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HomeMy WebLinkAboutBLD2006-00402 • • . BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00402 Received Date 07/12/2006 SITE ADDRESS: 4677 CENTER RD Issue Date 07/27/2006 CHIMACUM, 98325 APPLICANT: ELIZABETH A BROWN PHONE: (360) 732-1170 4677 CENTER ROAD CHIMACUM WA 98325 SUBDIVISION: JOHNSTON SHORT PLAT Block: Lot: 4+ PARCEL NUMBER: 801034025 Section: 3 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW REPLACEMENT SFR EXISTING A/G PROPANE TANK TO BE CONNECTED TO FREESTANDING STOVE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: e' UFFER: k," Footing: MK p 1i i✓ in/ Foundation: CAL V-1" A c t Vb Stormwater FINAL Approval: ►ai,4 1AN� R—C.A4A cr/c IZ- -06cr60 Underground Plumbing: Underground Insulation: Shear Wall : jet SHE,nehmtL A Lad,x D, 2/54)7, Sheathing: Framing: -1 - 7 w'Ol1- Plumbing: OK 2/23/67, Propane Tank/Lines: ,fJ Insulation: A t✓-56,1"(, 3 -( -7 1/}( )e--4;- p-7Sheetrock: C '3 ``{\01 Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: P1-c,.:),-rC!o c 1-i--c�'7 HEALTH DEPARTMENT AND PUBLIC WO KS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY - SEE REVERSE I 06- IILDING PERMIT APPLICA1N MRL Review Ty 386 ype:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00402 Received Date: 7/12/2006 SITE ADDRESS: 4677 CENTER RD CHIMACUM, 98325 OWNER: ELIZABETH A BROWN PHONE: (360) 732-1170 4677 CENTER ROAD CHIMACUM WA 98325 JOHNSTON SHORT PLAT SUBDIVISION: Block: Lot: 4+ PARCEL NUMBER: 801034025 Section: 3 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW REPLACEMENT SFR '),l(,I. 'i "EXNST1NG-A1G QPANE-TA 0121 olp KA‘J RVJLStor, TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NE1R A VALUATION 4C3,005.09 cf3 55& rAIN: 864 CODE EDITION: 2003 IADD'L: HEAT TYPE: RAD OCCUPANCY: R-3 HEAT BASE: -86+ HEAT TYPE: PRO OCCUPANCY: UNHEATED: $too #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: GARA CONST TYPE: DECKLE 175 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 1 Prop: -2- 1 Total: 1 Total: -22- I Routing Date: 1-il 14 /0(da_ Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,352.15 KAS 07/12/06 83720 Plan Check $878.90 KAS 07/12/06 83720 V D State Building Code $4.50 KAS 07/12/06 83720 JUL 21 2006 Total: $2,235.55 Jefferson County Mannino & Building department SPECIAL CONDITIONS FOR C BLD06-00402 • /�'�E 1.) THE MOBILE HOME WILL BE REMOVED PRIOR TO FINAL INSPECTION. 2.) The project is located in close proximity to an identified wetland and is subject to the delineation provisions of Section 3.6.9 of the Jefferson County Unified Development Code. Based upon the proposed location of the project in relation to the identified wetland, the applicant has agreed to maintain a buffer(setback) that exceeds the standard buffer requirements by fifty(50) percent. The applicant acknowledges the additional setback and agrees to maintain the extra 50 percent buffer, therefore, waiving the wetland delineation requirements of the Unified Development Code. 3.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 4.) A permanent physical separation along the upland boundary of the wetland buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 5.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 6.) A stormwater plan for a medium project 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. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre 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 Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable 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 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) Minimum setbcak from the edge of the ingress, egress easement shall be 20 ft. Minimum side and rear setbacks are 5 ft. Environmentally Sensitive Areas further impact setback. 11.) 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. 12.) 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. 13.) The building height is not to exceed 35 feet. 14.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 15.) Landslide Hazard Areas and I associated buffers shall remain naturally\7€getated. 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. 16.) 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." 17.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 18.) 