`� • ,_ i,ra., ..r;,;• `, ; 1, � 4. ., Main Floor Heated by EH Bid App Review: 1,248 : 4"# 79- Floor Heated - ,y Consistency Review: ,*1 y zr rtK (- I Other Heated '" Base fee: Mezzanine �>r • A ' �:_ - ' q l Heated Basement r '-, Plan Check fee: Unheated Basement State Surcharge fee: l Other Unheated A Pot Water Review fee: I )l1 Garage/Carport SUBTOTAL a.___7(.) ,..CM k Decks cim-. 911/Rd Approach fee: q6 EkiSi Other �� TOTAL: $ G Receipt Number. 1 5(-1 2 Cash/Check Number: -. ESTIMATED COST(REQUIRED) Date:•Fair market value of all labor and materials foundation to finish 1 _ % 2 7 432,00 Initials: c . • • �g5,0N c0 wA -6% JEFFERSON COUN 1 _,' TY A - ►4 I DEPARTMENT OF COMMUNITY DEVELOPMENT Q, O 621 Sheridan Street• Port Townsend • DEC - 2 2009 "�SNG� 360/379-4450 • 360/379-4451 Fax Washington 98368 http://wmv.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE • MLA# <,64 PROJECT/APPLICANT NAME: R-rm uR L A-R 5CM/Please answer all of the following questions to the best of your ability. separate may choose to either incorporate the elements into the general plot plan for the applicant a may or site plan map. y Where the question Master Land for depiction onfa site map,Use Application or to submit a Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the A .s H A E /�1 dg/ E / N6- /y?o S IL •rI 7--Ai O ��/� /• � N/ /3!J/L p p ji D2oQ l�L. iv IS 7-0Ru�m,p�c5 7 A' < f/O/Y/ . 2 5 r I Existing Conditions Summary 2. Describe the existin. to.o.ra.h . Indicate contours on the site ma.. 1 (7-6- S L.9 W/ 171 4 r i • Foote SLoI''' 70 l3.hC` pr- 1:7;ro/� e7- 3. Describe the existin. ve.etation. Indicate native ve.etation areas on the site ma.. T6 ,• •L L • R 6.n ,-Tl ' ass Cffl7 ,cs /y+o et, `IJ, 4. Describe the existin. soils. Indicate soil .e on the site ma.. 0../ A T /2/ Afr 7.tJ /iA IP e /e/ 5. Describe the existing site hydrology(i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate existingscristormwater drainage to andy om the site on the site ma a. stand indicate acres.a of each. A. P. Depict separate drainage basins on the site map, if xi -ram, 42 -.-Ty �i vT� S- ' j t� A,/- ' /7/1 C - 0 E 2 07 , LSO , r._ / 3 0 ' pR4/A, Ee D/� h /9 7- O,� Wit/ 5 f oA '�' T ' �r��j%v_s 3. Describe an excess levels of noise •enerated b the •ro.osed use or activit • OCCci/'/A, / 'viz /w - , ►d • S Require ' �'� -Ii1 4:• water site plan template-rev.l0/21/2008 W 4PP RIP JEFFE �, pt DEPT.OF�`' . 4 .,NTY SIGNATI.R .__,,(( E i.LO'M. • • 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. /Lo�� /� >JC/C t FROP TY /-S fL 47 ►1//7,q I - 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.). Q67.4l cs /11Ni_ Si NGc / 1_^ i t)y A ''1 .tic GLD j f...r/tu/J N�/ X0va /4(6a/2 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. /✓I w/a"T'i ii U/1 i. 3� vL t�y /s G S CO T 3 Li f4cr 6 S 7 . r14 b rfl vPO5.G,o C.e N S712 vc/(O•v 1 6 by vivGv1 1,0 41(3,572 u Ov 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.] .7 1?