Loading...
HomeMy WebLinkAboutBLD2003-00574 MANUFACTURED/MOBILE HOME INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD03-00574 Received Date: 9/16/2003 SITE ADDRESS: 42 S STROMBERG AVE Issue Date: 10/27/2003 PORT TOWNSEND, 98368 APPLICANT: ADAM HENLEY DIANA S HENLEY 2546 HAINES ST PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE Block: 145 Lot: 11-14 PARCEL#: 962114506 Section: 35 Township: 30 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: CELSO LAMAS WAINS1420 Expires: 2/28/200z WASHINGTON HOME CENTER SHELTON WA 98584 PROJECT DESCRIPTION: NEW MANUFACTURED HOME MAKE: REDMAN YEAR: 2004 SIZE: 1680S/F THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 10/27/2004. REQUIRED INSPECTIONS: [ ] /Footing (CONTINUOUS FOOTING, SLAB or PADS USED):f -- -0t/ [ ] Blocking/Plumbin, ./ '2a-fly [ ] Zoning Approval: [ ] Septic System Approval: [: Final/Skirting/Vents/Porches/Step 5 HEALTH DEPAR MENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION 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 CASE # BLD03-00574 1.) The application was reviewed by the Jefferson County Department of Community Development staff on (date)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: SARPA-aquifer recharge area, coastal SIPZ, stormwater. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 4.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall)and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 5.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone)according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 6.) 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 (see attached). • • 7.) VOLUNTARY MEASURES OF COASTAL&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.) Public water system should eliminate some concerns about wells within 1/4 mile of coastline. 11.) The applicant is proposing to create or add 3,990 square feet of impervious surface and 5,490 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a stormwater plan for a medium project. 12.) 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. 13.) A stormwater plan for a medium project 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. 14.) Proposal has 73 feet of natural vegetation to infiltrate stormwater. 15.) 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). 16.) Maximum impervious surface is not to exceed 25%. 17.) The site is comprised of Block 145 Lots 11-14 & 31-34 of the subdivision Irondale#6. A declaration of restrictive covenant has been recorded (AF#475159). • 18.) The proposal is Lots 11-14 & 31-34 Block 145 Irondale#6 recorded on June 28, 1910. These lots have been combined by declaration of restrictive covenant. The site will receive access off of Stromberg Ave and not Victory Lane. The parcel is designated Rural Residential 1 dwelling per 5 acres by the J.C. Comprehensive Plan adopted August 28, 1998. 19.) The building height is not to exceed 35 feet. 20.) Front setback is 20 feet from the edge of the right-of-way for Stromberg Ave (east). The rear setback is 20 feet from the edge of the platted right-of-way of Victory Ave (west). The side setbacks are 5 feet from the north and south property lines. 21.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 22.) Two off-street parking spaces are required. 