The URL can be used to link to this page

Home My WebLink AboutBLD2007-00125 sON „��r DEPARTMENT OF COMMUNITY DEVELOPMENT "a 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax: 360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment .4s,111 No,Vos E-mail:dcd@co.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT #: BLD07-00125 APPLICANT: JAMES KELLY PHONE: (925) 516-1917 LOUELLEN KELLY 372 DRAKE RD PORT TOWNSEND WA 98368 SITE ADDRESS: 372 DRAKE RD Issue Date: 07/18/2008 PORT TOWNSEND, 98368 Final Date: 6/21/2017 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001182002 Section: 18 Township: 30 N Range: 1W PROJECT DESCRIPTION: NEW SFR REVISi&JN REItiVtD TO REDUCE SFR & CHANGE PROPANt i O 250 ABOVE GROUND 10/14/15 sre THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/21/2017 Acting Building Official, Patty Charnas \\tidemark\data\forms\F_BLD_Occupancy.rpt 6/23/2017 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD07-00125 Received Date: 3/26/2007 SITE ADDRESS: 372 DRAKE RD Issue Date 7/18/2008 PORT TOWNSEND, 98368 Expiration Date 11/12/2016 OWNER: JAMES KELLY PHONE: (925) 516-1917 LOUELLEN KELLY 372 DRAKE RD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001182002 Section: 18 Township: 30 N Range: 1V1 CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW SFR REVISION RECEIVED TO REDUCE SFR & CHANGE PROPANE TO 250 ABOVE GROUND 10/14/15 sre TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,545 VALUATION 249,534.00 ADD'L: 0 HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 481 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,833.75 KAS 03/26/07 89486 Exist: Exist: Plan Check $1,191.94 KAS 03/26/07 89486 Prop: 3 Prop: 3 State Building Code $4.50 KAS 03/26/07 89486 Total: 3 Total: 3 Potable Water Application $58.00 KAS 03/26/07 89486 Renewal $213.00 KAS 06/22/09 108655 Renewal $213.00 LYK 07/06/10 117940 Renewal-2011 $213.00 LYK 06/20/11 123610 Renewal-2012 $222.00 LYK 06/28/12 134951 Renewal-2013 $228.00 ZAL 07/24/13 142303 Renewal-2014 $228.00 JLA 06/23/14 148796 Renewal-2015 $234.00 HAC 07/16/15 156305 Plan Check $78.00 SRE 10/15/15 159269 Potable Water Application $129.00 SRE 10/15/15 159274 Total: $4,846.19 Directions to Site: SEE MAP QUEST DIRECTIONS AND MAP L •UILDING PERMIT APPLICA )N M Review e T 0152 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00125 Received Date: 3/26/2007 SITE ADDRESS: 372 DRAKE RD PORT TOWNSEND, 98368 OWNER: JAMES KELLY PHONE: (925) 516-1917 LOUELLEN KELLY 372 DRAKE RD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001182002 Section: 18 Township: 30 N Range: 1111 CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR • REVISION RECEIVED TO REDUCE SFR & CHANGE PROPANE TO 250 ''-- ABOVE GROUND TYPE OF WORK 1 E$ _ SQUARE-FOOTAGE: L.. TYPE OF IMP NEW MAIN: 1,545 VALUATION 249,534.00 ADD'L: 0 HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 481 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: APPROVED Prop: 3 Prop: 3 Total: 3 Total: 3 NOV 1 2 2015 Routing Date: Jefferson County DCD I I Type AmounOid By: Date: Receipt: • Approved/Date Permit $1,833.75 KAS 03/26/07 89486 Plan Check $1,191.94 KAS 03/26/07 89486 State Building Code $4.50 KAS 03/26/07 89486 Potable Water Application $58.00 KAS 03/26/07 89486 Renewal $213.00 KAS 06/22/09 108655 Renewal $213.00 LYK 07/06/10 117940 Renewal-2011 $213 00 LYK 06/20/11 123610. Renewal-2012 $222.00 LYK 06/28/12 134951 Renewal-2013 $228.00 ZAL 07/24/13 142303 Renewal-2014 $228.00 JLA 06/23/14 148796 Renewal-2015 $234.00 HAC 07/16/15 156305 Plan Check $78.00 SRE 10/15/15 159269 Total: $4,717.19 \l tiricmnrIArltnlfnrmc\F RI fl Ann RId rnt 1n1 R0111r. i • JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •• Washington 98368 360/379-4450 . 