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HomeMy WebLinkAboutBLD2011-00074 •UILDING PERMIT APPLICA�JN ML Ty 062 Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00074 Received Date: 3/29/2011 SITE ADDRESS: 243 SUGAR HILL RD CHIMACUM, 98325 OWNER: RONALD R RIGGLE PHONE: 360-379-9408 PO BOX 315 CHIMACUM WA 98325-0315 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901133003 Section: 13 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ATT BREEZEWAY & CARPORT & A/G 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,280 VALUATION 344,574.00 ADD'L: 525 HEAT TYPE: RAD CODE EDITION: 2009 HEAT BASE: 1,280 HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 896 SHORELINE: CONST TYPE: DECK: 520 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Total: 3 • Routing Date: - I / Type Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,360.15 LYK 03/29/11 123345 Plan Check $1,534.10 LYK 03/29/11 123345 APPROVED State Building Code $4.50 LYK 03/29/11 123345 Potable Water Application $62.00 LYK 03/29/11 123345 MAY 2O11 Total: $3,960.75 Jefferson County Planninc 4, Building Department. rr Jefferson County Building Division Permit Number: BLD11-00074 I Applicant: RIGGLE BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 /� 3_1 I 4 . Minimum setback from Sugar Hill Road or any ingress/egress easement (L! rights of ways shalt be 21 feet. Mi ►u► -side yard setbacks(north and south)shall be 5 feet. Minimum setback from the eastern boundary shall be 250 feet to the adjacent commercial forest lands. Erosion Control SEE CONDITIONS 2&3 Foundation Footing 0 ,3- 1t 91____ Footing Drains IN ;=,/ 4-1B Foundation Stem Wall /0 _78.- f ( v._ Underground Plumbing t ./0.-Ca- tY/ . Under Floor Framing - A. Straps(hold downs) .2 2_, i 2._ Ext. Shear Wall Nailing ":i I�1 I Z_ Rough-in Plumbing j L I 1, Framing Blocking /'l/) /Vq Airseal Insulation:Walls Insulation:Floors (3 �T/ ' pie! S��4 iI• 1t I( Insulation:Ceiling 51 Lf /3 Int. Shear Wall Nailing N 4 Wallboard Nailing ,, Gas Line: Interior ,A Gas Line:Exterior / Propane Tank , Heat/Chimney Clearance 3(12/it.20041 Duct Test Cert Blower Airtight Test fc ( .2^-lc G1r '" Smoke&CO2 Drywell/Alt Drainage ' �� SEE CONDITION I FOR SPLASHBLOCKS Address/ Posted ,q 1 ' ISC q2`3 3 (�1 lq D ()._4.,-,6 nUiC.0 t-,cLSC .kS_CI, L-1k / 4L-L FINAL INSPECTION J/i K,,n L FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD11-00074 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASH BLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 2.) 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 ENCROACH INTO THE LANDSLDE HAZARD AREA 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 SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. • • 4.) THE WATER LINE AND SEWER LINE LEAVING THE BUILDING MUST BE 10 FEET APART WHERE THEY LEAVE THE BUILDING FOUNDATION. A 10 FOOT SEPARATION MUST BE MAINTAINED THERE AFTER. 5.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 6.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 7.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 8.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 9.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 10.) 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. 11.) 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) 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. 14.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 17.) Minimum setback from Sugar Hill Road or any ingress/egress easement rights-of-ways shall be 20 feet. Minimum side yard setbacks (north and south) shall be 5 feet. Minimum setback from the eastern boundary shall be 250 feet to the adjacent commercial forest lands. 18.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 19.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 20.) The project is located within WRIA 17 and thus is subject to compliance with the WA State Department of Ecology In Stream Flow Rule for that region. The parcel is located within the Chimacum sub-basin; as such, state regulations require the following: 1. Water use shall be limited to domestic use only, and such use shall not include outdoor irrigation. "Domestic use" means use of water associated with human health and welfare requirements, including water used for drinking, bathing, sanitary requirements, cooking, laundering and other incidental household uses, including potable domestic water requirements associated with commercial and industrial purposes. (WAC 173-517-150(8)) 2. