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HomeMy WebLinkAboutBLD2010-00283 • • 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 #: BLD10-00283 SITE ADDRESS: 481 BISHOP HILL RD Issue Date: 03/30/2011 CHIMACUM, 98325 Final Date: 11/3/2011 APPLICANT: COLIN M PERROTT TRUSTEE PHONE: 360-732-4915 PATRICIA PERROTT TRUSTEE PO BOX 969 CHIMACUM WA 98325-0969 SUBDIVISION: BISHOP HEIGHTS LARGE LOT Block: Lot: 11 PARCEL NUMBER: 901355014 Section: 35 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NEW DETACHED HEATED GARAGE/SHOP W/ HTD OFFICE & BATHROOM THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON11/3/2011 I:\F_BLD_Occupa ncy.rpt 10/29/19 Jefferson County Building Di• ion Permit Num.: BLD10-00283 Applicant: PERROTT TRUSTEE 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 12/9/2010 Setbacks Minimum setbacks from Bishop Hill Road, Kevin Lane and private ingress/egress easement rights of ways shall be 20 fcot. Minimum north and south property setbacks shall be 5 feet. Erosion Control SEE CONDITION 2 Foundation Footing 3/9/2011 Footing Drains Foundation Stem Wall 3/9/2011 r Underground Plumbing 3/9/2011 ', Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing Framing Blocking Airseal Insulation:Walls 7—tat-LA 2Q Insulation: Floors 3/9/2011 Insulation: Ceiling Int.Shear Wall Nailing Wallboard Nailing , C Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage _j�I SEE CONDITION 1 Address Posted i i-3-t l FINAL INSPECTION97. FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR MLA10-00302 UILDING PERMIT APPLIC4ON Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00283 Received Date: 8/5/2010 SITE ADDRESS: 481 BISHOP HILL RD CHIMACUM, 98325 OWNER: COLIN M PERROTT TRUSTEE PHONE: 360-732-4915 PATRICIA PERROTT TRUSTEE PO BOX 969 CHIMACUM WA 98325-0969 BISHOP HEIGHTS LARGE LOT SUBDIVISION: Block: Lot: 11 PARCEL NUMBER: 901355014 Section: 35 Township: 29 N Range: 01 W CONTRACTOR: GRANT STEEL BLDG STYSTEMS, INC PHONE: (360) 379-3236 75 HAADA LAAS RD PORT TOWNSEND WA 98368 Contractor's License GRANTSB973RA Expires 12/1/2009 REPRESENTATIVE: GRANT STEEL BUILDINGS PHONE: 360-379-3236 MARK GRANT 75 HAADA LAAS RD ( n / 'O '-/ ) L( 3/ PROJECT DESCRIPTION NEW DETACHED HEATED GARAGE/SHOP W/ HTD OFFICE & BATHROOM TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,000 VALUATION 263,207.00 ADD'L: 660 HEAT TYPE: RAD CODE EDITION: 2009 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 1_ Total: 0 otal: 1 t-- Routing Date: Type — Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,912.15 LYK 08/05/10 119893 APPROVED Plan Check $1,242.90 LYK 08/05/10 119893 State Building Code $4.50 LYK 08/05/10 119893 MAR 2011 Potable Water Application $98.00 LYK 08/05/10 119893 Jefferson County Planning Total: $3,257.55 & Building Department CONDITIONS for Building Permit# :BLD10-00283 1.) Roof runoff from the garage will be tightlined from the northwest and southwest corners of the garage to meet in the middle of the west side of the garage and tightined into a 1500 gallon rainwater collection tank for irrigation. 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.) This permit does not approved for additional residential living space in the garage. Additonal septic requirement will apply if the garage/shop is intended for residential or sleeping room purposes. 