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HomeMy WebLinkAboutBLD2009-00413 • 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 #: BLD09-00413 SITE ADDRESS: 343 HADLOCK BAY RD Issue Date: 03/4/2010 PORT HADLOCK, 98339 Final Date: 7/13/2011 APPLICANT: JEFFREY W JOHNSON PHONE: 360-385-6000 HAZEL I JOHNSON PO BOX 1433 PORT HADLOCK WA 98339-1433 SUBDIVISION: BAYVIEW ADDITION TO HADLOCK Block: 2 Lot: 1-4+ PARCEL NUMBER: 931800201 Section: 12 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 250 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 no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON7/13/2011 I:\F_BLD_Occupancy.rpt 10/29/19 •UILDING PERMIT APPLICA Review Ty N ML Ty 403 pe: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00413 Received Date: 12/15/2009 SITE ADDRESS: 343 HADLOCK BAY RD PORT HADLOCK, 98339 OWNER: JEFFREY W JOHNSON PHONE: 360-385-6000 HAZEL I JOHNSON PO BOX 1433 PORT HADLOCK WA 983391433 BAYVIEW ADDITION TO HADLOCK SUBDIVISION: Block: 2 Lot: 1-4+ PARCEL NUMBER: 931800201 Section: 12 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NSFR W/ ATT GARAGE & A/G 250 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,498 VALUATION 332,785.00 ADD'L: 863 HEAT TYPE: GEO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: R-3 OCCUPANCY: UNHEATED: 1,498 #OF STORIES: OTHER: 130 CONST TYPE: 5N GARAGE: 264 SHORELINE: CONST TYPE: DECK: 663 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: -- Routing Date: 13- I- C-ci Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,298.55 LYK 12/15/09 113566 APPROVED Plan Check $1,494.06 LYK 12/15/09 113566 State Building Code $4.50 LYK 12/15/09 113566 MAR I ZWU Potable Water Application $62.00 LYK 12/15/09 113566 Jefferson County Planning Total: $3,859.11 & Building Department 1 Jefferson County Building Divan Permit NumbSBLD09-00413 Applicant: JOHNSON 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 J n 49- Erosion Control I'1 �l Foundation Footing I D Footing Drains _ i 17^^` Foundation Stem Wall Underground Plumbing Under Floor Framing _ ID Straps(hold downs) I _S� ,(0 ( 't1) Ext. Shear Wall Nailing Rough-in Plumbing , - d -g-I Framing "(If (7"I // � Blocking J-. /G,// /' 3 Airseal / 10^// t� Insulation:Walls Insulation: Floors Il 9t. Insulation:Ceiling Int. Shear Wall Nailing P Wallboard Nailing Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage 1 151 I D ).q. Address Posted 111 FINAL INSPECTION -7_61I FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BLD09-00413 1.) The project shall adhere to the Best Management Practices (BMPs) 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. 2.) A Stormwater 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. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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. 5.