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HomeMy WebLinkAboutBLD2011-00324 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#: BLD11-00324 SITE ADDRESS: 3188 OAK BAY RD Issue Date: 02/13/2012 PORT HADLOCK, 98339 Final Date: 7/22/2013 APPLICANT: MICHAEL RIOLO TRUSTEE PHONE: 805-579-9018 JILL M RIOLO TRUSTEE 3617 RACHAEL AVE SIMI VALLEY CA 93063-1150 SUBDIVISION: Block: Lot: PARCEL NUMBER: 921192008 Section: 19 Township: 29 N Range: 01 E PROJECT DESCRIPTION: NSFR W/ATT GARAGE 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 no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/22/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 7/22/2013 Jefferson County Building Dition Permit Num.: BLD11-00324 Applicant: RIOLO TRUSTEE BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes c S i .,t, tL.2 d Setbacks 3 l mimum setback from ingress/egress easement rights-of-ways shall be l 20 feet. Minimum north and south property line setbacks shall be 5 feet. Minimum west property setback(adjacent rural forest lands)shall be no less than 90 feet. Erosion Control SEE CONDITION 2 Foundation FootingFrs PeLct f ctcez6e Footing Drains /l Foundation Stem Wall 510V,z Underground Plumbing Ni�b �ff{r 1��`� L,�`� � fi db�-rS Under Floor Framing Straps(hold downs) L. IL . Ext. Shear Wall Nailing b`ks-IL T Rough-in Plumbing , b /C- tcl> Shower Pan 13// l3 Framing 3 Blocking Airseal 1—io—t3 Insulation:Walls I_1(_t Insulation: Floors Insulation: Ceiling ,� 22"I i3 —�b—�� J AuLt/c.Ait sa Int. Shear Wall Nailing l Wallboard Nailing W fg Gas Line: Interior g't5-IL Gas Line: Exterior g���_I� N Propane Tank g- IS-lL Heat/ChimneyClearance 7 Z 1,3 ck•-- ii-of'C2 Duct Test Cert Blower Airtight Test -7 13 Smoke&CO2 7 Z 13 Drywell/Alt Drainage 1;31tt SEE CONDITION 1 Address Posted i I 22(12 Review PERMIT APPLICAIIN R 00249 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00324 Received Date: 12/5/2011 SITE ADDRESS: 3188 OAK BAY RD PORT HADLOCK, 98339 OWNER: MICHAEL RIOLO TRUSTEE PHONE: 805-579-9018 JILL M RIOLO TRUSTEE 3617 RACHAEL AVE SIMI VALLEY CA 930631150 SUBDIVISION: Block: Lot: PARCEL NUMBER: 921192008 Section: 19 Township: 29 N Range: 01 E CONTRACTOR: ANGELO CONSTRUCTION LLC PHONE: 360-681-3323 213 E WASHINGTON ST STE 1 SEQUIM WA 98382 I I Cc Contractor's License ANGELCL897CQ Expires 2/18/ 0 'l/ ��` REPRESENTATIVE: ANGELO CONSTRUCTION LLC 1 `�( PHONE: 360-681-3323 213 E WASHINGTON ST STE 1 V�"' 2x� � � SEQUIM WA 98382 -t�\�1� ,.,ZZ° �� 3� PROJECT DESCRIPTIOr NSFR W/ATT GARAGE `k{ 5 t ,1"00bl TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 320,000.00 MAIN: 2,112 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 � OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 802 SETBACK: DECK: 309 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 1PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total ----2-- - -- _ Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,225.75 LYK 12/05/11 128373 APPROVED Plan Check $1,446.74 LYK 12/05/11 128373 State Building Code $4.50 LYK 12/05/11 128373 Potable Water Application $62.00 LYK 12/05/11 128373 FED Total: $3,738.99 Jefferson County Planning & Building Department • • FINAL INSPECTION -1 22_13 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD11-00324 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.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 4.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 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.) 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. 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 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. 13.