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HomeMy WebLinkAboutBLD2010-00044 EOLDING PERMIT APPLICATIO ML 057 Revviewiew Ty I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00044 Received Date: 2/17/2010 SITE ADDRESS: 150 MAPLE LN PORT LUDLOW, 98365 OWNER: RICHARD T OSTLUND PHONE: 360-437-7747 VOLLEA OSTLUND PO BOX 65136 PORT LUDLOW WA 983650136 NORTH LUDLOW BEACH TR SUBDIVISION: Block: Lot: 4+ PARCEL NUMBER: 976500003 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP LAUNDRY ROOM ADDITION TO EXISTING SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 68 VALUATION 17,800.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 2 Exist: 1 Prop: 0 Prop: 0 Total: 2 To : Routing Date: 2-N- ID Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $293.25 LYK 02/17/10 113831 APPROVE' Plan Check $190.61 LYK 02/17/10 113831 State Building Code $4.50 LYK 02/17/10 113831 MAY ,210iu Potable Water Application $98.00 LYK 02/17/1 Q 113831 Jefferson County Planninr. Total: $586.36 & Building Department • • CONDITIONS for Building Permit# :BLD10-00044 1.) PRIOR TO CERTIFICATE OF OCCUPANCY, JEFFERSON COUNTY PUBLIC HEALTH MUST RECEIVE CONFIMATION THAT THE ENGINEERED DRAINAGE SYSTEM WAS INSTALLED PER DESIGN ENGINEERS SATISFACTION" 2 ) 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 SPLASHBLOCK. 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. 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 ) 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.) VOLUNTARY MEASURES OF•STAL &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. 6.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 7.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 8.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 9.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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. 10.) The Revised Stormwater Site Plan dated April 5, 2010 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) Not more than 2 unlicensed vef s shall be stored on any lot unless totallytened from view of neighboring dwellin and rights-of-way. Such screening shall et 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. 13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 14.) The building height is not to exceed 35 feet. 15.) Minimum setback from Maple Lane right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Setback of the laundry room addition is approximately 100 feet from Ordinary High Water Mark; shoreline bank is approximately 20 feet high. Minimum setback from top of shoreline bank is as follows: The standard setback for residential structures, including common appurtenant structures such as garages and workshops, shall be thirty (30) feet or one (1) foot for each foot of bank height, whichever is greater. This setback shall be measured from the bank's edge when the bank's height exceeds 10 feet. When the bank's height is less than 10 feet, the setback shall be measured from the ordinary high water mark. The setback shall not exceed 100 feet. 16.) 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. 17.) 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. 18.) 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. Jefferson County Building •sion Permit Nt. r: BLD10-00044 Applicant: OSTLUND BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 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 Minimum setback from Maple Lane right-of-way shall be 20 feet. , Minimum side yard setbacks shall be 5 feet. Setback of the laundry room addition is approximately 100 feet from OHWM. Erosion Control SEE CONDITION 3 Foundation Footing ` 1'-., 0 ,11,J Footing Drains � Foundation Stem Wall hL�--to -' Under Floor Framing -7 i I 0 Ext. Shear Wall Nailing (`I U if c'6, I ccccA ar 1-/ 'lt o iG4-, Rough in Plumbing L C/-1° Framing 7 l0 Airseal 7`) `/O Insulation: Walls -71_ 10 .F� Insulation: Floors - 7_(0 Insulation: Ceiling 7-7-to '3 Wallboard Nailing Drywell/Alt Drainage 9-2-_t0 9, SEE CONDITION 2 cif SPS GrAri 4 I ?ic fo --Vac. FINAL INSPECTION G1 1\it 9i_, FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR I iriroliON o k TM • DEPARTMENT COMMUNITY DEVELOPMENT 1 621 Sheridan Street• Port Townsend •Washington 98368 360f379-4450 . 