360/379-4451 Fax 1'`943'ING� http://www.co.jefferson.wa.us/commdevelopment/ Construction Stormwater Pollution Prevention Best Management Practices (BMPs) Packet For"small" projects(as determined through the Stormwater Calculation Worksheet), the applicant shall consider the twelve Construction Stormwater Pollution Prevention elements and implement applicable BMPs. A set of useful BMPs for typical rural residential construction is attached. There is no additional submittal required as part of the permit application. For"medium"and"large" projects,the Construction Stormwater Pollution Prevention Plan (SWPPP) is part of the overall Stormwater Site Plan required as part of the permit application. Refer to the Stormwater Management Information Sheet for guidance. The following twelve elements must be considered for Construction Stormwater Pollution Prevention before and during the construction phase of the project: 1. Mark Clearing Limits 7. Protect Drain Inlets 2. Establish Construction Access 8. Stabilize Channels and Outlets 3. Control Flow Rates 9. Control Pollutants 4. Install Sediment Controls 10. Control De-Watering 5. Stabilize Soils 11. Maintain Best Management Practices 6. Protect Slopes 12. Manage The Project Each of the twelve elements is described in more detail below: 1. Mark Clearing Limits By minimizing the limits of clearing on the site, a builder can minimize stormwater runoff and provide effective control of pollution. 2. Establish Construction Access Much of the sediment that leaves a construction site does so on the wheels of delivery and construction vehicles that drive off a project site. Construction access must be limited to a single location and a properly constructed Stabilized Construction Entrance(BMP C105)should be included on the site. 3. Control Flow Rates Stormwater that leaves a project site unimpeded may exceed the capacity of the existing stormwater control facilities downstream and may contain sediment that may be deposited as the velocity of the runoff decreases. Stormwater protection on a construction site should include measures to control the flow rate of runoff from the site. This can be done by installing a Sediment Trap (BMP C240)or other measure that will impede the flow of water off a construction site. 4. Install Sediment Controls In addition to limiting the rate of stormwater flow off a construction site, measures should be put in place to treat the runoff and remove sediment. Limiting of the cleared area (Element 1)will assist in this effort, but there will be exposed soils that may move with the runoff. Suggested BMPs for controlling sediment include Straw Bale Barriers(BMPC230), Brush Barrier(BMP C231), Gravel Filter Berm(BMP C232), and Silt Fence (BMP C233). Installation of a Sediment Trap (Element 3) is an additional sediment control feature. construction SWPP.doc Page 1 10/12/2003 • • 5. Stabilize Soils An additional measure that can minimize sediment transport in runoff is to stabilize soils on the site with mulch or some other covering. This will limit the amount of soil that is exposed to rainfall,thus limiting the sediment that could potentially leave the site. BMPs that could be used for this include Mulching (BMP C121), Nets and Blankets (BMP C122), and Plastic Covering (BMP C123). During periods of dry weather dust can become a problem and sediment could be transported from the site in high winds. BMP C140 Dust Control should be followed to limit loss of soils in windy conditions. 6. Protect Slopes If the cleared area includes slopes of 3:1 (Horizontal:Vertical)or steeper, the slopes should be protected to limit runoff. If the slopes are not protected, rills and gullies may form, transporting sediment to the lower elevations and potentially off the construction site. The slopes should be graded to minimize erosion and runoff at the downstream end of the slopes, and runoff should be collected and treated. The following BMPs could be used Surface Roughening (BMP C130), Interceptor Dike and Swale(BMP C200), and Pipe Slope Drains (BMP C204). 