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HomeMy WebLinkAboutBLD2010-00278 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD10-00278 SITE ADDRESS: 222 QUIET PL Issue Date: 10/25/2010 BRINNON, 98320 Final Date: 7/9/2013 APPLICANT: MELVYN J BAILEY PHONE: 208-610-1768 MARSHA L BELL 1532 ELLIOT BAY RD SAGLE ID 83860-8272 SUBDIVISION: PLEASANT HARBOR BEACH TR Block: Lot: 3 PARCEL NUMBER: 502155003 Section: 15 Township: 25 N Range: 02 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE & U/G 500 GAL PROP TANK in conjunction with a shoreline exemption permit (SDP10-00104) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 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 7/9/2013 \\tidemark\data\forms\F_BLD_Occupa ncy.rpt 7/9/2013 • Jefferson County Building Division Permit Numi: BLD10-00278 Applicant: BAILEY BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 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 7 IZ73 I( Minimum setback from Quiet Place right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from the top of shoreline bank shall be 30 feet. Erosion Control -}/ /Z- /7)-0 SEE CONDITIONS 2 &3 Foundation Footing 2- 1 1 l VF-(ro� 11-1.adr.Er�61n <.a4sx sS tPw(A? �.:t- ,<..,44..)- Footing Drains !L ti if 2--- i o Pe` Foundation Stem Wall ps71// ate_ ry v --J , LUnderground Plumbing r /oti 9.1__ f' a- c - 1 iiii.. # If 6• f 7z-fr- /Xi, / � � Under Floor Framing _it CZ Straps(hold downs) `7 6- / 177113 :°A/C • .I i J O'4 4* -1 4 Ext.Shear Wall Nailing j-l/ eV, sFg Rough-in Plumbing 7.1-6, i i jJ Framing g- / -/ / 6175 l O'OlC S 0-`C deed e 4r. Sc- 7 ! if Blocking 7_ ! / i Airseal 7. IL C Insulation:Walls Gi_G', / , ' \ Insulation: Floors -t:-I t PC 2- \D A-011 V tSQ N ""))///1/ Insulation:CeilingVIC' vl-Int. Shear Wall Nailin "� l� ea.D•v't L2 r- y' *V1 -S-cr., Nailing f' ( ` Us' �d cl J p-i--,4, Gas Line: Interior 7, ZS--• (( v pri Gas Line: Exterior G )V /Z / ;43 Propane Tank Heat/Chimney Clearance ) vk 1-v4_ G 4 9 / / 13113 l� Drywell/Alt Drainage , _/-L j SEE CONDTION 1 FOR DRY�� '/VELf/Sl Address Posted 6-�-/. _ /AV FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD10-00278 Received Date: 8/3/2010 SITE ADDRESS: 222 QUIET PL Issue Date 10/25/2010 BRINNON, 98320 Expiration Date 10/25/2011 OWNER: MELVYN J BAILEY PHONE: 208-610-1768 MARSHA L BELL 1532 ELLIOT BAY RD SAGLE ID 838608272 PLEASANT HARBOR BEACH TR SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 502155003 Section: 15 Township: 25 N Range: 02 W CONTRACTOR: TERHUNE CUSTOM HOMES INC PHONE: (360) 697-7000 PO BOX 97 POULSBO WA 98370 Contractor's License TERHUCH984MA Expires 7/1/2012 ( slx PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 120 GAL PROP TANK in conjunction with a shoreline exemption permit (SDP10-00104) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,059 VALUATION 323,383.00 �� ADD'L: 745 . / TYPE: HTP CODE EDITION: 2009 HEAT BASE: AT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: 12 #OF STORIES: CONST TYPE: 5N OTHER: 394 SHORELINE: CONST TYPE: GARAGE: 658 SETBACK: 30 DECK: 207 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 03313 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $2,242.55 LYK 08/03/10 119879 Exist: 0 Exist: 0 Plan Check $1,457.66 LYK 08/03/10 119879 Prop: 3 Prop: 3 State Building Code $4.50 LYK 08/03/10 119879 Total: 3 Total: 3 Potable Water Application $98.00 LYK 08/03/10 119879 Total: $3,802.71 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 7 am the day the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE ATTATCHED • CONDITIONS for Building Permit# :BLD10-00278 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.) A SILT FENCE SHALL BE INSTALLED LANDWARD OF THE LANDSLIDE HAZARD AREA BUFFER PRIOR TO ANY LAND DISTURBING ACTIVITY. APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO MAKE SURE THAT SILT DOES NOT ENTER THE STREAM. IF NECESSARY A SILT FENCE SHALL ALSO BE INSTALLED SOUTH OF THE 55 FOOT STREAM BUFFER. 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•ALL BE STABILIZED WHEREVER TRAIO WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROAD 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.) 