HomeMy WebLinkAboutBLD1999-00226 STORMWATER CALCULATIONS
Owner/Applicant: WI_1 1,4 1 rFf�Cfl td>S
❑ PROPOSED LAND DISTURBING ACTIVITY
Site Address: uc2TS P(qc . Drainfield area cleared sq.ft.
f 0y s
* ou e WA q/83L( —9"3D Driveway Length ft.
X Width ft.
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9 Digit Parcel Identification No.: 1 3 0 -20/ - O = Total Driveway sq.ft.
Permit Number: Clearing and Grading for Site Development
PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft.
sq.ft.
INDICATE the following information. Total Land Disturbance sq.ft.
Draw entire parcel to scale. Indicate scale of plot plan:
One inch equals f9 0 IMPERVIOUS SURFACE
Proposed Structures (all roof area) 3( Z. sq.ft.
❑ 1. North arrow Existing Structures (all roof area) /rf o� sq.ft.
0 2. All property boundaries and dimensions Sidewalks 1f 0 sq.ft.
❑ 3. Names of adjacent streets Concrete Patios 9 U sq.ft.
❑ 4. Driveway/s & parking spaces Proposed:
❑ 5. Major features such as ravines, Driveway Length /jt; ft.
seasonal creeks, bodies of water, etc. X Width /0 ft.
O 6. Septic tank, drainfield and reserve area location, = Total Driveway • FAO sq.ft.
existing or proposed, and distance to otal Impervious Surface i350 sq.ft.
closest structure ' • &X i t I h 1-rive raj 17 st, t'
❑ 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel
Minimum Requirements:
❑ 8. Wells and/or water lines • Construction Access Route Stabilization:
ri 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible,
limited to one route. Access points shall be stabilized with
❑ 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of
1 1. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently
O transported onto public roads, roads shall be cleaned
❑ 12. Setbacks (distances to property thoroughly at the end of the day by shoveling or sweeping.
Street washing should only be done after the bulk of the
boundaries, structures, banks, sediment has been removed by sweeping.
and shorelines) • Stabilization of Exposed Soil:
All exposed and unworried soil shall be stabilized by sodding,
❑ 13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base
14. Arrows showing direction of slope-- on roads and driveways, or other appropriate means within
seven days during the period from May 1 to September 30
assume an elevation of 100 feet at one and within two days during the period from October 1 to April
lot corner and indicate the other lot 30. Mulch shall be applied to a minimum depth of two inches.
• Protection of Adjacent Properties:
corner elevations in relation to it Adjacent properties shall be protected from sediment
deposition by appropriate use of vegetative buffer strips,
sediment barriers or filters, dikes, mulching, or by a
FOR APPLICATIONS ADJOINING SHORELINES, combination of these measures and other appropriate Best
INDICATE: Management Practices (BMPs).
• Maintenance:
❑ 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly
inspected and maintained to ensure continued performance of
• 16. Top of bank, if over 10 feet high their intended function.
❑ 17. Slope of bank in degrees • Other Appropriate BMPs as required by Jefferson
County to mitigate the effects of increased runoff shall be
applied.
H:\HOME\PLNCNTR\FORMS\PLOTPLN.FRM 9/97
JPffe'son County Permit Center Date
621 Sheridan Street Fee
Port Townsend WA 98368 Rec #
CRITICAL AREAS QUESTIONNAIRE Ck #
r Case #
A Pplicant Name `v�'� ` t
Building Application _ Land Use Application _ Shoreline Application
On-site Sewage Application _ Subdivision Application Other:
1 . Is there any standing or running water on the surface of the YES NU
property or on any nearby property at any time during the year?
If YES, please describe:
2. Has any portion of the property or any nearby property ever been YES 117
identified as a wetland or swamp?
If YES, please describe:
3. Are any willows, skunk cabbage, alders, or cottonwoods present YES 40
on your property or adjacent properties?
If YES, please describe:
4. Are there any indications on any portion of the property or on any YES 1/NO
nearby property of rockslides, earthflows, mudflows, or landslides?
If YES, please describe:
5. Please indicate which line best represents the steepest slope found
on your property. (Check appropriate box)
a 4 Q a o ❑
I / / / / /
I / / / /
I / / / /
// / / / / / /
I / / / / /
I / / / / / //
/ / / / / / / //
II / / / / /
/
/ / /// / / /
/�/ // `:
/// // / //
I////////-/--- -� ,-.�
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I//////// - - - — -- _
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------ —_
(Questionnaire Continues on Back)
6. Does the site have steep slopes with little to no vegetation? YES 4.
If YES, please describe:
7. Does the site contain high percentages of silt and/or very fine YES NO
sand?
If YES, please describe:
8. Does the site contain ground water seepage or springs near the YES NO
surface of the ground?
If YES, please describe:
The applicant hereby certifies that all of the above statements and the information contained in any other
transmittals made herewith are true, and the applicant acknowledges that any action taken by Jefferson
County based in whole or in part on this application may be reversed if it develops that any such statement
or other information contained herein is false.
�� 40/0-vo Date
Signature (5 -+�w�- f
FOR OFFICE USE ONLY
❑ Wetlands ❑ Seismic
CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) Cl Fish & Wildlife Area 1
IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area El Fish & Wildlife Area 2
El Erosion
❑ Landslide
Zone:
Parcel Size: Status:
Comprehensive Plan Land Use Designation: Reviewed by:
Community Plan: _. Date:
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