23.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre 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 Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable 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 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 24.) The site plan as submitted with the building permit(BLD 03-00574)application on September 16, 2003 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 October 17, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 25.) This approval is for a manufactured home and related improvements shown on the approved site plan dated 10/17/03. 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. • MLA03-00522 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00574 Received Date: 9/16/2003 SITE ADDRESS: 42 S STROMBERG AVE PORT TOWNSEND, 98368 APPLICANT: ADAM HENLEY PHONE: (360) 344-3758 DIANA S HENLEY 2546 HAINES ST PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE Block: 145 Lot: 11-14 PARCEL NUMBER: 962114506 Section: 35 Township: 30 N Range: 01 W CONTRACTOR/ DEALER: INSTALLER: CELSO LAMAS WAINS1420 2/28/2004 WASHINGTON HOME CENTER SHELTON WA 98584 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MANUFACTURED HOME TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: REDMAN SETBACK: VALUATION 75,522.00 YEAR: 2004 LABOR & INDUSTRIES APPROVAL? SIZE: 1680S/F BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 3 Prop: 2 Wetland Erosion Total: 3 Total: 2 Seismic Streams Flood Way Floodplain Routing Date: 9F&W Landslide /���a�3 Shoreline Aquifer Die,adQ Type Amount Paid By: Date: Receipt: A Pti! E D Permit $151.00 MJA 09/16/03 60025 OCT 2 7 2003 Potable Water Application $51.00 MJA 09/16/03 60025 Total: $202.00 Jefferson County Planning & Building Department fit T. JEFFERSON COUNTY CO➢'.!CIUNITY DEVELOPMENT 621 SHERIDAN ST, PO!T TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION . 7 i. O NEW BUILDING ❑ REPLACEMENT - a i��� � , f SIZE /�/en�10 .)}-- YEAR WO 4- / SIT I 2(i! MAKE R d niail / �.�i��i(/j np/ . COST 't 75,5 Z t q2 JEFFERSON COUNTY DC BEDROOMS: BATHROOMS: EXISTING EXISTING PROPOSED -..J PROPOSED TOTAL 3 TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL O INDIVIDUAL SYSTEM 0 Conventional ❑'PUBLIC 1 PERMIT#SEP 0 Alternative Name of water system: ".2) 4t/ D( VL gk "gd) IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE 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 /&M/ 5 DATE Cl://0q/61-3 NAME(PLEASE PRINT) FOR OFFICE:USE.ONLY CONSISTENCY REVIEW FEE 7.00 RECEIPT# &00a5':' '' ' BASE,FEE 1'5 l AMOMONAL SECTIONS CASH/CK# l 5D SUBTOTAL I 1 2 DATE _ E C3 POTABM WATER f 7/ROAD APPROACH TOTAL a gl QM61RLNCN H:Y^I T NFOBLD\FORMS\MOBILEAP.11/26/01 l- c c c r : EEC.-\ JEFFERSON COUNTY `1 g."fir* DEPARTMENT OF COMMUNITY DEVELOPMENT ( i i 1 t OCT10 I� ' 621 Sheridan Street • Port Townsend •Washington 98366 ( .r t " � O' 360/379-4450 • 360/379-4451 Fax _._ -. http://www.co.jefferson.wa.us/commdevelopment/ JEFFER`:ON COUNTY STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# /14 IA I)3-1905 Z Z. PROJECT/APPLICANT NAME: /Vi&ii S h /el Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, tho applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit 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. L S e e. �� n ��poD sew / 2c/ 4 //1 7 77 L /S s/a/f , )e,S Iaz/7(t - ltoG an l,i,4 '/di/7 i5 /-f(D • Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. /6:?1)1�12-(4 As M// '4''1 Lii ramie /s o s/c?Af (°/4e..