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HomeMy WebLinkAboutBLD2011-00112 • 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 #: BLD11-00112 SITE ADDRESS: 5562 FLAGLER RD Issue Date: 07/12/2011 NORDLAND, 98358 Final Date: 7/20/2012 APPLICANT: MARK A COLTER PHONE: 206-799-6709 BARBARA A COLTER 18125 NE 105TH CT REDMOND WA 98052-2835 SUBDIVISION: Block: Lot: T 45+ PARCEL NUMBER: 921051002 Section: 5 Township: 29 N Range: 01 E PROJECT DESCRIPTION: NSFR &A/G 250 A/G PROP TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes `now THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/20/2012 \\tidemark\data\forms\F_BLD_Occupancy.rpt 7/30/2012 • Jefferson County Building Division Permit Numb BLD11-00112 Applicant: COLTER 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 No r. , p J e-I.4 r/ Setbacks f/t $1./1 inimum setback from SR 116(Flagler Road)right-of-way shall be 30 feet. Minimum side and rear yard setback shall be 5 feet. Erosion Control SEE CONDITION 2 Foundation Footing 0 Le 6-)-,g—ii—i t ;c r1Z Footing Drains Q---3� -1 k Foundation Stem Wall 8_11_1 2.., Underground Plumbing Under Floor Framing .(4_..,( l i 7—" Straps(hold downs) e, 4 / ,.,77 'kw I .Y , ` 1X Ext. Shear Wall Nailing 7, .2_,,. 4 1 'O Rough-in Plumbing kO - I - 1 ( ( Framing 1O"-.2C__i (_0' , 8160-king Airseal fl I/ ,t-W---- Insulation:Walls v Insulation: Floors Insulation: Ceiling 1Z g ii Int. Shear Wall Nailing /0 _lV'-G r P113 tt-e—' 6 1113 Wallboard Nailing c Gas Line: Interior 111011'& • G-4.5 � Gas Line: Exterior I o i L Propane Tank 1 loll Z Heat/Chimney Clearance Drywell/Alt Drainage %f„3 t, ."1 I t" SEE CONDITION 1 Address Posted 1 10117-- 5 ' FINAL INSPECTION 7- ,)0_/2- /71-7 ' FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • MLA11-00100 BUILDING PERMIT APPLICATION ReviewType:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00112 Received Date: 5/3/2011 SITE ADDRESS: 5562 FLAGLER RD NORDLAND, 98358 OWNER: MARK A COLTER PHONE: 206-799-6709 BARBARA A COLTER 18125 NE 105TH CT REDMOND WA 980522835 SUBDIVISION: Block: Lot: T 45+ PARCEL NUMBER: 921051002 Section: 5 Township: 29 N Range: 01 E CONTRACTOR: STEWART BUILDERS PHONE: 530-391-2858 1604 UMATILLA PORT TOWNSEND WA 98368 Contractor's License STEWAB*928DF Expires 3/6/2012 REPRESENTATIVE: STEWART BUILDERS PHONE: 530-391-2858 SKY STEWART 3141 HENDRICKS ST PROJECT DESCRIPTION NSFR &A/G 250 AGL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,247 VALUATION 200,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2009 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 41 SHORELINE: GARA CONST TYPE: DECKLE 370 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: —2 Total: 1 Total: ` _> Rouging Date: _ ` �'.�-I Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,553.75 LYK 05/03/11 123467 Plan Check $1,009.94 LYK 05/03/11 123467 ,q R P R©V E State Building Code $4.50 LYK 05/03/11 123467 Potable Water Application $62.00 LYK 05/03/11 123467 JUL 1a 2011 Total: $2,630.19 Jefferson County Planning & Building Department • • CONDITIONS for Building Permit# :BLD11-00112 1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA. FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD. DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS. TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM) AND HAVE A DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 2.) 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 building approval accounts for 240 GPD of septic system capacity, as the minimum daily design flow per residence is 240 GPD, this also equals 2 bedrooms. 