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HomeMy WebLinkAboutBLD2010-00035 • 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 #: BLD10-00035 SITE ADDRESS: 2634 EAGLEMOUNT RD Issue Date: 04/12/2010 PORT TOWNSEND, 98368 Final Date: 4/12/2011 APPLICANT: ROBERT C WALKER PHONE: 360-379-1532 PATRICIA MC LAUGHLIN 23 MADRONA BEACH DR PORT TOWNSEND WA 98368-9767 SUBDIVISION: Block: Lot: T 12 PARCEL NUMBER: 901323005 Section: 32 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ ATT GARAGE & U/G 500 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 ON 4/12/2011 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building Cesion Permit Nur r: BLD10-00035 Applicant: WALKER 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 4Ar�i+�C}_� Minimum setback from Eaglemount Road right-of-way shall be 20 feet. 1 r� Minimum side and rear yard setbacks shall be 5 feet. Erosion Control SEE CONDITIONS 2 & 3 Foundation Footing kavirlD Footing Drains 11 10 Q Y' Foundation Stem Wall v 2,1 Underground Plumbing Under Floor Framing Straps(hold downs) 5-b ,( - ice., � , Ext. Shear Wall Nailing �`b,(0 (� Rough-in Plumbing 2,10 P� 1r _ ct 1) ,4. L o _ „ "C /_ny rtS f4 Framing _(d Pf15 1,,tou 2 `4� Blocking N P ' eAlnK4 Airseal j _1�r� (' 13 Insulation: Walls I`�2' Insulation: Floors l l Insulation: Ceiling 1 1� f(y Int. Shear Wall Nailing 'v r-4-9 % Wallboard Nailing %1 _ —�—�( rkg Gas Line: Interior ( (t Gas Line: Exterior t 0 (o /� t b L`'I(7 Propane Tank r6 [ iv 742 Heat/Chimney Clearance ! T [� Drywell/Alt Drainage CURTAIN DRAINS AROUND HOUSE Address Posted 1 C? X S l Ye a) t\k r i cI Ck2C4 r Md.& t✓( rar FINAL INSPECTION 9./1 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 11111I LDING PERMIT APPLICATIO ML Review y 040 T Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD10-00035 Received Date: 2/3/2010 SITE ADDRESS: 2634 EAGLEMOUNT RD PORT TOWNSEND, 98368 OWNER: ROBERT C WALKER PHONE: 360-379-1532 PATRICIA MC LAUGHLIN 23 MADRONA BEACH DR PORT TOWNSEND WA 983689767 SUBDIVISION: Block: Lot: T 12 PARCEL NUMBER: 901323005 Section: 32 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE PROJECT DESCRIPTIOr NSFR W/ATT GARAGE & U/G 500 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 300,000.00 MAIN: 2,207 CODE EDITION: 2006 ADD'L: 452 HEAT TYPE: PRO OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE CONST TYPE: GARAGE: 1,280 SETBACK: DECK: 106 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: Type Amount Paid By: Date: Receipt: Permit $2,113.75 LYK 02/03/10 113737 Apopriz5vED Plan Check $1,373.94 LYK 02/03/10 113737 State Building Code $4.50 LYK 02/03/10 113737 APR f, LUiU Potable Water Application $98.00 LYK 02/03/10 113737 Jefferson County Planning Total: $3,590.19 &Building Department I • • CONDITIONS for Building Permit# :BLD10-00035 1.) CURTAIN DRAINS WILL BE INSTALLED AROUNG THE HOUSE TO THE WEST THEN SOUTH TO THE MIDDLE OF THE PROPERTY. GUTTERS WILL DISPERSE ROOF RUNOFF INTO CURTAIN DRAINS. 2.) A SILT FENCE WILL BE INSTALLED ON THE NORTH AND WEST SIDE OF THE PROPOSED HOUSE. 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.) ) The project is subject to compliance with the Department of Ecology In Stream Flow Rule of WRIA 17. The parcel is located within the Chimacum sub-basin; as such, the follows is required: 1. Domestic use only, and such use shall not include outdoor irrigation. "Domestic use" means use of water associated with human health and welfare requirements, including water used for drinking, bathing, sanitary requirements, cooking, laundering and other incidental household uses, including potable domestic water requirements associated with commercial and industrial purposes. (WAC 173-517-150(8)) 2. Installation of a water meter, meeting Department of Ecology specifications, is required for all new uses throughout the watershed. (WAC 173-517-180) Refer to enclosed documents for more information or contact Ecology at 360-407-6300. 