(LvPc G 70 ti, ,(16C ) -LC- 4 .n C F4C/G-i7-(e. &-15-E79 11. Describe the performance goals and standards applicable to the project. L/T/L /�G°SI C W E. / ,7i 4- -� TG 1 J1\ / CT 7/7)6 7 7"7" . f15 fj`J' 6uLL o&- aA'Jai a-A7L ll %U /inn 1-/ 12. Describe the flow control system.' a Gu v.,'E Y;�4; �,,� /Gfl4/ Tn A/ CC ff/-'Y ( -5 7/mot 7 iJ j, E,t.-7 7c-!, ,41 17/5 C1 n" '. ,o_ o ,N2v2ooe • • 13. Describe the water quality system. /W7/ti , �6 .I c' 5 73 is fix-Y 6f AJO 4J '7- Xr,ec /A'G f t-d tv F "5 76k'- t,c.A re72 . 5772/f-42 w L L 13 O i t9 7 ' IA' -1 c 7 A2 0- '( O A J Ati1) 5m l G�- ►npC _ 2 -a:); 14. Describe the conveyance system analysis and design. et6PO5-C'V Ta 2R/+/w aov'Li. PO&TS P4 57aitr+t� .a� ,2 To 44/C57. of 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. w6 9 4,Vy /L.L /14p7-,Q/4 6 _ S,rT.s /s Lcc sa. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. F.X.I17,,t.. D1Pr w1 f 5 S/f-- a eRv6 C.-- 17. Describe the proposed surfacing material. ( -Fr GAS WI L . e- /I /A/74 /tieO 18. Describe methods for restoration of the site. )C7irtt/ wtiY £x1S7 z —6— ,4,&-7 AR£ //,( D f-0,,,t/0A7ld Ai 1 - cL �£ RE'sW/Er Cr7 C�1' (et.5 f'oC!o /t 1e) GC?idCi 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. 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. Phil/i(/ r 5-5/'O d -0 a6G 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. W& /9 g i(./ T Al.v6 Tc 5 7-6 . /7 /S /9G eE/9 2. Establish Construction Access. rry t L L. )76 & /.ti6 Ex Pcz /u E w,1c', 3. Control Flow Rates. P/1 n/.c : /L 470 f /4GL`7 7a >1-7/6- w65-7 i/Icy= ,.<" L�/L-G / L' 771CL T/f/' G/ 70 a re_ a("V /=v As.C- t'y94( 6 t e5 4 7- c)-4- Pi 7 H . 4. Install Sediment Controls. 5. Stabilize Soils. 7 Rr /A- PA) Af �s 6. Protect Slopes. 5-/7- ` /f; /_ v w (7/1 c C c 77/`//J/4- ' 7 t_..o 7. Protect Drain Inlets. }ter /?t i^�!. ",:t ;' :'v47 stormwater site plan template—rev.10/21/2008 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. /<. (lZo f°6 f"r.4 i T• / 7 Hj% /3 AS C T i'4./e 9. Control Pollutants. yf/ K CP/ P S w ! L //p/3 l,t/ C-D" T/�o Chu. C�L L TC>7 /7 1,l er� / 7 vi! Le /7rd' To n T-c4T/fr (. O/L__ / FL, c / T 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). Cfi.%'7/!de• �' C L Li `J 7-0/e/1 7&/ (.//[-L Pi G tz/A(/75-dj L-IP . Ai7& (11 G r i/f 7,d •t- AL Lnu.fiO T o f-/c,TT/2 77/e U 24-5'57_ DEC 2 2009 11. Maintain Best Management Practices(BMPs). r4C h' vF 'o/t--T2 p c Ta/2 (i,/ ' r'rc/v 6- /i - T2 Lc T,!. h '- 5/ -- 141 / 61-fit r i - T A/-0 t. G &' ! / 7/,m;e_ D/ 2 EC Tee 7 c) T '/7-C 4i y CO A-ryz/kr r /e c._ /36 PPES /+7 ALL 7711( E 5 12. Manage the Project. -P 0/ 44C a/c-7 2 /17'fZ Du / c.- r t A7 9 ce 77 e Poit'i Ada: 7`0 r S 4 e� <, r�.� ,i��/z 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). /-IG1''t t• 7v 7/V6, 12 7/If 1/- -oUT/s c:; r ,Tf F LA&P G 5 /7& s i`.1` e 5;7,0,062 7 y u./ L L /9 c. 'G? b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards).��77 /2eit /Y"G; ;r/'Ohi 7[i'E vccL Pv-15 7 is..zY1 ,1 it,/or 1e'4,7/ / / 2 /�h SCa.��f i /- 6-'.. 