4.) 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. 5.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 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.) 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) 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. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 11.) The building height is not to exceed 35 feet. 12.) Minimum setback from SR 116 (Flagler Road) right-of-way shall be 30 feet. Minimum side and rear yard setback shall be 5 feet. 13.) 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. 14.) 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. 15.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. iivt_vrti-1 01—z/n • , . .„-iiiirriiik-Go/sic--- 6., JEFFERSON COUNTY ' DEPARTMENT OF COMMUNITY DEVELOPMENT 1 621 Sheridan Street • Port Townsend •Washington 98368 \ ',...:42° ,.. .Y60 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: I - IC Project Description(include separate sheets as necessary): C- '-ce R ��C COCK,F 1V tn) S 1 Na LE �!t-�I L-Y ��510e�� Tax Parcel Number: . 9 Z` -or 1-Oo 2 Property Size: Z.S-E3 / 11 2_+3e34.S (acres/square feet) Site Address and/or Directions to Property: cS FtJ* Lem 9-D Non) ,vi) wA g835.8 Property Owner(s)of Record: M kfL knit) 'f'P fit.-�L L Telephone: •?o((.1 q`l- (o`10'\ Fax: email: Mailing Address: l e)1 LS— NC (os" c. (In 44°rwi) ,,,,A 900s-2- Applicant/Agent(if different from owner): 51i--'1' SttwA I C L ArYL't evi LppZS Telephone: 5T O 311 • 2-'85 6 Fax: email: Six/S ' t'i^ ,11.c.,..‘ Mailing Address: 3\`\1 . taEl,/p9L&cL,S Po,(L.� ' :, A/feva vvJ\ 18366 What kind of Permit?(Check each box that applies 0 Lot or Road Segregation Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) f 'Single Family 0 Garage Attached/Detached El Conditional Use[C(a),C(d).,C):** /'[i' Manufactured Home:• .❑ Modular 0 Discretionary"D"or Unnan I !+rli '�/J ❑ Commercial* • ❑Special Use(Essential Publ v ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** MAY — 3 2011 ❑ Propane 0 Long Plat** : 1 ❑ Sign •.. • 0 Planned Rural Residential Dev merit PRRD/Amend ❑Allowed"Yes" Use Consistency Analysis 0 Plat Vacation/Alteration** JEFFERSON COUNTY ❑ Stormwater Management 0 Shoreline Master Program Exernplipp/R@Irypg* a jsiQI MENT ❑Site Plan Approval Advance Determination(SPAAD)* El Shoreline Management SubstantiiaFDevelopmenf ❑Temporary Use 0 Shoreline Management Variance 0 Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Apt/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: • 5 � � � DESIGNATION OF AGENT I hereby designate /ri to act as my agent in matters relating to this application for permit(s). j > L /7 C..�-. /'OWNER SIGNATURE‘Al,' G�, Z' �- =�" • /t-'c Date: 9/�(7/70 /), 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 later inspections. Staffs cress and right of entry will be assumed unless the applicant informs the County in writing at the time of the appl' an that he9 r she wants pn potice/ ,,Signature: ,./'�`,�i�{/1.71'Z% . -t C. V Date: L/ . 0/70// . The action r ains 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 theerson County development code.The Applicant acknowledges that he,she or it holds individual and non-tran feeble respo ibility for adheri nd m ng with the ESA. The Applicant has read this disclai er an signs and dates it below. Signature: !.�2 �G h L.