� 4; S-/ ies� 7 e,c f /2, -7/�,� '' . 3 / , z 9 O ' Se � Q . 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. _/, -trti S ate' ./rP inpa/), d'/m '., l 119 Gy�r '/"1�°/J5 amp.-, kr/p /4/,7 O%,1 4 rid • 4. Describe the existing soils. Indiate soil type on th site map. CuitV f f5 rs Ji S',l77% See. ,5.0 / (, /C3�.ti-,u c , )�or T 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 acrea e of each. `i 5 rS L (5 ,find (oi// �OYU_ ter/ �'tur�� )(/ tt 61a -. ) ui 11 r iie ,r,i C,f/lam rip wa i- '. ay/ .P 1 S 17yrq l6''1 r L r r a. r G7• ite/, 6. Describe any excess levels of noise generale/d by the proposed(lie or activity: .../ /IV !�'/ • a f Pro j er art- L ry 6'ct-C. . stormwater site plan template—rev.10/1/2003 5 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes, etc.)on the st ndicate location on the site map. n�)f 1 ,lIIi /ill) tv , 0 8. Describe the general vicinity of the site,including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (steams,wetlands,lakes,steep slopes,etc.). 5( 1-S /n /a- rzed /7_,,9dt r ( l ift,1" Is Do -�kr� r�'� rnr i 6( � � V , , ,1`1I !Iafi ".0date 6 .- 514 - 1 G b r�lrr 7'1 rees-f- 6 b tic �. lie Gt v� .�Om tc�p ray , � * 1 '.Z- 1;&��,i t D e- Orl vc r . 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. 9. 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 4ite. Locate these fa ilities on the site pin and differentiate proposed facilities from existing facilities.. (it H� (,t-.�i '1 ,P S�rrn ba(11(ta5 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.] 71 - a b(J.bir. • 11. Describe the performance goals and standards applicable to the project. fi iiaY( M F� C n (t - 4 )`- in A_ 1i21PJt v1CnnP ail. 11i 12. Describe th fib control system. r ; r _� l v l, OCT 10 i , ULM r ;tormwater site plan template—rev.10/1/2003 6 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 fcitioif,s,must be f istalled 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. day in IS Limits.) IIThikr 40 0fl1 t rPçkax?4 gi4eipcswim go 15 I'-U Y►' °, Q( Wi1/4414 Giro . 2. Establish Construction Access. OY�ir'� vrJ (I Dr Oh(fh oi.�CeS5 P wes-1' b ,(r - . 3. Control Flow Rates. 'AAA 41 L /. ' A, ._ .i 111:_/Y's` 0A1 / L:/ / ' i _11 i .fl►11� c.�ifirJJr'IELVITIMMIRZffe .,r . A fAriglinffi 4. nstall Sediment Controls. Id ,r ,A_A 4--[) $5 . ,ill l S� -ctilmJ5 �r2,1 i l 17 r Q- q ""./ .c-to t C I tr ' - 5. Stabilize oils. , , - .E 6. Protect Slopes. �� , ID ri 7. Protect Drain Inlets. OCT 1 0 2003 ./ f yi/A ►.u._ _ , ill "I Gi• UVURiY c.ill 'ti•TY PLE 9P 7 stormwater site plan template—rev.10/1/2003 8 I .ryifT n� � � may 13. Describe the water quality system. ���� OCT I u l Li) , .r 14. Descri e e conveyance system analysis and design. kit 15. D scribe the s rce f fill material,physical ch erisPUi1 of fill material, eposition of excess aterial. Qy�I -� y U in-i,-- oto , tg)71 zu'y /13 ,_ - ,��'� tit , gei grent rct5 n-e4t.s . 