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BLD2010-00220
• BUILDING PERMIT APPLIION MLA10-00244 Jefferson County Department of Community Development Review Type: I 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD10-00220 Received Date: 6/17/2010 SITE ADDRESS: 2110 EAST QUILCENE RD QUILCENE, 98376 OWNER: ANNA MARIE NYLUND PHONE: 360-765-3562 PO BOX 538 QUILCENE WA 98376-0538 SUBDIVISION: Block: Lot: TX 7 PARCEL NUMBER: 701194005 Section: 19 Township: 27 N Range: 01 W CONTRACTOR: TOWN & COUNTRY POST& FRAME 16521 HWY 99 PHONE: 425-743-1555 SUITE C LYNNWOOD WA 98037-3161 Contractor's License TOWNCPF099LT Expires 6/30/2011 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DETACHED GARAGE/SHOP POLE BLD - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 14,000.00 MAIN: CODE EDITION: 2006 ADD'L: HEAT TYPE: UH OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: 560 SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: CON BANK HEIGHT: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: . .0. _.. ,, Routing Date: <. Type Amount Paid By: Date: Receipt: Approved/Date Permit $237.25 LYK 06/17/10 117869 APPROVED Plan Check $154.21 LYK 06/17/10 117869 State Building Code $4.50 LYK 06/17/10 117869 OCT 27(02010 Total: $395.96 Jefferson County Planning & Building Department • J� 'erson County Building Division Permit Numl r: BLD10-0 0220 NYLUND 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 . ✓ Minimum setback from EastQuilcene Road rig ht-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from OHWM shall be 155 feet. Erosion Control ,) -�4: 1c /��%, SEE CONDITION 2 Post Holes O -31'31 t �' El a;y V , u-hr j Fouttg-Draies— �` P Underground-Plumbing Straps(hold downs) I G/" E t-Shear-Wall Nailing — /JO Rough-in-Plumbing Framing ()1 Bloeleng_. WaItbo in Drywell/Alt Drainage SEE CONDITION 1 FOR SPLASHBLOCKS Address-Posted- FINAL INSPECTION i (' FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR i � CONDITIONS for Building Permit# :BLD10-00220 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.) 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.) Based on the Jefferson County Code, Section 18.22.270(5)(a)(ii) requires an additional 5 foot building setback to the 150 foot fish &wildlife habitat conservation area buffer as measured perpenduicularly from the OWHM. 4.) Maintaining ground cover will help reduce erosion from surface runoff. Any bare areas that develop should be revegetated. Native low growing vegetation that requires little or no irrigation would be the most beneficial 5.) Tree limbs, lawn clippings, etc. should not be thrown over the bluff because these piles have a tendency to damage/kill the underlying vegetation which in turn increases the erosion potential of the bluff soils. These piles also add unnecessary weight to the bluff soils, especially when saturated with water. 6.) 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. 7.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 8.) The property owner shall comply Water Conservation Measureslist• by the UDC Administrator). (per maintained 9.) 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. 10.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan as signed by Ann Marie Nylund on July1, 2010 and Jefferson County on October 26, 2010. 11.) 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. 12.) A Stormwater Site Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) 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. 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 17.) Minimum setback from East Quilcene Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from OHWM shall be 155 feet. 18.) 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. 19.) 