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Home My WebLink AboutBLD2001-00346 , BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD01-00346 Received Date 06/13/2001 SITE ADDRESS: 2190 OLD GARDINER RD Issue Date 07/11/2001 SEQUIM, 98382 Expiration Date 07/11/2002 APPLICANT: RICHARD A DENNIS PHONE: (360)797-7875 CORINNE DENNIS 2190 OLD GARDINER RD SEQUIM WA 98382-8704 SUBDIVISION: Block: Lot: PARCEL NUMBER: 002353010 Section: 35 Township: 30 N Range: 02 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)385-2441 PO BOX 417 PORT HADLOCK WA 98339 Contractor's License: BISHOBC093D6 Expires: 12/14/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ] Setbacks (Shoreline Setbacks): Footings: - /o(t ?l(6 ( #14 —<1�b 0) to Foundation: C*- C6(r-/ 6 II i [ '] Underground Plumbingg/Undergrou Insulation: ["1"/ Shear Wall: r 1 , /2//.7-l�18 -1/1C -w^.----- [ 6-rarnir-Ileurfm re vie1S" eye' //2/02 0/n Re..-' Co egegru•�! mac, /•-3®-'o t., [ ] Propane Tank/Lines,),y% r1VL: 440 (/1�,� &Ai _ - aiGY, p✓L�'01. [ ] Insulation: win.-a--$ ok /-34"--az [r Sheetrock: 'o". [I'] Final/Occupancy Approval: <. ,„y( 7 . HEALTH DEPARTMENT 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. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. SPECIAL CONDITIONS APPLY-SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS FOR CASE BLD01-00346 1.) The application was reviewed by the Jefferson County Department of Community Development staff on April 4, 2001 (for SPAAD)for the potential presence of Environmentally Sensitive Areas(ESAs) under the provisions of the Unified Development Code(UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: wetlands. 2.) A setback of 25-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. 3.) 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." 4.) 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. 5.) A Small Parcel Erosion and Sediment Control Plan has been submitted and approved on June 18, 2001 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. 6.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800 (1)(b)(i). 7.) The revised site plan dated May 7, 2001 as submitted with the SPAAD in conjunction with a single family residence and approved on June 18, 2001 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 June 18, 2001 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 8.) This approval is for a single family residence and septic/drainfield only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 9.) The building height shall not exceed 35 feet. 10.) Minimum setback from Old Gardiner Road (county local access; C501109) shall be 20 feet. Minimum setback from Highway 101 (south boundary) shall be 50 feet. Minimum side (west and east) yard setbacks shall be 5 feet. 11.) Maximum lot coverage shall not exceed 25%. 12.) A minimum of two(2)on-site parking spaces is required for the single family residence. 13.) Prior to demolition of the existing residence, applicant and/or contractor shall apply for a demolition building permit. 14.) Letter dated May 16, 2001 (received on May 20, 2001) from Dixie Llewellin, Principal Biologist, Olympic Wetland Resources, classified the wetlands as a Class IV requiring a 25-foot setback. An upslope french drain to divert water from the mound system is acceptable as long as it is outside of the wetland buffers. 15.) The parcel has been designated as RR 1:10 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. i:\F_BLD_Permit_Buildng.rpt 10/29/19 H 20 BUILDING PERMIT APPLICATION Review Ope: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00346 Received Date: 6/13/2001 SITE ADDRESS: 2190 OLD GARDINER RD SEQUIM, 98382 APPLICANT: JOHN SWALLOW PHONE: (360)385-2441 PO BOX 417 PORT HADLOCK WA 98339 SUBDIVISION: Block: Lot: PARCEL NUMBER: 002353010 Section: 35 Township: 30 N Range: 02 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)385-2441 PO BOX 417 PORT HADLOCK WA 98339 Contractor's License BISHOBCO93D6 Expires 12/14/2001 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,504 VALUATION 145,331.00 ADD'L: 839 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 340 CONST TYPE: SETBACK: DECK: 585 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA _ Exist: Exist: Wetland Erosion Prop: 2 Prop: 3 Seismic Streams _ Total: 2 Total: Flood Way Floodplain Routing Date: 5 v.) p-v_i , S&W Landslide tShoreline Aquifer Forest: Commercial Rural 1-'r ximit - I- '• .