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HomeMy WebLinkAboutBLD2012-00197 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 #: BLD12-00197 SITE ADDRESS: 331 COOK AVE EXT Issue Date: 07/30/2012 PORT TOWNSEND, 98368 Final Date: 5/28/2013 APPLICANT: JAMES W MAUPIN PHONE: 360-301-6829 NORA PETRICH 291 COOK AVENUE EXT PORT TOWNSEND WA 98368-9627 SUBDIVISION: TIBBALS LAKE PARK Block: Lot: TX 48 PARCEL NUMBER: 999000309 Section: 4 Township: 30 N Range: 01 W 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: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/28/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 7/12/2013 • Jefferson County Building Division Permit Number: BLD12-00197 Applicant: MAUPIN BiLDING 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 NotesCkr /� Setbacks t%_ 7r 2_ t A inimum setback from Cook A Ext. or any privateP ingress/egress ea�efnent shah be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. Erosion Control SEE CONDITION 3 Foundation Footing /1, , (2_ Footing Drains 7 Foundation Stem Wall t. _Id f z_ [2125 Underground Plumbing Under Floor Framing _ —i L 4) ADD /9-nfak lP;duGrrs Straps(hold downs) Ext. Shear Wall Nailing Rough-in PlumbingI( b-_, 7„...,. 1-,5,;, Framing 1-- 4l" -Blocking- i , ,q +.i Airseal ti ;— '-- °-� Insulation:Walls Insulation: Floors c_ _(2) e Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing Seas-Line:-Interior Gas-Line: Extcrior -Propane-Tank" Hc- fehirnney Clearance Drywell/Alt Drainage ? SEE CONDITIONS I &2 Address Posted SA-I; ik FINAL INSPECTION 6 t� f f FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR SILDING PERMIT APPLICATI MLA12-00146 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD12-00197 Received Date: 6/26/2012 SITE ADDRESS: 331 COOK AVE EXT PORT TOWNSEND, 98368 OWNER: JAMES W MAUPIN PHONE: 360-301-6829 NORA PETRICH 291 COOK AVENUE EXT PORT TOWNSEND WA 98368-9627 TIBBALS LAKE PARK SUBDIVISION: Block: Lot: TX 48 PARCEL NUMBER: 999000309 Section: 4 Township: 30 N Range: 01 W CONTRACTOR: LEXAR HOMES PHONE: (360) 379-8600 94 KALA SQUARE PLACE 51�1 PORT TOWNSEND WA 98368 ° Contractor's License HILINH*981BT Expires 2/10/2013 REPRESENTATIVE: LEXAR HOMES A PHONE: 253-606-5210 ¶-IM-CIRBS 94 KALA SQUARE DR PROJECT DESCRIPTIOr NSFR W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,248 VALUATION 144,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: 472 SHORELINE: CONST TYPE: DECK: 96 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 69000 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: Routing Date: b-21.0-tz Type Amount Paid Bv: Date: Receipt: /\ P V E D Permit $1,240.15 LYK 06/26/12 134942 /'� �/ Plan Check $806.10 LYK 06/26/12 134942 JUL So 2012 State Building Code $4.50 LYK 06/26/12 134942 Potable Water Application $64.00 LYK 06/26/12 134942 Jefferson County Planning & Building Department Total: $2,114.75 \\firlcmorlArlofo\forme\G Pt n Ann Rirt rn+ C./OP/0(111 • CONDITIONS for Building Permit# :BLD12-00197 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.) 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 SPLASH BLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 3.) CONSTRUCTION ENTRANCES SO L BE STABILIZED WHEREVER TRAFFIO/ILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 4.) 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. 5.) 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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. 8.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 9.) 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. 10.) 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. 11.) Minimum setback from Cook Ave. Ext. or any private ingress/egress easement shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. • • 12.) The building height is not to exceed 35 feet. 13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. \\tiripmark\riata\fnrmc\F RI rl Pprmit Rlrin rnt 7/1n/2n17 ,co co JEFFERSOUNTY • irliz., DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax rsO� www.co.jefferson.wa.us/commdevelopment �QS�N0 Master Permit Application MLA: Its--- ('--1"(p Project Description(include separate sheets as necessary): /f E i i f ,-f(14 t--- C A,'j/A L CT/CA; Tax Parcel Number: '(f( (.*('( .<'C"c t Property Size: (acres/square feet) Site Address and/or Directions to Property: - -3 i ( `r k Fl I'('(-f '�if.u'nSa 1r) i,G'A ri r�3 I' " Property Owner(s)of Record: A C/2.,/-I f?eTQI C fi Telephone: =;IcC --2>C( (r�y 24 Fax: email: Mailing Address: :13-1 I ("'.CC, le_ 6 tr'e ) PC'r 1.- .•! '•c r A5ti r c ( t-t 67 g 3C-j Applicant/Agent(if different from owner): L (---X F-g- (-tee lt-t 1 S - T /f 1 C l F3 i S Telephone: . -S? -(-C( - 5 2.1 C` Fax: ? • :37(. --Li 1 7/ email: 1 cji��>Im c ($lG t kti►4`i_C c Mailing Address: t/L/ /t' 1r; j(;^l .ram:r ; Ord (' , Flit- j-T"r,'i1 i4.'