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180) BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. Refer to enclosed documents for more information, see Ecology web site at http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology at 360-407-6300. ON C • • / Oct JEFFERSON COUNTY C� ' " DEPARTMENT OF COMMUNITY DEVELOPMENT ' t 621 Sheridan Street • Port Townsend •Washington 98368 4 �� 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment • G Master Permit Application MLA: j '—( p2 Project Description(include separa sheets as necessary): A 77— yv Tax Parcel Number: /33 OD Property Size: /0 ( re square feet) Site Address and/or Directions to Property: , -( P PropertyOwner(s)of R /Qori r 95 Telephone: 360 3 79-?6101? Fax: email: Mailing Address: po, 2,0 A 31S C 1'1'PI, Acoly0.)-0- 902-5 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies 0 Lot or Road Segregation gBuilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) *Single Family ,Detached ❑Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home . ❑ odular . - 0 Discretionary"D"or Unnamed Use classification ❑ Commercial* ❑Special Use(Essential Public Ftacrlrtles)!`* ❑ Change of Use 0 Boundary Line Adjustment '� ❑ Address 0 Road Approach 0 Short Plat** ❑Home Business 0 Cottage Industry ❑Binding Site Plan** Q Propane 0 Long Plat** ❑Sign -" 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration*'' ( ❑Stormwater Management ❑Shoreline Master Program Exd n'pt'lo 4g5y0i !* ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** I'l; ❑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 ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate 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 I 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 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' that he ors a wnotice. v 'Signature: . :A•• Date: 2DWt4i.e. // 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-transfer responsiblitylpr a h to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. , ignature: - Date: 2 e/Me// • • BUILDER STATEMENT . The signer of this sta ement does h- -•y certifyt they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be as inc he resp. ib• y of the eneral Contractor for the proposed project. ��_. Date: Signatur PHONE: FAX:GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: ( ) ( ) EMAIL: MAILING ADDRESS: CONTRACTOR'S LICENSE WAINSNUMBER NUMBER: PHONE ( ) FAX:( ) ARCHITECT/ENGINEER: EMAIL MAILING ADDRESS: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Project Type: ❑ Sewer New V.Wood Existing: Bank ❑ SewerSystem �` 0 Steel Proposed: Community • y O Addition Total: j Height: (A—Individual System ❑ Alteration/Remodel 0 Concrete SEP Permit# 10"t0 ❑ Repairmo ❑ Masonryther: Water Su 0 Other: Bedrooms: Supply: O DemolitionExisting: X Setback: X,Private well 0 Two Party Proposed: .3 ❑ Public Type of Heat: Total: Name of System: LJ ed�1 f� • If this is a Commercial Project you must answer the following:o 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 Pro••ne' -- • • • nr Anntiance Installation .-rmi mark all items below that apply: i Underground Ta.• i •bove .roun. T.•. Size of Propane Tank: /29 54(. 1 Heat Stove I Cook Stove i Woodstove I Fireplace Insert I Hot Water T k ► Pellet Stove 1 Other Is this appliance .-inq installed in a Manufactured I Mobile Home? Yes NO When applying for a permit to install a propane tank you must also subm a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all properly lines,buildings and septic system components, including the reserve area. t"t qe�va�,xl 1, e .: 14 ;i'. 7 `fie �' f ea-. }. viw uare Foota•e Current P ..t�•.„ed 1Fr...a *c c ;�. . •_.• ::, . : - ain Floor Heated fi EH Bid App Review: 4?QO° t 2 ' Floor Heated .. +•f Consistency Review: i �,- ,i::. . ': Base fee: �2< 1� r3 Other Heated l ,' dy _. C J• Mezzanine Additional Section: ,,_ -- ° Plan Check fee: Heated Basement �2 O fr x �3(_ • I0 Unheated Basement ,, State Surcharge fee: INIMI r, • . . Pot Water Review fee: 10-0 i Other Unheated y �` Garage/" 2 SUBTOTAL rj5 r ort g�+b�rr lo(-114 gy • t✓ '-�3 911/Rd Approach fee: Decks —P;-ft7 II I Other .v , ,, TOTAL: S511 a -A 74 it ,� Receipt Number: Il i . ' "' ' 6"[; Cash/Check Number: I"Izg`71MATED Sj.• I .ED)- ' Date: C� f � �ar�market-valu�s• �� erials foundation to finish r /e6.. 65$,y Initials: a Z - •Y s y 4 r CLL. .. ...+.+�.rrJ11t11\r+rr nuns rr\r-. _..