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 7.) The building height is not to exceed 35 feet. 8.) Building setback from Hadlock Bay Rd is no less than 20 feet. Side and rear setbacks are no less than 5 feet unless environmentally sensitive areas apply. oN c • • 4,, o� JEFFERSON COUNTY w ' �s `4 DEPARTMENT OF COMMUNITY DEVELOPMENT '� 621 Sheridan Street • Port Townsend • Washington 98368 `�$ 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment BINS D EC 1 5 - ; Master Permit Application MLA: OC - io3 Project Description(include separate sheets ap necessary): is wyn- i A x>C-�� . �bx)1( Tax Parcel Number: 73/ _goo-. .Of Property Size:„2,5- q6 6 •2 d .1/ (acres/square feet) i Site Address and/or Directions to Property: 3ett 3 tqacfluc/ g, y .GC• Fast c3vr SR i(4 To kacl/ok /34c7 Ad i North ft' fkes-r' eize•Wacf6oc&1 .t"asf fa--lie l's..cfv f fice oed/PcI. Property Owner(s)of Record: TPCFPeci W. + flcutel I, T o14 vt stint Telephone: (3c.0) 325 - 660O Fax: email: .c. 'i treG,kbLespeed.Cj Mailing Address: PO /3a ct cavaz bt/.4 Gf 1�33�f Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: W at kind of Permit?(Check each box that applies 0 Lot or Road Segregation uilding 0 Critical Areas Stewardship Plan ❑ emolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) Single Family XGaraqCAt_tg.O.esilDetached El Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home ❑ Modular 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 ❑Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** Rrgpane ❑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** 0 Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* ❑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 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 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 she wants prior notice. Signature: ,_ " Date: 1,� — / Z-- U(i The action or actions Ap�ill 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-transfera le responsibility for adherin to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: , S./ y ,y 1,....2, ✓ Date: /Z" /`-- O ci • 0 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 assming he respoops/'�Ility f the General Contractor for the proposed project. l i" Signature: Date: / ---/ G / GENERAL{dONTRACTOR UR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAx:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New X. Wood Existing: L i Sewer ❑ Addition ❑ Steel Proposed: Bank f] Community System ❑ Alteration/Remodel ❑ Concrete Total: 2 _ Height: vlividual System ❑ Repair ❑ Masonry SEP Permit# D - Iq I ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: [7 Private well ❑ Two Party Type of Heat: Proposed: pc Public Geo-FAe..-a( f/ea4""4, Total: 2 Name of System:T'ef4v5o/i ELt C• 6o,le -Asa. i L. Cc'. 10un 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: t Underground Tankove ground Tank Size of Propane Tank: Cyr �7 p(I-/eat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stov6 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, includin• the reserve area. 7 ,, Square Footage Current Proposed For Office Use only • Amount Revision Main Floor Heated lilt1I j �-�p EH Bld App Review: • r73 2nd Floor Heated 8'63 85.3$`j Consistency Review: (9--I 2 Other Heated I j�,r j Base fee: 130 .