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 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.) Minimum setback from ingress/egress easement rights-of-ways shall be 20 feet. Minimum north and south property line setbacks shall be 5 feet. Minimum west property setback (adjacent rural forest lands) shall be no less than 90 feet. 19.) The existing well for this development lies within the WRIA 17. This well was put to beneficial use under BLD07-564 and recorded documents for two party arrangement were in place in 2007, all prior to the In stream flow rule. Therefore, this well is exempted and not subject to the in-stream flow rule for domestic use, metering, and exempt well irrigation. • • �' ON CO �� �, JEFFERSON COUNTY 41 ' j DEPARTMENT OF COMMUNITY DEVELOPMENT `, 'N `' ' 621 Sheridan Street • Port Townsend • Washington 98368 • 360/379-4451 Fax �qs,4INGO� 3www.co.jeffe son.wa.usc omm evelopment Master Permit Application MLA: I (— l(-i 1 Project Description(include separate sheets as necessary): 'Dt- L. u))/ A- r /6 0A6/6 Tax Parcel (4.2 ` 1ni Vll 1008 Property Number: 1 ` Size: (acres/square feet) Site Address and/or Directions to Probe Property Owner(s)of Record: MiCi ,6 p) 3\ )— i D 1 0Telephone: ec. `5�- 'J`5 )OL /� Fax: M email:'- tt 'I ) h ° ,, CrnA Mailing Address: :'7.)l(ll GiChUJ 6\0l `arri I?-� 01-0(0;'7 Applicant/Agent(if different from caner): c�tlp 1 )alrt``�it 1 C �l D�( ,LL� rt,1 h ')i(6,&1 Telephone:.,—�I ".,�� `,Fax: email:t'DC,n�C}a (N,�('�C. I(, (�p I Mailing Address: 21.3 +12.%)naf'C'Y1 : �' E' 1. So 1.-wf \V .- � 2 �t kind of Permit?(Check each box that applies -� �r,� Building ❑Variance(Minor, Major r;k�asldee Demolition Permit ❑Conditional Use iC(a), (0 r jgSingle Family Garage 4ErM"Detached 0 Discretionary"D"or Un #rj7�d Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential ubltq Facifti ** ❑ Commercial* ❑Boundary Line Adjustor nt 0 Change of Use 0 Short Plat** LI. °I ❑ Address ❑Road Approach ❑Binding Site Plan** 0 Home Business ❑Cottagelndustry 0 Long Plat** ( JEFFERSON COUNTY ❑Propane 0 Planned Rural Residential-D n6®p(t(giF� �p m nts 0 Sign ❑Plat Vacation/Alteration** — 1` s1 0 Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management 0 Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use D Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *May require a Pre—Application Conference **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�,,t\0, \CC; �C ila�t��t l t'►' to act as my agent in matters relating to this application for permit(s). r OWNER SIGNATURE '/, �r . I, : jY Date:..14114. I i By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Ahy 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 application that he or she wan prior notice. l p �- Signature: . I.I ._; Date: 1 1 The action or abtions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. f. t ) Signature: _i-Th,t; \ ') . 1�,, r.s.: v ;.,` Date: 1 1 1 1 It[-I/..l. l t / 1 • C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc - • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: 1(( IN L-,V' 1 1 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 11-1 C)o C ,4Y Ll (-1 r' ( LL-a- 001(BI-J325 (L1 �+-r)2 0 MAILING AD RESS: 411�25�I i Y ' tiA • L EMAIL: r IM774 6) 9alc .Z1 C-Mic.-1-h CMP c,('t r►') CONTRACTOR'S LICENSE �jS. c�rr+i Wtri WAINS NUMBER: , � 7l 1 Q NUMBER `' I I cfl V ARCHITECT/ENGINEER: rNiJ 1 i,l 4 „ °.S4Z ,C 11.0 271t 1, j PHONE ( 2). 7.L+_?,"7q--_ FAX.( ) MAILING ADDRESS: 0U EMAIL V 1)CQ_ 5. SSQ C CY ) , e L)1 Project Type: Frame Type: Bathrooms: Shoreline: Type bf Sewage Disposal: New Wood Existing: Sewer Addition 1. Steel Proposed: 2 Bank Community System Alteration/Remodel Concrete Total: 2-- Height: > Individual System Repair = Masonry SEP Permit# Demolition Other: Bedrooms: Water Supply: Existing _ Seact ptrvel}- Two Party T�y,pe���o. Heat: Proposed: 21 �, � _ r V P c C L c 1/i C. Total: 21' r - -tdame e( c)em: If this is a Commercial Proiect you must answer the following: n l., - 1. Number of Parking Spaces: Current: Proposed: • ' Number of ADA Parking S3 Number of occupants(includes owners,tenants,employees,etc) Current i L___Proposed i' IBC Occupancy: IBC Type of construction: l W tyouli H,K48o&tgi�_ice? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items low-tl�it2 �> pt is `" �°"17hr ❑Underground Tank Cl Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove ❑ Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured I Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated 2. iZ. 217. t2 EH Bld App Review. 173- 2nd Floor Heated Consistency Review. 6 i Other Heated 2ss 39q29 Base fee: () r71� Mezzanine Additional Section: Heated Basement Plan Check fee: I L1 I L1 Unheated Basement State Surcharge fee: 4 ,5° Other Unheated Pot Water Review fee: 1 Garage/Carport SOZ 2.113"I2� SUBTOTAL L1 , `l l 2 (lq Decks 911/Rd Approach fee: 70, �3 r Lk.5 �x‘ n 06-1j Other TOTAL: $J( Z ,Cjq Receipt Number: I ag 373 Cash/Check Number: �� ( ESTIMATED COST(REQUIRED) Date: L -- t r Fair market value of all labor and materials foundation to finish ._ -- 1 52-D D Initials: �%'-- `�ll�. C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86i\Master Permit Application 12-19-2006.doc • • � �„So1V c od A�' JEFFERSON COUNTY ti DEPARTMENT OF COMMUNITY DEVELOPMENT _ 621 Sheridan Street • Port Townsend • Washington 98368 O' 360/379-4450 • 360/379-4451 Fax FIINf2 http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPLICANT NAME: �O 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. - __ ID //CUN5—Q,Aec-r Lt uv t)N S `r_= A Ig 0 5 c- *"Tit- <ri O CsA (� (D , ... . Existing Conditions Summary J L1 2. Describe the existing topography. Indicate contours on the site map. T T3 t. .Ln Pho k 5 `> v "D 8-Y 5 Q � wi t N b jZ-. SI�Qf'� fZtvi -To te.w_sr- tj7 t�►LL 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. &-AAsSg S r hi ago -g 4rz .y -pm sidirg s) /LL_ t -7?v AmsldG s 4. Describe the existing soils. Indicate soil type on the site map. Stf-t--;----t-5 5n- - kr) r+-} 50n9 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. CAA ,S) ` l 5' 6-R40 tA/14 1.,t2l SC-0 Pel/n J to P 3`6" 1 y r-.(4) nil t rr 2 5 t_o p ROVED 6. Describe any excess levels of noise generated by the proposed use or activi,r: SEATER PLAN ON DEA(6 J G- CcnN c77 o'N �g F F R 1 3 2012 Storrnw Required IEFFE'yo N 10 st TURE�•i 1�I► fi stormwater site plan,emplace-rev 10/27/2008 .4111F 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. /Ul1NG 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.). SLo f r S 01.1 /1"? - ( 77>5 S ,Adi 7O1 CA-7-7(Y►J R /tiv./ .S/ 7 ag: r2a r c-42. a-* ) /O rs /S rJNu /2a/s'01. p J ,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 these facilities on the site plan and differentiate proposed facilities from existing facilities. 015 IN)S f °t'Q v►-140 A'Ti U`tJ 1t62/ Jr C,cl'N N eZTg� , --T,� erzmM t, 13-2..\/ t't/ 3' C y e/r-cii-) y8 " emyyK-702 _0 '• 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.] - -' l\_n t � �r t 1 11. Describe the performance goals and standards applicable to the project. mielog. in'i , vt/I-w Pliwrga vV>_rO 12. Describe the flow control system. 1 fg PJ74- x 66 i).',i7-(° dnricot l --t�` xriuY �t y-, �L / SirJ J , 7v �LJt4 /) stormwater site plan template-rev 10/21.2008 • • 13. Describe the water quality system. s/ /s Pa ' 1-5. Al 0 5.-7-rU ✓!�}YJ-P 02 7-g-i /)J( kIJi9i 14. Describe the conveyance system analysis and design. 7/6 -7— Gi N E Pa 4 f NJ i ri t 2oru 4-77 f/OO c QV Ts' ��Wri�L+✓I' . ?f(g2 / Gac 986 x 6b hiti1 1--702 r? 167,2-) /vO ; 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. /1t.(� IY,41--erej/12-r ic72orvt o'yU $3 7 AA) srE,c, / 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 07( S,�v►� v t v 0, 2 SLR Ov�J 6 ,!' 