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HomeMy WebLinkAboutBLD2009-00129 r JEFFERS�Iitou "4:44' Y DEPARTMENT OF COMMUNITY DEVEL OPAHENT 621 Sheridan Street• Port Townsend•Washington 98368 APR 2 7 2009 360/379-4450. 360/379-4451 Fax �1 010 . www.co.jeffefson.wa.us/commdevelopment E F F E �� COIN-IY 9 CD Master Permit Application MLA: 0 Cl - / 40 Project Description(include separate sheets as necessary): Tax Parcel Number e(t/O lry G 6C6 ,r- q yc EGG roperty Size: .et V `. c�s/square feet) Site Addressand/or Directions to Property: / I l7 Alit<r4 PI ex,, P/AP.� PT Tw w (Cun5«rel /0,e6eCce)e) Qg3ter 0 Property Owners)of Record: SS e+* —Id ("0 c4-4 k i n 5 jam' /t•e e ty / AA ,/-,,,./r'.f k Telephone: iiia.c l9( 3 Z 17 Fax: - email: -- Mailing Address: 2/Li 3 7 '5 la r`•1 ace fed OC ".far:4 L 99 icrC) - Applicant/Agent(if different from owner): S -a, Telephone: P'cr•---z-- Fax: — email: Mailing Address: What kind of Permit?(Check each box that applies j Building 0 Critical Areas Stewardship Plan 0 Demolition Permit •,1 h q S e m e 0 Variance(Minor,Major or Reasonable Economic Use) Single Family Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]" ❑ Manufactured Home ❑ Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)" •i ❑ Change of Use 0 Boundary line Adjustment i ❑ Address 0 Road Approach 0 Short Plat"" I ❑Home Business ❑Cottage Industry 0 Binding Site Plan** a A Propane 0 Long Plat"* , ®� 0 Planned Rural Residential Drarelopnent � I �gt r ..:.-::.4 ti Mowed Yes"Use Consistency Analysis 0 Plat Vacabon/Alleration"" - • 0 Storrrwrater Management ❑Shoreline Master Program Exemption/Perrrtit Revisions" ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development" ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre Application Conference 0 Tree Vegetation Request "*Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: 5 t q 6cz9y y,/dj) M1 d4/— LeZ 7 DESIGNATION OF AGENT I hereby designate()a r l es r Q' ' to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE �/ /� S� o p. � rE�t/ Date: i�.5 C By signing this application form,the owner/agent attests that the' ' provided herein,and in any attachments,is true and coned to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the ownedagent 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 attorneys 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,0 empkiyees,representatives or agents for the sole purpose of application review and any required later inspections. Stars access and ' t of entry Will be assumed unless the applicant informs the County in writing at the time of the applicationthat a oche w prior not Signature: ((// �`/ � .2 tl � _ Date: ( L — zit The action or action Applicant will undertake as a result of the issuance. is 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 1 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: Date: G:\PecrnitCenter\###FORMS###\DRD FORMS\Master Pa nit Application 5-29-08.