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. I:\F_BLD_Permit_Buildng.rpt 10/29/19 II 0¢ 01\T cad,. JEFFERSON COUNTY W ' \ti DEPARTMENT OF COMMUNITY DEVELOPMENT r' `' , 4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379.4451 Fax q c3 www.co.jefferson.wa.us/commdevelopment H7N • t, _ , fa Master Permit Application MLA: C&)-5 Project Description(include separate sheets as necessa ): !I EJC4; ki A-UJ ._t-f,v-+, S, K Tax Parcel Property Number: 80 /0 351 C Z5 Size: S acre4square feet) Site Address and/or Directions to Property: 77 re,,,, 1.0,• �'Ccjl C(^: eU nu, („)A . 5837_5 Property Owner(s)of Record: E L;3 6_ h-e_ -,, 4r . 1 rb tN n Telephone: -36,0 - 732 - 11 ?O Fax:31,0- 4,137- /3 kS" email: T,e-Gv t� /e-Sil eft) . 6,,,,, Mailing Address: I/4'77 Ce.r,-k✓ iE?S • CGI:v►,�CO r Gil 98 3 z 5 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: . What kind of.Permit?(Check each box that applies) Building u Variance(Minor,Major or Reasonable Economic Use), ❑ Demolition.Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular • ❑ Short Plat"* ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat*' ❑ Address I Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** Propane ❑ Plat Vacation/Alteration** Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development" ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance . ❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Wireless Telecommunication• ❑ Jefferson County Shoreline Master Program Amendment • Forest Practices Act/Release of Six-Year Moratorium *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.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: Date: 4 - /J-0 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 for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature L Date: 6 - /3—v C:\llocuments and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc r • 4111 OWNER 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 ass tilting the responsibility of the General Contractor for the proposed project. Signature: � L�L~ Date: Y.•-. Z'O GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: • CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ') MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: 2 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _'� _. Height: X Individual System Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: _ - Setback: Private well ❑ Two Party Type of Heat: Proposed: _ti... ❑ Public CtriInn►t.. iW.crYA, . Total: _ t__ Name of System: 'Zak,Ol.h. 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 Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane •nd/or AD•Hance Installation permit,mark all items below that apply: L8 I Underground Tank •,..'- . . _ , Size of Propane Tank: ' 2M 0 .S t 7 UI2 IY(p€) I Heat Stove I Cook Sto - noodstove I Fireplace Insert I Hot Water Tank i Pellet Stove i Other 2[L�!a,• Is this appliance being installed in a Manufactured/Mobile Home? Yes / No t t ---- 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. 1, AJIblo►k al 21Ol�A Square Footage For Office Use Only 61•�-t viewitY (95.t) Current Proposed Amount 13io. Main Floor Consistency Review 66, -1-1 .3� n3.cb St. 00 2Nu Floor Base fee: t3G 15 3fa Floor Additional Section: --�, Mezzanine: Plan Check fee: 51$. 61b 51. DO Heated Basement Q, ,' _ A0,30 State Surcharge fee: ,{'5 0 I Unheate B sement n ot ter �eview fee: Other Unheated 911/Rd Approach fee: Slrt 1Garage/Carport. 111�� TOTAL: $ a 1453.55 a 3a.Co Decks 175 4 jilftiiip et t .umber: ,370o Dqp� s Other ei 4.14 � otc'Number: I4 8 t5a� v� ESTIMATED COST(REQUIRED) s551 - - Date: 1 / .Fair market value of all labor and materials fo dation to finish i a I ocj ' l''/Bk 4 -4 ' �N _ Initials: mgai mod] t I ,©05.3`�t tb tom. < fts k C\Docuents and Settings\mocl il\Desktop\Master c t Application 7-8-04.doc 1I210le t�h anga +b 1144)114 1/(44+'°4% -760 5n1.3 1 • I ' JACK WESTERMAN 10 Jefferson C. Courthouse ASSESSOR PO Box 1220, Port Townsend,W.