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Bui ding Code. ; OL 17. Describe the pr posed surfacjng material. lyavrA oh /r't vttuw and pa kin aetea _ 18. Describe }^ethods for restoration of the site. rn Al t/ 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. / ( a 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. p/k/ot, 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 re}st�'ct�s here. 1 I'. stormwater site plan template—rev.10/1/2003 7 ` 12 Required Elements—Construction SWPPP(continued) �i t t� E C � 11 ` 8. St/a7 ilize Channels and Outlets. I JEFrEPs:O'rt COUNTY prrT Cr n t.i_' i' Pi''ELCPVENT 9. C ntrol Pollutants. - —— -- i�lGV 10. Coptrol De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Manage ent Practices(BMPs). Ze__- Ole? _ arL, aifa .e/f& /' Lit t U , 46-.61. _r7 Lyl7/� ode had a �i e _ o� gam/k c -sc ,4 ..46 12. Mana a the P ect.a _ 1 b lv o r 0-2 arc ,r , tI Z rs 4 l l C,e#74( l c 7 � a -? Pal/Gt frA 155"67 ..2/jiJi 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roa s). es b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). rta(31' dq-ch ,n5fa J'4 b/ ofr'do 3. Environmentally Sensitive Areas. a. Qe tion of environmentally sensitive areas that are on or adjacent to the site. i� / stormwater site plan template-rev.10/1/2003 9 b. Description of special requirements for working in or near environmentally sensitive areas. 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 11 OCT 1 0 2003 flU j �JErfEr�i, ';'Ol)f }f 5. Construction Phasing. a. Cons ruction sequence r kr hszphc_. sfzzniO)nL 2 ,,( hs, her& ia«r b. Construction phasing(if proposed) U r/a 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). i. P ovide a proposed construction schedu permcto1-o11 -Lte, 0 Y !rn1- Z ;oral S� ? f 1'e 1 f fl w , 5Ski in 5qa (,/(?c f r7f 11 �u ��rta n�1 <.. II. Wet Season Con truction Acti es. 1 41' tea. r� p/e(�`iJi season l (,construction act(setj ..3e phc., 306 I tt S- ( L2�t�1 IL/1 s b. Proposed wet season construction activities for environmentally sensitive areas. n/61 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the Initiationof bonds and/or oth r financial securities. C/A/it/W/Z.Ilta,1, -K Nfiri/5 Ona b. Describe bonds and/or o er evidence of financial responsibility for liability a iated with erosion and sedimentation impacts. 1-p • 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations teamster 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 Ir.,t r{ r to W6struction. 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 e best of my kn wledge. I also certify that this application is being made with the full knowledge and consent of all owners th affected grope (LANDOWNER OR AUTHORIZED EPRESENTATIVE SI RE) (DATE) THIS SPACE MAY BE USED FOR ADDITI L NOTES, IF NEEDED: • f►_ta ►�' 11 \ ' I E41 /f r.. .. i I ] I� I; OCT 10 2003 ':1` JErFERSONCOUNTY LDEPT. OF ./zLUPi it:t pERM�i # BLD 03 _ 05 � 4 soN ttW. EllJEFFER stormwater site plan template—rev.10/1/2003 12 . . ....., , ,, , MIir....... _.....7-1,,,_ :211 -T1 ArviNA-OVED+ ' -in APPitCi VE1) ,..,, ,SITE-PLAN- ....... 1 1 c.... St R'N4,4/AW:2•L ._ 2 II OCil ,I '9"1 • ...... '''' ocT 1 7-2003- COD ... r- r r.. A 4:7) 1-,:, ' IEFEERSON LOFOOMMUNITY DEVELO 1 ..'' SIGNATURE: ' 0 co 4 = (.111 M CII- .....1 ...., . r.. C-s IZ=r V/CD te Y it V5 ......... .....r ..... ,... ,.....,,,,_ — f —''''r ---Lor 1 z- LOT i — — -'77, II 1 1 I ___,,_,.. 1 _ 0 1 i 1 [ —I i .) 