7. Protect Drain Inlets Runoff from urban construction sites often discharges into existing stormwater collection systems. Water enters the collection system through drain inlets. If there are drain inlets downstream of a construction site, they should be protected using BMP C220 Storm Drain Inlet Protection. 8. Stabilize Channels and Outlets Any temporary on-site channels or ditches that are used to control runoff should be stabilized to prevent erosion in the channel. BMP C202 Channel Lining and BMP C209 Outlet Protection should be used. 9. Control Pollutants The best way to control pollution is to limit the source of pollution. Construction debris should be maintained in a safe location. Vehicle maintenance on the construction site should be minimized and any spill should be promptly cleaned up. Concrete spillage should be kept to a minimum and cleaning of the concrete trucks after they have unloaded should be done in an area that will not drain off site (see BMP C151 Concrete Handling). 10. Control Dewatering In some cases, excavation for the foundation or below ground structures will encounter ground water. This water must be removed (dewatered)from the excavation. Discharge of this ground water must be treated in a manner that will not cause damage downstream due to flow rates or added pollution. There are no specific BMP identified for this activity, but the water should be handled with care to assure that soils or other pollutants are not added to this flow. 11. Maintain BMPs Installation of the appropriate BMPS is not adequate to completely control stormwater runoff. The BMPs that have been installed on the project must be inspected and maintained during the duration of the construction project. In addition, the temporary controls that were installed for construction should be removed within 30 days of completion of the work. Typically, once construction has been completed, the temporary facilities are not maintained, and by removing the facilities, it will ensure that these won't fail and discharge water or sediment that had been previously trapped or contained. 12. Manage the Project Management of a project has four aspects: 1. Phasing construction to prevent transportation of runoff and sediment, 2. Limiting the work during seasons where large amounts of rainfall could be anticipated, 3. Coordination with Utilities and other Contractors, and 4. Inspection and Monitoring. All of these for aspects are important and must be followed to ensure a project that will have minimal impact on the environment. Volume II of the Manual contains additional BMPs that could be used on-site. The applicant is encouraged to review the Manual to see if other BMPs may be applicable to, or more useful on, a particular site. construction SWPP.doc Page 2 10/12/2003 • • Jefferson County Building Division Permit Number: BLD07-00125 Applicant: KELLY BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next 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 y l s ►A, Foundation Footing Li )5-1k, ii, 1.)1`n,1 x 2)7,--- Footing Drains G�/b Foundation Stem Wall LiL.1 qc, Under Floor Framing :cml4 .?i,___ Straps(hold downs) .7/I /t, Ext. Shear Wall Nailing floltie WP -- Rough-in Plumbing 1ti f Framing �l 16 �'1M �k11� iON�1� $ /ti/b Airseal 1 j`M Insulation:Walls ,r (� I Insulation: Floors I IV 7 51'1 Insulation:Ceilingi V/2_//7 .//1 \)/Iii'Lr g_o_hay. Int. Shear Wall Nailing Wallboard Nailing cf1c4 i I, (' Gas Line: Interior Gas Line:ExteriorTi(1\) tI u IP 514r y --.V.