4,v14/ 17. Describe the proposed surfacing material. I . _, N) Oki _WAY ,c C244-5-1.2 r<c)ti �� I � _ L� ! 1 .tM :, G-wr Pllz moo. 18. Describe methods for restoration of the site. � M NO 7 --19--An-Oyer-ation-andAilaintenanee-Manual-is-required-for.each.flo -contr._ot,.and4reatrrient f c lity__ [Ihis is_norms 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. NA 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 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. S��✓��- _SYX vr / d��/h,./Jai��,c?5-2 rJ:I 7 B 77d-11J' ZM 7 stormwater site clan 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. C L.Yf,A-a-1 ri t`c- L-1YY1 i f ak3 x i YY1,r A--- 2. Establish Construction Access. C�N s-rAAA-c-n an--) ,kzL ss w t (-t_ ?i Try iv ) V2i vwil1v 77�1i�5" S �-r v�_ {��✓ �F 6zciM nl� -�— �r D r 6' 5/dbr.J)J ©r.) 'S',v '7 , 3. Control Flow Rates. 57 pi /h 14.1 A14- 1-4(-ru-y , N C(r n44_c 7) J ,S''L 1 Pie r' paw'' S'' -a Oa/0 4. Install Sediment Controls. S771-01-rAJ /4/l vLLC/F d[J � c Gs ieci,K7 1j 4%U SC-el vu r► ids r- - Fi Z el:Yt At't)t4P6 r - 5. Stabilize Soils. ,q. 5'7�/hn/ !ylwLCH /,f— O✓ / 6. Protect Slopes. NO fr0171C. O/ k 1', ,5")r j'gricI r/N OW"J Jdi s c, 35,6eid� OSCW 7. Protect Drain Inlets. Ain stormwater site plan template-rev 1 0/2 1 12008 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Chan nels and Outlets. 9. Control Pollutants. wI Lt_ 4,0 J►.J TOL1,14TYI G3fvrt)c_ /rwo ('s3 t,, a v 3 ' � �� d - /ve:r �SR2Y_ Pi t,t- I T Atli aN si v PO ,---1/i11rL_ Di L �Lt 6L-, -tZ �Ac i.r, l v4TH-t- Gvf,- -a (To SiV3e, 10. Control De-Watering (the act of pumping groundwater or stormwater away from an active construction site). Ni- 11. Maintain Best Management Practices (BMPs). (TEN o2/YL Gv +J 71/1-r--77I< Gin Mt4/V 4-6-e 4-t- -5M Or 4ry 7 /N 517i144-cr O ) 12. Manage the Project. �T�ily G✓12 7lt-72 1.- J01414 f}- ► 6Z� Cer )-Mnu c57 h„) ni(s- Gy i v 4ii. Sii)r� Ou jr , o -e.r �'hnvwci-G+c/'h ter; 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). Pk) 6-f--,— 77 uJJc7s a F y e s �,,�N; 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. /UDN • stormwater site plan template-rev 10/21/2008 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. N1� 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). 5. Construction Phasing. a. Construction sequence v�S IGNQrJ a �2,/J'�►'�,&G-1 d r,rJ 6- S,+�,>J�-- J 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. / , 5> Q�rty (>11°`' 'n+ o,�✓ ) FA)O/U (Inco�a7 ors)._) A7d Fy Si 0) cam- l' mN ate- 71r,)0 — vim ) >✓r.Jifh � L/h1�J-c-A N G 6-4 II. Wet Season Construction Activities. a. Proposed wet season construction activities. Si per,(, VI/) I12/y40i0✓ fr' b. Proposed wet season construction activities for environmentally sensitive areas. /VON 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. Pe- .rCO.)r_ RSSe0N)Siti,/—/ CJ Fr. CeINTlMT-TV-Ks - fir` pb 8. Engineering Calculations. Provide Design Calculation on a separate sheer fbr fblle ng-,,-I>''a li bl�—l a. Sediment Ponds/Traps. b. Diversions. l c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/21/2008 10 • 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. (LANDO ER OR U HORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: r t i • JEFER`,;O'J COUNTY • nr i^.; 7Y ppirI nPM=^'T ___ stormwater site plan template—rev 10/21/2008 12 T � m r' f'il oT C7 'H TH 0 0 O c m -0 b 66'-,a• 31-la' , Y 4'-0' / ]3'-6' / 10'•0' ---/- ,,2'-34.pl'•ak/ 4'-10• I, 9'-]' 9•.6• • I I I I aim 1 6/0X4/6 X0 I I I ___, I I r J CV L_ S i I el _A s S I I . • in I !% w a • COOIGTOP X\1 Q. a. ._._._._._._._._._._._._._._._._._._.rP © � Et'. ® 6 Z 1 _�_ I a —,.,_.„_ 2/6 X 3/0OH /30.VENT/ \ I yyG n 6'-10• 1 I. 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