• ions - Type Amount Paid By: Date: Receipt: TT, -.pi'1" Permit $1,251.35 MAM 06/14/01 40196 A ' ' r •QED Plan Check $375.41 MAM 06/14/01 40196 State Building Code $4.50 MAM 06/14/01 40196 JUL 1 0 2001 Potable Water Application $30.00 MAM 06/14/01 40196 Total: $1,661.26 JEFFE 'UNDEPT.OF CQM NIT DE ENT SIGNATURE: Jefferson County Department of Community Development .i.. v °6 '521 Sheridan Street,Port Townsend WA 88368[3601370-4450 ity 14/ v" r3 Orm s �� pli !cu,--), 4 Eod mN L C Project Description: JUN 1 3 2001 j Build' ype: Project Type: rame Type: S'41. ingle F tta eu' RSON COUNTY Garage. ed/Detached kyl e ec>e7--' Addition DE T"0 MUNITY pEyE(CpMEN• Modular ,: Alteration/Remodel C,onceere Commercial I Repair 11 Masonry Multi-family/#of Units II Demolition Other: 11 Industrial _i Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: I Choose one: Existing: Existing: Sewer- 1 Community System I' Electricity I Oil Proposed: Proposed: Individual System i Woodstove i<i—Propifie • Total: Total: If not sewer,fill out the following: 2 Heat Pump Conventionalmative I Other Permit# SEP Wate ply: <' Private well I Two Party Well- Public:Name of water system: Square Footage: 2L For Office Use Only Main Floor /- -D K (,�/ %2.37 UBC OCCUPANCY GROUP F 2ND Floor . 73! s7zq -17/ Base fee (Z'1 -'3 5 3rd Floor Plan Check fee 315. 41 Htd Basement State Surcharge fee 4 .SCE Unhtd Bas-- - . Subtotal ` ,3 1 . 2(. Garage Carport -SL/O 10 Pot Water Review fee - CCD Decks ��..S �� 911/Rd Approach fee (fp . Commercial TOTAL 1 L r . 2- ' Industrial . Receipt# Liclq 6 Other Cash/ eck# Cr._--Z25��Qpp4-ZZ� Total Valuation: Initials r tc—> Or Date ‘p(i.>/Q I Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner 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 it's employees,representatives or agents for the purpose of application review and any required later inspections: Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: 1 ��= � Date: /ems- O i H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplicationl/2000 t , JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: RICHARD A DENNIS CORINNE DENNIS 2190 OLD GARDINER RD SEQUIM WA 98382-8704 DATE ISSUED: July 11, 2001 DATE EXPIRES: July 11, 2002 MLA NUMBER: MLA01-00320 PROJECT PLANNER: M FARFAN PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE BLD01-346, SEPTIC PERMIT PROJECT LOCATION: Parcel number 002 353 010 in Section 35, Township 30, Range 02 West, WM located at 2190 Old Gardiner Rd, Sequim, WA. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Developmen Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on April 4, 2001 (for SPAAD) for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: wetlands 3.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800 (1)(b)(i). 4.) The revised site plan dated May 7, 2001 as submitted with the SPAAD in conjunction with a single family residence and approved on June 18, 2001 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 June 18, 2001 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 5.) This approval is for a single family residence and septic/drainfield only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 6.) Letter dated May 16, 2001 (received on May 20, 2001)from Dixie Llewellin, Principal Biologist, Olympic Wetland Resources, classified the wetlands as a Class IV requiring a 25-foot setback. An upslope french drain to divert water from the mound system is acceptable as long as it is outside of the wetland buffers. 7.) The parcel has been designated as RR 1:10 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. CONDITIONS: 1.) A setback of 25-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. 2.) 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." 