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 assu ' the responsibility of the Gene for the proposed project. : -- 2 sec► EWSnature: RECE �V P GENERAL CONTRACTOR OR MANUFACTURED HOME IN ALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: APR 2 7 2ore CONTRACTOR'S LICENSE // WAINS NUMBER: /A/o.4/ C���pA112- ��,7765 Tii/c NUMBER (}rn ARCHITECT/ENGINEER: / �"� PHONE �) �5y 5 7!J FAX:( );i 1 i U lCU MAILING ADDRESS: 3 7 Z 6 'AC/r/c ii- & IA c_ EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ,.X'New Ar Wood Existing: 0 ❑Sewer ❑ Addition C:] Steel Proposed: Z Bank ❑Community System ci Aiteration/Remodel ❑ Concrete Total: L Height: ,,.M Individual System ❑ Repair ❑ Masonry SEP Permit# b 8 -UOCi 34, 0 Demolition ❑ Other. Bedrooms: C� Water Supply: Existing: Sew: CI Private well 0 Two Party Type of Heat Proposed: 6 Public R a et r f - 1.4 _4;1 ; Total: 3 Name of System:CwPL 6,--0'2 If this is a Commercial Protect you must answer the following: -ICO Number of Parking Spaces: Current: 1- Proposed: Z Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current 0 Proposed Z- IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes t Now If this is a Propane Tank and/or Appliance Installation Permit,mark all Items bekettlhat aaalyt I Underground Tank ove ground Ta Size of P : / Z C C u.� Shove I Cook St e T Woodstove I Fireplace Insert - t WaterT I Pellet Stover I Other le this appliance being Installed In a Manufactured I Mobile Home? Yes / . •........ ., *ben applying fora permit to ink a propane tank you must also submit a sine plan showing al tithe but :rkgs. ! ' Enos, es,tanklocation and size,distances from the propane tank to ail Owls buildings and septic system canrponaa[sr '_ - ,' , the reserve area. sue '" _ ew-- ' , are Foots! : Current Main Floor Heated ' Bid App Review i ZI r , '13-o6 2"O Floor Heated Y istency Review: aC.-) Other Heated Base fee: I l0 r,2 . 15 Mezzanine _'1 Additional Section: —J_T Heated Basementil- Plan Check�' I 3 OD. Unheated Basement T State Surcharge fee: 4 • .4E 5U Other Unheated `` Pot Water Review fee: l00.OD tiara rt , . l SUBTOTAL 1S Decks ` ? 91 d Approach fee: �_�� SA , 6 i.32 . -2- ct Other et vWP Po r'c,EL f 0 Ik TOTAL $ 3 I U )► 1 l 1 Receipt Number I C%33 I Cash/Check Number: I te-. C ESTIMATED COST(R , r M.?.r Date: -1 l Weir market value and metenalss - l OGI Z� C Q Q Initials: i �)L G:\PemritCentrr\###FORMS###\DRD FORMS\Mast Pemyt Application 5-29-08.doc • • RE Call/Tr+Q,iY 11-ii..Jff"� (4.id °%, JEFFERSON COUNTY APRzr `► DEPARTMENT OF COMMUNITY DEVELOPMENT t ,�� 621 Sheridan Street • Port Townsend •Washington 98368 JEffER,DN COy C7 360/379-4450 . 360/379-4451 Fax N�IJ�Q NG' http://www.co.jefferson.wa.us/commdevE:lopment/ STORMWATER SITE PLAN SUBJMITt'AL TEMPLATE MLA# O6" I D PROJECT/APPLICANT NAME 1;_ " /1 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 5P[ ( - 1 0.9 Pf2Pc _ 5Gortc D/1AkA FrIc.P cS 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. i1'f� P/it-ca is `i A s PA.o tops CO is A 51461_6-.(AY119 0.J ►,-/G, fib Sri 6Tc� eApeciztl i s 1� C" -� k srci,P AAwi,,iL; w irl+ i c 'T/ 5 5r -c-N1 vJ I11-1 A55DctA1 c3.3E-.r u t .17h OA2f C CD0-1 000eacs A (Dar o e'er / 'N 4S locA ( ---lG- P x,..