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BLD2008-00124
THIS BUILDING IS NOT FINAL ED . PERMIT WAS CANCELLED PRIOR TO RECEIVING ALL INSPECTIONS AND HAS NOT BEEN ISSUED A CERTIFICATE OF OCCUPANCY . Ordinance No. 12-1203-12. "Pursuant to this Ordinance, effective January 1, 2013, if your permit is less than five years old, additional renewals may be approved at the current annual renewal rate. If your permit is older than five years from the date of issuance, in order to be considered for an extension, you must submit a request in writing to the building official and must provide a justifiable cause for an extension. Payment of all accrued renewal fees is required prior to approval of an extension." R105.5 Expiration. Every permit issued shall become invalid unless the work authorized by such permit is commenced within 180 days after its issuance. or if the work authorized by such permit is suspended or abandoned for a period of 180 days after the time the work is commenced. The building official is authorized to grant. in writing. one or more extensions of time. for periods not more than 180 days each. The extension shall be requested in writing and justifiable cause demonstrated. R105.6 Suspension or revocation. The building official is authorized to suspend or revoke a permit issued under the provisions of this code wherever the permit is issued in error or on the basis of ircorrect. inaccurate or incomplete information. or in violation of any ordinance or regulation or any of the prov sions of this code. Jeffs son County Building Di ision Permit Number: BLD08-00124 Applicill FLEET BUILDING PERMIT INSPEc LION APPROVALS ?pplicable Code: 2006 International Building Cc ;es To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks Erosion Control SEE CONDITION 2 FOR SILT FENCE toTeekt Fr6s Aery APPD Foundation Footing l0 4 e8 !meI ret.41i'osl GCS b01-Y f roj7 08 Footing Drains `t1tt Foundation Stem Wall 6 Underground Plumbing � -16--- Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing ( c6G (L,c 4p a� Ck` Rough in Plumbing {\ ly \ l(' Framing Blocking Airseal Insulation:Walls la Insulation:Floors Insulation:Ceiling i()_[L.-pi )1 Int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior Gas Line: Exterior -)-)) Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITION I FOR SPLASHBLOCKS Address Posted Hydrostatic Test FINAL INSPECTION `mac rl a-i t- 1 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR ØJILDING PERMIT APPLICATIONMLA08-00160 Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: E!.D08-00124 Received Date: 4/2/2008 SITE ADDRESS: Res-� U. I u� QUILCENE, 98376 OWNER: WENDELL P FLEET PHONE:206-541-9689 MALLORY C CLARKE 1335 33RD AVE S SEATTLE WA 981443932 SUBDIVISION: Block: Lot: TX38-i PARCEL NUMBER: 501044011 Section: 4 Township: 25 N Range: 01 W CONTRACTOR: PRISTINE HOMES LLC PHONE: 360-874-1800 231 SW WILKINS DR PORT ORCHARD WA 98366 Contractor's License PRISTHL975P1 Expires 10/25/2009 REPRESENTATIVE: PRISTINE HOMES LLC PHONE: 360-874-1800 231 SW WILKINS DR PORT ORCHARD WA PROJECT DESCRIPTION NSFR W/ U/G 500 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,491 VALUATION 300,000.00 ADD'L: 754 HEAT TYPE: RAD CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N GOARAGE:THER: 456 SHORELINE: CONST TYPE: DECK: 330 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: 4r3- - Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $2,113.75 LYK 04/02/08 97129 APPRJfEE ) Plan Check $1,373.94 LYK 04/02/08 97129 State Building Code $4.50 LYK 04/02/08 97129 Potable Water Application $59.00 LYK 04/02/08 97129 JUL I' 2008 Total: $3,551.19 Jefferson County Planninc. & Building Department • • CONDITIONS for Building Permit# :BLD08-00124 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK A SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 2.) A SILT FENCE SHALL BE INSTALLED AT THE TOP OF THE: "FILL"AS INDICATED ON THE APPROVED SITE PLAN PRIOR TO ANY LAND DISTURBING ACTIVITY. THE MINIMUM HEIGHT OF THE TOP OF SILT FENCE SHALL BE 2 FEET AND THE MAXIMUM HEIGHT SHALL BE 2 1/2 FEET ABOVE THE ORIGINAL GROUND SURFACE. THE SILT FENCE SHALL BE BURIED IN A TRENCH TO A MINIMUM DEPTH OF 5 INCHES BELOW THE GROUND SURFACE. THE TRENCH SHALL BE BACKFILLED AND THE SOIL TAMPED IN PLACE OVER THE BURIED PORTION OF THE SILT FENCE, SUCH THAT NO FLOW CAN PASS BENEATH THE FENCE AND SCOURING CAN NOT OCCUR. ANY DAMAGE TO THE SILT FENCE SHALL BE REPAIRED IMMEDIATELY. SEDIMENT DEPOSITS SHALL EITHER BE REMOVED WHEN THE DEPOSIT REACHES APPROXIMATELY ONE-THIRD THE HEIGHT OF THE SILT FENCE, OR A SECOND SILT FENCE SHALL BE INSTALLED. 3.) PRIOR TO OCCUPANCY & BUILDING FINAL - FINAL APPROVAL OF SEPTIC SEP06-41 IS REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT. 4.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. 5.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. MUST COMPLY WITH ALL PERMIT CONDITIONS, STATE AND LOCAL CODE. 6.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater -unoff onsite. 7.) VOLUNTARY MEASURES OF C•TAL &AT RISK SIPZ: • Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 8.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 9.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 10.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 11.) A vegetative buffer of 40-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. 12.) A Geotechnical Report dated June 15, 2005 prepared by Stratum Group was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A minimum setback of 40-feet shall be measured perpendicularly from the top or toe of the geologic hazard to the proposed residence and a 50 foot setback from the top of the bank to the septic and its components. 13.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. 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. 14.) 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." 15.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 16.) The applicant shall permanently state the boundary of the Landslide Hazarca 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. 17.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN LETTER FROM THE GEOLOGIST WHO PREPARED THE GEOTECHNICAL REPORT DATED JUNE 15, 2005 STATING THAT THE STRUCTURE AND/OR FACILITIES HAVE BEEN CONSTRUCTED IN CONFORMANCE WITH THE REQUIREMENTS OF THE "GEOTECHNICAL REPORT." THE LETTER SHALL BE STAMPED BY THE LICENSED GEOLOGIST/ENGINEER. 18.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 19.) A Stormwater Site Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 20.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 21.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 22.) This parcel is within the South Coyle no shooting area per JCC 8.50. 23.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 24.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 25.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 26.) Minimum setback from Donal Road right-of-way shall be 20 feet. Minimum side yard setback shall be 5 feet. Minimum setback from top of steep bank (closest to the residence) shall be 40 feet per the submitted geotechnical report. Submitted site plan identifies an approximate 310 foot setback from the OHWM. 27.) 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. 28.) Lighting fixtures shall be designee l hooded to prevent the light source from illog 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. 29.) The building height is not to exceed 35 feet. I (fl ) \ JEFFERSOf UNTY ,� T ¶` a DEPARTMENT OF COMMUNITY .MiNT' I_e U 621 Sheridan Street• Port Townsend Washington 98368 $ 360/379-4450. 