3.) 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. 4.) A Small Parcel Erosion and Sediment Control Plan has been submitted and approved on June 18, 2001 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. 5.) The building height shall not exceed 35 feet. 6.) Minimum setback from Old Gardiner Road (county local access; C501109)shall be 20 feet. Minimum setback from Highway 101 (south boundary) shall be 50 feet. Minimum side (west and east) yard setbacks shall be 5 feet. 7.) Maximum lot coverage shall not exceed 25%. 8.) A minimum of two (2) on-site parking spaces is required for the single family residence. 9.) Prior to demolition of the existing residence, applicant and/or contractor shall apply for a demolition building permit. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development. Development pursuant to this permit shall be undertaken subject to the applicable development and performance standards of the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are induded as"critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or fioodplains are advised to do the following: -Set back buildings, utilities and roads as far as possible from surface waters(streams, rivers, lakes, marine waters), or at least 150 feet from the edge of the water -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters -Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle at (206)526-6613, or the U.S. Fish and Wildlife Service at(503) 231-6121. Pursuant to RCW 36.70C, the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior C it within twenty-one(21) calendar days of the date of issuance of this land use decision. For more informatio related to judical appeals see UDC Section 8.5.2. 7/i /o/ UDC dministrator 1 r JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: /4� Telephone: Address:, -- 1 Assessor's Parcel Number: A7c::? 3-S � Building Permit or Septic Permit Application Number(if applica le): Brief Project Description: Site Location: — •�Ev� Person Responsible for BMP Installation and Maintenance: Address: Telephone: c2. 7 1. Describe/check the Best Management Practices (BMPs) that you will implement during land disturbing activities or construction to control erosion and prevent sediment from entering water bodies (marine waters, streams, rivers, lakes, or wetlands) or impacting adjacent property or roads. Please check the measures you plan to implement and show their approximate location on the site plan. You may also propose measures other than those listed. Attach additional sheets. if more space is required. [] Stabilize construction access route. Limit construction vehicles to one route, if feasible. Provide a stabilized construction access by applying quarry spalls, ballast, or crushed rock to minimize tracking sediment onto roads. (See attached illustration from Storrnwater Management Manual.) If sediment is transported onto roads, they will be cleaned thoroughly. [) Minimize the extent of land disturbing activity and preserve existing vegetation. Preserve buffers of well-established vegetation between disturbed areas and property boundaries, roads. water bodies, and designated critical areas (wetlands, fish and wildlife habitat areas, landslide or erosion hazard area, etc.). APPROVED STORM WATER PLAN SPESC Instructions—Short Form JUN Revised June 3, 1999 3 JEFFERSON,COUNTY DEPT.Of Y DE LOPME SIGNATURE: 4 EROSION AND SEDIMENT CONTROL WORKSHEET / Phase clearing so that only areas that are actively being worked are uncovered. [-( Start and complete land disturbing activities and stabilize the site between April 1 and September 30. Stabilization means that disturbed areas will have well-established plant cover or be landscaped to minimize erosion. L/ Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between October 1 and March 31 and within 7 days between April 1 and September 30. [ ] Cover exposed soil with a minimum of 2 inches of straw or hay or other material approved for this purpose. [ ] Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads. and