- Propane Tank I I7•/7 64/ 250 gal tank Heat/Chimney Clearance y/2 r7 pecsZni .Drywell/Alt Drainage / Address Posted tc, /ti :ikii Water Meter Inspection Vln e 1 quimper A final inspection will not be scheduled until the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION aQ /7 .jjt/) FINAL IN PE TION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD07-00125 1.) The revised site plan as submitted on February 20, 2008 was approved by Jefferson County Department of Community Development. A revised site plan modifying the February 20, 2008 site plan was submitted on October 14, 2015 and has been reviewed for consistency under the UDC and approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated October 16, 2015 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 2.) A Stormwater Site 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. 3.) The applicant is proposing to create or add 4,210 square feet of impervious surface and 2,000 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant surbmit 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. 4.) The application was reviewed by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the property DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 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.) This approval is for a new single family residence 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. 7.) PRIOR TO OCCUPANCY& BUILDING FINAL- FINAL APPROVAL OF SEPTIC SEP05-00353 IS REQUIRED. 8.) ANY PORTION OF TRANSPORT LINE UNDER A DRIVEN WAY IS TO BE SLEEVED/CASED OR EQUIVALENT, DOCUMENT ON SEPTIC RECORD DRAWING. 9.) A MINIMUM OF 15' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF SEPTIC TANK AND PUMP CHAMBER. 10.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. 11.) 10'SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. • S 12.) 50' SEPARATION REQUIRED BETWEEN SEWAGE TRANSPORT LINE AND WELL. 13.) EDB \\tidemark\data\forms\F_BLD_Permit_Bidg.rpt 11/12/2015 CN DEPARTMT OF COMMUNITY DEVEllk LiG 621 Sheridan Street,Port Townsend,WA 98368 r- ' G� —' —1 r Tel:360.379.4450 I Fax:360.379.4451 I '.' ��' �� C Web:www.co.jefferson.wa.us/communitvdevelopment E-mail:dcd@co.jefferson.wa.us �'� i G�o� I Jj N SUPPLEMENTAL APPLICATION' L__.. . i kr N RESIDENTIAL OR COMMERCIAL BLDG PE ON COMP r i!rliTY Dnin OPr"MT_ For Department Use Only Receipt#: Date: Related Application'#s: Payment#: Site Information Owner Name: ,, ick 1-,,e s . L.t u e lie, K.,�l 1 Cy Assessor Tax Parcel#: Cr. 1 IF..;‘, ia' Type of Building FLD ' + - col mil a\ New Replacement Relocated Addition Repair Demolition * � l *A separate permit is required Select One: PS I f -_' ( 'N ,I y YY\'� l Single Family Residence s`i- Modular Other list Proposed Building/Project Number of floors 1 # new bedrooms �� existing total bed --z� # new bathrooms .-----1, existing total bath ----.> Heat Source Select all that apply: ` Electric Heating Oil Wood Propane � Enter the square footage(sq/ft)that applies in each field: Structurre` Existing Sq/Ft Proposed Sq/Ft ICC Valuation (Office Use) cResidenti9j.PCommercial Main Floor 1 `jyS 1 Residential/Commercial Second Floor Additional Floors- heated/unheated Basement- unfinished Basement-finished space or habitable Detached Garage- heated/unheated Attached Garage- heated/unheated Garage 2nd fl- unfinished storage Garage 2nd fl-finished space or habitable Carport-2 walls or less ,Qeck uncovered G o i- f l l� Covered porch ' ( 1 y Other(shed-,-barn, pole bldg,etc.) <. Estimated Cost of Project (Required): $ REVISED $ IEEFERSON COUNTY EFFERSON COUNTY DCD DEFT OF CO^^i�4UNITY DEVEI °ilNl List existing buildings on property (Souse,garage,accessory dwelling unit, barn, mobile home, other): All Existing Buildings on Property Use 41-r 1 �o� S2i. p.