HomeMy WebLinkAboutBLD2012-00079 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 #: BLD12-00079
SITE ADDRESS: 297346 HWY 101 Issue Date: 05/9/2012
QUILCENE, 98376 Final Date: 3/21/2013
APPLICANT: HASSEL B GIBSON PHONE: 503-257-2748
T LYNN GIBSON
12337 NE BRAZEE ST
PORTLAND OR 97230-1840
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 702272012 Section: 27 Township: 27 N Range: 02 W
PROJECT DESCRIPTION; NSFR W/ATT GARAGE in conjunction with a shoreline exemption permit
(SDP12-13)
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 3/21/2013
\\tidemark\data\forms\F_BLD_Occu pancy.rpt 3/27/2013
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Jefferson County Building Division Permit Nu ,: BLD12-00079
Applicant: GIBSON
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2009 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks I J:C i, L I L Minimum setback from SR 101 right-of-way shall be 50 feet. Minimum
s44e yard sehasks slaaA be-5 feet: Mi*imure setback from Big Quilcene
River OHWM shall be 155 feet(site plan identifies 170 feet).
Erosion Control SEE CONDITIONS 3 &4
Foundation Footing j 9 N6 D
fir-nl- z. �OS na�•r�o�ct�t�,� ���� 4-- /y-i L
Footing Drains
Foundation Stem Wall _ lyl . I L "
Underground Plumbing
Under Floor Framing J /g,l Z F7
3
Straps(hold downs)
Ext. Shear Wall Nailing iU— ),...."
12-iZ
Rough in Plumbing IrP7-11A
`; kj1 Q 2-4-fzFramingv�J� 4. '—
Airseal _ ��
Insulation:Walls 11-2,-1 --
Insulation: Floors
Insulation:Ceiling ite-c (27
Int. Shear Wall Nailing 31`,k (3 ,--ft,
Wallboard Nailing 4 ( r��� %c
Gas Line: Interior 1, ./7 to
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Duct Test Cert 3 /4 ,)I FP.
Blower Airtight Test ( �, ! r 5 F�
Smoke&CO2 2I�'�l/ (; '�
Drywell/Alt Drainage SEE CONDITIONS I &2
Address Posted I vI r2
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
MILDING PERMIT APPLICATRN MLA12-00049
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00079 Received Date: 3/12/2012
SITE ADDRESS: HWY 101
29-I3gC, QUILCENE, 98376
OWNER: HASSEL B GIBSON PHONE: 503-257-2748
T LYNN GIBSON
12337 NE BRAZEE ST
PORTLAND OR 97230-1840
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 702272012 Section: 27 Township: 27 N Range: 02 W
CONTRACTOR: REALITY HOMES INC PHONE: (253)926-6330
1308 ALEXANDER AVE E STE B
FIFE WA 98424
Contractor's License REALIH1984CN Expires 2/15/2012
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NSFR W/ATT GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,242
VALUATION 130,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: HTP
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: 441 SHORELINE:
CONST TYPE: DECK: 60 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
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 $1,161.75 LYK 03/12/12 131537 APPROVED
Plan Check $755.14 LYK 03/12/12 131537
State Building Code $4.50 LYK 03/12/12 131537 MAY ot 2012
Potable Water Application $64.00 LYK 03/12/12 131537
Total: $1,985.39 •Jefferson County Planning
& Building Department
CONDITIONS for Building Permit# :BLD12-00079 •
1.) DESIGN CRITERIA FOR SPLASHBLOCKS:
A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED
BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE,
STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE.
SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS.
A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH
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.
2.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA
ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY
STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA.
FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE
DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY
PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD.
DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH
GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS.
TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM)AND HAVE A
DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER
MATERIAL).
FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK
AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING.
SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET.
3.) CONSTRUCTION ENTRANCES L BE STABILIZED WHEREVER TRAF ILL
BE LEAVING A CONSTRUCTIONIkE AND TRAVELING ON PAVED ROADS
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.) A SILT FENCE SHALL BE INSTALLED A MINIMUM OF 155 FEET LANDWARD OF THE
OHWM OF THE STREAM BUFFER AND THE CONSTRUCTION AREA.
APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO MAKE SURE THAT SILT
DOES NOT ENTER THE STREAM.
THE MINIMUM HEIGHT OF THE TOP OF SILT FENCE SHALL BE 2 FEET AND THE
MAXIMUM HEIGHT SHALL BE 2 1/2 FEET ABOVE THE ORIGINAL GROUND
SURFACE.
THE SILT FENCE SHALL BE BURIED IN A TRENCH TO A MINIMUM DEPTH OF 5
INCHES BELOW THE GROUND SURFACE. THE TRENCH SHALL BE BACKFILLED
AND THE SOIL TAMPED IN PLACE OVER THE BURIED PORTION OF THE SILT
FENCE, SUCH THAT NO FLOW CAN PASS BENEATH THE FENCE AND SCOURING
CAN NOT OCCUR.
ANY DAMAGE TO THE SILT FENCE SHALL BE REPAIRED IMMEDIATELY.
SEDIMENT DEPOSITS SHALL EITHER BE REMOVED WHEN THE DEPOSIT
REACHES APPROXIMATELY ONE-THIRD THE HEIGHT OF THE SILT FENCE, OR A
SECOND SILT FENCE SHALL BE INSTALLED.
5.) A portion of the parcel lies within a High Channel Migration Zone (CMZ). Within this high
risk CMZ, vegetation removal SHALL NOT be allowed. Vegetation removal within 200
feet of Ordinary High Water Mark shall be subject to requirements under JCC Sections
18.22 & 18.25.
6.) 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.
7.) 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.
8.) 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."
9.) All construction activities shall not encroach upon the landslide hazard area buffer. This
includes the storage or preparation of materials.
10.) The applicant shall permanently se crate the boundary of the Landslide Hazard ilea
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.
11.) 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.
12.) The identified Fish and Wildlife Habitat Area (Type F Stream), shall maintain a vegetative
buffer setback of 90 feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM) to the proposed single family residence with attached garage.
13.) A permanent physical separation along the boundary of the stream buffer area shall be
installed and permanently maintained. Such separation can include installing logs, trees,
a hedgerow, or any other prominent physical marking approved by the UDC Administrator.
14.) Stream buffer perimeters shall be marked with temporary signs at an interval of one per
parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to
and during construction activities. The signs shall contain the following statement: "Buffer
- Do Not Remove or Alter Existing Vegetation."
15.) 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.
16.) 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.
17.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
18.) 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.
19.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
20.) 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.
21.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
22.) The building height is not to exceed 35 feet.
23.) Exterior lighting for residential usegall not exceed twenty feet (20') in height frr the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
24.) 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.
25.) Minimum setback from SR 101 right-of-way shall be 50 feet. Minimum side yard setbacks
shall be 5 feet. Minimum setback from Big Quilcene River OHWM shall be 90 feet.
�,r, 6 JEFFERSON COUNTY
f> ' \,� h3 DEPARTMENT OF COMMUNITY DEVELOPMENT
' rd 621 Sheridan Street. Port Townsend .Washington 98368
/4 ,i -v , , 360/379-4450 • 360/379-4451 Fax
<9S, aA.0 www.co.jefferson.wa.us/cornmdeveloprnent
Master Permit Application MLA: I o _z-1
ci
Project Description(include separate sheets as necessary):
-_r?/ 7 0,2 r /'tel/,r) .5 ,v/,0( idfi/ /s'/, J/r.iy ) / .>„:,.s K1/,)
Tax Parcel Number: -J ') .2 '%
"2 6 / �- • Property Size: (acres/square feet)
Site Address and/or Directions to Property:
a 9 7on //(A// /0
Property Owner(s)of Record: ,(9'49/,-if, � q ,,,/c :,,1- i'l\r 4.50 A-}
Telephone: ;C) j•r, 5 / /ye Fax: I
Mailing Address: /, ,� i' /." email:
? , �l.��c�e. �/, � �yJj�,;i�j>,•1/ 0.1er', (/' ' .•i it') / 5%//r:)Applicant/Agent(if different from owner): , >,;.f4?r 1 _ " ii \
Telephone: Fax: r—Mailing Address:
What kind of Permit?(Check each box that applies I ' ,
NBuilding t
❑ Permit 0 Critical Igrea $$tewardshhp Man
Il,Sin leDemolition0 VariandeJM r or,Major or Reasonable Econ t is lse)
g Family 0 Garage Attached/Detached 0 Condili nal Udo-(f'(e),CO,or CI••
O Manufactured Home 0 Modular 0 Discretionary"D'or UEirliffdillitikellissification
O Commercial'
0 Specie(Use(t 1;ItfJ:Crtf lialFSi(i1i(iegeRIFNT
O Change of Use 0 Boundary L ni eCmenT—
O Address 0 Road Approach 0 Short Plat
❑Home Business O Cottage Industry O Binding Site Plan"
O Propane
O Sign 0 Long Plat"
O Allowed'Yes'Use ConsistencyAnalysis 0 Planned Rural Residential Development(PRRD)/Amendments'"
O lowed s*Use y 0 Plat Vacation/Alteration
O StormwaterSite Managemental Advance Determination SPAAD 0 Shoreline Master Program Exemption/Permit Revisions'"
❑Temporary Use ( ) 0 Shoreline Management Substantial Development"
❑Wireless'Telecommunication 0 Shoreline Management Variance
O Forests ere o rmunicaase of Six-Year Moratorium 0 Comprehensive Plan/UDC/Land Use District Map Amendment
*Ma ulre a Pre- O Jefferson County Shoreline Master Program Amendment
Y re q 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:
I hereby designate DESIGNATION OF AGENT
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 requir d later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appii r hat he or she we pr oti
Signature:`— ` / /V i Date: / ,3 0
- 1.�
-
The action or actions Applicant will undertake as a result of the Issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
'Endangered Species Act'or'ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
acilon(s)even if yo are in compli:nce with the Jeff-r on County development code.The Applicant acknowledges that he,she or it holds individual
•and non-tra., ...e responsib r'f. :. eri r t.. complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ..r/— •
-- —e AWAY
Date: l _? O - iZ
(i:\PermitCentcr\l/#ftFORMSgfrff\DRD FORMS\t taster Pcmut Application 5-27-08.doc
-. • •
BUILDER STATEMENT
The signer of this statement does hereby certify that they aro 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:
��()-a-` ��d,• w i„,) („?�)a4. f 2.2, (>-5;5) ?j�<• S;?;fie.,
MAILING ADDRESS: for , . , f , EMAIL: i
i1 '�j/ rI, r /.. J, /1 ..! /)r�,�, .5'.�it^,� C'- �1)(r:.1/�(f�rL;,;/•i.rr� %� ;.
CONTRACTOR'S LICENSE p WAINS
NUMBER: A2/ /V//// y //(�AJ NUMBER A////
ARCHITECT/ENGINEER: //v fie?v"' 7- PHONE ( ) FAX:( )
MAILING ADDRESS: 1 EMAIL
`P�roject Type: Frame Type: Bathrooms: Shoreline: Typo of Sewage Disposal:
XNew ' Wood Existing: __ _ ❑ Sewer
❑ Addition LI Steel Proposed: e. Bank Li Community System
A Alteration/Remodel CI Concrete Total: :'. Height: D Individual System
Ti Repair ❑ Masonry SEP Permit U—11—IZ`j
Ti Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: rr✓Private well ❑ Two Party
T of Heat: Proposed: - V❑ Public
et Total: 1. Name of System:
/4644 X 4.0 .
If this Is a Commercial Protect You moat answer the following, 4/ /_
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 Piave F9qod� L_ 1---
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that )dt-ir
1 Underground Tank 1 Above ground Tank Size of Propane Tank:
I Heat Stove 1 Cook Stove I Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet.Stove I Other
le 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 rt'
lines,tank location and size,distances from the propane tank to all property lines,huild1A s and septic system comp s,
including the reserve area.
}E+F•ER„U 'COUNTY..:
Square Footage Current Proposed Forpffice Uae:dnly .. t. m #Q , r visl 1 . -,
Main Floor Heated ' MI6EH Bid App Review:
?."0 Floor Heated ?' ' Consistency Review:
Other Heated F Base fee:
iast I l(p(.—I5
—
Mezzanine r g Till-r.