- is A ASS Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. A&vL — e-ic ra- osl 0f a7 ter, (;12on s N''i P fc A,,)Q 7 ' fin THc- LJETLAt.0 10 TFK— PAO P scO 6.4 I tom,d A-5 IrC- 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. - P Pl�t (S �i ST -O rat 4 L-- AL cuP ) C O, s, 4449 NiAm spas EA 4. Describe the existing soils. Indicate soil type on the site map. OU- t-o - n5 'SL-06- SIT'C- ve-sG-54.04K 44it c..�v J 50 t f_ C-'S Der,,c r f rc.F6 f 4 DI CAT F,N --sq j FI„ S D Q,l.cp 45,1r, p 0 sa'fe- C M$c- sz,.ID - - 6c4 t- C.rl44 i��or�- I-P102fc Sots t;f LJQ-tq,,/J 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. 4-I 0a2-,Es c,J -- to $it • h105-r 04- 5 i r c- ,A-tJ s t,.ra -ii-fa- - 6uZ- - c04-n-J065 -� 6c- Mo►5T- A► O W-i- Q$ - CLASS(c-t c) /l� TyPe 6;1 •i jc c:c rs�Czc�(o-'1t--tecJ tJ&rc.A,4D p.c-5o t(ZC C3 S t 6u K ( Mc•,N r I2-E(01e1) 6. Describe any excess levels of noise generated by the proposed use or activity- APPROVED ,v04/ 4-c_ No(5E-/ Du/1-t,J1ta- i 'E4jPLS G- /Jo eEKf'1,A,J��•i-r- 6)cc�s3 L c L)E L_ c�( ni) Stormwat- .'sl 1 0 2009 Requlr- �1�_ 4l JEFF RSs �•UNT% ' i stormwater site plan template-rev.10/1/2003 DEPT.OF Co ,��I EVE 5 SIGNATUR �.. T ✓ /i i 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. &s`to 51-0P / ,-yec— 5 srrzeaP11 tom- P \_ A-o jrc.6. To - + Qa p z e ,1 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.). G" 6 I TE 15 103 CAPE Get)a4 S A I c- c i11 - C t—t“n/ (rV A &J1\C lk ‘' PM.14-'. fa A o ullc-3 n cnit C3- , - co..1 4(..46--mac— TiPe 5 5r Path. — (-z 7 5 tit- 'S 2- (.ot. FvvtC-J MA/2.0 G) - Cr Tt-tt-i--- 61 Corr i-, AJ1 (s / -if C C or- A C.-0 U. DC . 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 frond existing facilities. DC 'Lt-cP6_D 5 r rt F i y-D2�cc—/ t,J i r. ,1 (. DI Ft C-r:LL i _T 1-1WJ C yr t 5T1'A i i AS I,J i-r1_ -T14-c L LCPIro.J of- '1 e- t-t uSE (--KtSn-l1r l Lb-,&-5rrC: Cast-Al-IS 5 D -11.1AT WILL i,�i--tL.--riA-,- -F Di5Pu2st. ice,-)rJSfbu-i" DeA-i4Ac-G- wehQuT fk 1Kf=C-'CS . Z)aL,JaSPOu-ts s6.li-tt- h - -jrsk&o Luc 1 2 "c�.T- TAG-W-0 r#.S kb-ND 5P L SH e2Loc,Ks u Its Pie usc-O i\S NSr .;fl 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 f:D1't f tin facilities. [This is normally for"large"projects o projects that involve the potential for dispersion of onta !�\.rit k`'.t,i APR 2 7 2L r 11. Describe the performance goals and standards applicable to the project. IIEfFEHSON COUP'pCQ A u-L 5p V i t,Jk-- f I -Dti refs- e400 s 4,0 Gam& (.4)1 cA_ 4,e Di/z- O 4W,4// Ff`,0r`4 Tf RA.J1/4: AND 51'2c-Ati - SEi0ir1C v/'- IJ or-f- Du 21ii'- C.erl SrY2uo770^1 tNll-1,- .. —rtrJIM( L i l L1.56— 4- 5#J 13iau-3 v— 3c i-r-,4/1- 1-AICC- 12. Describe the flow control system. . I-L-Oi.J CO+J 1-)a(- c,iti4: ACCotiPu5,0C) P'��; q PLA-377= 6Pr✓ v`t pow N1�510N-6 .yares . l-. t4)A� 5 ►1� c.O TiI L+ Iv LA5c— 1"JoFf t vZD5 PRAAA Acs w, a P 0 2 Pr c-7c f sT►A G-- ti►v a t— stormwater site plan template-rev.10/1/2003 6 1'. • • 13. Describe the water quality system. n A - �'0 CJ�-(L 5y (p -�� ? -#' M/ 3C-, W/i-r2 9t1AGrYJ Off'�t)lSfc2S .) uutii1 i 1,1 D0� Spoor TYLt -f4S St-�c-L ;t;E— G0.4.7r1OCL� m of,2 J 7[f CA--i c s`-4 /1.4s(-JS 14. Describe the conveyance system analysis and design. t.4)A-TL _ (kb(.r w be:- co.i,.1 e7 ;;o ( -7ri4t b ,,t Poc•1-S "7) DES P is (J (_c_ 5(5nAi(c---oi. PzetiAPJ y 9-' Pcp-snc. p1)c- Pr PC ui LT-H- A- c i oL I-- ki -Z(c _ cti- ate- . 