4.) 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. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) 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. 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) Minimum setbacks from Bishop Hill Road, Kevin Lane and private ingress/egress easement rights-of-ways shall be 20 feet. Minimum north and south property setbacks shall be 5 feet. • • 10.) 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. 11.) 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. ON CO 0 �4i JEFFERSON COUNTY ' DEPARTMENT OF COMMUNITY DEVELOPMENT '1 621 Sheridan Street• Port Townsend •Washington 98368 • �$ 360/379-4450. 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Cs Master Permit Application ;,,, _ 5 J- MLA: ( 0 3 57 Project Description(include separate sheets as necessary): tZ-1t)WA,b(77 Af c)F" 2000 41 PPsi1)41/r'i/1(.- SWOP WITH SOC)S," Oi-Hut Arit) iwesr• Qit/Wleoeq Tax Parcel Number: 970/yS}0/y Property Size: 8, 3C1 AC- (acres/square feet) Site Address and/or Directions to Property: 9✓ iJimor ft/cL. 44-1 cii,,m(0/1 c 4 I,rf'3 L,.S Property Owner(s)of Record: Ca/Al 4Ni) 4NA1 f211.CL. T"— Telephone: '(,'Q" 732 - 4'/13 Fax: email: Mailing Address: -S"/i"/X: 41 4-dOV6 Applicant/Agent(if different from owner): !�f//ik Cirlfi�`/>,, G�MA/i.S/r c-{3v/u'�MGS 4--At)ta/.l .R Sr,),,4 i-Ak. Telephone: 36,0-31'l- 3 Z34v Fax: 'le,C,d 7 7V-6.74,7 , email: ei recN c ()/y, t,cs.AA:6 Mailing Address: icff44M L.,M.J t / 4i T0L,1rv.. ), 1,d4 44'16,-' •J J What kind of Permit?(Check each box that applies ❑Lot or Road Segregation J$''Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit s' / 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family %Garage Attached/ietffl, 0 Conditional Use[C(a),C(d),or C]*'` ❑ Manufactured Home .0 Modular - 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address ❑ Road Approach 0 Short Plat** ❑ Home Business ❑Cottage Industry ❑Binding Site Plan'"` jil Propane ❑Long Plat** ❑Sign - ❑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* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: N/4- DESIGNATION OF AGENT I hereby designate N1//tie. iL. OMIt , to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE -t 4-rrgc.//4: LKJr' t 0G /'/ZrAideel enriCA! Date: 7//2-/Z0 0 By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required I inspections. Staffs a ss and right of entry will be assumed unless the applicant informs the County in writing at the time of the appli ' n t r she w s rior Signature: Date: �/Z/ZC�0 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 a mpliance wit the Je ers County development code.The Applicant acknowledges that he,she or it holds individual and non-transferab re o ibility for enn an co ying with the ESA. The Applicant has read this disclaimer a sig s and dates it below. Signature: t Date: 7/f 1✓f io/C1 • • 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: G iiQe -Sala- /301AdAk4 4110A ClNt/1 1/Z .Sr,S.',er1.