Heated Basement Plan Check fee:
Unheated Basement ; State Surcharge fee: St
try.: I
Other Unheated h s . Pot Water Review fee: I O 3
Garage/Carport .' "=-_T SUBTOTAL
Decks 911 Approach fee: ^^ a
�)
Other
o R c 4 l() .((o2toc0' TOTAL: $ 3 b(�-3q -
Receipt Number: 3 I537
i
Cash/Check Number: (0—rq
STIMATED COST(R 4) ED)— —' Date:
• ' market value abor 'Modals founds'on to line; —{- �T
1374\, -- !!trials:
G: PemuR:enter\iltNlfOItAlStll///\DlLD[FOR\IS\i\fasrer Permit Application 5-29-0.4.doc
•
GIBSON STORMWATER MANAGEMENT & MITIGATION PLAN
MLA#: TBD APPROVED
Case#: TBD STORMWATER PLAN
Parcel#: 702272012, and 702272005
Legal: Tax Lot 3 MAY - 2012
SE 'A,NW '/4 [NW of State Highway], Less State R/W
Sec. 27, Twp. 27 No., R. 2 West ]EFFE•..ehICO• ` t
•
DEPT.OF n i•_ � ,• .. •Address: 297000 Highway 101, Quilcene, Washington SIGNATUR : UMW41 ib>feir
Property Owners: Hassel B. &T. Lynn Gibson _ �
12337 NE Brazee Street I 0 1'4 Q V , �1
Portland,Oregon 97230-1840 1� r " Q �
Owner Representative: Jim Schoessler
40 Cedar Street ;' ;LJ S' a
Port Hadlock, Washington 983 J
)ErF«SrN COUNTY 0•
r,rr- OF_.� TY Gn; l OPrvIENT "��qip,
Scope of Project
The project is the construction or placement of a two-bedroom single-family residence on a 14 acre
parcel. The subject site has a well-head, and contains an existing on-site sewage drainfield with reserve
area [SEP77-00125]. Existing historical "roadways"traverse the site, but less than one-half have become
mere trailways.
The proposed development's proximity to the Big Quilcene River classifies it as subject to the
"medium project" impervious surface requirements under the Washington State Stormwater
Management Manual for Western Washington
It is the owner's intent and responsibility to provide this plan for stormwater management on the subject
site consistent with the presentations herein.
Soils Data
Source of data is the Soil Survey of Jefferson County Area, Washington, U.S. Dept. of Agriculture, Soil
Conservation Service. The principal soil type for the subject site is "Grove" Series [GoC]. The
secondary soil type along the highway is the "Olete" [OeE] Series between the building site and the
highway.
The primary soil type is described as very gravelly loamy sand, and the soil is well drained. The seasonal
water table is >5 feet. Permeability is moderate at up to 20 inches per hour, and holds 4 to 6 inches of
water per inch of soil. Runoff is slow, and the hazard of water erosion is slight. Shrink-swell potential is
low. Frost action potential does not normally exist for this soil type.
Additional soils evaluation data is noted in the septic drainfield reserve area report prepared by Suzanne
L. Martin dated 09 October 2010.
Project Overview
1. Describe the proposed developed conditions of the site. Indicate position and relative size of
proposed improvements on the site map.
The project is a less than 1,500 square foot single-family residence with on 14 acres, having an road from
frontage on Highway 101 at Walker Mountain to the east, and the Big Quilcene River to the west.
Gibson Stormwater Mgmt Plan 10/31/2010 1
a
•
Existing historical "roadways"traverse the site, but less than one-half have become mere trailways.
The existing driveway to the building site and the reserve area is gravel and crushed basalt.
The proposed "development" and existing impervious surface total [0.03%]falls within the "small
project" impervious surface requirements under the Washington State Stormwater Management Manual
for Western Washington, but the proximity of the Big Quilcene River [170 feet] requires the project to
meet the "medium project"report requirements.
Existing Conditions Summary
2. Describe the existing topography.Indicate contours on the site map.
The residential building site is a terrace some 35 feet below the highway. The property then slopes some
35 feet to a tributary on the east side of the Big Quilcene River primary river channel.