(1(' ( '/A tiC,3l-.�� What kind of Permit?(Check each box that applies L uilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit _____.) 0 Variance(Minor,Major or Reasonable Economic Use) ©Single Family d.Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** '0 Manufactured Home 0 Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address ❑ Road Approach 0 Short Plat** ❑Home Business 0 Cottage Industry 0 Binding Site Plan** ❑Propane 0 Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration*" ❑Stormwater Management 0 Shoreline Master Program Exerrtptien/PecmitRevisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Sufi tit' to epnjpn(*j -, tVi " L� IJ V❑Temporary Use 0 Shoreline Manaemeats ❑Wireless Telecommunication* 0 Comprehensive Plan/yDC/Land Use District ap q - ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shorelirte(y�aster Program Amendment *May require a Pre-Application Conference ❑Tree Vegetation Request ' ' J J N 2 11 i **Requires a Pre-Application Conference LU12 j I Please identify any other local, state or federal permits required for this proposal;i.ifknown: IU JEFFERSON COUNTY DESIGNATION OF AGENT .-__ ncn C�*,tiIUN11YDEVELOPMENT I hereby designate I It�C l f35/LC �-. (-t(�t*C to act as my agent in matters relating to this application for pe OWNER SIGNATUR-E_ / r'f_ �fiw ..`, 5 Y!y i/ - Date: G �-.�l '/ By signing this application forth,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice. Signature -72----Z �j �- ---Z `7rr/� Date: 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 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 nonansferabfe sponsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and da(,s it below. Signature: — — C v v �/ Date: _ / . G:\PermitCenter\###FORMS###\Dell FORMS\Master Permit Application 5-29-08.doc f • • 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 assumi responsibility of the General Contractor for the proposed projec Signature: — ate: �t? � c - Z_ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: L_�KAf, I-leti( ' - TN1 (fI0 (`>5)L-CE- 52tCs (3 )•379 -- L.// 7/ MAILING ADDRESS: a ty KalC_ • tiiit-a Of^) Pf1_1.,Als(ktf EMAIL: 4-1rE)05Ei• /(xt'..r ,l)r', f1uO`> . ca(1 CONTRACTOR'S LICENSE WAINS NUMBER: L C;x/12 j.. ie- C`IG,(lr-c- NUMBER ARCHITECT/ENGINEER: 1 / PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New ( Wood Existing: C Sewer ❑ Addition D Steel Proposed: a Bank E Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: pi-Individual System 0 Repair ❑ Masonry SEP Permit# ( 1— 1. t 7 C Demolition C Other: Bedrooms: Water Supply: Existing: Setback: =i Private well 0 Two Party Type of Heat: Proposed: -Public Total: - Name of System:b`- If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current I Po —---_ IBC Occupancy: IBC Type of construction: Will you have) cvic If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank I Above ground Tank Size of Propane Tank: :-- ' f I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove(t)Iptlior JJI Is this appliance being installed in a Manufactured/Mobile Home? Yes / NoWhen applying for a peit to install a propane tank you must also submit a site plan shdwinall_oe buildings petty lines, tank location and size,distances from the propane tank to all property lines,buildings andisa)�3/ ysm3c {nponents, including the reserve area. '1 I rr r i �1 I f,.t, J r ll D�PENT ft y,ry Yy§i :nc„ t, '._.'r' 1 r i t" • ^�^�— 4'{x. . Square Footage Current Proposed 'Fordfft a Use Only ,? .,, ..Amount _ kevislon: Main Floor Heated l J 62 EH Bid App Review: 2 Floor Heated N 1� k4 4ct Consistency Review: , aa Other Heated , ` r Base fee: � IS lf\ 04 I qd Mezzanine Additional Section: Heated Basement ' Plan Check fee: ^ 0 C Unheated Basement //�� - } State Surcharge fee: ��MG-1 p Other Unheated Ni�/ Pot Water Review fee: 4, 1 03 Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: I C t�C 1 C l(,., , C l Sll N(1 Other TOTAL: $ 7Gj a�4Sl . , ,,,; `_;: Receipt Number: I'y CI 2 /7Vf�r, * Cash/Check Number: i ) 1(7-(7 ESTIMATED COST(REQUIRED) Date: Fair market value of•eil lab • Is foundation to finish Initials: G:\PemritCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc ifl, Uhla.- iqb i f------------------ (z La- i ci 7 /0,41.,... i i ' -".• . : P z , -......, I I .. ... / .. ,.._,.,. I I I i __ ,/,/ ,(1& / ..,s. ..., II I I i „,. 1 I I •.•,.. ... I : [ ., ',.... i . ./ ,‘ . / I 1 i 1 . --..., d sof I i 1 I . . % 1 I • i j li 180 1 3 I ' -,. --' . .. . 41- I ,- • I It 1 ,...cf_..1.... 1 1 -4111111111111111111 isLie,5Q.c.,-. 140FAE- !Mit 1 i (- ----- • — \ - Stormwa • il • s j i \ Requi • . Ii ; : 1 io: ,- r.