-` -L L Date: �� ��O 7L7 // • 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: e\,,/ 4Sir1-0E-9-S (53d 39 ( z(e,6e) ( ) MAILING ADDRESS: "ID 1\-t\ l ciry 9--kOt_c c - p - ,1/4A 9t EMAIL: St/Ske.x.",„21- e_ 1„..A ,t,ti c'r^.-\ CONTRACTOR'S LICENSE _ WAINS NUMBER: c7E.kkl Q..)1*L1z.6 c NUMBER ARCHITECT/ENGINEER: KvR1>v. 'eeO\IL- PHONE (3bo) c oI(O FAx:( ) MAILING ADDRESS: 0.-Woo 1 ,r,! Sr C' wA qe3,3be EMAIL 1. ,ck-- S,.,r-Ci,a 5 k-.k .c Project Type: FFe Type: Bathrooms: Shoreline: Type of Sewage Disposal: New .HC Wood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: "2 - Bank 0 Community System Total: 2- Height:D Alteration/Remodel 0 Concrete g, k Individual System 0 Masonry IS-' 1 S Permit# Se?V0--co10 ❑ RepairmBedrooms: Water Su ❑ Demolition 0 Other: Supply: Existing: � Setback: 0 Private well 0 Two Party Typeof Hea • Proposed: Public Total: 1 me of System:" pia, -�x2mtL qtrPP w c v 0 4k'1 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 T nk and/or Appliance Installation permit,mark all items below that a ply: 1 Underground\Tank love ground Tank Size of Propane Tank: -- Ci L 1 Heat Stove l/1'`Gook Stove 1 Woodstove ,✓Fireplace Insert I Hot Water Tank 1 Pellet Stove i'Other Is this appliance being installed in a Manufactured/Mobile Home? Yes �'�lo) 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. �n..i•�s a 3 � F.r ,,� C,b'. Y t: '� o-i�"y F.r:.. Square Footage Current Proposed e 6o ;{ , . �.' :�±l A-„s- Main Floor Heated t 2,, � EH Bid App Review - Cr.3 ' 26 d Floor Heated s ; �w Consistency Review: - — '4'f-er. 'zrf-t--' --'617 Other Heated — riT I IOnat 0 Mezzanine 1 3,--65 v, r �j(A r}r-. �J Heated Basement r" "= Y FIan Check fee: Unheated jA-koXi to 4.E ) ,. State Surcharge fee: ` C) Pot Water Review fee: 1 /"y- .- Other Unheated - i`�1� r �•�.k s Saar .r SUBTOTAL `'- " Garage/Carport W s `j L� lr. 'k _ I ' ' ri 911/Rd Approach fee: n Decks 4�. € t' U O., TOTAL: $ L 1Ci Other c,�,ve-WAD P A-11 O �� k l k 7 _ 5 �r kr . Receipt Number I a3"I / a ,f ° Cash/Check Number: x ik� i oacp r , TIMATEID OST(REQUIRED) Date: �.�... __' 1 labor and rterial undatron to finish �� Initials: C_____ • APPROVED STORMWATER.PLAN ON c0 i �� JEFFERSON COUNTY Jul. 1 1 2011 4 ,.q DEPARTMENT OF COMMUNITY DEVELOPMENT iipro 621 Sheridan Street • Port Townsend • Washington 98368 J N �•Q pY 360/379-4450 • 360/379-4451 Fax DEt'T OF `4rING- http://www.co.jefferson.wa.us/commdevelopment/ SIGNAT1 { STORMWATER SITE PLAN SUBMITTAL TEMPLA ,E MLA# 1 ' 'W PROJECT/APPLICANT NAME: COLA- (L.��S)OrNLE Ici-Etti Pri DEI-S 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 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. COikii. r-'' \- S`cbQ-' r 12-`k i Srr S Imaue 'C.-t*MtCy p.tSi0ENCr vi/Litz_ sF 0e coJ :V :V 9/t-CI /ciqcX, 2-RC' FADM o NtAJM or kic-k LISvc 0147;11- Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 2_.f15 ,hc;2E i t1-E SLoPCS 1(2c0M SE \3 NiA) A'T r(PQQ-'4 2_-370 St)-,— 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. oic\(.E Iron cev A-‘CL) rtv rv/FT\ve vz7eTA-510/ - 4Foo/AINA- -Y GQ-ncS S, h F.E w ves-V-u E c tr-t f c L-o N C4 S i. \\%o ow 4t. 111;,, 4. Describe the existing soils. Indicate soil type on the site map. 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. Lc 1S vep-'f 0n-Y 7 too C1-1\AA 1 M5 RvAhviN.., -cv"o- kc nroa VkAr-a.i( ,R, xi.. t_t•fl v.-/k' R- c,U.KO {L1 M NW'hLFN� ¶II-0'l< tJ C H -1 J 6. Describe any excess levels of noise generated by the proposed use or activity: MAY - 3 2011 I oNly i N(LIliLa F-(ovSF c owirnwRl orJ J I JP J JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT wat MPS Stogy , RegUITVCIti stormwater site plan template—rev.10/21/2008 5 V:AJT 131` r,_ . .:-()T2 7. Describe significant geographic 4tures and critical areas (i.e., environmentally sensitive areas such as wetlands, streams , stee.Olp4s jetc.)on the Site. Indicate location on the site map. f_o"C c'.