►Jci cl � -ter Builders Statement The signer of this statement certifies 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. Sig nat Print Name: MC'S I4', Date: ' '-`04 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 or her 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 making any issued permit null and void. Signature: Print Name: Date: Lor Department Use Only Building Permit Fees Building Base Plan Check Review Land Use Review $234.00 Septic Review $129.00 Potable Water $170.00 Technology/Scan $19.50 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning Other New Address Total Fees Receipt# Date: Cash/Check/CC: SuppI n ntal Sl R 2 0 410 • 4..,,SON coG JEFFERSON COUNTY W '. . D �n i _s) 621 SheridanDEPARTMENT StreetOF• Port TownsendCOMMUNITY WashingtonEVELOPMENT 98368 II �� O 360/379-4450 • 360/379-4451 Fax `SII�Tr'� http://www.co.Jefferson.wa.us/commdevelopment/ ' '. JEFFLRSON COUNTY Stormwater Calculation Worksheet I nFrT o Oynil,NITI!D':l()PL°IFNT MLA# PROJECT/APPLICANT NAME: DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as "small,""medium," or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE (I.E., SITE) Size of parcel It- }'' acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 1,54,7—) () sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover (both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds, that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry, and salal; herbaceous plants such as sword fern,foam flower, and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION, AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded; filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures 1 6 0(' sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank, etc. r 9 sq/ft Circle: Yes . No) Well, utilities, etc. sq/ft Does the project convert 2 1/2 acres or more of native vegetation to pasture? Driveway, parking, roads, etc. L- sq/ft Circle: Yes N) Lawn, landscaping, etc. sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 2 O 0 6sq/ft Cut r ' t-= (cold) REVISED i 'j [over] N. OCT 14 2015 �jt- JEFFERSON COUNTY DCD I U JEFFERSON COUNTY stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 __DEPT.OF COP.4MUtVY UFVFIE"v^�FNT - — • • Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS-IMPERVIOUS SURFACE NEW EXISTING Structures (all roof area) %^ • sq/ft Structures (all roof area) 2 0O sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios -2-.5" Z sq/ft Patios sq/ft Solid Decks f sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc 2 0 0 D sq/ft Driveway,'parking, roads, etc f 0 4 0 sq/ft Other sq/ft Other sq/ft Total New y sq/ft Total Existing Z b 1060 sq/ft TOTAL NEW+TOTAL EXISTING* �1 Li 1 1 sq/ft *This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: L/.S% Does the site have 35%or more of existing impervious surface? Circle: Yes (RP) FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation 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. / O (—,=; G (LANDO OR AUTHORIZED ESENTATIVE SIGNATURE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 2 , . • . RIECEWJ] dJEFFERSON COUNTY id...4-0ND - kit". DEPARTMENT OF COMMUNITY DEVELOPMENT MAR 2 2007 4\\:..., :i._,, ,,. ,, , 621 Sheridan Street • Port Townsend •Washington 98368 11 n' IIII�Il((''nhtt�///www.co.Jefferrson wa.s/ommd JLFFEI1SUI I,IIIII�IV �J loll p J evelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# Qri —` )a PROJECT/APPLICANT NAME: ltM C-`? "a' LOU.e..\keA„s. V•G-\k 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 storrnwater 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 2. Describe the existing topography. Indicate contours on the site map. d C1 e j . .0 k e i _ ; k k` 1.,.)€.i 'Af\t krt k r kz: - — d � Ot i to LZ.oc t APPROVED 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. STORMWATER PLAN MAY —9 4. Describe the existing soils. Indicate soil type on the site map. `^'I -\ & 0 C(3,0 v\.i c; CA t,i I ___.--GLA,41 . 4a r f, t; (16 JEFFERSON-COUNTY DEPT.OF St..