-�9n w�P Additional Section: J( Mezzanine - Heated Basement Plan Check fee: ql t j yr 1 . Unheated Basement State Surcharge fee: .5) Other Unheated Pot Water Review fee: I rn Garage/Carport ��� SUBTOTAL .4 3, I Decks 911/Rd Approach fee: ll� 66s I f(�I ( is 60S-rl l j Other TOTAL: $ -( s3, I Receipt Number: ( I .xi ts Cash/Check Number: (J ESTIMATED COST(REQUIRED) Date: I� I •F market value of all labor a d terials foundation to finish af 33� Initials: c 1 erte;A:,.„ . :h ,;f ,-zs.:a..t'r Ce, ,,;( , .err /4,tcu 4{ , 6 •---IR-----....._..„,„„ APPROVED • STORMWATER PLAN "A, sON ca6 4 ., JEFFERSON COUNTY MAR I` 3 til 2010 DEPARTMENT OF COMMUNITY DEVELOPMENT ..p _ , 621 Sheridan Street • Port Townsend •Washington 9836( �qs O� 360/379-4450 • 360/379-4451 Fax �dE1�op • , iii ,�^ , T $7N http://www.co.jefferson.wa.us/commdevelopment/ .>vAT,,, �/ van STORMWATER SITE PLAN SUBMITTAL TE L E ' MLA# D' �_ PROJECT/APPLICANT NAME: Teo 4-pa Z e L. jU h yl s-c,r) Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. ' Project Overview ,.s,t_l,••'`V V o lir i m e• i ,,, , c 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map.kc imci to Fa.4t•,i1 t2tcia/encc -- Ape OF 3)057 S$ Ft- 011 CLpreuiacc.-s lcj C lee red Sile 0.° 5770 St?. -C . / luo p.-,;e 4Ja e S. 6 3'xid'and 33k2- /1 espect7veC f_ "lased home.Sift u/f/l e. /&9 // Ct<'3' Protiie& 1/K i v e r c a l ce S w cc.,yr '/°i0,- I el,e/, Al w Cr/V-14 era /72rr/ Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. G ram fau f s La/he of /c2V-f- P►.ore g W ra NE- Confer, hicu�v e S -e t Conrc hired ic- S i4-r f,.F0/ - ec,c5.Ali ea R i-ei C cr,4 r Qr 4 c.574 J) f•'71"it P '-S/ l .sL�E ARS beexk Axel. tall C r owed 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. Trees; Ps eucloscc a jr1 7 _ T,4J P/u-a c /leer Mucm p ire , 1� _S/i,-, •' 5 . ,@ ,4rr i-037,, .ph q 05 5®- .‘U.2,9, a#/or:tHer, ►erca ts -ty/oiUi.( af'Q y o1-t..r, 4. Describe the existing soils. Indicate soil type on the site �map ort�v. o, S u.0 Ce S U�' t�a "Iil t n the T S li vct. ' fir-oh pa e/¢apIor#hQdc arcwri PootoI us) Czr.o. elxJs � ?b c 0 4-ii@2 e - S., r1 - Q 3-6 rr,a's 4 /:Z re 5 (u �r o < rv.l' • 5. Describe the existing site hydrology (i.e., drainage; behavior of wa er 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. -[ ,Q -Q hc,s_ cv rfc(rQ mac{ 9Gi/s a,-&J !S / 04/if:e-! - N-e- Slcy 47 i ctA-t above Geort�lc{ �Un26c. /-1.1.lock. 6a,7 /2oa.0: R`,"-c{ CP ✓ L....a.frte. a - fit I1.H_ av-E0, a4&{ Wei 10 1- nr�r-. • : _ />a'c_K/es.- f�c�llock/3aei 2oucX /S the G►;ci/.l 1_n P�01,1 , so -Derr j g no UrS/ooe sru.4.rC,Uof'tvoi-1,-,- -4A--on t oilier- Oa-rce I s . 4u.hparr.P/4931-goo-2tt OA{1 re".0...✓t in 'fares'f cot/et-Poe- /'lie 6. Describe any excess levels of noise generateedby�the proposed use or activity? pur•-a f i�.t a f *his prof ec_1 VVorn'zaf Cor•cS7tvue{rmh /'eAleoC /t/vtse ,Gc.)i// L A,tef will absorb Arvy Rar►off OOcc,rt.