5.) A Stormwater Site Plan has beer mitted and approved by the Department Community Development. Once t e subject permit has been issued the applica t 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. 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.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 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 Eaglemount 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. • O ON COlr JEFFERSON COUNTY 1 ' IA DEPARTMENT OF COMMUNITY DEVELOPMENT 't-) ` 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450. 360/379-4451 Fax �' www.co.jefferson.wa.us/commdevelopment NG' Master Permit Application MLA: (0 4 Project Description(include separate sheets as necessary): C� Tax Parcel Number: yp /31-3005- Property Size: ,5 . 4S1 A C- (acres/s uare feet) Site Address and/or Directions to Property: FEB - 3 2O O . . ��4 ,263,1 C•�ENlocim-r e � .„2 .G /"i/ Property ner(s)4f Record: /,J /2 4<./ j /`�p er T c I4W /t'1C .4 4a CtfA/ry09/4.T,0ieyAF Telephon : 3(r O/3 7q - i 3.2- Fax: email: C.�"2G C1 pLs_ Mailing A ress: i.-3 CIA nk'.o NA t36A e-r`f p,'. Applicant/Agent(if different from owner): ai_` Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies 0 Lot or Road Segregation Rguilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) lli- ►Single Family [ Garage Attached Detached ❑Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home ❑ Modular - ❑Discretionary"D"or Unnamed Use Classification 0 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'" 1215ropane 0 Long Plat-- ❑Sign - 0 Planned Rural Residential Development(PRRD)/Amendments** . ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑§lormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** rE'Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑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 ct as age,t i matters relating to this application for permit(s). /J /�02: fA e OWNER SIGNATURE, / ( ( � k Date: By signing this application form,the owner/agent attests that t e 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 an quired later inspections. Staffs a s d ' ht of entry ill be ass m unless the applicant informs the County in writing at the time of the 'on tha he or she is pr no. Signature: /�� Date: 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 ityou are in compliance with the Jeffe •on County develo ment e.The Applicant acknowledges that he,she or it holds individual and non-tran,ffe'f le r�es[p 1,1sibility ffy^/ dhems'Ig to r. . ,pllp^ostwith t ESA. �Sp1dfL1E�\�pplicant has read this disclaimer and signs and dates it below. innntitra•rA ..f.% L�i0� 44 iP.✓!�+/ 1 \V . . , 1C_ 7� r%..,.. 0 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 7 they will be ass ming t e respon •bility f th neral Contractor for the proposed project. Signature r - '1 Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax: �›CO Az � ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) Fax:( ) MAILING ADDRESS: EMAIL Project Type: Fra�e Type: Bathrooms: Shoreline: Type of Sewage Disposal: flew VWood Existing: _ _ ❑ Sewer ❑ Addition 0 Steel Proposed: 3 Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: 3 Height: Individual System O Repair 0 Masonry SEP Permit# 06— 0 04 43 O Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Type of Heat: Proposed: 0 Public ZZO__ lM. /c- f1-66 2 Total: Name of System: • j it-,er 'i K C.