Loading...
HomeMy WebLinkAboutBLD2012-00163 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 #: BLD12-00163 SITE ADDRESS: 471 DIETZ DR Issue Date: 07/30/2012 QUILCENE, 98376 Final Date: 12/4/2013 APPLICANT: ROLAND FARAGHER-HORWELL PHONE: 206-383-7723 COLLEEN FARAGHER HORWELL 1718 NW GREENBRIER WAY SEATTLE WA 981775325 SUBDIVISION: Block: Lot: T 22+ PARCEL NUMBER: 501032017 Section: 3 Township: 25 N Range: 01 W PROJECT DESCRIPTION: NSFR W/A/G 250 GAL PROP TANK in conjunction with a shoreline exemption pemit (SDP12-0034) 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 12/4/2013 \\tidemark\data\forms\F_BLD_Occu pancy.rpt 12/9/2013 • Jefferson County Building Division Permit Num BLD12-00163 Applicant: ROLAND FARAGHER-HORWELL 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 Note c.z [£ Setbacks J/ mimum setback from Dietz Drive right-of-way shall be 20 feet. l� l Minimum side yard setbacks shall be 5 feet. Minimum setback from Ordinary High Waterm Mark shall be 155 feet. Erosion Control SEE CONDITION 2 Foundation Footing 917 // l r� Footing Drains iDl',(o- Foundation Stem Wall /� r- / .1 Underground Plumbing ! c `� Under Floor Framing Straps(hold downs) f Ext. Shear Wall Nailing 4(i/1(3 Rough-in Plumbing 3 lg�13 Q� _23 — �3 Framing S Z i3 2" Blocking Airseal 5 2 13 )e_ Insulation:Walls 51 �3 Insulation: Floors 17 Insulation: Ceiling - _ )3 Q JAw- s�,b',3 Int. Shear Wall Nailing c,Jl//3 ifAt/0 '&tic Siva Wallboard Nailing Gas Line: Interior 3)11413 Sk--, Gas Line: Exterior 7 LJ y3 Q Propane Tank �I ZH 13 Heat/Chimney Clearance IL- _'j Jf_„ Duct Test Cert _ i */' Blower Airtight Test Smoke&CO2 . _ Drywell/Alt Drainage SEE CONDITION I Address Posted Water Meter Inspection • • FINAL INSPECTION 1.2_1_, FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR ItILDING PERMIT APPLICATION viewview J M Re Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00163 Received Date: 5/24/2012 SITE ADDRESS: DIETZ DR QUILCENE, 98376 OWNER: ROLAND FARAGHER-HORWELL PHONE: 206-383-7723 COLLEEN FARAGHER HORWELL 1718 NW GREENBRIER WAY SEATTLE WA 981775325 SUBDIVISION: Block: Lot: T 22+ PARCEL NUMBER: 501032017 Section: 3 Township: 25 N Range: 01 W CONTRACTOR: NIEMAN CONSTRUCTION CO PHONE: (360) 434-0717 P. O. BOX 846 QUILCENE WA 98376-0846 Contractor's License NIEMACC018MZ Expires 8/15/2012 REPRESENTATIVE: DAN NIEMAN PHONE: (360) 434-0717 (Cell) PO BOX 846 (360) 765-3529 QUILCENE WA 98376 PROJECT DESCRIPTIOr NSFR W/A/G 250 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,282 VALUATION 173,000.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2009 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 1,144 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1 PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Ro,itinb gate: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,402.55 LYK 05/24/12 131754 A P ID R O\�//Fr"'t, Plan Check $911.66 LYK 05/24/12 131754 @ State Building Code $4.50 LYK 05/24/12 131754 JUG, 2512 Potable Water Application $64.00 LYK 05/24/12 131754 Jefferson County Planning Total: $2,382.71 &Building Department • • CONDITIONS for Building Permit# :BLD12-00163 1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA ALL INFILTRATION SYSTEMS SHOULD BEAT 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.) The project is located within WRIA 17 and thus is subject to compliance with the WA State Department of Ecology In- Stream Flow Rule for that region. The parcel is located within the_Toandos sub-basin in a designated Coastal Management Area; as such, state regulations require the following: 1. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. Refer to enclosed documents for more INFORMATION; see Ecology web site at http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology at 360-407-6300. 4.) To help prevent seawater from intlikg landward into underground aquifers, al. 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 COASTAL&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.) 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 or toe of the Landslide Hazard Area. 10.) A Geotechnical Report dated September 6, 2006 prepared by NTI was submitted in conjunction with a SPAAD application. The report addressed the stability of the geologic hazard area. 11.) 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. 12.) 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." • • 13.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 14.) 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. 15.) 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. 16.) A Storwmater 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.) This parcel is within the South Coyle no shooting area per JCC 8.50. 22.) 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. 23.) 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. 24.) Minimum setback from Dietz Drive right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from Ordinary High Waterm Mark shall be 155 feet. 25.) The building height is not to exceed 35 feet. • 0 26.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. \\firlemerk\rlata\fnrmc\F RI fl Permit Ririn rnt 717117 117 _ _ mu4cC�- Ii2 • �'goN co, JEFFERSONI UNTY 4 ' A DEPARTMENT OF COMMUNITY DEVELOPMENT "' ` '4 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax � . o www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: ,7 7'_ I I d Project Description(include separate sheets as necessary): e 0 AfsrAudr A 5.F. R. OW S.o S' 4 CRES Tax Parcel Number: 8-a( 032.— 6 17 Property Size: S; os- CO quare feet) Site Address and/or Directions to Property: #73 (6) P E • 1 9,3 6 Or" of , e2,1 Property Owner(s)of Record: /t ,L _ CRW,, ,` Telephone: 2...06,-3$3-772 3 Fax: email: Mailing Address: /17/$ A/u) 4RFEI18,2egit (AA( 5E.4T7ze kM. 9g/77 Applican.Age (if different from owner): 7.4A/ /(/!P42A#/ Telephone: 31 - 431 -O7/'7 Fax: 560•'7t s. 352.7 email:/I^P�JwevikS(i'f!.hl' atinG0-- .0.e„ Mailing Address:_fig .f34G Quo 21 &is, q$1%. What kind of Permit?