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Home My WebLink AboutMLA18-00038 Shoreline Application and Stormwater Calculation worksheetDEPARTMENT OF COMMUN I'n UEVELOPMEI' T bel Shez_7ttI<a'a;cAl.«1J ' Fel: ;CU 39.4lt50 i 5 60--:71a45 :rti "-� 1ti`cir: a u•�,3�.�,�.irfi�r�on�rec�,•� ca,:br3tit:ntts°tic��i7:�tzer[ F�.-nr;ul: th•dFthes,.icdiea�+�e.�«x.u:: ttg� S '�o SUPPLEMENTAL APPI-IGATI[] DEVELOPMENT .• h � SHORELINE ELOPMEN ER*S01V CC A completed application form is a requirement of submittal. include "N/A" in spaces that do not apply.. oco MLA # Case # Application Type (select one): - Statement of Exemption - See Substantial Development* See Examples on back side j -- of application Conditional Use (administrative)* ✓ Conditional Use (discretionary)* 1) Does your proposal require in water work and/or works below ordinary high water mark? Yes No 2) Does your pronnr?I require 1 x,000 sq/ft or more of impervious surface and/or non -single family structures of 5,000 sq/ft or more? Yes No * If either of the boxes for 1 or 2 above are checked yes or if the permit type above has an asterisk then a pre-ap lilication conference is required, prior to submitting for a shoreline permit. Site Information Assessor Tax Parcel #: 960300020 I Name of Body of Water: I Oak Bay Property owner Name(s): f Lee Robinson Project description Describe the existing property use and condition: Existing one -bedroom single-family residence located within shoreline buffer. Proposed distance from ordinary high water mark to use/development: 55.5 feet Describe the proposed work that requires a shoreline permit or permit exemption: Second story addition within existing footprint, not to exceed 35' height, no change in number of bed -rooms, By signing this application corm, the owner/agent attests that the intormation provided Iter=^_in, atIO in any attachments, ss true ants correct to the best of his or her knowledge.. Any material falsehood W any omission of a material f ct made by the owner/agerit with respect to this application packet may result in making a slue, per d void. F'- f Owner Signature:/ 4o Dote: Print Name: . a�[�i/6_0A( DEPARTMENT OF COMMUNITY D 6_11 Sheridan_ S reeL, Pon,.,rtm m5cnd, V A 913f,8 i cl: 360, 370 44.50 i I -9S: `00, ` 9,4451 ]•�: [lliLl.l: ��' G:Lt��e�tl'L'�IRr7.W:i.C7S STDItI IXIATER CALCULATION WORKSHEET MLA # PROJECTAPPLICANT NAME: col,Nlft 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 0-29 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet T 12,429.49 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. Illative 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, excavated, and/or compacted for proposed development project. Include in this calculation the area to be cleared for: Construction site for structures Drainfield, septic tank, etc. Well, utilities, etc. sq/ft sq/ft" sq/ft Driveway, parking, roads, etc.._. .. _ .. sq/ft Lawn, landscaping, etc. Other compacted surface, etc. Total Land Disturbance sq/ft — — — sq/ft 0 sq/ft Answer the following two questions related to conversion of native vegetation: Does the project convert'/ acres or more of native vegetation to lawn or landscaped areas? Circle: Yes No Does the project convert 2 % acres or more of native vegetation to pasture? Circle: Yes No Indicate Total Volumes of Proposed: Cut n/a Fill n/a (cu/yd) 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 talc worksheet — REV. 1012012014 NEW Structures (all roof area) Sidewalks Patios STORMWATER CALULATIONS — IMPERVIOUS SURFACE sq/ft Solid Decks — sq/ft (without infiltration below) Driveway, parking, roads, etc Other Total New sq/tt _sq/ft sq/ft TOTAL NEW + TOTAL EXISTING* 4,190 sq/ft EXISTING Structures (all roof area) 2,040 Sidewalks Patios Solid Decks (without infiltration below) Driveway, parking, roads, etc sq/ft sq/ft sq/ft 2,150 sq/ft Other sq/ft Total Existing 4,190 sq/ft *This amount will be used 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: 33.71 % Does the site have 35% or more of gAiaft impervious surface? Circle: Yes ❑ No 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 #S—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. Z6 17 I DOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) Ff Rf OFFI& USE ONLY SMALL . w luM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater talc worksheet — REV. 10/20/2014