360/379-4451 Fax III � , �p www.co.jefferson.wa.us/comrridellelbpreot • Master Permit Application MLA: IL)` ,.� Project Description(include separate sheets as necessary): .Aa_14ton.*to ex1i-�, u1(ctr - ,a acie & Laud nry rots( Tax Parcel Number: ."7 65 O 3 Property.Size39-Co62 4 cub_ acres/square feet) Site Address and/or Directions to Property.. Crfferroak 6 1-' NP`It' 41-''4.l:uctiou+., "Lr r o'rig �I 4 aor, lL 46 t 1 4 �r S'q�` �I l41C71Gi n1 11 4 d r-L-- Vi4 La0►- 0..c.4 455E *O+n[I4a Ca •�s A511.1)WO Property Owners)of Record'1cluscciA'illeol-Q44nete- t4 la otV ICo4Ly L61-e i n- Telephone:3 40..43,-'1'14 7 Fax: email:C1 ltk ces i,1 lu a•c�rnn,l t..eG""N ,,,Mailing Address: "Z 5 Cn_me rnr t)t" ' ?ri \tPW,.101A 183415 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: at kind of Permit?(Check each box that applies ❑Lot or Road Segregatioh Vi-uilding 0 Critical Areas Stewardship Plan ` • Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) ingle Family AbbITICIO Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]*" Manufactured Home .0 Modular ' - 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)*" ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** '7 Home Business 0 Cottage Industry El Binding Site Plan'"`* J Propane 0 Long Plat** ❑Sign .. 0 Planned Rural Residential Development(PRRD)Amendments** ' ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration*" 0 Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions'* ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development" ©Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference ❑Tree Vegetation Request "Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: 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 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 ofthga`p�i tiontion that he or she wan prior nr notice. r� Signature: `''_�7 � Date`. r6,f O 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 langered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the ..ndangered 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 repoon_sibility for adhering to and complying with the ESA. The Applicant has read thisisglaimef and signs and dates it below. Signature. � -- c ' Date:�'^l"l Cam.., j c 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 pr ject. Signature ` �. Date. f *1/6 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE l-L. 1 7 LJ IU 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: ❑ New 0 Wood Existing: 1 0 Sewer (Addition 0 Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 1 Height: X Individual System ❑ Repair ❑ Masonry 10 1i SEP Permit# 5 Bedrooms: Water Supply: o Demolition 0 Other. . pP Y: Existing: 1... Setback: 34 Private well 0 Two Party Type of Heat: Proposed: Q {; ' p Public e fi2I c, Total: N,71.QY 444 Name of System: ' T•eIf 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: 1 Underground Tank I Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove 1 Woodstove 1.Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. k ,. vsz ,fir S uare Foota a Current Pro sed Wfia Main Floor Heated ^�� G� EH Bld App Review: o j - 2'�Floor Heated �� : ' ` ` ,ry., ri Consistency Review: Other Heated r-- `, , ' ,` Base fee: ‘` a qB. .-) `Mezzanine 9 r •,,• \.e-t ci� r Heated Basement * Plan Check fee / _ 1 'rs A'; O. Unheated Basement • State Surcharge fee: D r Other Unheated- ' , ;i,F , Pot Water Review fee: .? i Garage/Carport mc v( SUBTOTAL 4 Decks '.l #r r d 911/Rd A• pproach fee: Other ,,,f 4 h TOTAL $ O�1 x %r �¢ Receipt Number. I 1 J '' Cash/Check Number:. rV x .0.0 ESTIMATED COST(REQUIRED) Date: 'Fair market l Hof all labor and materials foundation to finish -2- (-1— C(1' Initials: 17 800 G:\PennitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc • • �oN c` r'iw i, JEFFERSON COUNTY �'', Ki DEPARTMENT OF COMMUNITY DEVELOPMENT FE B 1 7 2010 4 621 Sheridan Street • Port Townsend • Washington 98368 •q$ �O� 360/379-4450 • 360/379-4451 Fax iitINGhttp://wvvw.cojefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# I 0 57 PROJECT/APPLICANT NAME: ()sr-La...lb 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 po ition and relative size of proposed im rov ments on th site map. -.TQ1s retirjr. II / dhue/1 J t-eJ ;411 dl, t ' ex;,1%.47 ter! 0-000 — Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. � \O Fe Acrnv t\, Prow\ t1cci;Ss Jr- �c, pack Q i t o+�r- ° 5Ua p e or' c�j i St3 -Zoo • Pc-. kin #t p oer 44 lt..4 c\s ems w- 'i•�tn i Ary 'VVcctues s'-4-e call dear tA4--1\ law locitk6 wetter 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. otr+ -Al/4 _ So LU-M5+ c.0 t'en �r.