$J iti't. (.9)3y%-3L.3(o (=lc) 37"1'(;.,lr✓7c,, MAILING ADDRESS: I 4'/$t> L. 4.s Pi>,to/ r/T w"a 9J'3' Y EMAIL: cratie3c,p2C/y:�f'cu.Ale& CONTRACTOR'S LICENSE , ^ WAINS - J NUMBER: 6,01ao%J/3`/7SJC/i NUMBER ARCHITECT/ENGINEER: 4.4, ,x, or c-w r PHONE ('fit)3t5 //v2_ FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: $ New ❑ Wood Existing: 0 ❑ Sewer ❑ Addition X Steel Proposed: r Bank ❑ Community System O Alteration/Remodel 0 Concrete Total: / Height: $ Individual System O Repair 0 Masonry SEP Permit# g3-C70Y2- ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: li Setback: 0 Private well X Two Party Type of Heat: Proposed: ❑ Public gAimV+r,n/kec�r Total: 0 N14 Name of System: • If this is a Commercial Projectyouu must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed • IBC Occupancy: IBC Type of construction: Will you have Food'Service? Yes / No • If this is a Propane Tank and/or A liance Installation_permit,mark all items below that apply: 1 Underground Tank 1 bove ground Tan Size of• •• - Tank: 'L i. --QP ice Lac--It4t.i 1 Heat Stove 1 Cook Stove Woodstove 1 Fireplace Insert I of Water Tan 1 Pellet Stove 1 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. ., '• K .- Est f x,s y 7' . ff Square Footage Current Proposed Ace l# :�`�',�,.,.. ... 'saktul ° _ e isionf •P .a Main Floor Heated ram, EH Bid App Review: 773 2"0 Floor Heated A Consistency Review: f ' � Base fee: I Other Heated l ctl c) 15 `t' R Additional Section: Mezzanine (p(�C Plan Check fee: Heated Basement �;.�; '��a,�(� ;. =4,s - State Surcharge fee: Unheated Basement /L Other Unheated :r. "s-:.,. Pot Water Review fee: .- Garage/Carport - SUBTOTAL Decks * 911/Rd Approach fee: _ ek.tsi l Other , . TOTAL: $35g s Receipt Number: G Cash/Check Number: Q ESTIMATED COST(REQUIRED) Date: 3L.: sni- - •Fair market value of all labor and mate i`s foundation to finish I/ /5 5-i 600 Initials: stolvot APPROVED Required STORMWATER PLAN k��4SON c � JEFFERSON COUNTY MAR 3 0/ ti a0! 1 DEPARTMENT OF COMMUNITY DEVELOPME T 1l,, , 621 Sheridan Street • Port Townsend •Washington 9 36R JEEP n /NT 'T� � 'DEFT.OF C./ 1 , is �O 360/379-4450 • 360/379-4451 Fax s[cxnrt;R. / •� ELOP, ENT �iINO http://www.co.jefferson.wa.us/commdevelopment/ _ �rl�!!�: /,Jt� 4. • STORMWATER SITE PLAN SUBMITTAL TEMPLATE rt.1r✓tv-i s';toe 111.4>-Kcr MLA# tt PROJECT/APPLICANT NAME: eIx.fAi 4-.AJ 011ti4V if7pp/[Q/ 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,La,nd Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the s4e. Indicate position and relative size of proposed improvements on the site map. TO CC J r CT /it Z/000 S, ,R4-a/C-f ziiCC0 .C/}a f' i'w y4✓r✓(, C,.1 iTi/ R &ta) S• uti a 4ev(- 'fdA4da'. fib -rot ccrc c 8e, go/Li- 4T 7/ic jV-(Tuu , ,d/eiv✓c.2 * Cd Lir, 94J 4NA,' / eggor, cJ iQ11 iS Ci,✓siYlOC-fll) G/t/ 11 r 3 At i-�citr# �`��o/V / c ,/v.� s Dli'r�L.h/4/J/ � 4/cING sixe4u / B Existing Conditions Summary 1 0 _z 2 S • 2. Describe the existing topography. Indicate contours on the site map. jC p �v pp i# 11 L1tf l .0(., rot'0 U/2I4fit 1 i f 4-TTi v,QGY Pop— 4.0 ii7t &29j V C,/4A14-4. JO APR U C Q H4)(/tiorf, ritL a,.Jsra vGT/o v di/i ,q,v2 LA ifr,44- / $✓i i J(/ /ids 77},s sr '6- 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. - 1?2 t//.Sr/'4- 'VGG/T/T/dnl i5 eorjf'4/.S4, OF 1.147il4.L COiv,Gitiii /9i✓A b/Eaki dcis 71.42( L. i rii //k7 PA- uNpti1 "T[1 it) /A: s4 4-z. g/l ush, I i.