property lines. [ ] Place gravel base on roads, driveways, and parking areas after clearing and subgrade preparation. [] Protect adjacent properties and water bodies from sediment deposition: [] Place straw or hay bales in ditches and drainage ways down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustrations from Stormwater Management Manual.) [ ] Install a filter fence down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustration from Stormwater Management Manual.) [ ' Regularly inspect and maintain all BMPs especially after storms events. [ Describe other erosion and sediment control Best Management Practices. Be specific •as to design and specifications. THE Alf.4 item t f-ruD ji Vi 42L 13Ei.CG &ef1 Cr- a'C A- SUE 771- /S L-11.L'/y D� E-014J> /41A It' j44S Aegi t.Af'e fjC..E.s?/>�/ IN I 'A WI Ayes e'LL012/A..f c ! T*SE Ntiv Ncc�f/ /S roc/ /N 4 LJ "Wig_ WI 44,2L 77G.W. Liw,N.6:- &L 1a x,' Sfe'-%"3" P SPESC Instructions—Short Form Revised June 3, 1999 4 EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized (seeded, landscaped, apply gavel base to roadways, etc.) `E:e { • _Q�2iy�u. s 1 STJN /2I /vI �v/Z t3L G P41/ac4' 3. Describe how runoff from impervious surfaces will be controlled (disperse to vegetated areas to infiltrate. dry well, infiltration trench,route runoff to existing drainage facilities, etc.). TfifE /*9)t6 LS krc,4t7e/7 C,c.' /5-Y- Atc,e‘S, ry y/cH h'115 B-S-ARi.ls A e 1 �' , rD V1 crmi(nu Thip5er AvekAoy Ge-Aui�2eLs 'Qv-Ai ?reie DF LXfST1i'L M uS£ j}ftfT"rA,1[1:, dt RL/nc:Vfp) D.'ua:s bcfrY k:/LL 11E 17l}ifer1,1/1 ' -Sam I) SPESC Instructions—Short Form Revised June 3. 1999 5 • EROSION AND SEDIMENT CONTROL WORKSHEET 4. Specify your construction sequence. Describe the timing of all land disturbing activities (clearing and grading, construction. installation of drainage facilities, landscaping, etc.) and Best Management Practices. Describe proposed maintenance of BMPs. ra.)cp.477 r.,J ,4ZL4 y7/S Rt i / i/EL � rh�L ,C �s.7zii� + c it �;/Z.L O` 8f ,QEmAMA Atv0/4:0 7/t:4-< //, o �C- zAai/ L]L�GJCC- FPQh7/L.: ci nP WILL BL /loch ✓$' 611cIL2 F,o1�.tG u�SP a7cscl I L /3. Z?y �r..,�tri/l D,2/vf1,r y G..I-L ilS �:,QAI�i a',i /CSR4 i %_/ `E1�1 1' L.57?L/G�7� ,�._‘&1141- �X/�71NG . o[�{ •GX1577t;G l• c�S< �a O�PL'B/�/XS cu/Tirb�T !7 t.4.V S 4' 73 f1(,.t'.c At/j/s-,:// The Best Management Practices proposed above will be implemented to control erosion, sediment, and stormwater runoff. I will notify the Permit Center for inspections as required. --‘— attire of Owner Date SPESC Instructions—Short Form Revised June 3, 1999 6 JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: /4/212 ��;� /� Telephone: Address: ; // J Assessor's Parcel Number: l/G',:)? GiD Building Permit or Septic Permit Application Number(if applicable): Brief Project Description: Site Location: Person Responsible for BMP Installation and Maintenance: Address: Telephone: c::27V7 1. Describe/check the Best Management Practices (BMPs) that you will implement during land disturbing activities or construction to control erosion and prevent sediment from entering water bodies (marine waters, streams, rivers, lakes, or wetlands) or impacting adjacent property or roads. Please check the measures you plan to implement and show their approximate location on the site plan. You may also propose measures other than those listed. Attach additional sheets, if more space is required. [] Stabilize construction access route. Limit construction vehicles to one route, if feasible. Provide a stabilized construction access by applying quarry spalls, ballast, or crushed rock to minimize tracking sediment onto roads. (See attached illustration from Stormwater Management Manual.) If sediment is transported onto roads, they will be cleaned thoroughly. [] Minimize the extent of land disturbing activity and preserve existing vegetation. Preserve buffers of well-established vegetation between disturbed areas and property boundaries, roads, water bodies, and designated critical areas (wetlands, fish and wildlife habitat areas, landslide or erosion hazard area, etc.). APPROVED STORM WATER PLAN SPESC Instructions—Short Form JUN Revised June 3, 1999 3 JEFFERSO COUNTY DEPT.OF CO, 1 Y DE LOPME SIGNATURE: V V • • EROSION AND SEDIMENT CONTROL WORKSHEET [:( Phase clearing so that only areas that are actively being worked are uncovered. ['7 Start and complete land disturbing activities and stabilize the site between April I and September 30. Stabilization means that disturbed areas will have well-established plant cover or be landscaped to minimize erosion. [j.— Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between October 1 and March 31 and within 7 days between April 1 and September 30. [ ] Cover exposed soil with a minimum of 2 inches of straw or hay or other material approved for this purpose. [ ] Cover soil stockpiles with plastic sheeting and locate away_ from water bodies, roads. and property lines. [ ] Place gravel base on roads, driveways, and parking areas after clearing and subgrade preparation. [] Protect adjacent properties and water bodies from sediment deposition: [] Place straw or hay bales in ditches and drainage ways down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustrations from Stormwater Management Manual.) [ ] Install a filter fence down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustration from Stormwater Management Manual.) V Regularly inspect and maintain all BMPs especially after storms events. [ - Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. THC ti1-e.:i Item t fJ-.trL j).eiV',E 42/ BEic6 Qu1 .7 arc 4 slit 7}ti4T /S ,4L,ZI 1✓ L2 !/'ELCf A> f>z v/1 �J�4a r •,F ,�1 �[ iN p �_ vVt Al ek eLLwei,t, gez 7-7-"t Aitec NctrSJ cuff/CM 1 S r¢c/,t.;G /N 4 Likv-A: `}_ VI gi2L 71GI1 LiNin/( ,Az: rv-zux; 5/b T� !� S'v2nP SPESC Instructions—Short Form Revised June 3, 1999 4 I • EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized (seeded, landscaped, apply gravel base to roadways, etc.) T nEA;x IV ) 2)/Q2v-f.e.A.:7 y rHir"/wit Js LX /i77N ,Q/Z/kit ‘4)JL .t3E G /Vat.° 3. Describe how runoff from impervious surfaces will be controlled (disperse to vegetated areas to infiltrate, dry well, infiltration trench,route runoff to existing drainage facilities, etc.). 774. /*,2i1E iS ir•cg7 eu /cH 5 gSi7 Ji/,' 29 2,Arev.ai . ,a ra m? TJ,zi¢r ALr k Gr-Au ,., ,2c14)OFF of Lx/STl,;G M c't fibirtA,IL . ite t,,2 c/in) Pee4a.iS."CulT TiKh7"1.i/La -Sump SPESC Instructions—Short Form Revised June 3, 1999 5 0 EROSION AND SEDIMENT CONTROL WORKSHEET 4. Specify your construction sequence. Describe the timing of all land disturbing activities (clearing and grading, construction, installation of drainage facilities, landscaping, etc.) and Best Management Practices. Describe proposed maintenance of BMPs. fG1/4.x./24T7at) .4ie-LA is / 1 fi,/ JiI1.L nit )W7.1A..1- ce.a u;/!1. 121-gmct/L4 AVA-1/4:071/4-C D . Foo-Iiit GS L,uILG s, /1fge,e_FI.ILLO l3f�OPI- Fiewg/A26"-, $?r/nP W/LL / c/` ✓39 Ri7Le FRa fihit,GNEiAl L/u SP�;7cti, ,1F7t72- /.C.:S/JL<.77cic: . ,1LL /LC� foSZ AJ r:FF /).FaeLlin AS L7- gt Iot.G, /l cnLT .04.24G.7Z7 Xf./l/a$ 77ff. F x/c%.v6 do Uc c. T LXfS7 7A) //CysE h f , /WatfL cs C1ix-u,V Sj4'c.,73" /41(i t.0/i(.l JD The Best Management Practices proposed above will be implemented to control erosion, sediment, and stormwater runoff. I will notify the Permit Center for inspections as required. ature of Owner/ aentDate SPESC Instructions—Short Form Revised June 3, 1999 6 ,, M lit Ci fTl. ielt i 7-1 n r End T, i)in D C.3?T .nT �7 U .27 CD CDC?v Inril nr(- R1 V-4 CD 71 u u !TT 5r1 A7)? 1/y40/so) I/ / /D/ �m9y 0�9 9 i7/1 S/XS • 7nM " T 9N11six.11,51 /r[ t i ? 57Y)d 56'•5/ i { I cli V v. 7?'n Lsv'c/14 o i / z 3 / / f z J ______,, ,,.51 _____.___\{ icc, k r �or ti3.in n P ' v, of— �y fiP� � /� / h Id G� / _y • C r��t oil `` � ��"�'N 1-4\---_--., �S�a�rid el nS __._ .__. � �l s� J•- _I etaZ A ` C1^ ,�SnoN15.-______________:.-2--; M//4 otrw • i in 0 ,..i2.504.$ ', C col. ntif 3'/7%J1vN Ptl (ILL ):riv/-/ )/✓/11)X I , AI V - owoLI Uol 11777 -- - — %/i7 /J _ZH2/Z/ PV <ni N lvI0dYaIJ Ono 1 9 Nurix3