„ :1 I F i. ,, r. s t SIGNATURE: ' `3. �" 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. /1 y"� / �+ + f, �l //f�� r. - D l ] \L_ c 112��J'\R : ,c1.kk�i�F. -., (1 4Ytc- n 6lB C i L 6. Describe any excess levels of noise generated by the proposed use or activity: VIV /r A kA c\4t\ 1 .* `t),,c ,, stormwater site plan template—rev.10/1/2003 - 5 ,_:.--.... .Fa-,....• _ ..arm .r___. -.n ..rf.___..._r.rs_r_ • • 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. 1. 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (streamsi wetlands,lakes,steep slopes,etc.). Vk 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. 9. 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 facilitips. ' J-O>✓L1 cits s D ; A�0 tit Tt(i v 6 4 n f.p1t = `S t a F 1 Q. I f e [o 1,eyuiyesiih of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed iris ®-bp..iie:sitel—)rods these f 3cilities on the site plan and differentiate proposed facilities from existing facilities. [This is .normally for`Jar e"projects or projects that involve the potential for dispersion of-contaminants.] tc ' fi t'; tola .davaru rtir.,w.raO)4i1 T t*t � qq j�r lqe!P%; 1�1�� `Y "Dec be the perTormance goals and standards applicable to the project. 1ST) pi O p,._.AN erail. l `',Ll K4a6(1-- 6 2117 . j fl j(U, 1. t .0o/ tl'r- 14,i 0 a no 0 i.1I- i i ri f I�;�"ea,�- A'1714ei ZJ , (L_ ) R/3 P`5 12. Describe the flow control system. '1[F ISM\11,UUNIYICll 1..1 0 T P1NO stormwater site plan template—rev.1011/2003 6 „--,a • • 13. Describe the water quality system. RBCEwJ ) MAR 2 6 2filp 14. Describe the conveyance system analysis and design. JEEfkHSO lliiiNri fir, 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. YiS_ J 18. Describe methods for restoration of the site. NI ail°fit, �L�tJ i)N4 P YoCaz-)14's 4 is r iiu,) c r ive ewers 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. t stormwater site plan template—rev.10/1/2003 7 • S 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. 6g 2. Establish Construction Access. 3. Control Flow Rates. 4. Install Sediment Controls. 5. Stabilize Soils. RECEIVET) MAR 2 6r 2QD7 6. Protect Stones. JE�UUNIY fJCD 7. Protect Drain Inlets. stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. IR ECEIVFD MAR 2i21107 9. Control Pollutants. "E[(INII 11 0 firp �� 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices(BMPs). 12. 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). 56 b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). i 3. Environmentally Sensitive Areas. a. Description of environmentally 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. 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). 1 ., NOis.)r 5. Construction Phasing. I[�I (( VE�}7 i �7 �1 �1 a. ConstructiiQ'n sequence 4 , • t r., ' [�� I \ \v II ) 0,Ltx�r 4 el , k- c.LAA i\A Ar, r ry, l oopo.l,,U2\y, 1 V1 Q¢y..„s: _. l/� MAR 2 6 2007 b. Construction phasing(if proposed) !WI—NIP NIP Arlo) lob 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. II. Wet Season Construction Activities. a. Proposed wet seasonpconstruction ctivities. "/ ( ` `O C.) 7 - ``NO+'-r ' c} (.".t�` .'�" ct.c.c: + , ,) 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. iq Pr 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. '(--- b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/1/2003 10 II • • 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. ( NER OR AUTHOR ED R SENTAT1VE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 11T_ — RE 'E Rrp ) ,, - - , i MAR 2 — 9 goo;' G 2Q07 ,,YiY 1 JEfft�SU� U L_ - Ur.VEiOP 1ENT stormwater site plan template—rev.10/1/2003 12 Yi. iHird 0 ,• •?( ii�i ,v it� / c0AT5 N t w 13'-8y2„ rn\ r- O --— w m 1J -.. G.