- 4. Describe the existing soils. Indicate soil type on the site map. i M- i'/LQF/L.L X /14--_1 d4N S)//6/1,4✓fz.c- ccu,,/ c-rdr/J A i-h iN (-,�14IL o i _ d iakevi c ro P3 m--. r/I,. son- is fc q' f4k-fiA6ct 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. 71k c c/7k. ,.S Co C/? 41-1-10)4- rffit /f/Gi/mil' P,1-4/ cG 6:,if/iP y✓a.. R04-6 uii!t c'e rrciL.- /Y/GM1-/"4- Si011r t.v4 gel_ . A.0 'Jr4,v ,,iA_ W-1-i' /s 1-00,2 1/, 6. Describe any excess levels of noise generated by the proposed use or activity: — /1/04/1/ft- i /1;c6 Nd isi, £,>AiL-- 414A.0ircfVi4'i✓4 T/K,t L /5 No ix/6.11/ A.. IN #)0,J/L LA v,1C>J jt-T IA/iGt._ at P4/11-l//NA N/ stormwater site plan template—rev.10/21/2008 5 V .••.... • • 1 f 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,rill- on the site. Indicate location on the site map. rill AAA- NG at 4 C.t/t 4i i.' !- rv/l/i.d a,- C41 r/ i 1,4s , 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.). TIlL- , r,r� ij /i/,2T of '77j•Z Z et)riot: I:3 qr !'�•>°•r/ik/v;rrdt 0r(7- /J,f.cNU/.44- ID e&_/.1.) ot.tdi3 A7VN art4O' k Ci-f g(f4'-1 9[ cvct rft-A- JG:t- �,EF/.+/. Q! xfoiyor //i't ,/a4d . ThL xix)&1' /.y C¢/vixiecci Lc chV i Tz i4I ggetviciL ✓il c fa2..f qitit) Otitir 4 ►At;(..t,,rr Av 9 /ti fj 49f A-u,t #e.04Z 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. A2cr Aka /s %z' TH/t ,rrP.��✓ors f/f iL� 7 , �ti i,, 41;" A., A r,� F. ivk .c. d /�/i U c IJA/s '•��ri AI*- U1 c,!/G 1. . I r ,<3�'�"/WI 51, f 1 i��. ��It1�.' �L...•l e. •I '. I i • 8 a'I I'1 • �.,•, COW ,.l . „_ 4D a /5OD 6/ O ) COl'•c 10. If the project requires th8 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. Describe the performance goals and standards applicable to the project. •T1fw- A41- & ,s '-if7 L r 1/1 r rD reit.. R,4SionivtA- "V ck,d ?"d PAiejeicv'.. 1 tt NTh4i4-C a2vA i/frT i;rr ea,e44 -Zy . 7 r 12fit ( 12. Describe the flow control system. u' _lj,c.P t wl t.✓ 41).c c eft- A C/t//t tri.L1 SB-v,LL.v G, Tel- /Z l6/' w1q-T•t/-- Q "its- N cJ Vr?,.r/}i/a1/ stormwater site plan template—rev.10/21/2008 6 • • 13. Describe the water quality system. -74/2 i t-c/4 c. i4i1/1) sc/ i, cJ,ci- e. 41,11-it, Tv 9er 4 N*ra4f-( - ti vrit,4fi Or✓ 9/14J /4/H.c,r,(, V . y 2- 04 4-40 c /1i-iW4l ' i,5 Af%/dr-te ��V/1i.4.y, 'C►xCi9i/gy-/ J d—t) 840/Critr,c) 41i1,30,)4 7/tc. 70,13,%a✓ci/,�,>J ,t,�L l 70 N tee J/O, C. ,9q; ,vb iif,C ff/L,:y4,Tl.4 rst 8(.4cjW.V 41- I4Cp-Fr�(: 14. Describe the conveyance system analysis and design. %Si/4- 4,J, Li/44- it # / 15. Describe the source of fill material, physical characteristics of fill material,and deposition of excess material. 4f 2",c,.�li l' -Cy cc7 or Cv;Micl¢cr c4) 4 -,uN o a-1) c dS11,(J Aec,C c)JIL 1,74- Agc€ /r- 74-x l'oe c d,.c,lc- rod-d 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 604-6 Jct P,¢h 4)64- (?4v 4- a. sciLi3rZ AT "/.5 c/7`it.. /77' _ iied.A Ae 4.),cL 47/z face Li/m/F 4 /0,1, M 7/t4c oA- /INA uMAI-Lid-0 Will/ 4 ilfav/ V/i144 4 / Iec)6C4/1, 17. Describe the proposed surfacing material. Gass T d-1 ,0 L y 0C- 34 "f/,vVS C2c L.C# ,6 zc CK [.id c c. �',c_ /14-(A-6 /7-r 7'if2 ,-Nr/r.i-cti-s Tv Try c/9 c-iL Z c GYMS a v' i it/t Sc u i ff 1t-i-X-04-77 d Al 18. Describe methods for restoration of the site. oftc 4-T d,/ P Lk- Oa c, - d/ R,.i.e./¢1S.4.,t- /,vl) 8A-C4 FecL G✓,rii 4 /-1/- G4 V,9-TLPA ,q,,t:i) /j,qV 49gok 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. N/4 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. Nfr 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 ANk) 1.