� 9• / stormwater site plan template—rev.10/21/2008 5 • C13vosI61gI\ Mktg p1TAwM51QTa 7. Describe si nificant eog phic fea,ires and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, ;teeiing etc. to te. Indic ite location on the site map. Th p,,e oLr-e n/Y-/ca.n/ C � rahtG re.a f 5 or Cri7FlGa( ccre' , /`l flue privecf•- e Z 'tZ , l at e i-�s-•s S C to /V 6v. YTAlKY)lA • IA uescnbe t.e geh neral vicinity of the site, including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (streams,wetlands, lakes, steep slopes,etc.). s ii*e /S i'i tk e Vac t'si t fed o7P}k e Port Al a,alocic 1-0/ t TTxwn ko use / /eln#ry.ienf. Li Is J.usf o((15e• e 714te Grbadt. C o.oc, fi Aral ®e519014, -t . Tke.-ee are /%(O W4k fir-Avee rlahle/�AD,�" ce to Me k�4/ k f co_pot LDS 'r)7lttP p fl el" e�'tdtii 1w +hee lottelvs:orIrt1r'[ 45f 2 c�rd��ree CAI . �7 GI ere c r,_ /ZKra._( /Q_e5tdekt fired a5e5 adj a.Ceitf' 7tke. e5 7-kere- are ',to g-f/e4m45,tacha[4ds L 12es or c ep 51aioes IK'the c recc 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. / The proposesi ci_eve/opisie.4 / Ap(tc P4aici,flo ac-c Si-c wt Gvc� 1t- tuae. fJ/y d G�� etc 5.)2,/.s4 b/ QS j2[7�( ��e}�r.1 scan . GrA(<6e o<y t a 01,9 ale t l a bic o c(,{.Al 1 Rtase GVr(( re.>,r,��► ram+c�^ f Corie,�` c t:47tr frc CG>w1 rGj;y, L anclsc«y- yox,,,,se 1• 13ecau base/..i i 9 e . ase.+� ,irL - Lois 15'E/6 Opt/`Cn�ctivt.. P htuts � 77'°c.� C��tt of "6 ESIt aC2 us ire Of/ �h o,�t� d" i rtct Gum ry r{� 10. If t ie mole fequlre[s tfie us s orfg%er Pet&men� illtles, d s be �ypes ors o`�mwater reaimerttl tie-S 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.] c/ra.i I-t 5 tCie L TrePrCk CIra",(/ tv1. 06,1,t[vt 7 a1.36 v�/.7/r�►eve ka o/ a 1 /X SG` fk-f/f -fio. %e rcli ) zuefi, h verb�'/erA2/ s c s /frrol Cct cC a t-t Pk-//°/«%( S4ee7`.L . fk 1s o-1 evckpmeeSS.c�+.-c, S�of,'e aG-ctefre �ielcl5 ceve. l-99 l.�p slops- or "i 7 s_f ors-pt tjj ca/ce- 19oa,p4 th. 11. Describe the performance goals and standards applicable to the project. G ur act/ i S fc �[C(_5)c eta Q e lv e,_icwi•Pt e,i T a 7L 7 1 , {'✓ov fic evte/c,t- t Gr e cite.. We 6,411 G c-c6,Qc-e %K a,c[ ...[.K O.oevt Sit ce ��s�to� c / r q!t v, 11-ct it&Ttaf 5-i^gcf6-cvc . �'�te rc,Hsnl["ot�f-r'v[.r cf 06acttG,Re/r.(5 ovttttC. Sa4tii4 7 . 93/-boo-,.0! er!/C,for- 1Kt egaicccse.' N2.4-1t c9.1e:.f 12. Describe the flow control system. v f bo/t( ' se / . 5/fe5. /he p rolec± will vt o f $/qn(f[cct.1,ft'c/, a ect-eits-[H, Plow pa fl-rvrts_ 47'1[1 5ii' /5 `ee? t well . j2 cf rum o1F will he •1u.11 d[sr,.5,..,1 5a/as.I, , 4cle5 � G/rat'tz aa�(dr[t.et x lcrenc dvu[[-t u-i'l/be ['•fi/,1ra�ec/v/a d..c, vest C rr( C erc p ji» r I,?c 4 stormwater site plan template-rev.10/21/2008 6 • 13. Describe the water quality system. ?"he Are- 1 o be.clevelo,c( is t✓cllclva[;4 S'0.nc(7 G,r l 6te.) mil. Surcetee elo�osi f;� of 4 fog r�a{a t� Cv�"/(�,� 'lira e W7 rir ct! FecaFeel; A fc mpovw v S r(t{cnc Will he txsej €fit side of Lots 34-14dcw/si, Cv+tslj-uc-rah.-, afte uftta t egifr4c0.1-• Is re cs/q jt ecf Fr<s f Csweer r ei if absorb ct•a, Coat sir-eta--ram r I?t cl'd �L. , i c t4. / u Ge rde.-r flee ahsorbf of " K 14. Describe the conveyance system analysis and design. Los-it rores/-Cot'er:- RoarF.de y.S/,ou.f5 Lcl t((GCra./ sp`ask b!