(Check each box that applies 0 Lot or Road Segregation (Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) 'Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a), C(d), or C]** ❑ Manufactured Home .0 Modular • - 0 Discretionary"D"or Unnamed Use Classifica• O Commercial* 0 Special Use(Esse la- u to F if ❑ Change of Use 0 Boundary Line Adj st, V LE ,1$1 Address D Road Approach 0 Short Plat** ! !IJ 1 ❑ Home Business 0 Cottage Industry ❑ Binding Site Plan**, , f 'Propane 0 Long Plat** ' i Y 9- (�1� ❑ Sign ❑Planned Rurai Residential Defopment(PIRtS)/Am1 nts** ❑Allowed"Yes" Use Consistency Analysis 0 Plat Vacation/Alteretion'n*1 1 ❑ Stormwater Management 0 Shoreline Master Progra evasions** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management S, Ots n.,, Ry 9R ,9EM ❑Temporary Use 0 Shoreline Management ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate hi( AMA4W to act as my agent in matters relating to is ap lication for permit(s). jj) /��/aOWNER SIGNATURE � A LA� L� �� . � �� J[ ,Q Date: q 2i_ By signing this application form,the owner/agent attests ffiat 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 y quired later inspections. Staffs access and right of entry will be assumed unless the applicant jnf rms t County in writing at the time of the ppli 'ek t s. wants prio notiipe. __ L f �- - ? /� e_ Signature: C / *_ C Date: The action or actions Applicant will undertaket4s a re t 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- - -raffle r sponsibi• r adhering to d dl plying with the ESA. The Applicant has read this disclai er and igns and dates it below. Signatu (\ Date: 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 assu .ng the responsibility of the General Contractor for the proposed project. Signature. Date: _ $' s" Z--_ GE RAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: �/ P i(NE: FAX: er Ao)`lt3¢-O7( (zo)76s 39 MAILING ADDRESS: Q n CONTRACTOR'S LICENSE � 8 �� �i��fr ! 7$3 EMAIL �� � NUMBER: WAINS an Co M_____*PP al8/YiZ NUMBER ARCHITECT/ENGINEER: Le i< F�J6/N a�e.wG PHONE )�9 FAx:( ) MAILING ADDRESS: Cj4 ,�____ �' 0�2 Project Type: �.1" j EMAIL ON). , i e � Frame Type: Bathrooms: Shoreline: T •X New Wood pe ofSewage Disposal: Existing: Sewer C Addition G Steel Proposed: 2 Alteration/Remodel ❑ Concrete Bank ❑ Community System C Repair E Total: _�_Masonry „ Individual System Demolition C Other: Bedrooms: -[_ SEP Permit# 0 9-Ooo59 Existing: Water Supply: T pe of Heat; a Proposed: Setback: Private well C Two Party ( Total: �_ ❑ Public Name of System: __ If this is a Commercial Project ou must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants, employees,etc) Current • IBC Occupancy: IBC Type of construction: Proposed WIf this is a Pro•ane Tank al. • _.. lance Installation •ermit mark all items e ow that a•.Iyou haved.Service? Yes / No I Underground Tank Above •round Tank Size of Propane Tank: 10 �,�AL__ I Heat Stove - ook Stove I Woodstove -• - _ Is this appliance being installed in a Manufactured/Mobile Home?t 1Yeser/Tan o I Pellet Stove I Other 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. S•uare Foota•e Current Proposed For Office Use Onl Main Floor Heated Amount Revision ��_ EH Bld App Review: 2nd Floor Heated q , Consistency Review: Other Heated � �`� Base fee: Mezzanine 1 Li C a .1 Ac_ ion f Seetiorr-, Heated Basement _A (7-1 51 ; Plan Check fee: Unheated Basement q , (Pt, State Surcharge fee: f Other Unheated - —' ------ -- --. _ �� Pot Water Review fee: fr., — V Garage/Carport SUBTOTAL Decks a �7-7 4y --911/R:..