HomeMy WebLinkAboutBLD2011-00031 I
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#: BLD11-00031
SITE ADDRESS: 595 SHINE RD
Issue Date: 04/14/2011
PORT LUDLOW, 98365 Final Date: 1/17/2013
APPLICANT: ERNEST E EMMERT
THERESA M EMMERT PHONE: 206-447-7727
18541 61ST PL NE
KENMORE WA 98028-3201
SUBDIVISION:
Block: Lot: TX 7+
PARCEL NUMBER: 821334015 Section: 33 Township: 28 N Range: 01 E
PROJECT DESCRIPTION: NEW DETACHED HTD GARAGE/SHOP
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 ON 1/17/2013
\\tidemark\data\forms\F_BLD_Occupa ncy.rpt
2/11/2013
Jefferson County Building Die'Igion Permit Num.. BLD11-00031
Applicant: EMMERT
,, BUILDING PERMIT INSPECTION APPROVALS kpplicable 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
10—I(
Erosion Control ljr) y- IZ i-77
Foundation Footing --10 _11 9jti D i�
Footing Drains 7—.23-
(( Pr6
Foundation Stem Wall q _
O Iit-
Underground Plumbing -.l ) _ G i i/ z i,C
Straps(hold downs) /'// / '�
//Ext. Shear Wall Nailing ,1[, 1( (,---
19
Rough-in Plumbing 4',L --:--
Framing —dig/a
Airseal 5- -3o--/.. I�/�,
Insulation:Walls S' 3o--f Z., �)
Insulation: Floors Lk/-/l 6'n s/6
Insulation: Ceiling S /Z
-3o- — !J L Ka
Wallboard Nailing ! •_
Drywell/Alt Drainage
Address Posted O 7—/2 (Z- )1)C
FINAL INSPECTION :—16 f i3
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
11-000024
BUILDING PERMIT APPLICATION MLA Revviewiew Type:
e: I
pe: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00031 Received Date: 2/8/2011
SITE ADDRESS: ( "1 SHINE RD
PORT LUDLOW, 98365
OWNER: ERNEST E EMMERT PHONE: 206-447-7727
THERESA M EMMERT
18541 61ST PL NE
KENMORE WA 98028-3201
SUBDIVISION: Block: Lot: TX 7+
PARCEL NUMBER: 821334015 Section: 33 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW DETACHED HTD GARAGE/SHOP
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,054
VALUATION 203,243.00 ADD'L: HEAT TYPE: GEO
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: HTP
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 02043
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop:
Total: 0 o al: 1
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $1,576.15 LYK 02/08/11 120440 APPROVECi
Plan Check $1,024.50 LYK 02/08/11 120440
State Building Code $4.50 LYK 02/08/11 120440
AP-2 ILI 2011
Total: $2,605.15
Jefferson County Planninr
& Building Department
• •
CONDITIONS for Building Permit# :BLD11-00031
1.) The road approach permit(RAP11-00005) must be inspected and finaled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the
final road approach inspection.
2.) 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.
3.) 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.
4.) 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.
5.) MANDATORY MEASURES FOR •STAL 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.
6.) 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.
7.) The project shall adhere to the Best Management Practices (BMPs) 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.
8.) A Stormwater 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.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
10.) 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.
11.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
13.) The building height is not to exceed 35 feet.
14.) Setback from Shine Road right-of-way is no less than 20 ft., setback from SR 104
right-of-way is no less than 8 ft.,side and rear setbacks are no less than 5 ft. If an
environmentally sensitive area (ESA) is present, then the more restrictive setback shall
apply.
15.) 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.
16.) Lighting fixtures shall be designed 1 hooded to prevent the light source from ipg
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.