% !WWI (360)385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: 9 119j pp ADDRESS: ((�`7 Z C,9.c�Vt-Z PHONE NO. 3 to o 73 2- -1 The purpose of this questionnaire is to obtain information regarding either the current location of a mobile home or the previous ownership and location of a mobile home. This will help our office determine whether the mobile home is already on the tax rolls in Jefferson County or if it has been moved to this county from another area. 1)MOBILE HOME DATA: (A) MAKE &ILK. (II) MODEL (1t. (C)YEAR 7.A' (D) LENGTH ( b (E) WIDTH Z (F)SERIA # (G) YOUR PURCHASE PRICE (Do not include sales tax) PURCHASE D.ei 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOV To QUESTION 4 ) (A) FROM WHOM DID YOU PURCHASE MOBILE ADDRESS (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR?Yes No If Yes, Previous address of mobile. If No, What County was Mobile assessed in last year. 3)WIIERE MOBILE HOME IS TO BE LOCATED: c, (A) WILL THE MOBILE HOME BE IN MOBILE HOME PA Y No ill)IF LOCATED IN MOBILE HOME PARK: NAME &ADDRESS OF PARK Lot/Space# (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: LOCATION ADDRESS REAL PROPERTY PARCEL #/DESCRIPTION Sig tare of applicant THANK YOU FOR YOUR HELP! �ss� Q 4JO COSSELL, Property Technician • • • .g,SON L, r ° , JEFFERSON COUNTY JUL 12 2QUS «7 DEPARTMENT OF COMMUNITY DEVELOPMENT 4, iii ,� 621 Sheridan Street • Port Townsend • Washington 98368 1.t . , A U I N I'd I O 360/379-4450 • 360/379-4451 Fax _'INO http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# ao "‘ eCQ PROJECT/APPLICANT NAME: 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. Existing Conditions Summary PERMIT it RID 2. Describe the existing topography. Indicate contours on the site map. i L � 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. .4l�Q 0i)U10 ail�l J . ! r iJ 4. Describe the existing soils. Indicate soil type on the site map. --f t J " , .✓. ; yv\t 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. i • rL. r.t��ir'; *In/f;G*;, 5�;� '!% -t` It1Y�S.f >'j 36i... APPROVED 6. Descriibbeeaany excess levels of noise generated by the proposed use or activity: STORMWATER PLAN - JUL 2 5 a06 JEFFERSON COUNTY DEPT OF COMMONS StGNA1uRN J stormwater site plan template—rev.10/1/2003 5 • 0 . 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. 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.). 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. Uif/f .,. ` .,f°r /✓�i f,- ✓1.,. `rye.: �,'t t,- 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.] 11. Describe the performance goals and standards applicable to the project. . ‘3 4:. ,• 12.r' escriiie the flow control system. e t Tip;, s f� p .� e tJ ., a a i e r slo ISr 7t t atafA'`isNi.,lani oo3 ... .-....... 6 • • 13. Describe the water quality system. 14. Describe the conveyance system analysis and design. 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. (elf ave." 18. Describe methods for restoration of the site. 4 t, 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. u/i4' 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—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. 1 ri 1rC 1,-)-4-1 E(rt k-+ 1-4) O r -e_to V E-.... - .t 2. Establish Construction Access. tom:1:6-1''vikt i. 3. Control Flow R es. / 7` 4. Install Sediment Controls. 5. Stabilize Soils. /1///4- 6. Protect Slopes. /Vbt-- 7. Protect Drain Inlets. A.//tAt FtllINn I stormwater site plan template—rev.10/1/2003 8 • i 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Control Pollutants. • � r 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices(BMPs). /V/, 4. 12. Manage the Project. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). c,,,,,ket ' f3,414- 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. • �EFfUfiStjN CUUNTY nCi stormwater site plan template—rev.10/1/2003 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). 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). I. Provide a proposed construction schedule. � �' 5 4 iJ- 15 <_,.. p GS II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet seas construction activities for environmentally sensitive areas. H 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. 6°j`ids. CO t"--." b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. r �l/c3 l /JG S /GcCSs et...ir tor 8. Engineering Calculations. Provide Design Calculate s on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. /� A b. Diversions. iv, c. Waterways. AM fOil i d. Runoff/Stormwater Detention Calculations .A.-/t4- 4., Zit 14: 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. 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