HomeMy WebLinkAboutBLD2011-00272 - 01 PERMIT 1116ILDING PERMIT APPLICA MLA11-00214
ReviewT Yp e: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD11-00272 Received Date: 10/4/2011
SITE ADDRESS: 1340 A DABOB RD
QUILCENE, 98376
OWNER: MARK R POKORNY PHONE: 360-301-4533
TAMARA S POKORNY
1340 DABOB RD
QUILCENE WA 98376-9727
SUBDIVISION: Block: Lot: T19+
PARCEL NUMBER: 801212004 Section: 21 Township: 28 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW ADU
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADU MAIN: 606
VALUATION 105,000.00 ADD'L: 480 HEAT TYPE: PRO
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: EEE
OCCUPANCY: R-3 UNHEATED: 606 #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
CONST TYPE:
GARAGE: 180 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 1 PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Total: 2
R uting Date:
Type Amo i Bv: Date: Receipt: Approved/Date
Permit $1,021.75 LYK 10/04/11 128200 APPROVED
Plan Check $664.14 LYK 10/04/11 128200
State Building Code $4.50 LYK 10/04/11 128200 MAY 0 7 2014
Potable Water Application $62.00 LYK 10/04/11 128200
Total: $1,752.39 Jefferson County DCD
4ssoN (Noe" JEFFERSON COUNTY
ti DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment
4.; ,"o" Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd @co.iefferson.wa.us
FII NG
Building Permits&Inspections(Development Consistency Review J Long Range Planning I Watershed Stewardship Resource Center
1/30/2014
Mark Pokorny
Tamara Pokorny
1340 Dabob Rd
Quilcene WA 98376
Dear Mr. &Ms. Pokorny,
According to our records you applied for a new ADU on parcel#801212004 on 10-4-2011.
Upon review of your application file we show that a request for additional information was sent out to you on 12-4-2013
and we have not received the material needed to complete the permitting process.
Jefferson County Code states:
15.05.060 Building permits—Department of community development.
(3) Time Limitation for Applications. An application for a permit for any proposed work shall be deemed to have been
abandoned 180 days after the date of filing, unless such application has been pursued in good faith or a permit has been
issued; except that the building official is authorized to grant one or more extensions of time for additional periods not
exceeding 90 days each. The total time period of such extensions shall not exceed 180 days; provided, that additional
time extensions may be granted by the building official based on justifiable cause and written request of the applicant.
As of the date of this letter, we have no evidence of activity on this permit application in the time frame indicated above.
We strongly encourage you to either fulfill completion of this application so the permit can be issued or withdraw the
application.
Please be aware that building without required permits will incur significant penalties, as shown on the reverse of this
letter. If construction was started without a permit, we strongly encourage you to finish the permit application to avoid
additional penalty fees.
If we do not receive a response from you by March 31,2014 we will deem the permit abandoned and proceed with closing
out the file. Any future work for this project will require a new permit application, and payment of current fees.
Please contact our department as soon as possible to arrange for completion or cancellation of your permit application.
Sincerely,
Mary Blain
Permit Technician
(360)379-4452
•
wgsoN co JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitydevelopment
�41Aixo'�o Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd@co.iefferson.wa.us
Building Permits&Inspections/Development Consistency Review/Long Range Planning/Watershed Stewardship Resource Center
January 14, 2014
Penalties for work without required permits or inspections
Pursuant to the authority granted to the Building Official in Section A109.6 of the 2012 International Building
Code, the penalty for commencing any work prior to obtaining required building permits shall be as follows:
For commencing work up to one year prior to issuance of required permits; the current standard fee, plus 15%
of the current standard fee, as established by the Jefferson County Community Development Department.
For commencing work more than one year but less than two years prior to issuance of required permits;
the current standard fee, plus 20% of the current standard fee, as established by the Jefferson County
Community Development Department.
For commencing work more than two years but less than three years prior to issuance of required permits, the
current standard fee, plus 30% of the current standard fee, as established by the Jefferson County Community
Development Department.
For commencing work more than three years but less than four years prior to issuance of required permits; the
current standard fee, plus 40% of the current standard fee, as established by the Jefferson County Community
Development Department.
For commencing work more than four years but less than five years prior to issuance of required permits, the
current standard fee, plus 50% of the current standard fee, as established by the Jefferson County Community
Development Department.
For commencing work more than five but less than six years prior to issuance of required permits, the current
standard fee, plus 60% of the current standard fee, as established by the Jefferson County Community
Development Department.
For commencing work six or more years prior to issuance of required permits; the current standard fee, plus
75% of the current standard fee, as established by the Jefferson County Community Development Department.
The penalty for commencing any work prior to obtaining required building inspections may include an
immediate stop-work order and other measures as determined necessary by the Building Official, pursuant to
Jefferson County Code Chapter 18.50.