�SoN co
� 6 JEFFERSO OUNTY •
rz7 � DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�tqs c5 www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: I 'g4
Project Description(include separate sheets as necessary): /,Vit 0£7 4 ? 1Cr) G+l2 € / Sfio o 17'447C� L•-( Fw7-oftoo34n
Tax Parcel Property
Number: S a/ 33 `7, d/ s-'� Size: 2,63 atk ///9' y3) S,4acres/square feet)
Siit!tee_,Address and/or Directions to Property:
(i1C 7- ,4 a t, 60/ .Sty2 v� .C�ORi) ¢ Ywr, S�'7? , Cf.•7Err 25/
Property Owner(s)of Record: �,p vts t-- e, ( 7NC1-cs�t fl CA 2m
Telephone: Z b6 - 32/ - .58 /3 Fax: 2v 6- '1i 7- 77z 7 email: e�h P r�e. Ca h Sy,,�
Mailing Address: /8T y / (�sr Co.,�
/�Go� niE 1�i.Enirr�ve� L/f+ C�6�
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
`Auilding 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]**
❑Single Family 54 Garage Attached etached 0 DiscretionaryD"or Unna a�;UtE'ql 1 E I)
❑ Manufactured Home 0 Modular 0 Special Use(Essential Pu cf �iltt es) p
❑ Commercial* 0 Boundary Line Adjustment
❑ Change of Use 0 Short Plat**
❑ Address 0 Road Approach ❑Binding Site Plan** FEB 0 8 20i1
❑Home Business 0 Cottagelndustry 0 Long Plat**
0 Propane ❑Planned Rural Residential Development(PRRD)/Amendments**
❑Sign 0 Plat Vacation/Alteration** �'�}�, p(�f(}l I{+��'�'�1 {�((`�(�
❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program E ( fitinlf�C�likldnS��slt
❑Stormwater Management 0 Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance
❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
❑Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request
*May require aPre-Application Conference **Requires a Pre-Application Conference
Please identify any other local,state or feder -permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable 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 applica; n tote pr the wants prior notice.
Signature: ( (�— Date: 2—3
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-transferable rsibiljty f r a ring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: t� 2-3 r Z o //
Date:
C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
• 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: 6'/gt` 6/po Date: Z 3^ a c i j
GENERAL CONTRACTOR OR MANUF C(l TURED HOME INSTALLER: PHONE: FAX:
( ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: -\,,, PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
P' New >5, Wood Existing: 0 ❑ Sewer
U Addition ❑ Steel Proposed: / Bank a Community System
C1 Alteration/Remodel ❑ Concrete Total: / Height: a Individual System
LI Repair 0 Masonry SEP Permit#
/0—/z f
0 Demolition 0 Other: Bedrooms: Water Supply:
Existing: 6 Setback: [I Private well I 1 Two Party
Type of Jt: Proposed: v f )l4 Public rt
yp Total: 2 2 c38 Name of System: Pu° I
Hi- P OF .JE 4 cea S cc., Cv�,-Y7
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
❑Underground Tank 0 Above ground Tank Size of Propane Tank:
❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 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.
Square Footage I Current Proposed For Office Use Only Amount Revision
Main Floor Heated c9b5� L 73 EH Bld App Review: c ,F12..:^ ,r
Consistency Review:
2na Floor Heated 031 e�-Q
Other Heated Base fee: r7�
Mezzanine �j it Additional Section:
Heated Basement 1�j Plan Check fee: n
Unheated Basement __1j State Surcharge fee:
Other Unheated 0. Pot Water Review fee: (),-)1
aT-
0 CGara�Carport SUBTOTAL
Decks 9011/Rd Approach fee:
15.
rd
Other — t TOTAL: $ aL 15
Receipt Number: [ZU(-}LEO
Cash/Check Number: 5 157
ESTIMATED COST(REQUIRED) Date: 69_S-1 l
'Fair market value of all labor and materials foundation to finish
vv Initials:
C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
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(iorig4"- `)oN � Ec
� JEFFERSON COUNTY\. M DEPARTMENT OF COMMUNITY DEVELOPMENTFCC,� 621 Sheridan Street • Port Townsend •Washington 98368L$ $ ZQ��
�O 360/379-4450 . 360/379-4451 Fax
NO http://www.co.jefferson.wa.us/commdevelopment/ k,"1. 10
n
actAl! (:uulei! 611
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# 1 1— 2-4 PROJECT/APPLICANT NAME: Ernie Emmert
Please answer all of the following questions to the berpt.vf your MCI- Where the question calls for depiction on a site map, the
applicant may choose to either incorporate the elernenh into the genePa plot plan for the Master Land Use Application or to submit a
separate stormwater site plan map.
I E J
Project Overview a� �IRRn
�
1. Describe the proposed developed cOn i ite. uvospand relative size of proposed improvements on the
site map.
Construct 1 story 2,469 SF single family residence with 2 on grade patios and 644 sf
detached garage and 1 story 2, 054 SF detached Garage/ Shop in existing cleared area
of the site approximately 299' from OHWM of Squamish Harbor adjacent to 601 Shine Rd.
Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
2.63 acre site divided by State Highway 104 slopes from N to S at a consistent rate
rising approximately 42 'from top of bank to the North property line of the portion
lying South of State Route 104.
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
The portion of the property South of State Route 104 is mostly cleared and in pasture.