-10,01F-C/j7-iOr✓ OF 4usPi.G- d J ,.s YJ/d( 1 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 v“`` 'lie addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at Volume II Section 3.2.3 of the Manual (beginning on page 3-7). 12 Required Elements-Construction SWPPP 1. Mark Clearing Limits. C Lit`*sri%&- 1-{d1ITJ t,trci- ell-- f'/4,UCE6 In/ 4/(4.1A-t- - f1,N6-r tie,C 4I ' i4i L -rift c i TO 4,4 4/7/2vx•'iiacY zo' Lis O (Y41,V f/(J.t1•L 5 , c` Aim erff / f,E4-7/ d va,e f r 70' .s r aL /N hw s,f.. f 4,0) SOO-,f- 7 2. Establish Construction Access. Js 603r OFF 04 Lvd!✓.0..4 y dicI J 24.1,. ,Q/2 /A iA;c 3. Control Flow Rates. Aft 4 .tijc,,,t A/L/.vJ k1" 1A/¢cc./ 7Z -1'u/1il c 'AJ/ '.j �lf1e���9r��.c at•Vi r 4. Install Sediment Controls. Vita r/1Tiva - OW s (8495) 4.1/1 _ e, ZST.�}dE/siye,s 1jv,z vc •7 /L, G'rL47?' ,Cr f- C9Lc'98/4J - "40 64.1A 5. Stabilize Soils. tsuk # y - 6. Protect Slopes. A.VR 7. Protect Drain Inlets. AV/I stormwater site plan template—rev.10/21/2008 8 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. NTg 9. Control Pollutants. Do— (1v4.f11gr co N1714 cat 4,,b'C- t .vt)14-,N .0(-1/c( fCIT -114a.,641vu7 771.t, c.- itNCr Get tiC, givi� Q � (Aaotis 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices(BMPs). 1/kG/ 9ri v t. dais 4, dt.A •Ttek rem/nuT . cif- 77.0 K'fczc7;c/2 a4k14./f/.<-' t TII/- 7-<d9i G/icc. 34, u? . T/fe212 ,gEt/z.-1s 4detc- c74- f'ci�/1h RAck, ftitci u ith rrfic FiUz,r/ .ct c 7l,,4 , .,1 6r�uc;�mpt 12. Manage the Project. /% <State- QU/c-6/4/64,1 $.t h Zc1it)(ic12 s13701,95 r /AA- 4.Yb ('M ', T 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 71t4 NCc✓ .3 tk &.ut- c,✓/I' 8.0 t"c v:.r//wc/4, 047;4- 024'i 70 tbQ- c'wry(4-1 /6'/S�i.✓c- /' S/v w . b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). .N/ft 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. N/A stormwater site plan template—rev.10/21/2008 9 • . b. Description of special requirements for working in or near environmentally sensitive areas. / 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils (e.g., erodibility, settleability, permeability, depth,texture, soil structure). ✓/R 5. Construction Phasing. a. Construction sequence C'c4A-4J/Vt'- cif-tied/AA— P416 4"..faY /20vVMflA\) srea c-44.uptV(/ ( -) S/tL I/Akf/c(_ v;,J Pm'if /MMit/mot 2tr/G�li�A-) b. Construction phasing(if proposed) N//1- 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule.. -si* r s/'Ta. c,J°Alf A,l(}}ov4) cJ/i/2o i a , 4'2 co N/'v2/ rfn a "k r k',.,()17- +A1 122,40cn(i A/lcv,A /6///20/0 II. Wet Season Construction Activities. a. Proposed wet season construction activities. Q i<o.J au,(.4,•vv /Xi&'TR/4A_ i /Io r-( L-/G/yr 4-41 ciC- OA- Fccr b. Proposed wet season construction activities for environmentally sensitive areas. /t''/4 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. /V/9 b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. A lit 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. / b. Diversions. j✓ 4 c. Waterways. 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. 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. 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