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. �,c��ggON 6, JEFFERS.,COUNTY i V DEPARTMENT OF COMMUNITY DEVELOPMENT I 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 �jS, NCiO www.co.jeffersonwa.us/commdevelopmentFax Master Permit Application MLA: I C ',._.I c..J Project Description(include separate sheets as necessary): Cans YLke & S to o SF `k�,c\ PI,S-+- F",roome_ gvA.ilcl��g Tax Parcel Number: -" O 1 rl OI t{ 0 0 5 Prop erty Size: 1.y 2 A G+r Q.S (acres/square feet) Site Address and/or Directions to Property: 2110 E. Q..a\cer2 I , Caw\eehe, 4t1t4\ C 33-1l1) Property Owner(s)L of Record: A r n o M w L thj 1 r a Telephone: 63t o') 7[DS- 35 1p2 Fax: Mailing Address: Pp email: �oX ��� , Q.�;1 cshe, u�t I A 37� Applicant/Agent(if different from owner): V'(e?S >q4f Y'S '�—�'awyk and Gown Telephone: (y2S) 7f-I3- I S 5 5 Fax: (y'1,S 1y2-1137 R email: Y Mailing Address: 1 LoS21 j-wq cr. Sui-k C tkS��[r,tvtab�l�.Coax t-�1eKwood, (AAA 9�03? What kind of Permit?(Check each box that applies la3f$uilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family %Garage Attached/getached) 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use.Classification ❑ Commercial 0 Change of Use ❑Special Use(Essential Public Facilities)** ❑ Address 0 Boundary Line Adjustment ❑Road Approach ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Sign ❑Long Plat** ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* 0 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 ❑Tree Vegetation Request Please identify any other local,state or federal permits required for**Requires s proposal,if known:Conferencetion S11 Of ‘‘` e_ I hereby designate I- u ' eci.•VTIr, DESIGNATION OF AGENT to act as my agent in matters relating to this application for permit(s). IMIZTriOWNER SIGNATURE �_ -sere } Date: .S- A O - % 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 attorneys 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 applicatioon hat he or sf wants pri9r notice. _ Signature: C ijti e c4, e( ' /�� tee,5 ( � _ 0 ' eC 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 if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferab a responsibility for adhering to n plying with the ESA. The Applicant has read this disclaimer an signs and dates it below. Signature: e fit!�'k-e.e- /f�% e ;.. . — r!% /U . Date: G PennitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc I • 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: -1-0WNA a- c\ Covntie4 Pk * game 'ilIr js (42s) 1 3 - IS55 ('tzs)142-43'3' MAILING ADDRESS: 110521 NWT{ 619. SM\AC.CI LAIKAW00a,WAEMAIL: — i f WWI'S Z ptY MQ,bi .4 C 0' CONTRACTOR'S LICENSE WAINS NUMBER: 1'oWNCPF EAR LT NUMBER ARCHITECT/ENGINEER: Teter.i Powt_ll PHONE (42S)14$1-L opt FAx:( ) " MAILING ADDRESS: 1?.°t30 tsk118'iji Type: Bathrooms:St l l�ood;vtv►11Li ¶WA EMAIL — Frame T e: Shoreline: Type of Sewage Disposal: Project Type:pt New xi Wood Existing: _ t 1 Sewer O Addition ❑ Steel Proposed: Bank ❑ Community System Total: T4lA Height: , X'Individual System ❑ Repairion/Remodel ❑ MasonryConcrete 12- ►S SEP Permit# - u ❑ Water Supply: 0 Other: Bedrooms: pp ❑ Demolition Existing: Setback: le Private well ❑ Two Party Type of Heat: Proposed: - ' ❑ Public o NE Total: — 1 5 O Name of System: If this is a Commercial Project you must answer the following:Number of Parking Spaces: Current: Number of ADA Parking Spaces: r Proposed:'� Proposed Number of occupants(includes owners,tenants,employees,etc) Current p Type Occupancy: - IBC T e of construction: Will you have Food Service? Yes I No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert 1 Hot Water Tank 1 Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No IL\ \ / When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. 