The portion North of the cemetery is partially treed with doug fir. hemlock, alder and
maple with little undergrowth. North of State Route 104 is heavily wooded.
4. Describe the existing soils. Indicate soil type on the site map.
Soil is consistent throughout the site.
Site soils consist of a 0"-12" layer of dark brown loam over light brown medium sand
with scattered gravels and cobbles to a minimum depth of 5' .
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.
Lot is consistently dry and dries out rapidly after rainfall.
An existing culvert crossing State Route 104 above the cemetery occasionally carries
a small amount of water that dissipates before it reaches Shine Road.
6. Describe any excess levels of noise generated by the proposed use or activity:
None other than construction of tze new �j�eppR VE��vJ �Y a hed g_, age/shop.
SITE PLAN ,
APR 1 4 2011
stormwater site plan template.doc—rev.10/12/2003
5
JEFFERSON o a 1 T
DEFT.OF C • �►�'
SIGNATURE: d°!,• V �% •
• •
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.
Portion of property South of State Route 104 slopes consistently from N to S with an
elevation change of 42' in 458' (9.2%) to the top of a 10' -12' high bank on the North
shoreline of Squamish Harbor.
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.).
Property is on the North shore of Squamish Harbor. Adjacent to the site are single
family homes and the Shine Cemetery. Access to the site is via existing paved
Jefferson County road, Shine Road. Connection to power, Water, telephone and cable
are all existing on the property. There are no known crtical or sensitive areas on
or adjacent to the site.
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.
Roof drains and foundation drains will be connected to gravel drywells to collect and
disperse stormwater.
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.]
N/A
11. Describe the performance goals and standards applicable to the project.
Minimal impact to the site. Developed and disturbed areas of the site is 19.255 of site
area with new impervious area at 12% of site area. All disturbed areas of the site
will be reestablished to pasture, its current condition.
12. Describe the flow control system.
Flow control system will be 7ea 4 'x4'x5' gravel drywells (1:1,000 SF of roof area)
lined with geotextile fabric and constructed per 2005 Stormwater Management in
Western Washington, Volume III. pp
1
6
stormwater site plan template.doe—rev.10/12/2003
j
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13. Describe the water quality system.
Site is dry and permeable with no streams or standing water. Wood chips or straw will
be used to cover exposed ground during construction as required during wet weather.
14. Describe the conveyance system analysis and design.
Stormwater will be directed via downspouts and tight lines to drywells ass located o
the Site Plan, 3ea 4'x4'x5' at the Garage/Shop and 4ea 4 'x4'x5 ' for the new residenc=
Number of drywells based upon 1:1, 000 SF of roof area.
15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material.
Fill material will be native material excavated for construction from the site.
Gravel and sand as required per construction details will be per the Structural Notes.
It is anticipated to be a balanced site for excavation. If any excess materials are
generated, they will be disposed of at an approved fill site.
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
Clean naive fill material will be placed in no more than 12" lifts and compacted wit
vibratory compaction equipment. Footings will bear on undisturbed soil.
17. Describe the proposed surfacing material.
New drives and parking areas will be 3/4" minus crushed basalt placed by truck and
compacted with a vibratory roller.
18. Describe methods for restoration of the site.
All areas not covered by new construction will be graded to tie into existing grades
and replanted as pasture to match existing. Existing topsoil will be stripped,
stockpiled and reused.
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/A
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
None
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.
Septic system and drain field, decommissioning of existing hand dug well and
installation of new well. Septic system permit is applied fo ]E �'a'r fa$ di,ci<,ed on
the Site Plan. �(�' � p
FEB 0 8 2011
storrnwater site plan template doc-rev.10/12/2003
t
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.
Existing site is already cleared, no additional trees or native vegetation are
planned for removal. The septic system transport line will be routed so as to
avoid the drip line of the maple tree as indicated on the Site Plan.
2. Establish Construction Access.
Construction access will be via paved county road and new crushed rock driveway.
3. Control Flow Rates.
Site drains naturally to the South. Silt fence will be installed at edge of site
disturbance as required.
4. Install Sediment Controls.
Wood chips or straw will be utilized to cover disturbed soils as required during
wet weather. Silt fence along southern edge of soil disturbance as required.
5. Stabilize Soils.
Wood chips or straw as required.
6. Protect Slopes.
Bank slope is on the opposite side of Shine Road from the construction and is
protected by a drainage ditch along the North side of Shine Road.
Construction excavation slopes will be covered by 6 mil visqueen until backfill
is has been completed. � 3
7. Protect Drain Inlets. '.t\t IL. !' 1-
No drain inlets on or adjacent to site.
