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HomeMy WebLinkAboutBLD2007-00364 - CANCELLED Jefferson County Building Dition Permit Nun.: BLD07-00364 Applicant: STIMACH BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:0C 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 Erosion Control Foundation Footing Foundation Stem WaII Straps(hold downs) Ext. Shear Wall Nailing Framing Drywell/Alt Drainage Address Posted FINAL INSPECTION (411Y14-e( FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00364 1.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on August 14, 2007 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review, the following ESAs were confirmed to be present on the subject property: Seawater Intrusion Protection Zone - High Risk (SIPZ). 3.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit (5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 4.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 5.) The parcel is located within a High Risk SIPZ (seawater intrusion protection zone) according to the County GIS map. There are mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A High Risk SIPZ is defined as: areas within 1,000 feet of a groundwater source with a history of chloride analyses above 200 milligrams per liter(mg/L). 6.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 7.) MANDATORY MEASURES OF HIGH 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. 8.) MRF • 1. For proofANDATO Y of MEASURES potable water onFO a building HRISK permitSIPZ: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 requirements: a. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106 for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC 173-160-171 (i.e., within 100 feet of a groundwater source showing chloride concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an existing or proposed groundwater well not subject to an Ecology variance, applicant must provide evidence through a hydrogeologic assessment(relevant components of an Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the subject aquifer will not be degraded by the proposed use of well. b. Installation of a flow meter. c. On-going well monitoring for chloride concentration. d. Submittal of flow and chloride data to the County per monitoring program. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 9.) The applicant is proposing to create or add 2,085 square feet of impervious surface and 7,256 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements#1 through#5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 10.) A Medium Stormwater Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 11.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 12.) This approval is for a single-family residence and detached garage only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 13.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 14.) A Declaration of Restrictive Covenant has been recorded on October 10, 2006 under AFN 516351 for the purpose of consolidating the lots to meet minimum land area requirements for on-site septic ad to allow zero lot line setbacks. The Covenant is strictly for building and septic purposes only. 15.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 16.) 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 autormobile 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 requriements 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. 17.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 18.) The road approach permit(RAP1100100) must be inspected and finaled by tlefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the final road approach inspection. 19.) The building height is not to exceed 35 feet. 20.) 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. 21.) Setback from Seattle Dr. right-of-way is no less than 20 ft., setback from Thorndyke Rd. right-of way is no less than 20 ft., side setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply 22.) Seattle Dr. (C436309) is a county local access road. A road approach (RAP07-00100) was approved on June 18, 2007 and an address of 543 Seattle Dr. has been assigned to the parcel. 23.) This parcel was created through Trail's End Homesites under AFN 123462, recorded August 7, 1950, Volume 3, page 30 with the Jefferson County Auditor's office. 24.) Pre-existing legal lots of record less than one acre in size in rural residential districts are subject to the stormwater requirements in Chapter 18.30 JCC and must meet the"Area of Impervious Surface Coverage" to the maximum extent practicable as determined by the administrator. Lot coverage is defined as amount of impervious surface, which includes rooftops, driveways, concrete, etc. 25.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 26.) The development will be serviced by public water and a well will not be utilized. If a well is required for potable water the applicant shall meet all of the Aquifer Recharge and SIPZ conditions. 