4 H L y �- [ y .. Ya} Ai'mt)1.7 t74f::: at _ti j' r- cF' Square Footage Current Proposed EH Bld A Review:j Main Floor Heated 15�Q ,O Y-./ pp FE. C� �� SS ; Consistency Review: ,r� — 2"`TFloor Heated -,/ Other HeatedF 1`t'f n Base fee: 9 • tt51" �j Mezzanine ,r n• <1� 1 Plan Check fee: ' I I Heated Basement CI$O I. . SF� A Unheated Basement ,r �f�- �,�Y, State Surcharge fee: Other Unheated ;_ , 2, Pot Water Review fee: ___- Garage/Carport . SUBTOTAL I ( ( , r5LDOSF `"wt { PS �`� Decks _ 4t 911/Rd Approach fee: ,; 's�i , l 1l Other TOTAL $ I ci liti ' Receipt Number: 1 17S '...,:',:,,A Fr r t}, ,,.zy . Cash/Check Number: a g qqatt ESTIMATED COST(REQUIRED) Date: .Fair market value of a and materials foundation to finish ---- Initials: G:\PerrnitCenter\###FORMS###\DAD FORMS\Master Permit Application 5-29-08.doc . f • APPROVED Xfr5oIll NcooSTORMWATER PLAN � JEFFERSON COUNTY DEPARTMENT OF COMMUNITYOCT DEVELOPMENT 2 6 �10 . , , 621 Sheridan Street • Port Townsend • Washington 98368 1,,. (00 360/379-4450 • 360/379-4451 Fax lEFFER http://www.co.jefferson.wa.us/commdevelopment/ DEPT.OFrV � Y SIGNATti luIIIgf: =bt DENT STORMWATER SITE PLAN SUBMITTAL TEMP �'/ LAT MLA# 4l ) r a�L! PROJECT/APPLICANT NAME: , `h . Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site 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. map, the Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site ma.. • ... 5 •sF CV *OS �. . ' . ' • >, �. i .i, a • - i • •t: .• SSSSF- i ilk. ' A. I. IA., a. � . 2� __ iwr •, � �� at N Existing Conditions Summary 2. Describe the existin. to.o•ra•h . Indicate contours on the site ma.. e kb • - _ .o e. V�_ 1.. • )2•- ._.t _ lo- . . . _ - >t.� 3. Describe the existin. ve.etation. Indicate native ve.etation areas on the site ma.. • - • IOC rU • 4. Describe the existin. soils. Indicate soil t .e on the site ma.. C owv• 4J ` E 1C ._,�- Rr��wy1 In/ 1 . . , 5. Describe the existing site hydrology(i.e., drainage; behavior of water on the site—above, below, and on the existing stomlwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if a..licable,and indicate acrea.e of each. ground). Indicate 6. Describe an excess levels of noise •enerated b the .ro.osed use or activit : t% _ _•• 2 : ` u► s • ■ u_ Kell . , 7.: c,...„,...idiapo Storrnw' ilifrig stormwater site plan template—rev.10/21/2008 Requlr • • . . I „ 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. N o \kit- k an A S or S'tr.ecov S. Prim e r 'lots have a s110( 1!P }'Aa•0 Nna 1 1 o44.: c e Vne c SW\ w e.,s4 ss de. -5,' } aL, 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (sti-eams,Wetlands,lakes,steep slopes,etc.). *ZY "tS 1oCa� _ tull4AAL Sboct'e \CLre- &4M \NAVn 'SF 9. ,p�rc2�s •kAx cwr�.d:n ' o� �� e. NQf I.ssot?rl NQA, r . +• "Tla a s 19 ►s &cogs- es1. �irn rvt "� Yvt. RA 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. goo'- us)- Prop0Z4s1 bt u 181Vti: v ti 1k bc, to114tAed ivy a a.o...wAspotA.-k '5,1S-ktmhi Ve�V�e'D 4-�v�v icy BaS C hi s�2J for'\�nwn�{Af w►1\ 1ne iYtc:\Wrakd b vla et ( l 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.] 11. Descri a the performance goals and standards applicable to the project. • • d cA�nS-1-Yu�C.�iov� wkiCln will liwni+- t d'awlba�nG�. 12. Describe the flow control system. MINA 7. tN 11*, • • 6 stormwater site plan template—rev.10/212006 • • • 13. Describe the water quality system. The Ip„<��L si-4.e tiS r\ aY\d Yt&r a-�-�eC�i rt an j e�c►S�� c1ow oc S-koY retvoccl-C.i 14. Describe the conveyance system analysis and design. Pv'c c s e_ u Q rs -1-1) clowvss o�"\ ss)1 as kVA oc.kS 0 yt 5\ae dF pr. • . - 6.4.1 vn. siDyCmvoc.. +0 1oe, wv-cv tvti tcl \Oki rya-1�Ve, Vt &+ OVS. 15. Describe the source of fill material,physical characteristics of fill material, and deposition of excess material. f s; vY\a-1- y;0,1 r t_ede c . tJ o e.o r--- CXCess -Ncr,a.1 . C-0,n<sirvc,.14 ors 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. Crvove 1 (1.r:v2 iS 4.1..1 i✓ aria Pock Inn y o>Dns-finis -iov. w: be sc) \ a st-axxds. 