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.) Silt fences or other sediment control devices may be needed during construction such that sedimentation off site does not significantly exceed predevelopment conditions. Standard erosion control best management practices (BMP's) should be utilized as necessary to prevent erosion and off-site runoff. Temporary stabilization might include silt fences and/or hay bails or straw waddles staked with rebar. Permanent stabilization might include replanting, mulching or gravel. 7.) Builder to Assure a 10 foot separation of Water& Sewer including stubout at home. 8.) 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. 9.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 10.) VOLUNTARY MEASURES OF COSTAL &AT RISK SIPZ: • 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 11.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 12.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 13.) 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. 14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 15.) 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. 16.) This parcel is within the Brinnon-Black Point no shooting area per JCC 8.50. 17.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 18.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 19.) The building height is not to exceed 35 feet. 20.) Minimum setback from Quiet Place right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from the top of shoreline bank shall be 30 feet. 21.) 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. 22.) 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. • • 23.) 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. • 0 ���`50N c0�, JEFFERSON COUNTY g� DEPARTMENT OF COMMUNITY DEVELOPMENT ti .. ^, 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax q"9N0As0 www.co.jefferson.wa.us/commdevelopment -trMaster Permit Application MLA: I 0 --Mil Project Description (include separate sheets as necessary): Coyn4;-yu_e.-- a_ 2- s-or vi 1�IA i 4Locj pcu+&A a /L+-- b- t- Tax Parcel Number: 5 O2_ 1 SS O U Property Size: A-.( - acre uare feet) Site Address and/or Directions to Property:2 }� 2 Z- Q4(L+- ptGC`.._, --BY 1 (\V\3 K1 Property O ner(s) f Record: Y'(.'. � � he l . Telephone:L2O�j) 2---(42s 3r;; Fax: email: Mailing Address:V.0 , $nx `11 Z. ` eA l� ( p Applicant/Agent(if different from owner): � (A t a . � Cuc � l�v-vb2 Telephone:'?,/,,:, - (P(-1--1000 Fax: (vO -(c A77=7 `ram email: Mailing Address: P•0•POK c'-j 1:26 c--,I)C)1 L - .01"�3---)O What kind of Permit?(Check each box that applies Building 0 Critical Areas Stewardship Plan 0 Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) Single Family .217Garage Cached Detached 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑Home Business 0 Cottage Industry 0 Binding Site Plan** Propane 0 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** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑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: SIGNATION OF AGENT I hereby designate --ref ku y,2_(,�; ,r,,� • ct as my agent in matters relating to thispplic�tion fQr,permit(s). OWNER SIGNATURE Date: 07—ao.- i o By signing this application orm,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 a equir-. - -r inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the a,,.Ii .'ion t :t he .r she wants prior notice. Sign. re: , i .� A 'Al . �� i f='. �'\ AVM . "" The actin r-a ons 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'toL ire in c iance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and aen rabl "s nsibi' for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Si nature: .t — !!! Fr M Date: 7 -7 1 [(� . ' cL� ! 1)'_ 1 ELi G:\Pertnitrenfer\###FOR M.C###\MT)MP MC\M,,..,P...,,,:,p,,,,l:,-. ,.,S In no A-- I • • BUILDER STATEMENT The signer of this stat does hereb certify that they are the OJsv'f the pa I referenced herein,that they-areTio used contractors and that they wit be ass ng the responsibilit of the General Contr ctorfor the proposed project. ._ Signa Date: GENERAL CONTRACTOR PHONE: FAX: —Tay WI_ AL CuS L nvt > S Cit 11-?