--P20PANE 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 l to If this is Propane Tank a clot A iance Installation permit,mark all items below that apply: ,, Sr iUn_ der o��Saat I Above ground Tank Size of Propane Tank: '' /6;7i—) I Heat Stove i Cook Stove i Woodst ove 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. S•uare Footage__ Current Proposed ce - F t zy. .. A- unt , vim . Main Floor Heated EH Bld App Review: 2nQ Floor Heated '' Consistency Review: ^ 4 Sz 4411. .. a. 0�V3� Other Heated Base fee: Mezzanine Additional Section: Heated Basement - Plan Check fee: Unheated Basement , State Surcharge fee: _-0 Other Unheated Pot Water Review fee: s ' SUBTOTAL Garage/Carport /2 8 r° 3 3- l • 19 Decks ' 911/Rd Approach fee: Other Po/z 04.1" /n G ,`7.. 1.n 1:3O TOTAL: $301 14 - I.If Receipt Number: \ 01 "c 2t3 Cash/Check Number: ESTIMATED COST(REQUIRED) ;3 o b c) .- Date: •Fair market value of all labor and materials anon to finish — -. -r Initials: --- , h , , JEFFERSON COUNTY q DEPARTMENT OF COMMUNITY DEVELOPMENT 4, ,1 621 Sheridan Street • Port Townsend • Washington 98368 ,,SDI` 7NGIO 360/3/7 http:/www co.jefferson.wa.us/ommdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# IOC 1`-' PROJECT/APPLICANT NAME: b/44,tr'/2.- "? i/4-ct e. //,11/ Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. A2�-aE , ©iy A- ,:5- ,fte/ 5/ , ,t 77/4-7-- /M c :E y C/- 4 r y 7744E r yr A-fiP fee *- / ,9C'/4E- , Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. RAP EW 7 / /S /`14 7 V 2 A/ /f/ �M to A AldeiNT- /2D, riee NrA-a F 'i d , e b'1 o +c PRE ' 7?vg S6c-r-r/f Mfrs /'Q,. 02 /// i S'id''( /5 �' 4 � i /2ti x.E,/ 3. Describe the existing vegetation. Indicate nativ vegetation areas on the site map. j P'-- /i i/ -a C774 Rem/ aieED 14 a RA-cs ES ) 1'0 egg a Al THE-- of//C,D /V S, m 0 477/,c L. I s. /144(e eeb,A. 0,-4L Derr l..-/} A () ,6--,2- SL12cuurv1 Mu E s 4. Describe the existing soils. Indicate soil type on the site map. 5,0/4 i s /36A C / .Ld AM Pe/2. 7-lig 77 P /l '/o1 S'd '77/tg/ /11/41e "A/ S 70 7-- t 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. 7 vc S "4 4 L A 24577, c e/tt/ i'/F e N s�',/ iZ d. &,;L l /Af 6 ,S/76 r'gI)Q /N/ Go iAire 2 Ai1.z 4, /�C4/is , T/iz ,/1 ; s 19_4_,E ftP,2 •7-fit"y W,L t i.?E b i7Z.L£/_) bp 6L,Ai 77, N l Mt- Jee /r 7,2_. ., 6. Describe any excess levels ofe ' art p oAed.useha-S activity: -4/1Q7—,,/j(/ D� / ,4/U/1 M/U edaJ/S IJ et1V/V(�, , 4 2010 / i AIR 1 2 2010 Stormwa e 's JEFFERS't aOUN ' Require DEPT.OF C• , DEVE ENT stormwater site plan template—rev.10/21/200E SIGNATURE. Ill'•�411/ s� 5 4 • 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. AP/Q K pO P f im /D re /s ' F, /vl '7r Re) f7V . 7 t 6, t ,-2E No CO- r77C ►- 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.). • 5774 7---E £c 5 /s% D x/ 771-LE iY 0, s /i ����� �LS �NCn rf i oeittfr—o� 7-�� 1� d'Y 7�� f�-�9s�T 77 c /vE 7/1-E 2 - 7AJE P/ i Perry .c/pu As 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. ALL- �s-Ts2/;'t Gu,2 ii/,�L Re it/, � prspe,es&-D /A/ Ott/7"-AA D, Alrt, go 96ui3 //tYic't D I 1Voi rH s'i bE A-Ree ttAw 1ST 70 co Is�' f)N 1) T7 '� �;� -i' /p1/rib b f'1Q0 P e 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.] 1-21 1I L B No to,4-—r S/010.4 /1/ 11. Describe the performance goals and standards applicable to the project. 77 5/ 1 l I-L- I / ',f c-r / , /77L( , 12. Describe the flow control system. ,�4e;(.) AIT/ZZ 4- le/ L L 81, A'-c C v )7/,-/r b Gv/77/- //1-o-j4-/`n/ /.A IN M'u ivL a SE 7 kw d u 7Tj� <©/L bocci A! /f/L- I- 'T� f�L�% (:JJ�SSO/213 f N giouAf stormwater site plan template—rev.16/21/2008 ; , 6 y l • • 13. Describe the water quality system. Zen 4 L aBSa (-4 /N %d So' 4w f y M N?J 14. Describe the conveyance system analysis and design. f 2�7`/-//%/ 7/A) A/ /0 /P.d 14 A/D /1' S/E a[as Roo P" 144q72 clb s'/t_ 5a g -E-- 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. NO L A94-TEAM-4- /S A16 g-s's 4 ay 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. n Dal LtF� 4 �/1 L 1. / C 3/4/ /i M A// .S 7 �i� Y ell ,t3 / R e L HNC Q �/mod �W7 Gi»/ 17. Describe the proposed surfacing-material. 