57 L CS,L' 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. / '()4✓ re- stormwater site plan template-rev.10/21/2008 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. N /4' 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). tioti6" Fe12E56 'v, 5/T6 /s I/6/Z y c/5- 17(GG/4,4 Foyic-D, TeoA 0c-17 foie /-/GI!.r /LG RCS u 7 / rV A Y-14 L l d a /IT-/c OF. t2 '0, L,45- 5. Construction Phasing. a. Construction sequence 5/76 PR CP/ foci.c-/ 971oN, FR/AA/,s/G RooriN�r, l ti76€/O rZ F,N/SAGS / flit-10 5C 1'al b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposel construction schedule. ✓�/7-6- P'EP / Fob it9i T1O it/ [M,L11 '/7j Ff'f°o'*/A.. (Q0c/,1- (3.0/1. (O �.TEK?!c`( 1- /N/5 //7,- fOC/ 5 4.- c'TRcc/r /7L.c,rztfi/t-G ( Jc..4 /0 II. Wet Season Construction Activities. /.4Pi<t,6 ael4,E"'"5' ; -.of t (/4/G05T O) a. Proposed wet season construction activities. /V0/VC- 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. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. PER 5 O.t,it . 12 C'7,11.) f? l c /7 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. " f74 a. Sediment Ponds/Traps. b. Diversions. 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. /?--/2 r / (LANDOW ER OR AUTHORIZED EPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 c Dw -n - co pmcn -uc p � X �I D0r0X ( = � DO Cmp � KwcnDma) Z � D{ cn (nZ) A C) KK2 � w D n� -i - pDXTXoo � O � r- -I -` �t� 730m C) > yCD) m mCD cnG) rpO � pDc or - _, mmC DZ_ mom m Z � = m Cm mCmpm02 (n � m 1 - __Iz C < . 0 ,- Z - 0 -, mom -iO > Or= OK < C) mW = Zm -Im mDr * K -I wc212 w > op g1.-i , m D2D < 5 -IIm -ioDa � m w0 p0Z = Cncper- mDTc 5 m� TO * z _, � zm Zmm71 u, 0 * ��- D mZim 10pcWi) 50nv Zpj zoo 12 cn7A ? z � a� P -1D esm5 = mmmOm22zo0 G) -Im5 > m m000n) D �ZT DN =iv -Dj � 5m0 z ? 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D D 0 F2G) � > ZmD - Z m npn . � � � � > CO Xow $ p C X � (� r= Zui n rc TO � � C) r z � Zm ZO � Z � m nz � C = Dm mD � m� � F!TI m20 mrmTlly r- T -A � o � 2D fin -ICON mm-IZ � cZi�DD � = z00 x0 � = mr- D Xr= cDz� cnz p� � cn - - - › , mom � m � Dm Z40 O Z7Jp Om � y pmoz 0O0 _i > -(p� D * cn � 0D mDz700z - m0 < rzcnc� mpzmp0 � Dm m0 R0 (� wIFO . r -� mm G) rpD m -I mp mDD > pmmo� CC) y z � 2 m0 -�Ia? � > QNrD- = T� Z D W D � � � � 0m pmrr- z mmm 2 = r= m D ci O C r r O r 2 r O z D Z = Z Sc D cap zmm P n p r O • m O D z D n G) 0T p m mm y 2 F z D (n Z 0 T Z r0 � ' m 00 - cn � � 0m 0 mim G) � Z 7J Cn 6 ® Do8 > �J x II II )„, 0 › ff1 > OO m = '- � 22'0" / / m m ScO w 7 /3'-0" , 16-0" 1 3'-0"/ 05 all m -< \ \ 2 16'x 7'OHD(MT.NON-INSLUL.) 0 N co CI) CO 00 A 716mC * U) CO � ln CO (/) cn PP P D 0 m •• C m— -rrro --a .- N 075 Xm ZG) D > N O �, 1T1 awl D ,ZD1 o 0 r� oW * v om * m m O D Z C) rD- � mm 0 FDr ,. 0 0r m . 6'-0" 4'-6„ 8'-72 2-102„D --I 1) / / / / ,.,- II O Z ,, \ ,, _ _ ® 60 50 HS e 40 36 HS O r i , , I I ,,p- L_ 0 k 2,-0" rn a2 I .sT j i �--c o O T = co / cr+ 62 CC © a> NIA, r < N n Z m Q Z A Nj� 0 I Dal- , r Z p G) ' ,gyp w m Z \ _r- = m �b1 I1q tU' mi w m? m Iv o �; m r- r�' Z ��� m D Z o � 1 o, 0L n C,Zj cn 1 T 7'-101" I 1t 7'-92" 9'-8 = I 2 �,I�i , 2 / y cn6?1'— II XI \ _ r I-1 45 - ao - © �.l— \ ti 9'-102 N j, 2 j, 2 2 5'-4- 2'-91 1- 3' " N N) (32 0 05�0� O\ cn NI: b o \ C Z. `] \ -- cy, W N3' 111„ / ior c -1O`/ O 5 9 r12.-311 2 / \ \ * w IC) °' \ \ A N w oo r- (. 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