1 i I. I , ' ,.., 0 1 It I. c4Acgi ADJAccivr I I, . i t ..J vr- Lor I6 ilil?' ' , , .kvet- .._ tr i 4e c i 4,04? ,... ,4. 1 0 ktpa I I r` ,..) I z ........› Z G It I , ,,.. t.i• \o ..-4.... C.- 1 i--- -, C. 11 tas cis iki ef - r.i 1 --1 + .0-,.. + :.t. I SOP / I I I 0 7.76 ....1„ , ,,r,N c% r \. ' I 1 tNArS-e 1 ' 4 ! 1 \ 1 t 6),/96,1 /vr , , ,4 ._, . [ er.zr ,..3.6 1 i \ i t \ / i \ I ....... .. ._ _ / --—— * 100 ' / ...5r /fort/106;g- 4 ,itvE D)AA1/4 ,-16A1Y fritNi4y R.g.S1P&.ik..)C.5 a5471‘, HA/Afe S 1,57- 12 6,.9niMbeil hi? /I V1 Poier ViAi#viey,44, 411#949 478,;3 ".' ft Y.r "7Fainzeiret W Pi 4,6,-,:iiai; 4560) 3,1,71 - j7,6g. 4,02 1144 .50(v . 4147 iiiii 307 S 1 -i--e,, 13LAQ . .. . - . , . _..................... . , . • 'NED ... . . . ... : • , , • ....•; '. ;t - 1 . . -7 -,-77,. -21:4N , t TAN• . , I SIO•kkfilf i _ _... .. . • •J i . ,. . •I. ' 1 ' tITER 1)-r-7AN .• 1 • •• . . ,: • I : i , . • i , . , ,.. , • . i j -- ---- ----7_- :.'-, . ,......,-":.., t_. __ ''----__ t.------. . __7— ,,, ----PC-11---1±T-1- 73-:. _., : :Et.I-. . • : . •.•!!'•:TY ; - 1 . .... .,..,, . 1.)1,\,..I(,, , ; I •-•,•-r.::•.,), ' ' ''•.. I' , SH..' : ,,i: ! ------ 1 3--4 - . . . ... . _ . .._. _ . . -L SiGtVATVRc .1'4•INI ..-... • A •. . • 1 1 ..77- .:_j ,Aidisir ,•..,...- - • - . .....,,,,,,y41„.._ . t I 1 I . j- • ' ., I , . . 1 . . ' Cer-YQ,1.17r60'4.- e7"1,,N.;. : • ' _ _ •, • . __._ . V/art.)"-la-Y . A Vo I •• 7.,--- -- , . ,._.. 1 1 v,,M ee4,41,4 ,..,A. • , $ ,.• , k I.,:i,,, , . • . .., 1 i • . ,• 1 ; . - - ••••., • • , ' • . • il . , , , . [• -... . _ _._....._ • ___-___....1__. _ _:._.7 ; . 4.__._ _...!'!. , __ , -4, T•-•, r . . , . . _Aaii_etcovr t 1 • i 1 i . , 1-117r )6 ' , , : 0 r ! _ _ ..cs. ... ..),_ _ ___ . 1 'AV . r. 1 ___ , I : -u .. ........... L v44, • . . .r4+, . c.... . . . :• . . . . . •,- 2. . . . r JA ! • 4..." '• . . • I ,I . • . ....1.,i, L , 1;._„„, )5 , . t , 1 ; . . . (.3, ,.... . . , i • . ---j jtjoo' • • '44, rE , •V,•, , , . [ • ? .,... IG: z I ' , _. _ , , -- 4 , . . ..111,IF . , 'P•es.............> .--- - . ./LI . i • . ,. •N. .1 -(.. 11 ' '' - I . 1 1 .... i • - . gt Kkt (S4 j. • ''' "it 't- , . . . . . , r . % 'N .._ _ t _ I • . . . . 4 • I tp .... 54.. R _ E: j Pjtv1.)C-E., • . . • { I . ' , . . . . , \ r ' 4,,, . • , — • , . y..—I,• ' 1 .. - , . .'.. . I . . . ,o I . _ . _. . :- • 4 -- 414 . .._ . _. __ . _, „,,N ..... .., , . _ . _ . .. ...,:.' wArse io-0k ci 1f)- e.,,- -• -- • . 'S. __. .. _ - - •- ---: -Lai,i----ea... 1 f-No-e..-c„..., ,14-. ..,.. . . .. ..,, -yin' 40)/9e0;vr _. 4,0,,./4• /./.-- 1 • _.... ,..„.4.13., , ' 7 - ' .—' -- tik:7•, ,.,.„, . . . _ , 410 e ,0 tA cl, td; '1') i_ 7 1°CI __ . :I ' ... ..1_ ' n I. _. I!MI . .. Ai) •.•• f 73 .. • , . -. ._ . ',71-1 Ci- - • 1 el gs N40‘ , ' IT - - r-rt ....4 k .c..r„)I a •- -- .. _r,• __ , I, __ __ _ _. . . . I . .._ _ ._ ,.., ,„... : -.,..‘.....', ,...._... ,. , . ..-tot 0., .. , . 4- 14 ,i,,, , • ....„. r— '''' ,'-------3':----7'----? . CA.• :'...,' , _—_ Lter 3/ '. L-073- 2 . -......L... .................sore. ....... t / ..... -...... ..4...... -.0.- ,-.5 rif" /144667e4 4J/it ___ _ • . , ._ Pokr ov,v:5attz,. lifil 083106 2 .4s,S4,40*1 Ilvti. ._.. 454,04) 4/4/ - J7,6.6' __ Y4' Vi0)114/14Iiii 4 i5-7-04/gs , 7 ii 94Z. ai..q.$0.1, 4'16 Ili . 1::)u)s,K\ . i re, . •.