3. Describe the existing vegetation.Indicate native vegetation areas on the site map.
The terrace has previously been cleared and leveled for the placement of two travel trailers, which will be
removed for this project. The remaining vegetation is essentially on the remainder of the site, and is
predominately first through third-order growth, with Douglas Firs, Cedar, Maple, and Alder trees.
4. Describe the existing soils.Indicate soil type on the site map.
The principal soil type for the subject site is "Grove" Series [GoC]. The minor secondary soil type
along the highway is the "Olete"[OeE]Series between the building site and the highway.
5. Describe the existing site hydrology (i.e., drainage; behavior of water on the site — above,
below, and on the ground). Indicate existing storm water 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.
The primary soil type is described as a very gravelly loamy sand, and the soil is well drained. The
seasonal water table is >5 feet. Permeability is moderate at up to 20 inches per hour, and holds 4 to 6
inches of water per inch of soil. Runoff is slow, and the hazard of water erosion is slight. Shrink-swell
potential is low. Frost action potential does not normally exist for this soil type.
6. Describe any excess levels of noise generated by the proposed use or activity.
The proposal is for construction or placement of a single-family. This property is a 14-acre parcel, which
inherently provides larger property setbacks. Excess noise is not a factor as it will be short term during
construction only. No other residences are in any close proximity, though the Hiddendale Tracts
subdivision is located beyond the south property line of the subject property.
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.
The building site is a terrace below the highway and slopes away in all directions, but the driveway at the
perimeter of the building site terrace rises to the highway. The building site is outside the Big Quilcene
River's "channel migration mapping"due to the terrace's height above the floodplain[some 35 feet]. No
critical areas are known for this site, as known by the applicants
Gibson Stormwater Mgmt Plan 10/31/2010 2
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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.).
Adjacent properties to the south in the Hiddendale Tracts subdivision consist of single-family residences
nestled in amongst trees and served by gravel driveways. No sensitive or critical areas have been
determined for this immediate are, as known by the applicants.
Permanent Storm water Control Plan
This portion of the Storm water Site Plan consists of the selection and installation of the appropriate storm
water control BMP's and facilities to remain in place after construction of the project is completed.
9. Describe the developed site hydrology, as proposed. Indicate whether storm water will be
fully dispersed (i.e.,per BMP 15.30 in the Manual)or,if not,what types of storm water 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.
All stormwater is to be `fully dispersed". The development of impervious surfaces falls below the 10
percent impervious total threshold The placement of the home and built-in permanent gutter and
downspouts will provide channeled roof flow via the downspout and splash-blocks, since there is in
excess of fifty[50]feet from each to the property lines.
If the proposed project was found to not be eligible for roof stormwater conveyance via downspout and
splash-block dispersion, the proposed project is eligible for dispersion system using an infiltration
drywell. [See item 14. below]. Each proposed drywell will serve less than a maximum of 1000 square feet
of roof surface.
The drywell would be constructed with the performance-based design from Chapter 3 "Flow Control
Design" from Vol. III, Hydrologic Analysis, Flow Control BMP's, Figure3.4 "Typical Downspout
Infiltration Drywell".
10. If the project requires the use of storm water treatment facilities, describe the types of storm
water 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.]
No storm water treatment is necessary for this project that will fully disperse stormwater.
11. Describe the performance goals and standards applicable to the project.
All storm water is managed so as to not create erosion or on-site/ off-site migration impacts. This is
evidenced by the types of soil described
12. Describe the flow control system.
The placement of the residence in the center of the terrace allows for the dispersal to use the land for
transpo-evaporation, and natural infiltration.
If the proposed project was found to not be eligible for roof stormwater conveyance via downspout and
splash-block dispersion, the proposed project is eligible for dispersion system of infiltration drywells,
based upon the performance based design of Vol. III, Hydrologic Analysis, Flow Control BMP's,
Figure3.4 "Typical Downspout Infiltration Drywell".
Gibson Stormwater Mgmt Plan 10/31/2010 3
• •
The drywell bottom would be a minimum of one foot above the seasonal water table, since that table is
reported to be five[5]feet or more from the installation of the drainfield system.