FEB 0 8 2011
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stonnwater site plan template.doc—rev.10/12/2003
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12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
None
9. Control Pollutants.
Wood chips or straw will aid in pollutant control and can be collected, removed .nd
replace if necessary. The majority of existing vegetation will remain undisturbe.
below the construction site and will help to filter stormwater. Wash water is
available on site and a spill kit will be maintained on site.
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
If necessary clean stormwater will be pumped uphill into existing vegetation and
allowed to filter down the existing pasture.
11. Maintain Best Management Practices(BMPs).
Each Subcontractor will be receive instructions regarding proper site management
along with their directions to the site. The Owner, acting as General Contractor
will make regular site inspections.
12. Manage the Project.
The Owner, acting as General Contractor will make regular site inspections and
will enforce all aspects of this plan.
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas, roads).
Single family residences developed East and West of the site will not be disturbed
because water does not flow in their direction. Very little construction will take
place north of the cemetery adjacent to the site. The septic system, drywells and
geothermal field will be installed during dry weather.
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
OHWM of Squamish Harbor is approximately 299' South of proposed house location.
Any water leaving the site is intercepted by a grass lined drainage ditch located
along the North edge of Shine Road.
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the
Squamish Harbor to the South.
t
FEB 0 8 2011
EBSQN GO!JNIY DGO
stormwater site plan template.doc—rev.10/12/2003
9
1110 •
D. Description of special requirements for working in or near environmentally sensitive areas.
None
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).
None anticipated, house is intentionally located more than 200' from top of the bank.
5. Construction Phasing.
a. Construction sequence
Construct driveway, site prep, foundation, framing, exterior closure, interior finish
and site finishes.
b. Construction phasing(if proposed)
No phasing proposed.
g. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
Provide a proposed construction schedule.
Driveway and site prep (May 2011) Foundation (May/June 2011) Framing and Ext Closure
(Jul/Aug 2011) Fine Grade site & Stabilize site (Sept 2011) Int Finishes (Septll-Feb12)
II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
Interior finishes, final crushed rock surfacing drives and parking areas planting of
dormant trees Feb 2012
b. Proposed wet season construction activities for environmentally sensitive areas.
None
7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
Ernie Emmert
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
Personal responsibility ').
8. Engineering Calculations. Provide Design Calculations on a separate sheet for,the followir ,#�plAicbL lr 0.��j
a. Sediment Ponds/Traps. N/A v 11
b. Diversions. N/A [ ��p�� ( ! �4t��; ,; �ftu�}
c. Waterways. N/A �r[r' ''$ ri �i( I LEI
d. Runoff/Stormwater Detention Calculations N/A
10
stormwater site plan template.doc—rev.10/12/2003
•
Stormwater Site Plan Changes
If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be
submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised
drawings showing any structural changes, and any other supporting information that explains and supports the reason for the change.
Final Corrected Plan Submittal
If the project included construction of conveyance systems, treatment facilities, flow control facilities, or structural source control BMPs
(not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is
completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as
constructed.
APPLICANT SIGNATURE
By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and
correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all
owners of the affected property.
(1407 2— 7— /
(LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE)
(DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
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FEB 0 8 2n�1
12
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SQUARE FOOTAGE (PROPOSE
MAIN RESIDENCE AREA
(SEPARATE PERMIT)
GARAGE/SHOP AREA
3113 SQ/FT
2054 SQ/FT
TOTAL PROPOSED AREA:
5167 SQ/FT
IMPERVIOUS AREA:
EXISTING COUNTY ROAD
2684 SQ/FT
ADDITIONAL PROPOSED PAVED
DRIVEWAY/PARKING
6648 SQ. FT.
ROOF AREA OF ALL PROPOSED
BUILDINGS
6628 SQ. FT.
PROPOSED DECKS, PATIOS,
(- AREA COVERED BY ROOF)
415 SQ. FT.
TOTAL PROPOSED IMPERVIOUS
SURFACE AREA:
16,375 SQ. FT.
TOTAL EXISTING IMPERVIOUS
SURFACE AREA:
2,684 SQ. FT.
TOTAL NEW IMPERVIOUS
SURFACE AREA:
13,691 SQ. FT.
TOTAL LOT AREA (LANDWARD)
114,433 SQ. FT.
IMPERVIOUS LOT COVERAGE
15%
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PERMIT SET
# DATE NOTES
1 1/27/11 IPERMITSET
4
PRINT DATE: 01.27.2011
PROJECT ARCHITECT: KRN
DRAWN BY: KRN
SITE PLAN
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