(Y)O (- ) (�l(-- _ 6() MAILING ADDRESS: 1)_J 1_::l_J� CV-1 pow h6 Eaa' c.A ' \ 2-6--)0 CONTRACTOR'S LICENSE WAINS NUMBER: ��f k_kk.Q-V\"��1 6Q NUMBER ARCHITECT/ENGINEER: , PHONE ( ) FAX:( ) MAILING ADDRESS: - '"� � EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: A New Wood i ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 3 Height: X'Individual System ❑ Mason SEP Permit# c"'ci .-.C I" 4 a- El Demolition ❑ Other: ❑ De iY Bedrooms: Water Supply: Setback: existing=- 0 Private well 0 Two Party Type of Heat: Proposed: 3 x)Public A Total: 3 Name of System: F'lc z`.�.ci id ) ! c 1 pu,n_ TQ -i%,-i1 c, 1_..1,-','• If this is a Commercial Pr4•ect ou must answer the following; m er of Parki paces: Current: Proposed: Number of ADA P rking Spaces: Nu ber of upants(incl des ow , enants,a oyees,et urrent opo ed r IB O panty: IBC Type of const ' . you have Food Service? Yes / No If this is a Propane Tank and/or Ap liance Installation permit,mark all items below that apply: cl,Onderground Tank Above ground Tank Size Of Propane Tank: I 7-(31 e tovo -1-Gook Stove Woodstove LJ Fireplace Insert 1-I Hot Water Tank i Pellet Stove i Other _Is t "s a.•Ii• • e be I • installed in a M.;_actured/Mobil-,,Li• e? Ye 'n W . .'lying for• permit to i•= all a pr•pane tan •urn•st als• ub • a site . . s owing all • e • ildings,all . ••. •• -,tank locati• and " •,distances om .• .ropane • • o all pro.• nes,buil.. • and septic •mponents, cluding the rese •• area. Square Footage Current Proposed For Office Use Only, Amount Revision Main Floor Heated EH BId App Review: r (. 1.4 I Sao �v 2fd Floor Heated ;' Consistency Review: f 1 4 s. Other Heated' Base fee: , c 73, 3O � `5 O 11 Mezzanine }• 4Q1e- iii5 Heated Basement _ � y Rim Check fee: 11-53•(4o I i 1() � t State Surcharge fee: Unheated Basement --r�/s 1 ., g /L Other Unhea d • ' s .l };�:; Pot Water Review fee: I . , Garage/Carport Y ;' SUBTOTAL Decks � _• , 911/Rd Approach fee: V� ,Cei(0_0V.e✓2d) t` �Other . TOTAL: $ 23 I 1 Tie. C t 32? ift. �, Receipt Number: I ) I U--iq i• i:13(ir • Cash/Check Number: G3 2 17--- \ wl a ESTIMATED COST(REQUIRED) Date: LI_'1.. •Fair market value of all labor and materials foundation to finish Initials: G:\PerrnitCenter\###FOR {S###\DRD FORMS\Master Permit Application 5-29-08.doc 1 J • • ifds JEFFERSON COUNTY if * „„tiri, DEPARTMENT OF COMMUNITY DEVELOPMENT 45. , . 621 Sheridan Street • Port Townsend• Washington 98368 360/379-4450 • 360/379-4451 Fax http://www.cojefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE IIIP MLA# �� PROJECT/APPLICANT NAME: t l e 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 s'a map. i __. ter' : - irk i _ -` 1• �l� �' _ ALIM111111111111111All Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. < 101 IV jr L., '^ Y \o I_, ��I I. > 3. Describe the existing vegetation. Indicate nativ9 vegetation areas on the site map. I • r �r , <i ar - _ �.► .4 Y 1,--) C�YI . 4. Describe the existing soils. Indicate soil type on the site map. U a 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. • • 6. Describe any excess levels of noise generated by the proposed use or activity: r���t" '� - .' OtT 2 5 !818 stor : Ito/l �� stommatersrteplantemplReV , ,' JEFFERS• ►O DEPT.OF C• �F.to ENT 5 I rSIGNPAT11 R rir4r,,, s .� • 1 • • • 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. i i.r4,pr I lZA , S C klA c�a1-t- LLy- .-c 8. Describe the general vicinity of the site,including adjacent land uses and structures,utilities, roads,and sensitive/critical areas (streams,wetlands, lakes,steep slo es,etc.). ')Cic-,i-iv1C` 7r'f, \t` t ��oa_ik C i.ei ' Vm_s- C 1 U. 4 c; c, Jpi r: () r -) ,, �. x G*- Lk`)( -(-eA C3)/ M IN(k t'\ 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 oposed facilities from exi ting facilities. W Q... �. L _ i - , .', car v.e,i_ - 'V' - CVVG�.�v L L,\ - - ti- 0. -�'L t cq.e� c,- �Ac2L e - l o..Q LA• C. L L rcc 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.] ` (,-k-- c._ V,Ci i -co } U k4A41 \ c)rc c J, (- - l v v j ,c)P v A1 r C-1( . ' --,c \._4 A-C.t 0 C . 11. Describe the performance goals and standards applicable to the project. pc 12. . ,Describe the flow control system. xi.k.'3 Q___ L.1 ` ,.--L-L__ S, --e- 1\E.--krt l l V '1\Ci (L ( Va ,)llic)--e t ---c&-r- CO O c c:\\/(-- ' VAC(c f Tr, stormwater site plinditemplate g tiiv.1Ur120 3 s • • 13. Describe the water quality system. 