Each drywell would be 36-inches in diameter and have a depth of five feet[four feet of gravel and 1 foot
of suitable cover material].
Filter fabric [geo-textile] would be placed on top of the drain rock and on the drywell sides prior to
backf lling.
Conveyance piping from the downspout to the drywell would be the performance-based design from
"Figure 3.4. "BMP.
13. Describe the water quality system.
None is proposed or required of this proposal water treatment is necessary for this project that
will fully disperse stormwater over existing surfaces.
14. Describe the conveyance system analysis and design.
None is proposed due to the low rainfall statistics of the area, and due also to the size of the property, and
due to the expected performance of the surface dispersion.
The soil type is very gravelly sandy loam, which allows for the use of the dispersion via downspouts and
splash-blocks, and if not allowed, drywells would be incorporated using the performance based design
from Vol. III, Hydrologic Analysis, Flow Control BMP's, Figure3.4 "Typical Downspout Infiltration
Drywell". Conveyance piping from the downspout to the drywell would be the performance-
based design from "Figure 3.4. "BMP
15. Describe the source of fill material; physical characteristics of fill material, and deposition of
excess material.
House foundation excavation material will be primarily re-deposited, and back-graded to form a slope
away from the foundation. It is estimated that excavation for the house at 20 yards. Fill material would
consist of the excavated material for foundation backfill.
16. Proposed methods of placement and compaction consistent with the applicable standards in
the International Residential Code,2009 Edition.
Light machinery use will provide primary spreading and compaction, normally with the use of a bob-cat.
Foundation excavation could involve a backhoe, small dozer, or small excavator. The driveway and road
approach grades currently exist, with primary material being crushed rock
17. Describe the proposed surfacing material.
Yard area around the home site already exists. It is likely the backfill for the foundation will be seeded
with grasses and contain traditional landscaping plantings.
18. Describe methods for restoration of the site.
Reforestation is not required, as the site perimeter is third order growth. No vegetation is required to be
removed for this project, as the buiding site is currently cleared. The owner may choose to increase the
number of existing trees and vegetation with additional plantings.
Gibson Stormwater Mgmt Plan 10/31/2010 4
•
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.
Not applicable for this proposal.
20. List here and include any special reports or studies conducted to prepare the Storm water
Site Plan.
None known for this parcel.
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.
No other agencies appear to be involved. The Fish & Wildlife Service has an easement of record to use
the driveway leading from Highway 101 for access to a fish weir located on the Big Quilcene River north
beyond the subject property.
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP)
The Construction SWPPP addresses sediment and erosion control during construction. The BMP's
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 Storm water
Pollution Prevention (SWPP) Best Management Practices (BMP's) Packet for guidance, particularly with
rural residential development.
SECTION I-CONSTRUCTION SWPPP NARRATIVE
1. Construction Storm water Pollution Plan Elements. Describe how each of the Construction
SWPPP elements has been or will be addressed. Identify the type and location of BMP's used to satisfy
the required element. If an element is not applicable to the proposal,justification is provided.
Required Elements-Construction SWPPP:
1.1 Mark Clearing Limits.
Minimize limit of land excavation to the home site only, and marking [flagging] equipment operation
zones if necessary to protect the existing drainfield.
1.2 Establish Construction Access.
The site is accessed from State Highway 101. The "Erosion Control Construction Entrance Detail 3" is
not required The existing driveway will be continue to be used. The crushed rock surface, together with
the length of the driveway, will negate any muddy tire problem for access onto Highway 101..
1.3 Control Flow Rates.
BMP C121 "Mulching" may be implemented to filter any and all downhill water flow, during
construction, and thus stabilize the flow rate.
Gibson Storinwater i1gmt Plan 10/31/2010 5
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1.4 Install Sediment Controls.
While limiting the area for construction of the house, the applicant may install a silt fence at the road
edge, to protect downhill siltation.
1.5 Stabilize Soils.
The applicant may implement BMP C121 "Mulching" to stabilize the minimal amount of exposed soils
that are subject to erosion.
1.6 Protect Slopes.
The need for protection is not anticipated as the work area does not include any slopes.