�.S been er..tr e 1 coc t o-1-;14-er s s 4A1 b -4\in t ev - # rivt J 4,P ba-lin c qut own -b 412 Awe. Vil rt o nort-wit vaned fcvt. -r--c- Inn use_ dcswv. -Viz)-t--Q_ v-co Ikr ,s a,vv e.x i s-V-t lush -4-1 u-t- rnctt►n.kc µ.2...8- 4. Describe the existing soils. Indicate soil type on the site map. -T\"--c... o k L -wt I CAM' 'L 'I\ cf(Anti -ktq- tikk.c Coact 4-o +62 - V\es-kA..0-.1) , -1-IA-c tn. w 4\-t bt. Jr" \e v/e. ' / rvVa s-1- t• C -4-4n4 S j, CnArki,IS e vt CVe ikArf o? S k ow". -- oJi. -44 uatq - -- b&at& -t-4 — 5. Describe the existiftg site hydrology(i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. 6. Describe any excess levels of noise generated b tbe proposed use or activitra kale t S Loes-`-4D eas-t--- 1-0 Y YAW � ! dated 0 StormWat r Has been APPROVED 11 - 0 [0 10 Require by JEFFERS• Co,. A Y DEPTstormwater site plan template—rev.10/21/2008 SIGN C. • ` l I����� Ir/� S1ONATU• :• v 5 • • • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. i\u, � Qon 5 Czp e_5 Vrtrw We* 4- e p_AA u-,n C Qcot?._ ko e s t-e is k 9p b 1 k-. \ 51-slde rape deu 4 4-h -f--re�S c-. -t cr- r 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.). —11M- W&A de, D ccf-s Co it '[S le_ l..w i kt-In c ry v •5 0R2 bt,S.c -N..e, 5 G 1J -I de, a p ro p Inv a c 4 i` reSadtx �3 c } ��Cc ul�►es1 nJAC1,_ e v4-1� s ti\e.. 'Nov, -r�-tom J-kt & i 9 e. \�j ��u•-) VJ0a41k wct-%edc- c-t trv..�-- tO o 8-4-reo.rns c_1c..ss 5 o r , ,; -1cN 1 - 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 thes facilitie on the site plan and differentiate�ropo ed acilities from existing facilities. r Y -74cerrt, c 'c L • • 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.]} ` _ _p >r O p C J . U .) T` 11!t C C� 1 / �Q Vv1�tl � 7 t L i l 1fTh 11. Describe the performanc goals and standards applicable to the project. Iti 1 e, \v� � c -� l ,N+-p ett.A- 4 LL. 41st. as o ss Ic.4#l‘e_—t k� e k p 01�- at,v t_� s 4-c�r,e�_w t , �.�c.e ec1 -�-'c 9t o -eVe..t C 1 at1 c\ c,.A.ra\ k cry- c r....1't\ k_c e-#0 QLAin 5 ,. A-10:0 a 2u CD-v ca..l-.L F a 114z �l 44.e_ back51r1e c - pry- ex�5-\ 4 NAL, b b ..X 6 tt c36► ei 441{ [bt6i u1ti rv.vdCk CU ] 12. Describe the flow control system. ah o4e�e ►-Q- -I:-A& vt t i5 p e i 5 (-r pc1 .0 , -Ake_ l' c CV•t e - <<" c�f� filet SL _ stormwater site plan template—rev.10/21/2006 {_ M 6 • • 13. Describe the water quality system. Ok i off- NW *� bt \ 51-k 1 5 c:i 6.y rf7C -- 4 L1 c-(-w a / 1 4-v r v� �.r�4-cr - i-t-i�,•�+a -I-IA�5 t -Fi leer Tier(,t ,,2-�. R t-o.v.tts c +€i-' j ,A) f (z,&7er c1,� Z-s 1 cv�.� t' 1..-Ni l\ )e 'tom C M_kC2 "i . �. 3�n c? r'�_ c.�t j�1 _ os- -Ow v t b od c wf pil ed i ►t_ �t 1 fe.r c't o i-Iie r� 1"d r-o• + e .rt J - 14. Describe the conveyance system analysis and design. 2 FEB 1 7 2010 15. Describe the source of fill material, physical characteristics of fill material,and deposition of exc ss material. `Vro per-o c -0k5 f c-C-i )i- i 5 1,_. Yvi_; vvi k‘Ack,1 to pe- rlear cA 1/4.24\4 (ice (--r, -5Qd , 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. OC\-ji 17. Describe the proposed surfacing material. \\)C/ „,....2\,,,,,,. (....Q__, 18. Describe methods for restora' oft 'e. "51\* 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. Nr I 0 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.N a rsepOrd—' m boc.. Ce..Ct_ul re-4 -\-s I u\ (--clik 41.014-- (>i(A-Q r ct_c1./;S ecl 0 v.sc St-rat-0 (!)cam t LS 4 INC'. . e 'c -6 C- 1v-,‘'=v-&y- J f'Co.x-4 CT/ 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. V)I * ;--,FT, - 3 2010 stormwater site plan template—rev.10/21/2008 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or 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. We_ ate. V\or o c\ 45 ( T f i-tom Q reL\ n,'t►�e w�� w\\\ e.AcrA, -e I a p (oX . $ L.1 cWI'r s L)fir' 54 ckktwt. \c\e -' \Av 4 4-0 4 evtsk•-t,k.t\ p co-k M c? l . 