14. Describe the conveyance system analysis and design. 15. Describe .= source of fill material,physical characteristics of fill materi. and de.osition of excess material. 16. Uroposed methods of placement and compaction consistent with the applicable standards on Uniform Building Code. Appendix Chapter 33 of the 17. Describe the proposed surfacin• material. _ 18. D-scribe methods for restoration of the site. }� ' -t a:�r ' G C C. \ ■ 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the here. (This is normally required for Manuals • 20. List here and include any special reports or studies -d to prepare the Storrnwater Site Plan. 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions restrictions here. PP als include or stom water site plan terrplate—rev.10/1/2003 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. e 2. Establish Construction Access. Cy a P C�llS-e C ( t 11S to CA y'-C` rya.. CNV r s t_4 t v1 . 3. Control Flow Rates. \ L A-�� LL tom- �'1��1 I l�, ` it I >✓1�.�% 4. Install Sediment Controls. . :__, L t v,.- ,A. >'s_L c L <7� t1/4_ t_� ; lC� C b Lol V- 1.')r-xxv (. CN1 LL1 I 5. Stabilize Soils. C1` f k Cam:,.c l c e L Z`;k „ 6. Protect opes. `( 7 Pr ect Drain Inlets. - t/ ��� _ ,� k �. �,—� C 6 V Ly«) 8 stormwater site plan template—rev.10/1/2003 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Oi,tiits, "at-c 9. Control Pollutants. 10. Control De-Watering(the act of pumping gro ndwater or sto water awa fr an active constructio s' 11. Maintain Best Management Practi es(BMPs). I , 12. Manage the Project. Ic--) —DI Lit v L 0 ---- CU/ 2. Adjacent Areas. a 1 ir ti. 'IL 4 r ' U L c- a. Description (of the adjacent areas that may be affected by site disturbance e. ' + y areas,roads). g., streams, lakes, wetlands, residential b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum• distance of 400 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. i stonmvater site plan template—rev.10/12003 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). \ \C) Z- CL v C .rpA 4 a 5. Construction Phasing. a. Construction sequence r b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed constnjction sch ule. V A . �► � t�V .At.L L1 II. Wet Season Construction Activities. a. Propose t season construction activities. ( � �C ye:\ 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. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. {� c. Waterways. \mil l d. Runoff/Stormwater Detention Calculations to stonnwater site plan template—rev.10/12003 SECTION 11—EROSION AND SE• • ONTROL PLA Sediment and erosion control measures may be depicted onNhe master land use the following are e application plot plan,a stormwater site plan,and/or a separate Construction SWPpP site plan. This is a checklist to ensure that 1• General. depicted on a site plan: 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., d. Identify and label areas of potential erosion problems pasture areas,etc.). 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. pp cable). h. Label final grade contours and identify I. Delineate areas that are to be cleared and g adedcondition drainage basins. 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• Show temporary slope and cover for alli drainage temporary d. Shows grades,dimensions, p rY pipes or call out pipe inverts. quired for erosion&sediment control. 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 de 5. Erosion and Sediment Control Facilities. tention BMPs. a. Show the locations of sediment trap(s),ponds ,pipes and b. Dimension pond berm widths and inside and outside pond slopeSures. 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 outletlnlet. 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 strwinctural practices used that are not referenced in the Ecology illustrated witha detailedA drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs Manual should be explained and sediment(e.g.,concrete wash water). to be used for the control of pollutants other than 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 th e project site. stormwater site plan template—rev.10/12003 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. 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