17. Describe theloroposed surfacing material. E - i rrc, Grr v e 18. Describe methods for restoration of the site. 1^Ge arc, ?lawn- 4-o bw U e rt kop Q-4' C.u s+i ASS vave I ccri v-e n w So ,reS-}�rr�-}-ion of ve o� ;1.1 ovtl b _e done -P vteedPA. 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. Ni he:\ 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. rJo rep „rk s. fte We\. \ocfrnie Soil C rG.1.-tio+rts. 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. t,Cnknown 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. C318. is -fie. o,n 1\4 area o-c I and rLi W'ban CA has lot:on YAW'Uri wiAAA \n�S. 2. Establish Construction Access. Ex‘-s-Von. Grose \ dv\v Q -}-tN 10 e. (Asc.cl, as Cov.s-tw c 4-i v Eivfira t.GQ 3. Control Flow Rates. NI SAIYMwaAe r -to l e.ave, �ons'►w *i oY, s fie._ A\\ r v,yk-off v \\ b e Act 1-hcakel_ 1o_ f na-+-iy€ Wit+0.+iorl• 4. Install Sediment Controls. g/v1P CtoS - Cttos - EhJra C4 5r&P C.7- 4 - Ve9e.+n-k l S1vi p 5. Stabilize Soils. So,Is v'/ \k Inc ko►.bi ti e.mP c..i 4 - i44Ki eAti i;F n Sa _ 6. Protect Slopes. N o j o?eS +o ¶ root -- it Son vkc.-4-cAr-e_ w-142 4415 GC1Y�s'1Y v c_41 0 Y1 {o 2 ck . 7. Protect Drain Inlets. Nr O - 4to FYI C-Git i y Goh JV�G�lIIJC,e UV i 4-h►s ciovlS llr k c 8 stormwater site plan template—rev.10/21/2006 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. a v o Si b. L -0 9. Control Pollutants. Y Y v� Ova KCX 2 `A .255 " 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 1 A d W. 11. Maintain Best Management Practices (BMPs). 12. Manage the Project. be rna u w r_ 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 1 i S b lcS, • NIoo. b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 40 yards). 0 t YO ✓u.K • 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template—rev.10/21/2008 9 • • • b. Description of special requirements for working in or near environmentally sensitive areas. NIiA 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). NI one- Pns-} FoxrAt Coo firv��i Q r1 be unq b46 \ c otn 5. Construction Phasing. a. Construction sequence Preaf, ?e54 Aoles (Vovr`&H ov)t FrA164 i y/, k,oc,flyn, 1morlOy( GovtcX'Q Ac -�Ioor.v�a� b. Construction phasing(if proposed) N!a 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. — M;a ��+ � ) AI\ F.1,nnes crf. Co�t4Z-4Y'VO+ o n be-WQ V� Mid. .��1� ` \O II. Wet Season Construction Activities. a. Proposed wet season construction activities. Pyr o je c COWS*r mac. +_Q0 w \ 40 Q1 2 wee kS ,may,. WA skaY k as Soo" c-S p1V\t Vs QVA-ar<ed he done loth we (pct. l b. Proposed wet season construction activities for environmentally sensitive areas. b2 i511Lc1 wv\AA etc by c t prior -4-o n c*. 1 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. Pthh G Ma i'Ve b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. ?tYSon.Ct Inc 101 1 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. N`NA b. Diversions. N Ia c. Waterways. N 10 d. Runoff/Stormwater Detention Calculations r 1) )A 10 stormwater site plan template—rev.10/21/2008 • • • 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. 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 eason chanr ges, revised drawings showing any structural changes,and any other supporting information that explains and supports the Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities, l submfloita fnalw controrfactefacilities, , or(as burls)when control oB ctPs (not standard on-site stormwater management BMPs), the applicant 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. 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