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HomeMy WebLinkAboutBLD2010-00008 MLA1 0-00006 OCUILDING PERMIT APPLICADN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00008 Received Date: 1/6/2010 SITE ADDRESS: 211 MIDDLEPOINT RD PORT TOWNSEND, 98368 OWNER: DAVID F BARROWS PHONE: 361-729-0779 CAROL S BARROWS 131 HERON OAKS ROCKPORT TX 783824332 SUBDIVISION: Block: Lot: T 11+ PARCEL NUMBER: 001064001 Section: 6 Township: 30 N Range: 01 W CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW DETACHED GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 10,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 336 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: Type Amount Paid By: Date: Receipt: A Nino Permit $181.25 LYK 01/06/10 113611 �ED Plan Check $117.81 LYK 01/06/10 113611 State Building Code $4.50 LYK 01/06/10 113611 FEB IC, luau Total: $303.56 Jefferson County Planning & 8gihling'Department • • CONDITIONS for Building Permit# :BLD10-00008 1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA. FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD. DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS. TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM)AND HAVE A DEPTH OF 5 FEET(4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 3.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal 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. 4.) 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. 5.) A Stormwater Site Plan has been su ted and approved by the Department of Community Development. Once the bject permit has been issued the applicant all 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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. 8.) The road approach permit(RAP09-0068) must be inspected and finaled by the Jefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the final road approach inspection. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Minimum setback from Middle Point Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 12.) 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. 13.) 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. Jefferson County Building Divin Permit Numbee3LD10-00008 Applicant: BARROWS 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 313 10 / Minimum setback from Middle Point Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. Erosion Control SEE CONDITION 2 Post Holes .3 13I )b )( Foundation Footing Footing Drains Foundation Stem Wall Underground Plumbing Straps(hold downs) Ext.Shear Wall Nailing Rough-in Plumbing Framing 3I �j IL Blocking Wallboard Nailing Drywell/Alt Drainage SEE CONDITION I Address Posted 6 \\A) \?cA FINAL INSPECTION c .-iQ.-tO 94z FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR �4, eOG S JEFFERSOCOUNTY k ' `�,a DEPARTMENT OF COMMUNITY DEVELOPMENT ") 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax � p"� � $IN www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: I v —CO Project Description(include separate sheets as necessary):Barrows Garage tic —e u S G av- a se Tax Parcel 001064001 Property 2 63A/ 114 562.8 sqft Number: Size: (acres/square feet) Site Address and/or Directions to Property: 211 West Middlepoint Road. Go west on Hastings,turn right onto West middlepoint road where Hasting turns south. Property Owner(s)of Record: David and Carol Barrows Telephone:361-729-0779 Fax: email: dfb7396@sbcglobal.net Mailing Address: 1 3 /. He cc,►1 Od Yc S) Roc V.(O t--"t , TX "7 g 3R" oZ Applicant/Agent(if different from owner): Telephone: Fax: I:_ 1 r L Mailing Address: What kind of Permit?(Check each box that applies ['Mudding ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]*" ❑Single Family Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)" ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑Road Approach ❑Binding Site Plan" ❑Home Business ❑Cottagelndustry ❑Long Plat' ❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management 0 Shoreline Management Substantial Development" ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *May require a Pre—Application Conference **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: 20 December 2009 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 it's 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 fired later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap ication t h ants prior notice. Signature: Date: ..0 1 J P C 0 7 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 y are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transf le re n for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: d/�� 'i.L-) Date: .z-G' r"C 0 