„------N, Oh 1 i I II , ; .. i 1 I , i REVISED Sc, iiI17r TIAN 1 I 'I-- 4 dated.1,1_62I/A2- , •, . II I Has been APPROVED 0 — - - I I . by JEFFERS• , I 4 , DsIEGPNTATOur. I. . Ai&-.V. ri 0 , 4t) fib 4ii. ‘ 1 0\\P-IS42-______„21 ‘ctb'sls. , 0 Oiv-5 Po 0 T" D i s PC, las-lq L Scatel. iv r ad sc_k-4 "Ro_LEL '1611 000369 P( A,,,) • IIgON 0 9 °4i. JEFFERSON COUNTY t ,.4 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 Negs (00 360/379-4450 • 360/379-4451 Fax 1IING http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 1 , I 46 PROJECT/APPLICANT NAME: AJI)[c,L Pe.-/-f[;h 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. . "/' i /C 74,`1 G /7 _ 7— DV'7,-- ��, Existing Conditions Summary 2. Describe the existing t opography. Indicate contours on the site map. 1m H 0 E ] V r, / /,! I ; , ( JUN 2 2012 1 3. Describe the existing vegetation. Indicate native vegetation areas on the si a Ma.. 1 Jl r DEPT(IF COMMUNITY DEVELOPMENT 4. Describe the existing soils. Indicate soil type on the site map. ��/-/--- i ,)- .1AA.e 14, /7' 5- )'- — 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. // /J 6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED r RO r ED r j/aic--1- L �G'i _�--,v%.9�r_T .,,, STORMWATER PLAN Alt 3 0- 2012 I pvs c„, .., .. Stoci.N• ,,,,,,, ,„4, y ii%AI Y stormwater site plan template.doc—rev.10/12/2003 ReQu'l ed DEPT. C TY D ``1 SIGNATUME: 1 J��h� ,1 4-), 1, , • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate/locations on the site map. �f 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.). i'e'S/ ,2°6/47: r,'..7/' 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 f cilities on the site planand differentiate proposed facilities from existing facilities. 7/ , / 1*•-"'" .> ,^ 6 - / ,!' �' /zt 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.) _ - ` 1 AL— _�J / Lr 11 '� li i I i_J , 11. Describe the performance goals and standards applicable to the project. ' --____________,.. I 7:I ` k,->/-l- �l '; � 1-C f"; ..ram „.�, --- -� ivy 12. Describe the flow control system. stormwater site plan template.doc-rev.10/12/2003 6 i 13 Describe the water quality systern.1111 14. Describe the conveyance system analysis and design. �Q J 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. Fes/ 4 - i � !. - 18. Describe methods for restoration of the site. � 0 - V , _, 19. p An Operation and Maintenance Manual is required for each flow control and tre i r�t,facility. [This is normally r ui e9 for "large" projects only and only those for which facilities are required to control flovul or1tfeat runoff.] If Included?list ha a ivals here. L lJ JEf ARSON-C90PfTY SEPT_OF COMMUNITY OFV_ELO.RMENT 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. stormwater site plan template.doc—rev.10/12/2003 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 section 2.5.2 of the Manual (beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. / C � i071 2. Establish Construction Access. ^ /ps" 3. Control Flow Rates. r 'c �Z /�i� T fr/:� r try lYi'lX w 4. Install Sediment Controls. 5. Stabilize Soils. r � CC 0 V E 6. Protect Slopes. 7. Protect Drain Inlets. /✓�iX stormwater site plan template doc—rev.10/12/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels jnd Outlets. 9. Control Pollutants. -- °.4 Z /C,, / Gar'd G /,.q. o,- ;/,7 - 10. Control De-Watering (the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices(BMPs). • ..0 1 __,.4, -,,,---ile.,7"--00a.i /-4n-i- e"4..7-4-fae-77;%'-‘<r" z- ',1 " ,,..7-1.1- -: ,,._,. - In '" -5, ,,-- Lei '' .. tS ' ,./ ; _ //' ,z' S 12. Manage the Project. .%i / T/ 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 rin bodyof water(minimum distance of 400 yards). frO recei Fn lid C rc� _ v E i _ 3. Environmentally Sensitive Areas. JEFFERSON COUNTY a. Description of environmentally sensitive areas that are on or adjacent to the site. OI r'''' 1 ''' ''.r stormwater site plan template.doc—rev.10/12/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g., erodibility, settleability, permeability,depth,texture,soil structure). /%47— / 5. Construction Phasing. a. Construction sequence 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. ►l. Wet Season Construction Activities. a. Proposed wet season construction activities. J/ b. Proposed wet season construction activities for environmentally sensitive area D C ,i -i...c/4/ �— �.� /yam/� / . /4/ 'V- 7. Financial/Ownership Responsibilities. a. Identify tree property owner responsible for the initiation of bonds and/or other final anmtis m\ /W4,4 J /fir c,� - U iI b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and diMlentation impacts FFERSON COUNTY ,I, 0PF'ENT 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. GJ,� a. Sediment Ponds/Traps. ,/�' b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template.doc-rev.10/12/2003 10 • i 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. 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