« 's, Sc3.4,2 with CiLic."-ff ofris. Po04-iv,.7 . -yort-h olri trench c -aib j L✓t I(ca(ro.Ln 1-0 Cid Gve// Ga,kl A Oct tcra( it 4t l ATios) 1?EMCi-{. A IVPLQ i .u(L/eief-Gilt(( ht^ Gtrlc/fx./1,1 si ef-.•- 4-1-ter. .V -1l"t C�CrrayeGs�ue� cafag.eveu-k- e Rat,'pativrey,,.•.. /enAl ocd-caIf po;4,1e en/QruPc'scc=t pA( sc- 'e e c'cic4P"-t .t e- Is Cociee- et vteI Cara] tA cte-a'c.L ff✓r�l�.p roVtc(E„ bisefteskrot 74,46:f11.R t7►1 15. Describe the source of fill material,physical characteristics of fill material, and deposition of excess material. May-en fQase•x ceckoafia•'t wilt he Cdtle,er.,1 t.s-{ew-e,G,C D•1 s'e Qs .ccrrt Kip/75' f‘rslf`1'/r t,e- ett b- Pi-e-te`A � � s/R6 S'a.,cc( Willh e wvtccCcl 6, Srohe&camaf-r� /1 eeaveceC - VLta1 "«( l 'il( be used/ tc7ad1, L.aKd5ccyve 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. &cIRicsu6Slab AY( ttir/(he fr(Q tr oelxcfcd tel tilt oftalti;Kr,of,f Ltffs_ 34c e14114Leg crush ( rc a-e w i I n� r pa��.ae,� cool e 17. Describe the proposed surfacing material. /� //krlr�Lt�j Grzal el—C/c rL�aer-ri.e,5/ �/�tS/1�[h.[Sl[ ��c- l-e ee^�P 4--Oa c. 77 18. Describe methods for restoration of the site. Gci^e$yg ui((be L "cl cc 5-40-cui-C.ape#7674,4 -44 sheel- / ct j �cic.(16Q p/a ier, i;r G.,et cl!5 .� ar /Q 3OoSy. hc�urr.,„ �'74, Gcr.[rcl. wt."116�P5fab rsti cG/of-t7Llce Cues7rrr c 11�C ca{� ! 1�11. /Vaat4v-e v h Will be a.s ,f reela.c'At;I, eec. , 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. /VA 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. A/OKe 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 e�ji^, s y S�c.,vr rar rcc t� r�G( ezi 5 aos1 ertf stormwater site plan template—rev.10/21/2008 7 4110 • 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. C/eartn5 Liwii>*S litre C /-tf 7c, /Jka ce /1 ec>1/ Gt/2q,fern 3 G,L07�a lxS��(o 4�fcrL«Hc�f ve. I c '- Phase / /5 Co.+ /e}'e. • 2. Establish Construction Access. r t s+; C'cJa p /-/ad/oc/e /3 3. Control Flow Rates. - CvtCe ea574 undo�Lof5 3f Fore5/ Cotser Lo/5 /St/' 4. Install Sediment Controls. 13�cr�2 G S�r /1 y Fete,/ art aptc( ea-eat-tie-id CoL45 C c /7a—t SnLc J �La t5 I + Z � (��..e S ' ; /9,erec,. 'Pietas 4--c, 5. Stabilize Soils. T rP 9 bock"; /I �j'a..-k 4—or-I?oyP&e./ hyclr� Sc�rr 6. Protect Slopes. /1 _cico s�I�" �a / 7 -co.vt S h) N 7e°�rp Cc,-14 74 tC..71 rb /�?Gc�jarvr/cig / `KccX 7. Protect Drain Inlets. MG "'fiat.. Project/5 opt Lc‘-_ l /1,5,-- 4 4rtlC4 tsar( stormwater site plan template—rev.10/21/2008 8 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. Ilia C e l S or o 71, &,U'st or- built be cma4cicJ . 4Nr' Co,aslrzteltivi /cif c ,SctrfaeP tuct,ie - wall be._ a ca -bete bti tie. foe es-/-c eit fr- / 9. Control Pollutants. A- cvasLi Ga f/2aki cost c v e of a Spy/l h ti kr- -Ate/ oil or- C h e"iier a le c>,4 s e. 10. Control De-Watering (the act of pumping groundwater or stormwater away from an active construction site). /hats / c(rcttn61.5 1crotier ck r),p-t Z-45 /5-1-/G jl Ole tarsP �- tHT'/fra C C' n.1 9)-ac.vr_ccf water_ i / s.., oc�'ifr teg CL / t- it t,(so h , of 6scl►-fi r 11. Maintain Best Management Practices (BMPs). _L 4•lcl ar ni fir, .