C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc BUILDER STATEMENT• The signer of this tatement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be as ming th es onsib' of the General Contractor for the proposed project. Signature: 46,Ze. ' 1 Date: ;,Z 0-0('C 0 9' GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: i4 New X Wood Existing: 1 1 Sewer ❑ Addition Li Steel Proposed: Bank i 1 Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: i i Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: i i Private well i 1 Two Party Type of Heat: Proposed: 1_i Public Total: Name of System: NiA 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 N�� If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 0 Underground Tank (Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove ❑ Fireplace Insert ❑Hot Water Ta ❑Pellet Stove 0 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: / 2n°Floor Heated Consistency Review. LA Other Heated Base fee: 1 �I • l�I. 05 Mezzanine Additional Section: tI;j rlfl , V . ,-L iv Heated Basement Plan Check fee: 11-1-RI Unheated Basement State Surcharge fee: SD Other Unheated Pot Water Review fee: 1O ("),M 13 Garage/Carport I/Jx 29 ,3 3 , SUBTOTAL �3 C-/ Decks '1 911/Rd Approach fee: �-`' •`7� EX`(S�� Other TOTAL: $ 3 Receipt Number: l 13CO ( I Cash/Check Number. 2 337 ESTIMATED COST(REQUIRED),1 01 000 Date: '^ .Fair market value of all labor and materials foundation to finish I-`- I 0 Initials: (-----(" .- -,-- C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLKS6\Master Permit Application 12-19-2006.doc • • ON , / ie JEFFERSON COUNTY r4 �\ I r-, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 \. 360/379-4450• 360/379-4451 Fax `,. O,`. http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTALTEMPLATE MLA# 0 (C7 Caw, I W 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 in either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. a. ,/7 P IaCY D'Y1r & e 3 I y'K o� t 9 a'c e w i tL Q t ,Y ©q.0 h • Existing Conditions Summary / 1 2. Describe the existiin topog raphy. Indicate contours on the site map. time cf S' c r et We j`(t e14 i.'t 6 t n[ le(�• s;`tr rein-1I clout 70 lbw • AT�Aro/-1C IA"a—lr k. l�Y �(1S 6, ' err IDF) '• L c? C 1 t c -VQ..r C�t J tn: ;1, L T c'V S c . Ci c 't"b K *5 -r't d [ 10 Vl • 3. Describe the existing vegetation. Indicate native vegetation are s on the site map. NQ—iVY `- tcr`rs', 0Adei Via II) ti•f+)S . fr4 'i � ail (' 'Coca I Ur .t-/a-iiQ1r C0..t • N, 3 4,ti i`c4[ t0 4. Describe the existin soils. ndicate soil a on the site map. 0 F —to S O i II SC Nt'C C /CR.( i Mn e S 1 l Y(5 Co ry Y S , Sava• 5. Describe the existing site hydrology(i.e.,drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. _ IV o Sl't +r rE wi © '4- s u VA'a t*P id of Cr Or r S w k G O' S i Y R cl iv‘ 4:I t tet i b VI C C C J 1r S T L ti- oti S ti cot S i't r • N o kC-I, crt coc rA S. 6. Describe any excess levelsf of noise generated by�]the proposed use or activity: a., S i dr vt li a/ 0 t CL 1 S S hir Id, r) AL SO'NTS IT ry aYf a • APPROVED STORMWATER PLAN stormwater site plan template(ix:-rev.10/1 ,s F E B - 3 2010 5,-- stormy,' Required JEFF RS UNT DEPT.OF CO, TY EVF.LO SWANN:RE: NIIII NOW • • 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. S.{ kr o c5 i o ' d re 1 from Yockci ov, io I et -�oYrSt . (c----a•<-a s.y 't0 lie (ocalr 1 0.l rca7I f 3 .� ' -C,t-eon lrO a c/• 8. Describe the general vicinity of the site, including adjace land_pses apd structures, utilities, oads and sensitiveIgritical areas (streams,1 wetlan ,lakes,steep slopes,etc.). ((f S 1 NI L i�t 1 Io t c ct ' i le c d.'c Qs' wfi L II, )d( r r, t 1qa f-O N3 IV CP S cQ Y-C--f� QLAd e- QS1 C-clb-�. 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 w S nd differentiate proposed facilities from existing facilities. S'-O^^Y ttil 0. f c w Y t / 3" P is tr' S 7,f.�C r C. S C �( a I A S I rt t-d r C O krA p �r L e �� o 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.] I1/4-1/A 11. Describe the performance goals and standards applicable to the project. k/t1 --- 12. Describe the flow control system. Al 7/1 stormwater site plan template.doc—rev.10/12/2003 6:) • • 13. Describe the water quality system. AIM 14. Describe the conveyance system analysis and design. Af4 15. Describe the source of fill material,physical paracterislics of fill material,and deposition of excess material. NONE fe viti., ni 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code.No c � `fi SL. Dyrs of sill rl) Tr oes proposr. " 17. Describe th proposed surfacing material. r 1 7y 1 /11/,'t L.)S c VAJ S Ay Ci Y o c k c s N T r de ci O Y (IT 1 v r y4,0'-r 