3 '' iv,/NIi5 Ffrs i 1fr7 eve/M/2i3 18. Describe methods for restoration of the site. /AN 0 5 e 4 PC / ., i} _el to/D s-/{ co r'.1 Lu/ 4- 2 Zi/Tt1 NAriv 4/66 -tT 4' —72.r-E' 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. r/ 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. _ -6(aM G 'krf/, ,P,iv fr%= /'}-L I-la l_`l4�/ //I/S/ 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. AN- 4A ,4L 1e/ b y /Ns-2-", 7 L I 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. 2. Establish Construction Access. A, 3. Control Flow Rates. pa N //A yy e,fL c-_5 /Al_5714,- v T S� eNb DF C127 au /)MIIV 4. Install Sediment Controls. /A y ,544.s 5. Stabilize Soils. ‘ 4") of�L "L/4;4i 775 VI- ;571 ig1 — 6. Protect Slopes. Nn Sao 7. Protect Drain Inlets. storrnwater site plan template—rev.10/21/2008 8 •• 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. Ct p-.9 rn T/'/91IV5 LU/4. c. / 7i-///5 G= €2) s7 9. Control Pollutants. S/'T, Gilt.0 A-3 50,Ctj eO74T4L /4-<V)' ,�iL s 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). A--44_ w r/2 A-7- s i E tv /i ` >3E Okh/v E1 /i y ///4 / it i Th '?V D.e*/nts L/ C.v/The 11. Maintain Best Manag ent Practices(BMPs). C0NTl-neiv2 to/x ("Ai C,/7 ,cde bL Pity y 12. Manage the Project. Sig NJ /1-3 A-1eke 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 57,11C 1`�i2f '7 U'N DM 5/Dfz 0- AI gt /'f' v/c' 77-1, 0'774: / ' 1 �,4� y Pi'd t It a tf 4� /1/0 rz , / l.'i PAc k-F /1-�— �'1'�L b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). o Kit No -- -lit T�s� / � 56 / /A/ /rgITD SD/I. 144 Ag4-T `x 77 Nu.0.5 A-NcT , /3 onr 1� er 4.T 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. 7Y4 A/5 FEB 4 2O 3 stormwater site plan template—rev.10/21/2008 9 • b. Description of special requirements for working in or near environmentally sensitive areas. A7k 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). 5. Construction Phasing. a. Construction sequence • S're PW' d IP T Wi40 6 v771-g �/` �( . �L•/� /Y 74-1�1iA/.A door±n '�, , )hhUN} , l-77/`1 E I /Arr12f 0 a f fictot b. Construction phasing(if proposed) w 4 4A/D erinFiA C 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. A/17— itikatW J�i 7�f s T II. Wet Season Construction Activities. a. Proposed wet season construction activities. AO NE- 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,xd/or other financial securities. yPOR GrJ/1-i-/a72- °� -'f-? e/em4 NJ' ,Liter i0/4./n/ b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 'e u 2 RiEg Po•vs/ ?3/L77 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. /V/ d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/21/2008 10 • • SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan,a stormwater site plan, and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. a. Vicinity Map b. Jefferson County Approval Block c. Erosion and Sediment Control Notes 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation(e.g.,tree lines, pasture areas, etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales, interceptor trenches, or ditches. b. Show all temporary and permanent drainage pipes,ditches, or cut-off trenches required for erosion &sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades,dimensions, and direction of flow in all ditches, swales,culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s), pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth, length,and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe, and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s), if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g., concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. F Li r Llit0 stormwater site plan template-rev.10/21/2008 11 • • 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 the affected property. 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