1.7 Protect Drain Inlets.
No known culverts or drain inlets exist either on or off the subject building site.
1.8 Stabilize Channels and Outlets.
It is anticipated that no temporary or permanent on-site channels or ditches or are to be created.
1.9 Control Pollutants.
No vehicle or machinery maintenance is to be allowed on-site involving fluids, and contractor's
equipment will be required to not exhibit hydraulic oil or fuel leakage prior to storage or use on the site.
1.10 Control De-Watering (the act of pumping groundwater or storm water away from an active
construction site).
Since the proposal consists of a minor, sub-grade foundation excavation for the house, in the event of any
water retention in the foundation area, a small channel may be created during construction to allow
drainage of the foundation excavation which will likely require the use of BMP C209 and mulching BMP
C121 until foundation backfill is completed.
1.11 Maintain Best Management Practices(BMP's).
The owner or owner's representative is to supervise contractors to insure that BMP's are maintained to
their respective functional design.
1.12 Manage the Project.
Construction is to be phased to prevent transport of water runoff or sediment, and limiting work during
wet conditions where there may be a negative impact. Coordination of any utility work—i.e., same trench
use included, coupled with daily inspection and maintenance of system, is proposed. The property is
served by an existing overhead electrical service.
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance(e.g., streams, lakes,
wetlands,residential areas, roads).
Even with the proximity of the Big Quilcene River and tributaries [170 feet] site disturbance is so
minimal that the river will not be affected.
Gibson Stormwater Mgmt Plan 10/31/2010 6
• •
b. Description of the downstream drainage path leading from the site to the receiving body of
water(minimum distance of 400 yards).
The proposed project will not result in or create off-site/down-stream drainage paths. This is
because of the capacity and nature of the soils, and the minimal site work, which is only foundation
work.
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
The building site is outside the Big Quilcene River "channel migration mapping" due to the
terrace's height above the floodplain[some 35 feet]. No other critical areas are known for this site,
as known by the applicants
b. Description of special requirements for working in or near environmentally sensitive areas.
None required for this project.
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, settle ability, permeability, depth, texture, soil
structure).
Analysis of soil characteristics and topography of this site coupled with the proposed project scope do not
indicate any erosion problem potential.
5. Construction Phasing.
a. Construction sequence
The applicant is to mark clearing limit area, establish construction access,foundation excavation,
install proposed BMP's per plan, construct project, and then implement the permanent plan.
b. Construction phasing(if proposed)
Project to be started and completed within six months.
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
a. Provide a proposed construction schedule.
Begin project in Spring of 2011, and conclude by Summer of 2011
b. Wet Season Construction Activities.
11 Proposed wet season construction activities.
None anticipated beyond attempting to keep materials dry, and reduce the incidence of mud.
21 Proposed wet season construction activities for environmentally sensitive areas.
Not applicable for this proposal.
Gibson Stormwater Mgmt Plan 10/31/2010 7
• •
7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial
securities.
The property owners of record.
b. Describe bonds and/or other evidence of financial responsibility for liability associated with
erosion and sedimentation impacts.
The building permit process and site inspection sequence is to be conducted by Jefferson County,
with back-up measures by the owner.
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if
applicable.
a. Sediment Ponds/Traps: Not applicable
b. Diversions: Not applicable
c. Waterways: Not applicable
d. Runoff/Stormwater Detention Calculations: Not applicable
SECTION II-EROSION AND SEDIMENT CONTROL PLAN
Sediment and erosion control measures are depicted on the master land use application and building
permit plot plan,a stormwater site plan,and/or a separate Construction SWPPP site plan.
Stormwater Site Plan Changes
Changes or revisions to the originally approved Stormwater Site Plan: any proposed revisions shall be
submitted to Jefferson County 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 includes construction of conveyance systems, treatment facilities, flow control facilities, or
structural source control BMP's(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 ' is true and correct to the best of my knowledge.I also certify that this application is being
ma 'th t full wledge consent of all owners of the affected property.
/I//o
J. choessler, Representative for Hassel B. and T.Lynn Gibson [8c DATE]
•
Gibson Stormwater Mgmt Plan 10/31/2010 8
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