�-ac{�r- /�i/� wt es S•b .,.� - W1/1 cec L 6/199 trcSfs cfrc..-ts pA19 evch# Corrb'c.ci- Pocc t t .r j H cvr�t c r �ey+ti f,� �� t Gt f1 nf_ „9 �io!'1_ f/u fhj irT 12. Manage the Project. P ,- p/cc rP ,1e t-ti rt i e in fr. call/b' /l e/c( /44c Ccovl f/,evt.r . 2cc7/LI rd ,•z"q ,enc Le-4 ©F ��pi%,ect- e�C te,42/bca /-ec -c f cl _ cc C/l`' t e5 a?" 1444) �c><��Y C'o..t jePTic OK{caA e QNyo s ,.,chtears 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). ghee are ieS,Ie' 1 L< '5 frara I ltses In the area. �Lt e idly ,4ort 5fc5 C{ j s Cx .444 t c.{4 cittx-cd h9 s zQ can �f his t.0 i l i! Bc ca -ec- c,C b r7 a- SLJl-Femme o'-e fhe sf'er•'l b0te44 c1 r G 1-0 4-5 3,4 4 . `7 b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). Na it ve GrocAAd �rai.iact pc<3411 cox f5 Sftc 74'0ccj-ec 0 o f idcefc,_,-- • G cb c yr v{ cc/ceiteir i s do-i -' /fo ,o/%cam / Ae1-11 77, Arr-t Tc/t'kic•f kit! !3 t �r/� ` NFcrf 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. -rimer Gir� vto Pv,✓rran/1.6=w a/,/y Cep,�rifl✓P����-�rds ' ' A.e S/f'e.• / stormwater site plan template-rev 10/21/2008 9 • • 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, permeability,depth,texture,soil structure). I�-e h c.S G Yt ! Ctyc�t�l�l� / $Lc e Cr h( S-0 I c Eater's e q e'i Gru,�/4. c( �-c� c� of 0/* off' a�e.� 4 ' A/c, S �i � e, -v-vs�c /$ Like/9 . /Th t.cd 1/ccr/ff t ce -se -if E-x��va l/ tt /frizz. a tG Gc ztc(' tOccher 1itavee(errT c i,fr-itete, C.014. "Wel 5. Construction Phasing. a. Construction sequence S i -e Prep/s tic ) FocAa4e a f,ti.i 6ctsem '.-f1 Gru 444 c r/?Ociti#14f/ivreriur_5F� f fcsc lit/p t A ) 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. /Saalk /l(.Mar-2D1o) Cierxr►� sot (Van fo) (7_0/0 ( 4411.-.021:40) f7/u wrh, *lorys 4-c11c4 //1, -©Jo) Lamscal SO"t+Es(0%.,ze Ao/o) II. Wet Season Construction Activities. a. Proposed wet season construction activities. C.-lP 1�,y ;��,� � ,,•w ��� *Nate: ok car wef 5(41.,>(.244 %i A//nfr a ... 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. 1 455i ►kres-r7L AccGu ✓J c 5rep Ced ,- ire€,, Fi�+c f c7,1 Ga/e.. :cif. _ 60 Frra t1thr / Qrn k i277. b.>���G�_ J ��o,�q/ n,..s")(79`1,di/ifrJ 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. I r 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. (LANDO E AUTH2 1ZED REPRESS ATIVE SIGNATURE) 1D TE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 \ —OC ANDS15TtNcT �KUSA6E K4AJ A-KA,UAK SI Afi.AA-PiJ<L(t.�fNL —L35.Z-Q— ASS, , - - - - -- - - -- E EV • o—G.L8EV 73 .G4 Q — --- b`- ELE%67.`t5- \FttV.v 59.E` �S.o 70 10-7-70 3o- o ' 1 � l EtO/• 77- o ' C 3 1 x A� I OR ' I a e I ' t _, I. I �h L p' 9 I � vRoPvseo Yt - C Conca�rt=1 - I 641ZAGE VI e Bot -A RCS { I 2 ! J r1F-tn7.5 z •- 4�.+.c fF FL�v_ 7g U o I. .. I TC,✓ I k ! . 345rM TrFsLAkF_GEI/U. of- i �� PRaPCsEA REStDEtVcE �28' x 5-/f III Yf l I`�.ii/4(/i_1_ Q I 1 i Colfm} 15r F�� CEu 7K'-$" 7zlzl ;S��I101VG A16Ft5 I I ' i I C, ---- -- i a' it n - AflEA o `z fHtopntt // %­o" , f TAXI Zo' J-f?olvr 5;ET3Ack — I I 7-P dlb- i3/-O'cx) -hl 1 (t_cTs /s //6) I I Irl N I CUMAIUNi �Y GAIRPEI/ , r� s?'