2. Establish Construction Access. react -2 xi 5 to�.c1 COti`i ve i S w P�t rv\ca TlAtA k \ \ .S w;\\ a cc•e_s 5 p �a c 11-e p -t-I& c v &6 , 3. Control Flow Rates. `, n f v\S 't"D *-L 5 au-A- IV\ 6 - p c0 C& (\0.� "r G et s 4--64..1.) h e6 C - - l U w enc1 d ro& d 4. Install Sediment Controls. /4 - , b(d r •rt c.J ne e c I 441 Co v- v ok-\-/cc)% S p e \s --- 5. Stabilize Soils. r/ ` / i/elcji Cry/ Nei i Sari. (r 6m r'T' u2,e,, f f id? cal(rw✓! -{ n rill 0 bet tt.;k j)r^cel1 (: .r m 6. Protect Slopes. 5 I-cc e-f e_yr rs 4-0--Da f r / 57- /0 6 t )�' ,<«r �UPS? 15 i4 w-c+�.� Q rt�S �,� t �j Q t,.��9 C S 7. Protect Drain Inlets. /} Ft I e.r L'I o FG.e o-���' °Ir ir& rock over 3/ pef-12 Pi stormwater site plan template—rev.10/21/2008 8 • • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. l t n �, pr'dUD S~ �t it574s/ awn Rockr, 9. Control Pollutants. E E B 2010 no.w VP. Q r Q, no ° ', o,,,,,.eJ r� c I ri �� �r vs4trrti 0- lit 1-tt ►4- 111 I . �.s� , +e ct p0-4 A-t- c�; , - etie.. srf uy w4 r ,A� tt t c 14kc t VJe_ curo.it , ,,b(P, (4sv— c 1 r 'l - � ze � 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). eA4PGAA-lity 11. Maintain Best Manageme Practices(BMP ). �,," a" yi_e-r ' Jr ,v-t , , ) �1c p,e S -/divfor P 1' s 12. Manage the Project.G e_en.i17 elm / / precoktidi c, �r c,ow.y¢- CZS ^ � af rti � t 11'rs I, 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). o are,* l 1d.r fitpfUp€rcc /3/4 ./ 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. Sao ha w. t,doistY propse.t rI+r 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). ). rrt-Se " 5'i V3 y r f ' �. l,�ss r- - d. `-y 5. Construction Phasing. a. Construction sequence4.e. prep Pr J. 't ki , 144..44,41/sccio1 b. Construction phasing(if proposed) ti 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of th Manual)--v-V RDA k Provide a proposed construction sche ule L-� 35:44C, c t C.;K,M. c>t,nryq - e « - Cps w4-1° (�.b to cry; ``�- ck-t (--,-- a ro I r�r ��-, Al`S I ��C°C3 r1,e.Gkr sc� ptumv�/i (�'1^�a Lo' �� II. Wet Season Construction Activities. a. Proposed wet seasoronstruction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. v 0 ( Q. 1J7iI7 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 stormwater site plan template—rev.10/21/2008 10 ! • SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan,a stormwater site plan,and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. a. Vicinity Map b. Jefferson County Approval Block c. Erosion and Sediment Control Notes 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation (e.g.,tree lines, pasture areas,etc.). T E 4 1 7 2010 d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales, interceptor trenches, or ditches. b. Show all temporary and permanent drainage pipes,ditches, or cut-off trenches required for erosion&sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades, dimensions, and direction of flow in all ditches, swales,culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s), pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth, length, and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe, and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s), if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. stormwater site plan template—rev.10/21/2008 11 • • • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes, and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities, flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. 40 (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DA ) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 o v m Q�$ 2 (-)3 '. — — — — 0 z = ti N co 'a$ I MAPLE LANE 4.2CO II -0 C.) 0 0 0(,)o I1 1 o _ 70 0 p > , 5) / I S Od22'46" E 90.85 \ SC -n r a�� cy, y, ^m,2 2 2 0(41 i m v /i , 14tria+tt �fl 0o i i R� H I 1 1— 1 0 0�,ti / I 1 "" I. 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