�.•.oac`i._fed Other AAOS (_ __ TJ- . �.. TOTAL: $ y 7 Receipt Number: , Cash/Check Number: i _ ...,.E MATED COST(REQUIRED) i I 'Fair Il ab r and mater/alsfo ndationtofinish Date: Initials: — G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-DR ri,,,- , • is • ( ON \cO�• , , �, JEFFERSON COUNTY ,k' ` DEPARTMENT OF COMMUNITY DEVELOPMENT ti .�C 621 Sheridan Street • Port Townsend • Washington 98368 1 O� 360/379-4450 • 360/379-4451 Fax �` ZNO� http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 12/ ' t L\ PROJECT/APPLICANT NAME: 7-/M�‘ti./E.Q_ . (c)`,- )& 44—• Cam` Please answer all of the following questions to the best of your ability. Wh t-th 1 .-:". '•• on a site map, the applicant may choose to either incorporate the elements into the general plot �11n) % .:s � .n1% ` at on or to submit a separate stormwater site plan map. Ili I MAY 2 3 2012 i Project Overview 1,1 L 1. Describe the proposed developed conditions of the site. Indicate pogition an re ro os •rovements on the , site map. r.rr-n., .. 0 SON OUNTY f�,5 , Ex x s Tiiv DP_r✓E a.r9 y 4/i) --rfr2N v f RDP s '' d v r 1/ Iv/rW /ho9ry /1 jV,,-r've. 5'�' /.6, � -.& %/.Aro Sid '�-��A 2�2 4' �fr•Z sinr6h k. Le Mom, 75 u/t 7 /Z3� Fry ,E. �t Existing Conditions Summary 2 Describe the existing topography. Indicate contours on the site map. crr (S 54/ 4 Y �'G D_( to/rt-iit#ler r4-fl ye4 ec,A, i9ai7 6.1C'-' 3. Describe the existing vegetation. Indicate native vegetation areasre on the site map. Lor S � tFX tt r4/2,e ri) o uT v 4ove__-s'r F-4.c' p . iw-ez, o, ,D iej&. A 4--n✓e_ - - 7/1-4sr ,el 90(>9 Fire) 7-/F 4 ocI: 1/404+ 4 /1/,y-7i )€ 5 Vss ; 5/94 4. Describe the existing soils. Indicate soil type on the site map. 1-I- ;dos , �r9,v _ /�l/.D ✓6�yrr �v��1. Y,-lz �/ 7Zt 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 he site on the site map. Depict separate drainage basins on the site map, if applicable, and indicate acreage of each. 11 "9/A ) Z.,O"/S 54,(,,,4I ,j.Lop//VV "WI) „gni$-/t(/S Ai 5 - - 1 41NPr9-a_."• ! X'/.Sli/J .s' S< o o(iR, 7TP 73 f' s p&CT/vie_, PooPprr97 8C. „_,___ 6. Describe any excess levels of noise generated by the proposed use or activity: APPRO ♦ EL voN . STORMWATER PLAN , ,s JUL 2 7 2012 StotT U ' __ Roqulred ------ _ IEFF N O DEFT.OF Cp stormwater site plan template-rev.10/2112008 SIGNAp 0 5 • • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes, etc.)on the site. Indicate location on the site map. Pge,Fr /I,4s A 70 ' er /; 011 a5Ro 4- v. -y Sews/T7V- / s Akw 3�PP' lfo / 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands, lakes, steep slopes,etc.). ,k S'5 EVE 7v001.4$ 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 an and differentiate roposed facilities from existing facilities. "Vie— 01 _ o pfP 7 1 Q 11.A ( I /0 6,8- )9 -7/5" elo 1 b (-Z) 4 K 4 Ks P k Gs 4 Atp gxt, 11. o4, /I, 4 p .meta y v -- ctic. 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.] N/A. 11. Describe the performance goals and standards applicable to the project. /57S6e-- alp' /90:- 50 ,,copefs-- ( i jz- ,Wb P1' 76t1Y4,0_,2-Blt xr&e.