18. Describe/methods for re ratio of the site_./ i I1_ onll V'f 'Y tx-t101'1 SI+-, Y hr CI Will nY -SOT 0110NJwW0›. h-c 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. Nay/ 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. N/it 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 ieslrictive drainage-related requirements,describe those conditions or restrictions here. -cT� ► c -arr, ro , (1 — , I, pq_ 00030 wzi/ � co ,hp j,,Zrl-- w21cico4 - Vogue fco10 `I 3b THG- AI> q �9/ km> 00 0 to $ — a-is•,1,.Qvr cd Os1 S Uktll rt/) its -JI-he 8© b ivu5t cc(- 000s q15 1-n4cnl Al'ri<4t 2S P� S Ir tvsc Z i 'J.. 11h' r � stormwater site plan template doc—rev 10/122003 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 section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. ff i I / C-QY Q S-t av e 0. w s 1 1 h! V& aY '�f (l 2. Establish Construction Access. /} CCrSS i S tv rIaCY 3. Co('trot Flow Rates. I r r aTeY (r k S st. - Sr dr d f h i ��0. r S iW ��In oc:t k- IA o T-9 4. Install Sediment Controls. Wry 5. Stabilize Soils. `/1 6. Protect Slo s. � ff No c-tfgrl � c ac7(V ) y ev. sIe pe • 7. Protect Drain Inlets. JAN - 6 NO stormwater site plan template.doc—rev.10/12/2003 w • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. N/A 9. Control pollutants. J r —!.1 S 9,‘ �# S .O I t 0 -� C1 Y 1 J1 - Ic iA � ay of S' Y o { S i q,L/r NO 1 vi1J' G I w1I) ► ►� tYO c! U to djQvt d S �1 lls wit/ i �. c lea 17r � t)f 1 vr1 IMY j-).-fI a 4. 1 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). A//A 11. Maint/din B st Man gement Practices(BMPs). // 4l'0. haft c d a Nc e CI S Wt.,/// n Y O 2 S�P\r-I Y 1 da i I), -T 0 ►r c uY' `\I<5 °c Ozt1dc1 iS 'eSIuh '1SL., Nr 12. Manage th Project 0tA.3 fr Op eY0.10'ci COV4rCiC4ON Wlll rrcrio\>" allr Sllr Wo1-k a vk. r e o h 1'N61 to IA r C Ie a v I t s av qf a C( k.e y r "Le 14 P 3, 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). ,] y t ) P Q C Y vt "]� vr O e�r 7,1 1' S uJ Ii i C h P at 7 t �r C� /�'r S f e ci\ S-t}.uc dray, • 3 t, I' usiI1 � e a 7t it tit b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). ,�I1 N b (1rQi►^ QS ,o par I, .e-� I^S l % 3. Environmentally Sensitive Areas. a. Description of nvironmen Ily sensitive areas at are on or adjacent to the si . Xi a (1q ace RT. er OVA- S( C Pvl v I�rovl ►�►•rvt o )/y ,rw S 1' iv-,. aVrQS stormwater site plan template doc-rev.10/12/2003 CI .11 • • b. Description of special requi ements for orking in or near environmentally sensitive areas. Np 4-e V kyr „nekt -e- 1c7J' 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, exture,soil structure).{ �/ ,[ As t o r\q Lt S s 0- w tiv aiT i S irl o f a v� C-f f1 L cQ G r fY� 'f -0 C I o"I) LA-list/ lnOT OCC_OY • - 5. Construction Phasing. a. ►' I Constructiopsequence) Cit0ct' S' 1' t avid �•c��-f S P-E r®S S 1 � c0N C� t.,tlf iY1 err • CO Yvct gQ.Cds e/ p©c� Y CO0CYf�r - OCSY b. Construction phas g(if proposed) N 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed constructi n schedule. , N o 9rer1 St ,vA T 7t7 c... sir vet i0►( —ti.,n`t r II. Wet Season Construction Activities. a. Proposed wet season construction activities. N//'r b. Proposed wet season construction activities for environmentally sensitive areas. it///3 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. N//9 b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. N n 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. N/il b. Diversions. c. Waterways_ d. Runoff/Stormwater Detention Calculations IANJ - 6 2010 stormwater sde plan template.dx—rev.10/12/2003 10 mow Numr_ • • 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 stormwatier 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 owner a aff cted perty. C�✓ { �,f �t�—�— 20 b e C ® 9' (LANDOWNER OR AUTHOR! ED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template.dx—rev.10/12/2003 12 f • I 12, 0" r��►a y N:-------1L-T . 0 , X- co sed N_ O co C N ) --< I (/) 0 -1 r-- cl ) i (-) Ei (— �a) prn ot ____I 0 --Io z00 cz oc)n zcn 0 7'-0" 14'-0" >- co v va) c u, ON o ' ' cT _ d 'mayy F1 c) -.)I F.. 7 W N y 7 @ YX •S11 O O «Z w Q m m O J� x i_ o y y 1 (n 0 m 0 W 0 f- ZS N I.LL [� V ;Q a (!) } N O Q J Y I I 7 0, 0 O N U F- 'N c m w it O C° m ' i I 1.- 0,- z .. • • � d o Q O Q w Q i ,' Y Z a 0 )- 0 0 0 • poi 1eirl 1 CD N Ii 14).... .- , „.. 0, ti . __ 9.,1 1 C./ `'' 0' '4 . • 11 ty49.. .: >: ' P.* 44 If 1 d11Iu cu 3 I ,!/ ti �S ts m 1 jI ti is 0YCY) �i of O : 4! 1-4 {I .11 M w -6� o sl Fr) N / d s ®I o ) OI 2 r �I, '� o 1 1 `-o, x; cn y m �� I g trf" --3t, cz H' •�I E Off ' ? _. s �� �...* ...-1.-, al M rc (:): ri • P. 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