360/379-4451 Fax it O www.co.jefferson.vwa.us/commdevelopment S NG�S Master Permit Application IEfFEliSON COUNTY EGG11ff A• D' + (00 Project Description(include separate sheets as necessary): ^ u m 1- ,� U �� & 4/e 5tloJ>A—clew ??'ttiY,�ti6 r . . Tax Parcel r i 0 Li q — v" l' ( }ropes � Number: r11) Size: ' UX. y r&TG (ac res/square feet) Site Address and/or Directions to Property: &' le. -}b f -t.t L t-• (s. off Property Owner(s)of Record: I /W . 'Pa+tr L C.K F i e e- Telephone: 2-0 Co-5f/- 9( e"e/ (� Fax '—�• email: f/et 116 a W'f i/>'167hJ. Mailing Address:J'' '��') ' )9)r Ay/ S,,, SPLa" WA Gi o-iLoti� et)IV Applicant/ ent(If different from owner): 1P j`{j yl 2 H-( w1 ` LL C (J LIYre�,Wri� ) Telephone::(3ti2f) 07'- `I X) Fax:J ino)$'7'4-11'3-j email: v� .rrJ rlk,l�let(ya'QS'le`.. Coin irYl 1;. f Mailing Address: . -PCy t Ca-r,ielay - Wit 0 g 5(01, What kind of Permit?(Check each x that applies) L) )t�'/L k lt.X, tap ISBuilding 2_3 I 0 Variance(Minor, Major or Reasonable Economic Use) Semolition Permit IDConditional Use[C(a),C(d),or C]'"' ingle Family ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached 0 Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular 0 Short Plat** ❑ Commercial* 0 Binding Site Plan** ❑ Change of Use 0 Long Plat** Fl Address 0 Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** IS.Propane 0 Plat Vacation/Alteration*' ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑Stomiwater Management ❑Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: • I ' ,DESIGNATION OF AGENT I hereby designate-fr._ I t'.—Wei L U ,, to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE _"O. �5 ry. � D'_ Date: ! � , By signing this application f. 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. An 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. States access and right of entry will be assumed unless the ap licant informs the County in writing at the time of the application that he or she wants prior notice) s — Signature: �7 ee EtC�p The action or actions Applicant will undertake as a result of the iss nce of this permit may negatively impact upon one or more threatened or endangered species and could lead to a p6tential"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 complying with the ESA. Tt li nt ha read this disdaj d r and signs and s it below. Signature:_ - 5 e-e_ Ck L C c j) ) Date: �/ 't, C C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Pemnit Application 12-19-2006.doc • BUILDER STATEMENT III The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GFN RAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: �f t. y C.1 t art o I t o trtik; L. .. o,t b t' i_. I ��() 6(» 3'/'I. I+6 MAILING ADDRESS: iG *- --4"f re-I, (.i I1/ 'L� INI A EMAIL: i I ril 4;Q.[C4> f l711 v C ii .44?l!( , uni CONTRACTOR'S LICENSE P Ir 1) � ;t;i WAINSS U NUMBER: I � - _I. f 1 (--1"/ •G1-! /G)Gpt':..'k'NUMBER ARCHITECT/ENGINEER: ./ k►Jtt j C(°L�t/ (:el �� PHONE'( (? )(I'.(AI it FAX:( ) MAILING ADDRESS: ) EMAIL 4 CA--a w4J 6/f-4leSo12A JET•Camel Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: VNew Q(,Wood Existing: D_ U Sewer -U Addition J Steel Proposed: _'I _ Bank U Community System U Alteration/Remodel J Concrete Total: _ t._ Height: i)(Individual System U Repair J Masonry i 1 • SEP Permit# U Demolition J Other Bedrooms: Water Supply: Existing: b Setback: K Private well 1.1 Two Party , Proposed: ' • J Public Type o -. 6 t7 Total: Name of System: If this is a Commercial Project 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 Tank and/or Appliance Installation permit,mark all items below that apply: vg Underground Tank DAbove ground Tank Size of Propane Tank: 500 g atioA) (Heat Stove IXICook Stove ❑Woodstove ❑Fireplace Insert (1Hot Water Tank ❑Pellet Stove L2Other JioD I L Is this appliance being installed in a Manufactured/Mobile Home? Yes /©o 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. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated i-f' I i coi'$1 EH Bld App Review: /a CAD 2"0 Floor Heated -75-q rl'Z31(o 14 Consistency Review: I c) Other Heated J^( ..„ //A.-c. 4 3, c�, Base fee: 2 t I �5 Mezzanine Additional Section: J Heated Basement Plan Check fee: I _3,13 q Li Unheated Basement State Surcharge fee: 4 "1 Other Unheated Pot Water Review fee: q 5. U� Garage/Carport SUBTOTAL ' Decks 911/Rd Approach fee: I uo Other �!i L; ���� ? 3O 325 fro TOTAL: $3crID 'ci Receipt Number: 91 l 29 �- ~ 4,13--ig q I Cash/Check Number: ��00 ESTIMATED C T(REQUIRED) Date: .Fair market tue of ail labor and materials foundatio to finish 2��� Initials: 3C>f, � C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OIK86\Master Permit Application I2-I9-2006.doc • • . ON c RECEIVED JEFFERSON COUNTY ti401 DEPARTMENT OF COMMUNITY' DEVELOPMENT 0 G, Lut,�2, 2;�?'� ,•_ 621 Sheridan Street • Port Townsend • Washington 9836836 N 51 Fax O`�p htt6//3/7www co.'effe s/on wa4 s/ommdevelo JEFFERSON CORN I' BCD P 1 pment/ �EFFCIIS STORMWATER SITE PLAN SUBMITTAL TEMPLATE Dc_ I( C PROJECT/APPLICANT NAME &� r' MLA# : j�le '�G-��//:' �/vl � hippl.[7 Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. 72) (.C/ti'yi 2c- - Z73! 6a, t=l ci,�� ',,. �t i 44) ai2 EEC 1`�$iN (fearer( Y7 a e-re Usix; ext14 Xtetas &yy %y? 4:7 5 ivhYt, n' km' k9k Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. Pig/ � i 11-e, = vary- A-, 5/e 5 7? CA.7 r 41%).7 a/) 71 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. cl'1Dp '' /5• Al '/l y i/A- leared ria / A-1-1 Q, ,mil A-1P 14/_4L- /r ere. , l' d'e, /.; /(10 . 4. Describe the existing soils. Indicate soil type on the site map. Arkfl .7-/fr 5 te/L " n.ti) TP, ///e,', r1 /t"i very ( e'` vee or- r,'4 a" riu'e/ �,t) ,62-er Pe•.��. c: '� t'-e4. 5. Describe the existing site hydrology(i.e.,drainag ;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. '7 c7 4; 141 W.wk) 5/o e S Gi t 2 v f'e'.1-r. Dr--ei o5e��{ t-e)i - —hte -tz. 4 rCl/N' lc�at 'L'� �i2 s r��C( ,f ec/ re-h(v( e frer5 pere-5 lu��-�' d�L���� 6. Describe any excess levels of noise generatedby the proposed use or activity: APPROVED c,r c 0E4,, A)d r STORMWATER PLAN Stormwate B 1 2008 Require JEFFERSO 'Ot N Y stormwater site plan template—rev.10/1/2003 DE PT OF I t' U I:' E f P ylE j S SIGNATUR_: • • ' 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate locationat on the site map.5/e /es 5 jy--'� g7es '172 r-e 9ez -r" rA4Jl%! 6L'7 ide-5 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.). J to Hit it f,L' ., deft) t'S 4 11'S e- �zsj 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. tOit I /e, ?I 4(1" e/r 491 41 L. a eared a(E'�tJ` (pi t,t e-I.t:tl,:-, ve iv✓`,QOcr r ere- �'.r e- t ev( (-'o►f areo 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.] /V P i N['eCeE'd 11. Describe the performance goals and standards applicable to the p oject. I ke_re r e c'( r'e)et e)( ti e-P 12. Describe the flow control system. stormwttter site plan terrlate—rev.10/1/2003 6 y . • 13. Describe the water quality system. it)e, k'Ii I'$ 111-- ,tc.0 e,A) CONfrn / -1 ett—v ®<v Cwyy c�i #i���� r t S y ..-'i`✓l Aviv fo N if; ✓.re_ S rvoA). 4- r- g-zki hiPA`2 --tee-1- 7" iry ra A 41,1 / I,^1- ! Ee.%r2-, .d) -u 14. Describe the conveyance system analysis and design. GdN.0 e)t)-rS 5,/44 hie7<ks j P/1dLJ 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 4' -rill /l,leei' 5/ae ett ffc ce e 4-1 e c7c- 4 N - f at.4" 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. C'l,A r r 1/it it e! G i b e,U 60..dcx *.k- et g 17. Describe the proposed dirfacing material. 