- P E c4 N S 1 S t NTL i FJL-a M SSE T° N v,) vA114 f&) Et.F,.J ATI 0,\1 c ket pc'/C2 4 ` rrJ (Poo' .� I ` hI— Hlta N P,Pc-A,lL A ES` C•,-fit,i,y-�,())VUe.Ti3 ' , tv 4 c�F T,filtl. 11 3Ei'F 114) �' P<PP � 5' �kSc OF Q_N•VIM. vC' MIA fkiC �-lfaCk11— tiw " -6.—"rescue 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-\ '- 'S or/ to* V,tt.t C�r t•1 kt- _ 1k‘)7 ti tic ? -P,&t� 'V.0 1‘11-C \,1,v0 f - . (- KVEL•416,1 `a1 S i rvbt_e Ghm i t.y No ' . 1't AC-LeC S C .11 A Xt S'11 C AS 4Y1 CA-T rcc 9-6 Al A N 0 6 LAij , k)HIV c9 FQ-• iv\ ALA(.41- s(L-D i °EOM ft,c_./ t-11oA/ o� Lac-- 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. a 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. 9_,0oF c)R.p,NS poi covNM�i ...v Dot iv v-IU. CoN ' ve) cco (k/\\ �1- QR-`f WELL S ` 13, coy.-A,€ - 'bi f Q E Lf E c o(2-M wt z 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.] Ai ilk 11. Describe the performance goals and standards applicable to the project. VA Q/\--1-`c \ALA- l'2 M t/V/M/}_, -EV t-offAC^IC- 1 f)\S iSt- /k-11IkS AIL Mt Ro x \2°7 0 0 E S\Tv P P Ak u.. D l S 1LP-,(5 ) ktt-' S p\F=ceP- c,Nt\-Yip-`R aN w1t c_ t3C f L O . w' NA`-tvC . tt ,-17✓ 12. Describe the flow control system. C\-\E :\_o,..i c- R-�v C`'S s�M v-�t t.t- (,G C5) `It x`f`x S� ' KtS) C NicG----e fc(L S•ro- L IAA N ti\(.1) /"\ V/tv stormwater site plan template—rev.10/21/2008 6 r . • • 13. Describe the water quality system. S SW \ S *0(1-'t) A PEA-M� c - AnO Scc-CAMS ,sR S`tA-J 1 Uvt) Svct� Qv'(t-\ C..oSs,.1.A7v4.1 14. Describe the conveyance system analysis and design. ?(1.-tycoc E- Q_(u'cr ri 1)_,, 1v S c)3\"-- �5 S`NA-M 19R- 9 M -U.) 1 l' ski -N-q 0? Q a_o t►o S E` --lkLE — 6-) L‘XL(i YJ' 0F& ON SE1 40 1 o�R 'ice SF “F (20c,l'p MOOXl- S ' 15. Describe the source of fill material, physical characteristics of fill material,and deposition of excess material. FILL eVIATI lLi eNk_ wl i.A- 6 E. fr(Lon& S;It-t \?1Cc.. h--10. F0,(1- czty S V9 -ice R.IN/ U(1A-ve i- AC Rek,,‘tt > ��(z-- e A-T10 c...,N c c o. ,t,n ti 0 ;A IL(_, 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. C *-,Auk., '(;k ('Ut-c-F- F C-dJ/J A--1 oN Q 2l'- NJ 4 P t'40LuS 17. Describe the proposed surfacing material. W 04-3. A 'PM-V-lNt wit-- -\kv 314 flisIMA U AHO f1-5 - P O 4`t' cTt - 9 C..)Mf Art.c c J L �oAp ?nkiE 18. Describe methods for restoration of the site. Pa-A- Aca- -r\K U.SC Cc. 9)~ AZW CAN Smv01OtJ - U(1PNev `l'(1-\`<" t ,,,A'tA `? S A `Q MA,' N b l..A LA, C CI tr /kt)�b A o -TA E ( MO C\i(l r-i nit) (nAAO FS A Q-F P LA Mv't- ....1 / NA—i 1 W v17-U bc-CYTT1 oa 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals here. iv'IA- 20. List here and include any special reports or studies conducted to prepare the Stormwater SitePlan. I -)\) Ni . 1:1 ) 1___,5 0 trr-'.. UV -H_I -z-, D_, _ 1,__) ! 21. List other necessary permits and d approvals as required by other regulatory g agencies.glf'thb�6!perri{� `S1or app�o4` 1inclu�e conditions that affect the drainage plan or contain more restrictive drainage-related re uir'erhA i ts, describe those condition s/�r restrictions here. S "\1c Qlet>rnn \-\--" P,(0 ��D sLtt%�^. , j -IVV.',`°0', ,' TFluip v-AU‘-' k)e : NSTkV,-eQ Q R\o{. "Cn Con/C-CC�-JLTt ,N--01=,--jN>vuJ 1-to r,\E' stormwater site plan template—rev.10/21/2008 7 • • 1 CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at Volume II Section 3.2.3 of the Manual (beginning on page 3-7). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. �Pc�l1vU LjM ITS lLA"; Iv 9 No ryt S A�Yc -1' 'N Cie {1--rnNvcD r\-S N-11.10\ C=(3,0_ 'N/(V Qef:&• ly— [5 _ptu-L NPrc V (- RA(S%S 2. Establish Construction Access. C0Iuc t -r I .N prte-ES c w��� t�E v1 Pr NCa pcND 3. Control Flow Rates. \tC (1�c r N c ►U/�t�-,��-� 't' "C� N� . A-Pr fL 1 Ski ot= UN 01 f TvFLA'6p VXL-7'C'CMl ury l?'K c-i-C Q cz-of oS el) \J t._opeo c p c Mitl N c7--k e pc-ki-D 17 vc-\i Al,o NC? 4. Install Sediment Controls. Sc cwv‘eiytNU 0t( sse-p rofLS 5. Stabilize Soils. 6. Protect Slopes. fAibe,- WOO s c- p C w1 trL .E CO\J te(Lic 0 v N Al t. v- "T A-(-t- 7. Protect Drain Inlets. NO (►1/4) LAJ N S \ TE" 4 \oQ tcrAu,1 C G1 Cu l-U 0 ` " cy M VAID CV \ue*AlkY stormwater site plan template—rev.10/21/2008 8 1 - • . 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. � A 9. Control Pollutants. vA '(/ n f N P o tom. ifr v c Iry c tl,)v L� c1-ni � t t- Nvl✓eiC 1 tyJ\ c ,,,A,Tv_ l t AvA nNC I r� 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). k 11. Maintain Best Management Practices(BMPs). /� A-1 t- WV— \rAL�- �L;�L v f 'AK ro-A-C7 0 N S K-�b t��) I ,v(, SITE MANJkC1�i^�rc��c �,-�C\-1 9- _ /}NEB -4U (}C HELD P c(DInmant.0 kc.-ct o Ivc o r s i cE (72`t 1AAC c-> L- c 12. Manage the Project. A k•k- Aks p "z-Ts -r N s p LA ti wA 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). oc= N S lrtr S r° 6 AcN 0 S Lief l--Q P E c-12-.M S l T� b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). (D- . W . M _ mot: �� ��� �c \11M-15 S 1) . 2101 NJ �, = 99-0-c aeo KOIJSE LU oAiJ S - 1 c-Q 6Y S. 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to th Si* A f A - 7 2011 I/t\l.\S� ti lN�-�ro� TKO I � . 1`_-7rRS1,COUNTY • ll-i '.:P:"P;,':'Yi)E`iil_OPiFN? 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). N o Nt �°{ ,ES E rJ \-& E two C�ti S C�-^iL S.-NU N C TH hN 1 C-0' E ts - P ems= (17f pcM) 1.0kA) St✓0PE" 5. Construction Phasing. a. Construction sequence SV(r QR Q b,vNO/"t1a I \ 1NC . 9-ooFI ll NC) t -oc-V- 'LLI �'‘ N 10-1 ( LA-A,O C LkQ N b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. S\C Q9�0Q _�-�rvE tot\ p�vN� -q ,J- Nil: mot\ C=11 E AC101Nt7 - 1,LY 2-o(1 NC- (ILO SNA FkkA, o 20 t\ l lvp S t-A-Pi IQ() S)e-1� --,(o 2_u11 II. Wet Season Construction Activities. a. Proposed wet season construction activities. !NA- \-.7-iNtckt L-fti11/41QCGM)INl7 b. Proposed wet season construction activities for environmentally sensitive areas. tOolv 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. /A b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/21/2008 10 r 1 • • 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 incly,de 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 f my knowledge. I also certify that this application is being made with the full knowledge and consent of all ow s of the affe \ property. r j I •1 1-(r' THORIZED REPRESENTATIVE SIGNATURE) DATE (LANDOW ER OR A (DATE)• THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 38-0 ___....-. .. 1 _30'0' B=o- /.5-aYz" 5 YL' - •Z.__.a„2-7 - S_0., z_o..Z.o'/s',:'z-n' 7-5 2- PL32o., co,3C 1TTT�_ .�_-" I \/ O ® \ oa ' - � c " E. o, W : • N_ 0 z I - f III Q • ! -o W 44 ^�pP t X. D L .I i 'lQ £ a T� 1 :'� ,` lP '\i..._- e ¢r Lt•.-....-....________- `c I > 1,1 m MF k 1N H O\ � Ht. a C N Y' ! co ;r� ± W �1 r a• C�1 n I it a;. a� a \. 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