¢5 4 ,7 . er, 7z3 A. Ps, r ar /Of 0/17r/it , nfrwinia4. J!'OITidg YTIIC tr'( J 1')117 sto*nwaater site plan template rev.10/21/2008N_:9',;, • 0 I 13. Describe the water quality system. 154 + x s` . z.,yaJeg..4_s (x ) 14. Describe the conveyance system analysis and design. A 4,44,tp} 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. A(/'�+n 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform B}uilding Code. m 14 17. Describe the proposed surfacing material. , N p,e/Ve_.6 -y ,1-1\e) �i92,C/n/ -e 6A 5. gv�', co/ /� "Ns 18. Describe methods for restoration of the site. • 1<�-_._ _ .L N4-rr v& 12 s t,A40 P.�'b �� ,�. 4AJ 71 ,-0e0E- G )Y r? ✓F4 -r19AI bmei EAIf gs/$'. 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals here. N//et 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. N`A 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. WOE 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. v',ri mU--1-PIZr&7" W - /'5PFN PL-4GQ E D ,4w 3'` fP-4%-rg.o iRei tfli14 4/A/ 4 TD L, 1,l? /4T / ,o,Mt7 774 u Ve- O nl iv14-z,<tib 2. Establish Construction Access. 3. Control Flow Rates. /_' c T1401 s /N �L 4-cam cvih f/.tt-4 . 4. Install Sediment Controls. /6-0. 574-7- -6./V f_ /A/s74-uzi) Lvl7" b7 aJ 4142 Da., 4-7- /,), /wsr-44.4A4 alept4/�� F (Dow,5-cn/E) 7r A=F, -7 t tc K )4 - , 5. Stabilize Soils. /_ ea Ale- thstQg d 0EAr ER. 5fQ_ .g bAir"rG nun/0 770V FC - 84 /`LE • 6. Protect Slopes. 54-rvc‘- I4-S _ v- 7. Prote.ctiDr in Inlets. stormwater site plan template—rev.10/2112008 8 • • • 12 Required Elements- Construction SWPPP(continued) 8. Stabilize/C annels and Outlets. 9. Control Pollutants. /L.-r- COA-D F o/ , 01) Hof'-604 )) f _,n i< s.4 e- it 10. Conn' De-Watering (the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices (BMPs). /&b 12. Manage the Project. -7 440AWWtA/2- 50_//-0/ J 0/V 4j ,E/n I- LJ y./ Is, 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). Welke- b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). .9-e5? o {(DP-g.c /S / iN ,�.nrarK--1 uV ITry _ - o o5 Foe. 7D et3: . o - - /10 ' 77n c✓N r iYPPF 1 PR°e' n//lM, .5-'u6z/e' ,5__ ' x F"g r9i'L //'4FJ/I Bus 5 j 4-0 z4-trf�. .b0 J T��D/sn 5- e9APrn Al. EYES # g1. �f cc.jv 1 l391!>?oPI A)4 (J D.E- 5 {e n C ►,ram . 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. /' OAle stormwater site plan template—rev.10/21/2008 9 • • b. Descri ion 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). N6rt/ P,rta410_0 s iltv sierz w/4L �� gcJ,.T U0---Ail" , ./sue/Ali cp,&. c ss cvWicf/ t. o_AoLuu /) 9e??4/ . 5. Construction Phasing. a. Construction sequence / /�.) g�/Y2Aye 4 € '-riw '77Z��/ (�K6 c00/4/P,ME s/ z) /,V57 i-� 1S U~#1, - . 09-6-//l'r/u 1, i)/ /�L . / b. Co``ns//tr ction phasing (if proposed) 6. Construction Schedule. Wet season is October 1 through April 30 (page 2-21 of the Manual). I. Provide a proposed construction schedule. & ///Z : Did rev,- /en/ • -7////2- • ,geir pit a- • . . is'/�: A. �-Ne S_ la f s / z,( II. Wet Season Construction Activities. a. Proposed wet season construction activities. 17s� (.U/-L 8 _— 134)-rro fEC fi>1A 6,6/coa. , ©cr. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of b nds and/or other fnancial sec ities. oG+4�r/Z,A�/n eOL r F3�2.4�sf/F.2 V ,alvE 1 _ 7W/I dL) b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. .fir elY2/40./ A. (Arc—, (-e. (O�772-6,-&---7P9 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. f1//o9' 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.). 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 o rs of the affected property. • (LANDOWNER OR AUTHORIZED REPRE NT E SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 0 0 6 4 e / \)/, 7 77 , xi 2.4x3e °'XSs1LS t P — - N :74=- '-' - ,- _....". .._:-;- 4-4 't c-- ---:-..r..„1 tt 1,4 p% i CA 1i N 0.i 1 I (I i $ . I I 44a j� d'. I ‘.•- iNiij it lik 0 1 % . , II . kti � bGb f a I X ;X .4:_i_4, ,,,,, N I,-3' f Ili A ,=It / 1r> r ' t IMF 16+; -4 . t',7 INI) IL U ‘`. V 1 ip L,>r6,�s >ros x, 4111141 VI 1 /jc: I • 0 _X , .., ut if Jr I 1 ) <. o 1 I . 111. X . 1 t • ?III ci-j, . 1 1\1 z, , xl NI '2 , 7:— . 0� lc' Z. X Q C H $1 n _ AZ% , I i 7 1'( ft I t I 1 I. I I I t _ ii --- 1 — ! V F ,„, o a " , ‘‹ , = 1 �I fAtK if'; , f f , --7'...,WMV/IM.7 ._,_iD .--- . 1,,, _ , -_,, .,1- A,',iiir=li 2 ifs S x 7-. '.' -7" L. ,siy, ,, . • - ' • . —I, ( Co.fic0 F. ,„....., a i 5 4 I . )4 . p ' ,CI 412;‘-. ' - i' /1 . - t ' I . iq tV ' &? 1 ' , , 4- ' ,;:', r k _____ __J .,4 • L S ,-0i ?i'00 , (1 , ' ; N.- 4 > i 1( .6-41.'' 1".(1414144- . f/- • .Ns 0 J Ft, ryFA / - \ 1 � _o I i _, f..0 - i1/4 i / , 0.) \ r Well N s, ' i ilL N '\ SSC). ?8S, 1 t / 1 1 I i 1 N N I �� 'N ` N i \ 3 2S%9 C)'' � \ r \ I 100% Primary Drainfield NN S � (5) 54 Laterals Dietz Road 290.67' `' E S 88°12'50" E . 1 50' N 88°12'50" W. Easement Line ,, �' N A � 73 IU' SCALE: 1 "=60' THIS IS NOT A SURVEY • ;`4' /.. t00%Reserve 1F • •1;11 Measured>1.00 tO OO Li-) Area 56 z56' IL ._ _ Neighb>r s Well 10' / 0 64' _, 47, T LEGEND •. / � � 147';/ :, '- ' 1 ›/, iyJ 10' No Build ‘, I I Z /l t Soil Log 1..s ———— Building Envelope ° '� 2 . Lii Setback E .J /I 7� • • --•— Existing Componet 0 m 1 1 't#t4 Tree 1 cu ._, r.•7 t, 3 ., I�W -/ / / (A) Clean Out ,� -moo 1a I 3Q i 4.676 acres to Meander Line j 5.05/Acres t :.L.��-_._i._.. _ _acr�ssisleJsads.. ... a.,(B) Septic Tank VV i (C) Filter Sock i ' 1 a . 20' volI / Jc (D) Pump Tank I. / • / (E) Splitter -�. /.. 3u ' % 'a- -►--- - APPROVED N SITE PLAN A, i �• : Y /7727 ' LI\ 0 JUL 2 7 2012 b 4' 'D'''% Z• I ► J FE N DEFT OF O I 1 'I, SIGNAT : i i 5' Building Setback c{ Il i '-I ki w 3t'k I —,. F, \ \- ---,. -- ,�'1 ilk Approximate 1 50' °i —��-400a i) StOR(i A�? ,;A 11 , I' OHWM Setback ‘24 _ Iva-,L,`�tioh • 90, • J ReiekU, e% . \ -_ ' J I'IX I1.-J� fttij k III -. f ..v 7 — �"� _ Existin -- -_50' / '� ') ( I �� )1-7 — a, 169 arking/Turn , r E i)1 v �� a, u ct—— Around Area_, __D i! MAY 2 3 2012 U N‘. �.� \ ,�o m ) 0 ►1 o o � 88' As Measured On Site 1 JEFfE,RSON GOUNiY: � '�pprok/mate ��• 1 _DFPT.Of COMMUNITY DEVFIOPMENT . -- -- _ _ __— �f ---------------••----- .. . Tall Bluff - ` 1 Nathan Cleaver Septic Design, Inc. Phone: (360) 598-6546, Fax: 360-598-6548 oi ir CUSTOMER: Roland & Colleen Faragher-Horwell `ApprOkrmate OH wM A ID #: 501 032 017 I TAX _' -/— —•---Toe of Banc----- LOCATION: : 01ce " W: ICS 262.706' DESIGN BY: NATHAN N. CLEAVER DATE: 4/2/10, REV: 2 FEB 2011 '