15. Describe the source of fill material,physical charac ristics of fill material,and deposition of excess material. htk rAT5t1A-G t( 1J t 9) 5t r"- 5r5 OP" & st.ram �4 JD /4((3 ram.- O ( pf t J ' Rev-I L c - M(nf�s )cr L-1 v 1- J 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. tF Fc1.� t5 IJE,Oc--c) 1i.1 D/24d&t 06R- Lr LJic-e_. dc-- c.o:-1PAcxC--0. (4 " Lc(zs N or- c,r VEC-/ ;-t-.5 &c Oct 17. Describe the proposed surfacing material. 5t,12(vk c i/.I 6- of— i_)2_A LIC-J Aq Ss3-4--C- Q cam • - AriD tx1571,jtr TDiztU 5 4 t-.. d- G RA-J E--, iTt-k- (AO( CC QocIC- 18. Describe methods for restoration of the site. P..cs- D/Z 1 .1 514-Acsc (©uotJ At..5,. PCP (Lc-q kdk 12e1`1 c-�rrS or- I&-fC7- 6u ef G i t-t& (2'orz- - 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. I ` 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 5e - iF44D — M(-fc 0-1- --�0 2-1-7 5c-C— AA -(2- c,41 Ac it-,,i-c- (zc�' - Areci L 260 4 AAO tGPc 11A6--PL-A,) oLyMPK.- i.Jc-T-L I 3 gC-Somc.c-- 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. .5.0 See 04 — 002-q + RE CIFIVED • ter. ,� ^,n� t.r'n 2 : L ,�,, JIEFERS'Iti CUUNIY DCO stormwater site plan template-rev.10/1/2003 7 II 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. v I TLC 19 A-12-uko Ct_C-fl2�-D C C-Gpr z 5mA-c-t_- S (A 6— 54d doll-1 f,,k(1-1-t4c41. C L L,r 2 (,\!G . t.,,--(7 i--12‘k4Nk'kiQA SLOT 1t i- JL OA)f...i Ar -1/2c,Ascft..' . 2. Establish Construction Access. — '5 TNtS a1GtEAI'f pk.) "r"itts Serf. P/tJA P-0,0 l'J t134)(,-0,4S714 AiJcMy CX15 ,, 6-- D, &JE)1 Al -To o,J syruuc 7 ow/ , ,c(1 p.cc rz..5 Co.sS‘Sri 0 F fk Spa✓(L4 u-O CoeJSr .UCTl ctjc& 3. Control Flow Rates. Co,1cT uer, 51'ol..M(A)ATI FL-03 5 Nou L ) f1 or - A..) i SSu c lbu E-- `tv I HE-. t t_ P Z)T fit t- ftlfhcTeD Ail-c t-t(a t nu M s()-Es 3�T}tSr ,Thn1F-#rU- r 1-AtcS 1 4 t iS bk Ar.10 51 t-.T FrAC-G 77441- t-.31 LL itiL' J,J5-t-4,1-.-1=i 4. Install Sediment Controls. L ,1►'r C.� c:0 ,4�2 GR . c5(L-T fz-mac-& h S 1.101-C--b S t-4-t C..L 6S i+Nl,5 1ti.D 5. Stabilize Soils. 50 f 5(4.A.L.( ( C 5tiV3t u zz. 6y fl u Gc-.f-I- 6. Protect Slopes. 51`LC•( $c..O('C 1 tj Ett--_A-J►L-/ v C WCTkT&O ()turd) $t,o P 1✓ ,s 1•1 o o eJ L-K t S-t"I tikr- p E"i P1 rr.., 3(,/* L.3 i t_( f�-�-r� c r(;Q 51�->— f�crJ c-C-�' . 1�- AGc es5 HA-rri 4- COULC) e,t-; t,csG� Pc�/`�i3Oc�,r1-t_� (��;- 1..(r��cC- t 4.- 7. Protect Drain Inlets. r +&rat:r- AIL-c— No (<15Tt„/i,.. 14 I 4..."-.--7 `1 i (,JOALQ fr- ff-,'. TuO !A1 -Ili tS CD4re--ttc17- ''1 ECEIV APR 272au., stormwater site plan template—rev.10/1/2003 J EFFERS ON COUNTY 0 CO 8 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. ( rc P LAP4S / RAI'4 f`7h tL,- f 9. Control Pollutants. Po L T 1 oa 5 . t t.. f3C: C.EliktM-OLL.C7Z) +, L..k N In o1L-- eot,J-r 5O / U . Co e1E 3eiw -cam- &(u.,. : L-s o4c-) -tom .c&r.J s --rt. r kJ ae- Pa,Rx.-O uPoNl L m 2-/ A c.�.. t,.)