/ •
Carl Smith
Community Development Director and Building Official
Page 2
III
SON c •
$,... .. °d. JEFFERSON COUNTY
�C DEPARTMENT OF COMMUNITY DEVELOPMENT
Iy 621 Sheridan Street• Port Townsend •Washington 98368
. 1 360/379-4450. 360/379-4451 Fax
(p www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: i I -G t 4
Prrict Description sheets as necessary):
cppol_Tax Parcel�Nummber: �tY))121 a.c Li Property Size: 37 (acres/square feet)
Site Address and/or Directions to Property:
1340 bet 66 b Ro.t.d Qt,t,0 e i e WA- ' 3 7 &
Property Owner(s)of Record: Met /.i _ • u /. t. 'o Ito tr»
Telephone: 362-0/30 I -5-3?) Fax: email: Vim.I/i.e y rode- ccr" 6
Mailing Address: :la,YN e 015 4 Li ✓e- 0 m-a►, a C-OY'''
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
Ork3uilding ❑Critical Areas Stewardship Plan
VI,Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use)
Single Family ❑Garage A ttached/Detached ❑Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home: .❑ Modular • • .• - ❑Discretionary"0"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)'"""
❑ Change of Use ❑Boundary Line Adjustment
❑ Address ❑Road Approach ❑Short Plat**
❑Home Business ❑Cottage Industry ❑Binding Site Plan**
❑Propane ❑Long Plat** .
❑Sign _- - ❑Planned Rurai Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration**
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson Coun •a. -'lie Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation '-
,...........o
-'l.ia.ra-"a-ay.a-,iaassiu.:.... ,..._+�._-ri.`rrr�
Please identify any other local,state or federal permits required for thi- . At_•sal, if known.
DESIGNATION OF AGENT OCT 4 2011
IS
OWNER SIGNATURE nom} JEFFERSON COUNTY
JO p enai,cuht • D
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is I; J • -1- .1"/••the best of
his,her or its 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 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application that he or she w-•is . for notice. �� ��
Signature: `I Date:
The action or actions Applicant will undertake as a result of the issuance of this 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
and non-transferable responsibility for-•her± , to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: /� ; I_ i f fish Date: Z49/
Y- i
a E
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 assuming the resppoonsibili► .f the General Contractor for the proposed project.
Signature: i d ..fl Date: yyzovii
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: 1 FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New 0 Wood Existing: r11i 0 Sewer
O Addition 0 Steel Proposed: AO Bank ❑ Community System
O Alteration/Remodel 0 Concrete Total: Height: ❑ Individual System
❑ Repair 0 Masonry SEP Permit# ___c 7 :
Bedrooms:
❑ Demolition 0 Other. Existing: fi Setback: Water Supply:
V Private well ❑ Two Party
Tyo�f Heat:--- ' Proposed: .. ❑ public
��
p+ Total: at Name of System:
CaifiC
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:
I Underground Tank Above ground Tank Size of Propane Tank: 3 b (1.4.91-1.
ttleat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other
Is this appliance installed in a Manufactured/Mobile Home? Yes / No
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.
rs
Square Footage Current Proposed P i - U -r _. / o -atty(si ;
Main Floor Heated
r- ,',i, & EH Bld App Review: 3.-
261 Floor Heated V v. Consistenc Review:
II g�® _.et�w Y
Other Heated 4; Base fee:
Mezzanine Additional Section:
B asemeni
ate Plan Check fee:
Unheated Basement 0` State Surcharge fee: ii.-3j
' Other Unheated• Pot Water Review fee: 1 oo r
Garage/Carport SUBTOTAL �b �r _
-"Decks ,�[ 9 1/1, Ftd t4pproach fee: A LO
Other ' t Gs— �� p
�F�T1C? t t o j4O t -� TOTAL: $ y 1 Q'39
Receipt Number: I a 8O
CI Cash/Check Number: `a,Oq —
ESTIMATED COST RE* r t. Date: , ( ( i
• air ma e va ue of all labor and materials foundation to finish ,L� `1 } j
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• •BUILDING PERMIT • a
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD11-00272 Received Date: 10/4/2011
SITE ADDRESS: 1340 A DABOB RD Issue Date 5/7/2014
QUILCENE, 98376 Expiration Date 5/7/2015
OWNER: MARK R POKORNY PHONE: 360-301-4533
TAMARA S POKORNY
1340 DABOB RD
QUILCENE WA 98376-9727
SUBDIVISION: Block: Lot: T19+
PARCEL NUMBER: 801212004 Section: 21 Township: 28 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW ADU
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADU MAIN: 606
VALUATION 105,000.00 ADD'L: 480 HEAT TYPE: PRO
CODE EDITION. 2009 HEAT BASE: HEAT TYPE: EEE
OCCUPANCY. R-3 UNHEATED: 606 #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:24
CONST TYPE: DECKLE 180 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 1PWELL Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $1,021.75 LYK 10/04/11 128200
Exist: 0 Exist: 0 Plan Check $664.14 LYK 10/04/11 128200
Prop: 2 Prop: 2 State Building Code $4.50 LYK 10/04/11 128200
Total: 2 Total: 2 Potable Water Application $62.00 LYK 10/04/11 128200
Total: $1,752.39
Directions to Site:
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455.