27.) The site plan as submitted with the building permit application on July 3, 2007 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated August 16, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. • �. ._ .' (IfeiON � JEFFERSC�[:OUNTY c-7r4 DEPARTMENT OF COMMUNITY DEVELOPMENT 621Sheridan Street • Port Townsend •Washington 98368360/3794450 • 360/379451Fwww.co.jefferson.wa.us/commdevelopment IIN Master Permit Application MLA: 0�, 3s Project Description(include separate sheets as necessary): Tax Parcel Property Number: g 5 Q- toa -� �b� 6-f 2.qt) C' 4'I Size:, qt, 21, 7 re?y' 61 (acres/square feet) Site Address and/or Directions to Property: 4if3 5ea�`H c{e Pod l.t'dlve. Property Owner(s)of Record: I. /J dw eth $ x 4 A Telephone: 3i '-765'- Fax: email: Mailing Address: 2161 e Qvice,,r Ad &Q0,/ce4 4 tl Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]** ❑Single Family eGarage Attache& Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry ❑ Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management 0 Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *May require a Pre-Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate 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 it's 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 applicati n that he or she wants prior notice. Signature: A-.6.44f'°7 Date: 7��U 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 non-transferable responsibility f adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 1' u� Date: 71A/U G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: v."1 C ukckcl •k4Z-1ye`.., A4 G Poc, \'. :IbbC: (=mac )1:(1--1 - LVI ,. `` (_3(ck.,,) (c-<='i-T- U(cC4 MAILING ADDRESS: C i' t EMAIL: ' ,Ickt'i iIf 11:441. _)t: -t X L�(SAC� .<. F ICA1 t'K.,i I.0 :ry i CONTRACTOR'S LICENSE _� WAINS1 ` NUMBER: NUMBER r)LI&: ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: _-t -_ Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _. ' _ Height: X Individual System ❑ Repair 0 Masonry .A' SEP Permit#, ❑ Demolition ❑ Other: Bedrooms: _ Water Supply: Existing: -,-- Setback: ❑ Private well 0 Two Party Type o4 Hlat: Proposed: ejr- ,�/,� i ; Public yy �/% Total: XX-__ Name of System/t/ If this is a Commercial Proiect you must answer the following: , /f=fi Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank I Above ground Tank Size of Propane Tank: l- I Heat Stove I Cook Stove I Woodstove i Fireplace Insert i He'`"'Ater Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home . / No When applying for a permit to install a propane tank you must also si',..,nit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For.Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2na Floor Heated Consistency Review: Other Heated Base fee: atiJ.l??�� --77 ') � , xJ Mezzanine _ Additional Section: , Heated Basement Plan Check fee: �jL� � � Unheated Basement LiState Surcharge fee: � c�0 Other Unheated of Water Review fee: ____ ,__ Garage/Carport " / SUBTOTAL Decks 11/Rd Approach fee: E 1( iic7\ 4 n 0s\ Other TOTAL: $ 366 r(' 7 r J.-, -t Receipt Number: I I(` . fr- `Csh/Check Number _ li k, ESTIMATED COST(REQUIRED) - t - in I-, *� 73/6.Fair market value of all labor and materials foundation to finish "j :� ) Initials. i I),t Of, C i G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 3, APPROVED •STORM WATER,-PLA$ ; • i iiirliii ozv , AUG 16 W j , rY� (r� I� t 1 , i DDJEF- RS N COU. TY I a it EPAR MENTO i• •y� �}.' f-, .,ii`�' t? • ENT ?� ! JUL - 3 2007 IL J1 ,..,,, t) 621 Shegri rart Rt#?•jfgM!`.'Tf4=`ti.1!.7.nl�?!!!.. 98368 N 069 http://www.co.jefferson.wa7s/commdevelopment/ Obit Lul-l.tLrvr j STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPLICANT NAME: M.elvlt y j if,0, 4./i? 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. e ,Ili Stet ll Akio Mant.7 fvreci 13?0, gu;..r; Uhk*dit'ef 9*aL 3e 06 Se 't 02 3 calm b144 /3'7'S( 5-etc.), Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. Very SirIk - $7 oe mam a-r( XO v9S� ` .1 5" ,jt �ifo 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. A few 6.S-S opt 0,,,orms,h, ei tS. o-6 lorventy a,(So 4..fe&. 4(c(ers. feris anet blackberry ucnp•j nt%xeel co,c' /, ,S�l�y,s1.4 4/'. YeI 4. Describe the existing soils. Indicate soil type on the site map. $i,i, .& -e r- 5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. U'ul<Pr .Jt,5P` cCt5 q fa, '�►rs Or) We Cv, ,tp ,PAC' 2ne( / '$ PAP 3401e, p ver y c..A re t p li,p.re r 7"m,g eAd 6. Describe any excess levels of noise generated by the proposed use or activity: Con (h.'C rah' Aolice '(o,r a very $Iior)4 i,,ic stormwater site plan template—rev.10/1/2003 5 7. Describe significant geographic featur and cri cal areas (i.e., environm ntally se sitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate ocation t dte�iL map. -- -. •/tJ'Onr Y14U-0 a',,,?WF±,/:t( T'A3M410.1.1v,tr Y t.. whit)1 to 11-tn - ..,.'..'.'+ram»! 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (streams,wetlands,ps lakes,es stlpep slo es,etc.). I 1 ,! ke 5( 4eh c yet( r h b0r rcvt9Lt 6A. ik tvp c' C ci-h almos/ tict? y r> h,t1 above Hood cah�I urn S�` o l�ooc( Cana( Qric(4e gears rt.c,e Aavrn . `1Jhornc(xicr rid 1Lo yie aS/ 1 5 .1/*F c&, 10 tve1`f oc cr Yr) -he ,!