\ 4 --1 \ 3 1-4/2" j, 3'...10'1 I 7(3 7'-4y2" 6'-11" N X 7 4 - I"U V 1 _ ) a �-- \ X N T& aril CO [0_ J `v c \� 1'-2„ / 3 F C) TII N. p - 5'- x c / 1 ,� 9 N. �,,. LIE j 0 1 a EN N_. � ,� =� 13 I f I 73 \ rn _ 74 -„ m IT X M 1I ? h < 1 1 _ ° ° 1. m '7/ 'ICI 1 aoa T /OX- , 347X3/4 "4 "a a y 12'-ci„ PERT e - 07 - 01 ` EFFERSON COUNTY DEILE COPY ..../.01...,,,.,. . 91T, uol ulysem puin lio uto•r37,..,„0 ., mei., , 1, h\fa r- ii,Pc,,,-.-,sk: . peozi ealoeD ade0 6617E 11016 LIM N-- - ,itS.')• ...•. 43CISali AniaN N),10.14-• ,...• .iii„c,.... .. ..0.: . .11 ,..e . ••.. ii• : 1 1 < u_ o • " %.040 IS 10.1 4• „.....-- • -" ;NI-1.41W -Obcd,C1'0•9P ..,_ _ ______. _ _ _ ._ .. ., . :,. -1- E i.---- , • . , 1=11111.111 -ov°,1 — I ....., , _ •... 1 ii. 2 4, c:) 0 - ) _ -s-. CV Z . 1 H kIJ EL , \ 'y f .. •) I X .,r, '.?:' 4 ---. .: Powi j- 8 x . „ ,.._.: „.... ...:. g ....d, L. > ,-z _ •r Ir. / -.1-• c....) //' •, z - . /*4 ) , cz, .: cer .f.,_ : .,,, ; ( \, 7, ,• ,-- 1 , I-- er.2 g , _, :4..1:4 .. , :N' ,. 1. i',36 al 1 Le 15:1,., Nil,ii 0 c_5 it Er) I '- • . >. /' C ; cI c.- D) '_. ' ,---.52)-- , - -- , ,__ _. ...--- ,..., 1 ,.....) , , ' " • - ..I\\ 4 r...":// i ... I:."\ CI * ( c•c' z i .11 , . ,......--F.-.., - .___...,, ....._._ .4._ fr.h,..,..•:. A, • , 44 --- F4) • ! Pi 4- Fin( Ma 1-1 2.. :,, .. , ,. ,. „.„,. .„ .,....) ,,, ......o , ... ., . - --- 42. ' C- LL1 - ,'4 co r, .......53 tP -3-::7._ 01., ".." ' c.. c.L., .., rLI • ii 1:‘ '. ' W .,,..• ‘ . : c gl* CI) 12-. 0 a4 LLI () -.. brill .. • ; 41rf 0 < c .2:,s;-• , „ ,:i ,2-1,. • -.:!,.0:..: ,...--7 ':: : . .1 •: : :. .,-..--' . . 4#1* . • -- ---- 4 •• I 1.....i ',f) 1 ::. SI - ' I la. / ' 1 ( . 1::: • D_ iti 0 • . / k-:: . ___'-,,, . •''' t''' E ''';HI(4; ... - -. . 1? d, . ., .,., , „ . /A .•.:1‘ 1 .::...• • "If.(. 1L)•• •':il: 1.4: ,.., / . .,.. ::., ; --1. .:::' iR4:E !',:.:: \ 1 \c) . .. . ,.. . , -........ hs1 --I 81124,:. •.]: < ._, ,. :: .; :: :,: . it,.. k4:::.;c: :. l• ' i 1 :(D :',11„,t ,.'i:IL„,::.:: :::::::::' . ::,., !; •:H: § CD- N lel ( ILI :H. .:P:::::••:.•• .— , "•11''' ' ' I .-1 • ' :°•••''5, • •ln .7 ' ;::: :. • W., P. 1.1r1 C\I ......—.. .--..... P ..C.s. .... \ ) Cit H 7` -- ...._ / - J ,•- 4 ,+•:-.,r, ) -• - i P.V.0.‘: • I .....2°/Qh2 ±\ ..... Ail- •,,H.J : . -- I I ..t. .: A;,z,: 2 •, • , ., i / ?;.) 1.-7, ..tv--, . I , , .,. • . ' --2_ uic .-,,--_ I 1 if • • 1 ,,,--- _ , . .... , z .,..—_ ,- .s. ! ,1,•• --11 _./ \ ri o , 5 .\,/,' 0 , ,'/..',. /''r I , • 1 - ,/. • • (.4) (--------., / s.. • .. ( ..... a) _, ... \ -12 1.P 7..)! . , I .i...._ I ) AZ i , ..._ til , ... ........„ 1 : 'I -- Cie ,,r • ' 1r----1',.// \ _--- rr, .... i :•• •-, _I . \ I . ,, • '•-titAi:.---...'--:----I- . LI ,,,, • : 1,7i.•,:iit, u., . 1 ,...... . ...... „? i•R-9. •,. . ke. CD; _ -. f• r....____... • '''`, ..- i ..:. II /1 -- r4 f...) // \ s• ' i-I .:! / e 4,- ,---- i _ / ,A i •,..t / / \A / , 11 -. \ 1 ' I I i'l I i . . I ill' Illi ,___ .. , , 1, \ 41 ....... 1 c--- •,•• I c ,I / ., . •• I• , / N r- \ \\ .1 I ,s1 r •--z I • . , 4 , I ( ... / \ ' t--C-11 -i -.: . 1 f•'-',. ••• • ) \ • * • // . / , t.rl . / A , / i-, - • 7 , c.1\ ..... . , - 1 ' -la • / _,.:.:;--1 t,-.- , ,.!•,e . . , c,-,4 1 il. - . -•- 1 -'--- — ----' — — ----- .0*, .. .,., . j l!s...-!: l , ).,-- . _ ,,, . •... . ' . _. \N..' I 1 .• --- , . / z. -...)-• ',.(2 ' Z.) . . ;11- -' • / 1.. . ..." i r-/ • -•• , ID. I . c ------. , I /.,• • .... ._ IY ll_ --- ....,.. -7(-111 c.........._} - ''.../.. --____,-• - , C , ..... ., ( \-- 1 c-cm -,.. ....-'' 2.2 I \-„D• / .) / 2 -. .... , • I , tr ' ,-,4 . , -- . ___________L__________.... - .. ..) r , --- ..c,._..,..---.. . I g ..._. t- ----------— N - ..,-, ) i z )_.- , ---- • ....:. r--- i•:•':' :: ( ii;:••. ':;:0.4.„.-''46--- - -- -----(z.- - -----1,-- -- - ilii ...... ...... / .;,,,,,,,•,.1,,,;,;.;,•:,,::,Ji.,;1•, .1,J. ,-Icia..1,so•Kv/----- - - -1-- - "- tr.•'''.4491.,,,;;;,,t.,i, ,, §.1001A4...•)tr.:., lc)