Request must be received by 3pm the day before the inspection is needed.
Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY-SEE ATTATCHED
Jefferson County Building Division Permit Number: BLD11-00272
Applicant: POKORNY
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 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
Erosion Control
F• oundation Footing
Footing Drains
Foundation Stem Wall
Underground Plumbing
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing
B• locking
A• irseal
Insulation:Walls
Insulation: Floors
Insulation:Ceiling
Int. Shear Wall Nailing
Wallboard Nailing
Gas Line: Interior
Gas Line: Exterior
P• ropane Tank
Heat/Chimney Clearance
D• rywell/Alt Drainage
A• ddress Posted
3;
• • • •
A final inspection will not be scheduled until all of 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
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• • • •
CONDITIONS for Building Permit# :BLD11-00272
1.) The applicant and/or representative shall contact the Development Review Division of the
Permit Center(360-379-4450) regarding a final inspection for compliance of building
permit conditions (specifically inspection of the implementation of the Mitigation Plan) prior
to scheduling a final building inspection. The applicant shall pay for all staff time needed to
verify compliance with permit conditions.
2.) Unless expressly prior approved on the septic permit, 10' minimum separation required
between the water line and any onsite sewage system components including sewage
transport lines.
3.) The only water line approved for construction serves the ADU. Installation of any other
water line may require other permitting.
4.) A vegetative buffer of 30-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.
5.) 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.
6.) 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."
7.) All construction activities shall not encroach upon the buffers. This includes the storage or
preparation of materials.
8.) A setback of 100-feet, measured perpendicularly from the wetland edge, shall be
permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the
wetland or its buffer is allowed.
9.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100)feet, whichever is less. Signs shall contain the following
statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation."
10.) 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.
11.) A permanent physical separation along the upland boundary of the wetland buffer area
shall be installed and permanently maintained. Such separation can include installing
logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC
Administrator.
12.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100) feet, whichever is less. Signs shall be in place prior to and
during construction activities. The signs shall contain the following statement: "Buffer- Do
Not Remove or Alter Existing Vegetation."
13.) An additional setback of five (5)feet is required from the edge of the buffer area to the
proposed accessory dwelling unit.
• • • •
14.) A permanent physical separation along the boundary of the buffer area shall be installed
and permanently maintained. Such separation can include installing logs, trees, a
hedgerow, or any other prominent physical marking approved by the UDC Administrator.
15.) 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.
16.) The site plan as submitted with the building permit application on December 6, 2011 has
been reviewed for consistency under the UDC, and has been approved by Jefferson
County Department of Community Development. Any modifications, changes, and/or
additions to the stamped, approved site plan dated December 14, 2011 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
17.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
18.) 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 automobile 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 requirements 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.
19.) A minimum of two (2)on-site parking spaces shall be provided for the single family
residence.
20.) Maximum lot coverage is not to exceed 10%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
21.) The building height is not to exceed 35 feet.
22.) 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.
23.) Lighting fixtures shall be designed and hooded to prevent the light source from being
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.
24.) Minimum setback from the edge of Dabob Rd right-of-way shall be 20 ft. Minimum side
and rear setbcaks shall be 5 ft. Minimum setback from the delineated Category II
Wetland shall be 100 ft, except where the identified 1000 square feet as identified in the
Wetland Delineation and Buffer Reduction Plan shall be reduced to 50 ft.
25.) A voluntary enhancement/revegetation plan shall be implemented after the building project
and final grading is complete. Species recommended includes aspen, willow, cedar,
Douglas fir in the tree layer and twinberry, elderberry, red-osier dogwood and ninebarkin
the shrub layer.
•
26.) To minimize any impacts to theilan!est Management Practices BMP's•all be
Y P 9 (
implemented at all times during and after construction.
1. Avoid or control soil loss and protect water quality from degradation caused by
nutrients, animal waste, toxins and sediment.
2. Avoid or minimize adverse impacts to surface water and ground water flow, and
circulation patterns.
3. Avoid or control the movement of sediment and erosion control caused by land
alteration activities.
4. Avoid or minimize adverse impacts to the chemical, physical, and biological
characteristics of critical areas.
27.) The applicant shall comply with the"Pokorny Mitigation Plan"as submitted on March 24,
2014.
The snowberry shall be limited to Symphoricarpos albus(not S. mollis) as noted on the
approved plan.
28.) A buffer reduction of 50 percent is being within the proposed building envelope. This area
should be considered the limits of clearing and grading activities during construction. To
protect the wetland and buffer during construction, silt fencing should be installed along
the outer edge of the buffer prior to beginning any ground disturbing activities. Silt fencing
will (1)trap sediments that may be transported downslope during construction and (2)
prevent heavy equipment from inadvertently entering the buffer during construction.
\\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 5/7/2014