/or M f ,ai,,vre, ' ?` to 'AP 54,4,?6,1 Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation.of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual)or,if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. -teOrii r,..446't v..'i I tke 4../it 6(eSper5e4 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.] No k`eeC{ Kos- Yi'e-cYnelt. eke,//'S eS 11. Describe the performance goals and standards applicable to the project. To iiVizcit file As it'iWr 4s ,a a F. 12. Describe the flow control system. TAere ;S ho flow ®h tAP'S S'fe, u?` ju51 4C5kfrvar ' / .1 )41kr 5ath Or stormwater site plan template—rev.10/1/2003 6 • • 13. Describe the water q ality system. j '�� L� ' "• The the e,- 445a,exef e 5'4i11 ,l�L - 3 7007 JwY _ I vEVELOPM vl 14. Describe the conveyance system analysis and design. G tigers are{ boitiet s .) ci'e,h fhb t'a �r 15. Describe the source of fill mate ial,physical characteristics of fill material,and deposition of excess material. SA/ld 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. Or(1)er,oa y � 4 »l r�u s . c“); mot Comfit ctfi'G{ r ' i^es 'rorh c r 15' '�rs�ck). Lc(f com, 1 54Aei v ni4r r'on cre Ye Stab 4ara y,< 17. Describe the proposed surfacing material. CH/CAP roe /gm/6 18. Describe methods for restoration of the site. w A Y 14 l 15Csi,,.n, na t t e✓i° V e.50 Yof ✓1 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. 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. n� 04 stormwater site plan template—rev.10/1/2003 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. Ctcarcc( lot ©C SMa(( alc(Prs '- eres/i 'Or Sep howl 6ar• e 2. Establish Construction Access. ►Ot haS Short drt tetay m-Y $& *'/e Gar. already ex Vi'Ay 3. Control Flow Rates. 0 aI'Ac n C' ; 'ti/ S) s- , r d rt.' d bi '(AC 5ai 4� 4. Install Sediment Controls. Na h Pee{ 5. Stabilize Soils. (awn ti"t'(I 'vt. t &Pn ,f iNw it- Aiwei 6. Protect Slopes. Con5YrvCYi oh area. .0 tope c Cdt v1 2 l`rl l).a ' fO f'P j trs1 Ctraans ih:#o the cane! 7. Protect Drain Inlets. A Stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements—Construction SWPPP(continued) U}` �' ! 8. Stabilize Channels and Outlets. I* {r 1 IU their Grp Aoo e 1� U - 3 2007 1 Ji LOPMEN 1 9. Control Pollutants. :f Out,. cant Wt;.�� 'a en Yet Je c,rCiviy/, it -v 4 . reproLdref fMrhlGsfeEy 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). We'pe.�tr1.l`tn f gin vt ahv c?'`�rPc' home and A parR ,v _re er Lv fit de V't r Q( /r Cart c?''/7s'7"i ►1 Asd i'�' t'Y iNe,ch / Y Gv ( 1 '0 ,1I?'v -fiie tAmc( 11. Maintain Best Management Practices(BMPs). -tnvl a Se(Z, aon rite )6r mu re/ (61.11.6 CarP9414'r) aiei l' 11s' ? c?ri A c et, 1 Gb 'r 71 12. Manage the Project. . c. Ci: k t1,/ re4� 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). NA b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). N 3. Environmentally Sensitive Areas. a. Description ofenvironmentally sensitive areas that are on or adjacent to the site. stormwater site plan template—rev.10/1/2003 9 • • • b. Description of special requirements for working in or near environmentally sensitive areas. ✓V,4 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). 5,YY t S Orel to cirk teh o wil e(to,o)'A r J l naa.S /een' 5. Construction Phasing. a. Construction sequence t Slt �. P "'' �co►� wait 1Fs'`cfe?, Se?` ;name flo.r flab bo-r/ 4,4,e 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. SP/14%C f ER house y`sLc). 1i.,5 II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. ore s i (-efcons<h/e 6 ',c' i eSl o ' epj ?LA hoe,et 0 f.ni 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. /144 c. Waterways. .4t4 d. Runoff/Stormwater Detention Calculations it1f.4 stormwater site plan template—rev.10/1/2003 10 • ! . Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. 7/2 70 (LANDOWNE R AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: { R -. a (P) \''' i1'rt 1 }\I\a-- pw JUL 3 u 1 l EvEl.OPf.'ENl stormwater site plan template—rev.10/1/2003 12 z 0 H rn qg>4 N 71 Al vvvaa TP 1� i I . p ® rn 0000a r vvava 11% k z \\ m . q !il 6 6 ?h• A m r A tl O y■■ I-� II 6 ,1. z o H I rn 151 II 111 4il •yOy p4p ie mT fl;y U A y_ fffffr N 5 1 --- -_-- - - - - - _ - -1 \ _ '' I P •lksi RmF N o m m o ' � 1 II o Z r Qsk m rr A iraanr m�vaoi A."I. 1 i ...:i!t 4 u —1-., 8 40 Q O r (____ u I --o R _i -- I•r 1)- � _ � I o .I I- F -i 1 pt III -iq • r n A e • 1._ 8 u_' g sj S 11 �y om y o o Fri F --I x ® T O 1 2 p t1 _D p r _ ego � ,� , M 74 o a r-7�- :‘g ,Il , , , _ � im NZ „� o �i ,..,1Q -. m =�5s , F Z a t F lI O \ I x� s'i V r u oil u C . 7--' ' I .) a a4•asses \ g •o 6$ 1 f u _______,,,,,_ , r, 2 i cap rn y / 1_n / — _n. - I a I N 7 MCI mp4 c 1-4 Iv IA rn ® 50 Da rrl p m � IV N.......-'7' q " all �N/ ^g i i U Cr Vck..57 leA4 /24.4xN F 3/07)11 \1d '4 f I. a 0: 7')1'77 , hee.5 s�Urw0ru 1Pr I ' hativ*1 v,, . 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