♦.,.0 n_____\wr n__...:. ♦__l:__`__c M1 n0"L... • • ON CO rJEFF, ��, ERSON COUNTY 44104 sti DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 0� 360/379-4450 • 360/379-4451 Fax 87N http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 1 l" (07 PROJECT/APPLICANT NAME:rt. ' C� �, 111 111 Qej Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview # B 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. KID b6,,W Toji t~ .5./fr S r e AffSN COUNTY DCD Existing Conditions Summary 2. Describe the exJ isting topography. Indicate contours on the site map. Cz4 4 p do rt tfe, 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. �>��•LJ. e5 v- ou ezotler 4. Describe the existing soils. Indicate soil type on the site map. (8. I it , �c�a�►t., 5. Describe the existing site hydrology (i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable, and indicate acreage of each. S 1te, torn }o p oc eici_54np APPROVED $TOR_ - ATER PLAN 6. Describe any excess levels of noise generated by the proposed use or activity: MAY - 32011 t0 Wd Wilopp= , 7 •N • Requi - I%� DEP];OF •� +, " lu •: • , r SIGNA stormwater site plan template—rev.10/21/2008 5 • • • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, •steep slopes, etc.)on thesite. Indicate location on the site map. 1/1C.CA'c' Gd' fLtt Q.rta. todtc ' \ s(ape -fo - et �i we5+ 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.). cl ree* -.V t\•• C..0 Q(J\e1 k c) trek l cbsAS Sir ems; -c. D'-- l 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. Locatethese facilities on the site plan and differentiate proposed facilities from existing facilities. `.came l ti .."Mi 1A..cat r� (cry,. , +0 S +b . c des k S47"n fi.... u�t•Q,1- +0 (la-kW€ ,v k�. gox_ .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 Lymally 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. 12 r Describe the flow_ ntrol system,, 4' f - t stormwater site plan template—rev.10/21/2008 • • • 13. Describe the water quality system 14. Describe the conve ance system analysis and design. Ste* 6_60 15. Describe the source of fill material, physical characteristics of fill material,and deposition of excess material. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. e 'c:1 5-1 L"i"1_ q_irct...0 el rackluAal 18. Describe methods for restoration of the site. l 0.4.8j 0,,3?r,4_ P yu.S C. 0 4 Ltd!c e 61-11 ©`-Cit,t-e- L/ea ecd, 1A. 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 k)ro Pas=,-. / 20. List here•and include any special reports or studies conducted to prepare the Stormwater Site Plan. t�aJ: P�tn� r A t cv. nC J Ptt ��.��" L 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. ct,t teN-u 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 temi : ws 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 developr,... SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at Volume II Section 3.2.3 of the Manual(beginning on page 3-7). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. r tcNWS((, cJe_m,r-eD Q6 �u. l�> >°�.N 2. Establish Construction Access. • fix, ,S 1 v%-ti Vram' c*L r,�e Lz�_•1 3. Control Flow Rates. 4. Install Sediment Controls. �a �e s a,� Y) e c, 5. Stabilize Soils. N6 6. Protect Slopes. 14:\ 7. Protect Drain Inlets. Mal to.,5 stormwater site plan template—rev.10/21/2008 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Control Pollutants. 1v� 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). Nfl 11. Maintain Best Management Practices (BMPs). i 12. Manage the Project. ('W • `Tc� M�ti ty14 A ► ►'\ ('CAD Q c �-r5 1� 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). KS b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). - - 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. y� r 1't. l 1 r1f� ` S C�_l �11 L� Pre-)v►1 �k 154 L `�� r 1 c (�p lJ 1 i 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). (1O'-I? nLfl-LcA. 5. Construction Phasing. a. Construction sequence • � Y b. Construction phasing(if proposed) (vbV�y'� 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify theproperty owner responsible for the initiation of bonds and/or other financial securities. qtficti b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. lvC]tot-e- � o 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. • a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations 10 stormwater site plan template—rev.10/21/2008 • • 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 affect property:---? (LANDOWNER OR AUTHORIZ ESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 12 stormwater site plan template—rev.10/21/2008 0 L M . ' 0 —I • ; • •Z • . > . m , 1 A I 1 -......--..„- . • , ,; . ' , I i . I I 'I I[ '• t I' I ;, . - .. . : •. . ..1-....:4,-..I...-..,,,,4,.. .,..._1.-....._:.•-.,.4,._____+. ; •. 'Ns i,• _ . , ,,•_••• . . , —41 , , • • . li10 1 ' . ,, , 1, .---..- - ...-- ... .1.-.-,. ..' ‘f .., Ci i I, o .,,.. • , ; , , , , • , , r 1 ' :' - .' :III''''.'641 II 7—'I-/°-- '..I"'II-' • • - :II M . . •4.--- -----1---)--,'--------. •-1-----1--- ------- ..p 1- • ', . * c- • 1. ' 1 • • i f:' 1 • ' ' i 51' ......4_07......__ 1 i • I i ,.. 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