�et/ rs �-o �Frwgi;v , 2 z a (D I �7KRo��71 Cmp"Pti iOtV of PHASiE me (ri G7rt LOT JS _ _ I O our- n Al I t � � ovT + -t=vrcR,�S Pr�ct 'r l0 CNIacK v+wr- / l 16 N st 'x Y\ / f z 5 51 DE SETBACK ' /07. o� �, I -- — - - -- --- --- --=- I ------ -- ----- -- - - - - '� C�V 6`�_1L 6 V eLEL 59 9�� 30-0' S2r,6.7 LU Phase One Legal Description: Lots 1, 2, 3 and 4, Block 2 of Bay View Addition to I 1 i I Hadlock, as per plat recorded in volume 2 of plats, on page 47, records of Jefferson i 0ai i „ Ii I Q I County. Together with that portion of vacated Magnolia Avenue as described in Real DR qtM Fa Lp FA5E M r�T I Property Judgment NO: 07-2-00065-7. "(See Real property Judgment Summary attached). LdSE(Z�IIrJ(, TP?t ii rn `•v \,_ \ I Vj R ,I �3/ - $Y�O -'� / 1 I I P ESE/{ V r T-P* 9-3/ _ �j / Assessor's property tax Right -of -Way described below is adjacent to Tax Parcels I I parcel or account # 931800201 to the east of the Right -of -Way] and Tax Parcels i 0 t X 5 `l f numbers : [ g Y] I I i $ ti I �) # 931800107 & 931800108 [to the west of the Right -of --Way]. 3 ( 1 I I j II Legal Description of the That portion of Magnolia Avenue, in the Plat of Bayview Addition I I I property awarded to to Port Hadlock as per volume 2 of Plats, page 47, records of mplaintiffs: Jefferson County, Washington, described as follows: �' Beginning at the northwest corner of Lot 1, Block 2, of said Plat of I t } Bayview Addition to Port Hadlock, thence N87°12'23"W a distance of 28', thence Sl°21'22"W a distance of 19137','thence _ S87°14'30"E a distance of 28', thence N1°21'22"E a distance of 191.35' to the point of beginning. 2 rJ i I V and EXCLUDING any portion of the existing "15'-wide road," j ' I { o)�` also known as "the county usage road," as delineated in the QZ7I ' I — - — -"— - — `-- - - —' I — —---------- - - - I !JJ Record of Survey of said road recorded in Volume 33 of Surveys, page 38, under Auditor's File No. 531616, records of Jefferson - County, Washington. tV \L' 1 ( ' I I _ �1 j ! C �. Situate in Jefferson County, State of Washington. fooj 0PAImAar DRA/NF/ELD P # ' PRIMARY Pr- T-po 3t - sc� -tot C i I b b b; l I I3/-Soo_�;Ul i��, A,5 '/ , € I STog,l LUATF_ l /? Foc.Ll I 1 I I + � t - 1 s,PE 5ETw4c* ZELEV 77.E 28:0 ELEV. 76. -- 3c7f�Mc�FSL af�F! ' / O 7 . ($ ' ToF' of SLao� AFF[.EV- 71, 10' ; LCV 67.5- -' RE51OF_NCE.1 Aou, FUTURE OUPLF-C FOI' SCFF AIVV /-Jf} ZE L .TO(-; NSaAl 3q3 NACLOC/S 0AI AV pc,,jT HAVLOCf( WA PL oT- Pt -AA, SCALE ; / "= /o' lA)c PAflU6L d0lq3/-000- 40i 1)1�1I WA/ 3y OWA/xR (3(o) 305-6000-PO r••ox 14 f-'CV, i`- NA✓! OCK WA r1 ea3 4 SHEEF S Phase Two Ler.al description: Lots 15 and 16. Block 2 of Bay View Addition to Hadlock, as per plat recorded in volume 2 of plats, on page 47. records of Jefferson ! County. Together with that portion of vacated Bay View Avenue that would attach per Superior Court Case NO: 06-2-00259-7. 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