‘u_ am(' I-- o Ji✓-HlcLL )-1At AAkc ctJ fTs- , CoJ9rn-u x.T1a,) LFehR.iSt.,J u06--c.CAc.i) t.lP. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). /J'J «.o u A D(A)ti - W I t t_.- C J7 -- &G— { e-044 rJ i CAC 5r-r. .5c L G-S 11. Maintain Best Management Practices(BMPs). c c. &tiPS 544-(4_ t3G -tnN) e a ems, r-t t.JE140 Gti t lr C 5r ILUc ?O.1 . A. --c - C t 5r4-u C,T-r&,) - R.t -t otJ0 ( Jj IM&crc 4-Q cAS s'14A c c. e- "44u t_.c l'k A� f' ' lt-� . 5c. ti3.A ;,4 c L J �, .a� - ,� ��(�.���� � �-��, r�'�� gar r 12. Manage the Project. ►, CorJs-r kuc..i?00J s A1ASW Sn k- -)ro �`?1 Mr tom- (M/4cc eLk R- Gook -- -r%, StAI LD 9 et-(.16 YN-- - `42-/sC 'c) Dea&A.101 (G 6,1 PIT t SSq ; h 0sr- (A-nt.4 n v t A-t2r: a/ I NiS i-0..w/JA- _ rotiEt, 40lou i�-Pri Aki - t i ct -' S n.J t�U L-/ + tt7" - r 1'104 D t.! 3M PS> 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). kip l -cA 5 %t Lc) t-Ffrcrt30 - (?-I'C S (-04SNt'-c.cc.776 t sCG i--- iM0hotA r- GRO4ND D,5Tu/f-43G9 -- i A1/4.0 N-o•-!SCr . b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). -DRA-/AilkOr- farg Loc."Trs &fit-4 irtt&f\I "Jo ce, cote241m__ niTh A.j 'ajr,A)-rcjAt! L cd IJG4._ 240ga' I�tSCOJ Nft-Gc, P044-19 / RE CEIV D 3. Environmentally Sensitive Areas. APR z 7 MS a. Description of environmentally sensitive areas that are on or adjacent to the site. Miv JEFFERSON COUNTY OCO 4-O n C (e--.Prsn-7 413 .sr-i-., 1 i _1►r7 rr i� stormwater site plan template—rev.10/1/2003 9 • b. Description of special requirements for working in or near environmentally sensitive areas. 3-i P. 5& t_ (3G— cASEI R& nIaT E D 1-s 6 AGt- te" hto iTo(2.-o C9•471/J u of br.PA C ( C-izo5l0.4 D,t- Szco / 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). 05ipA c,?fLA-- 77 667, Ad3 i. t4E- b,- y No.1 Pc leou S Sot Ls LA)G'CLA4p A-LA-- OT L. mo tS >�o, P'D L.`" Pt��.Cot�1� �`}.Imo) d •`�`t 1+2.- 5. Construction Phasing. a. Construction sequence , 0,4 4,3DAT1J 1 J(cS, n 1,JCr- 4 (J(t 3 S ' U/'J L' tJkS/ ,-1 tsC — 3 M oS . /,ry 7 f?,+`r 514 gLiZA"7 C 1""C, b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a propo construction schedule. ., 0AllO- MA"y/FRA-w 1"ler MIV-1AI C,pit, 6.1r= /P7 66 H 0t#G ( 0 ti t1����•,� 6- f't �f ( T t•.�. 4{ ��s t II. Wet Season Construction Activities. a. Proposed wet season construction activities. Po53 `e. I 7-4.-at oft/ it AiLSI b. Proposed wet Beason construction activities for environmentally sensitive areas. 7. FinancialOwnership Responsibilities. a. Identify the property owner responsible for theitiation 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. T-L,A t s r t.s o l-,C.L (70 Lmntty?Adore_ {..J rat C2046P l4 c /4A A-k I_ ILL T S 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the foil,:z grgrrble. a. Sediment Ponds/Traps. BVFD b. Diversions.c. Waterways. ,J/A- 7 APR d. Runoff/Stormwater Detention Calculations + ! 28U t; dfffffSON COUP'ill OCQ 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. VZ- - (LANDO ED REPRESENTATIVE SIGNATURE) (D T THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: RE GEry 1C272u3 tafffisolv COUNTY fl n stonnwater site plan template—rev.10/21/2008 12