3/4/`f /4 ,4,t'S en) 4r1 Loe-Lvc witwc' ref t" S a r-ot,)Nc't /ft'"- 18. Describe methods for restoration of the site. pepl y - N� r'c'e L> .--ie7A) t cr- /or: C>N 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. 1A— 20. List here and include any special reports or studies cgpducted to prepare the Stormwater Site Plan. few' ffeeNie-c& ! Aft- eLe 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. 41_1're eletc 79 4'e�( f'' rc dec1 stomwater site plan template—rev.10✓1/2003 or; R i ! 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. 16 ' e t are. e. ✓ I?l'i 1.'c' way kty, Cst1t'cj ) ,2 E'C'A) L 4,�ai ,/vee. S :'tic' c-/_4�.2 .pi\,r•- 4:��c area a S ,tit ei r i bt Cam' l i cA&) A, i y ��t'er-1 A- 2. Establish Construction Access. c/ r'je ,vd t rt tiet }it 3. Control Flow Rates. (( /,I/- /Ne:`e Sl_' &17 - cop 0 e ey a c -1, ) 4. Install Sediment Controls. a-ref, i 0A-) 15 . 62- 57i t''P ( &A so i_3E> 1. ‘-reltLe? e"&' 71-egtvr.-'it,4*11 a—e-e- 45-10;.c., 54 5. Stabilize Soils. J cwax 4 � 1�4,oc'e- 6. Protect Slopes. / e i !I Pe e iS 3�c'r b y 7. Protect Drain Inlets. //d �1 stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. .tir f " 9. Control Pollutants. �1 PA} 0 it'` A) WO/'iC�L be ^'k ear r'- Jr are6t. L,J1'Left'. to) � 6ve't.'lel be 5LJ'v1644 &c;r'4>5, a_ At vvdr e y A $,ii( 4;1— /5 e I�iia� kpr �ti - ";-1 se 10. Control De-Watering(the act of pumping groundwater or stormwat r away from an active construction site). t I� c'.e.-z' ,vi /1�4-ttAV) 11. Maintain Best Management Pra tices(BMPs). teliSV! 1.'c 7a^.v J 17 it Q it�'v'7 «.v BA-, S S TD i 4,1‹, fti 1T 169-i'f Tz'r _ r - �t- �r I^' . Cx'E5 Dr✓, 12. Manage the Project. L5, 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). of ` ',.2. >!'e d, /5-11-0 9ev41 h b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). !L'/) 5-tre "-e per Crf, '0 Z.5' F/2,4 `4 i-t-01-1 F /5 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. JEEE[OSON COUNTY DO stormwater site plan template—rev.10/1/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. (1)/'r 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). J/-`/C% >S Mt/e-f A21 «',^17 live) l'' 2 5. Construction Phasing. a. Construction sequence © /� 5/ �;e I , Pit .Pau^ tti ,'1,i r;r19`et 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. /'— k ,/!'2�'��z'z^�cl (ma,! -of.-, LWNe t>i5 j `ret.m.44,, (,. L PL, c'8) ' II. Wet Season Construction Activities. a. Proposed wet season construction activities. ) / 01 LiC'N e (4cd .4_j 'id Pe r - f' /%sue,( 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. lz��ar�eee /act Ir/c-,fi b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. A) c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template-rev.10/12003 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. (LANDO AUTHOR REPRESENTATIVE TURF) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template-rev.10/1/2003 12 ANG ROOFCANT. OF UNE ES 44.MT SOFR(IYP.) 16' ii ] 16' 12'-1" 3'-11" 8' 2-72"I— 12-74" -r 4-6" 1 I 1 11 11 11 ` y,1. 1 I- I 7050 ROB o %Op rJ i- n%' , i--- _ 1'! 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AIM '1k. t... .•... 4. • 5a t ,,i 4 9...,.- .- g ix- °'- Eli ''' '�` p P r+ -''yam y a � r I 1 21'1 CC- C44 S/:g , ") tt� rtri ���' o � �.` c . 2' r.1 �xoyd �r IE .„.gD N ?of/v.) IIt ' .1 N CD e..". . .-1\.• (07 wry O ID 1 ,,,.. ,02''''''‘‘‘ *1°4. /ti. ;.--... 1 '''' inr 11::-""...141, r \_1 O 7y, t �l�' F111E: WASTEWATER SYSTEM PLANS JOHN SCOTT FLEMING ENGINEERING, INC. NJ ; t -9 q '''' sz ii 1 .. ,.-7, ., TAX PARCEL if501-044-011 JS'F I a�NT:w. PA1 i1C K FLEET P.O. BOX `'_ 1335 33rd AVE. SOUTH PORT ANGELES, WA 98362 ''' SEATTLE, WA 98144 (360) 452-8500; FAX: (360) 4 52-3383°