HomeMy WebLinkAboutPermit File BLD-2019-0413 1319 6th Street (2)City of Anacortes
904 6th Street
P.O.Box 547
Anacortes, WA 98221-0547
(360) 293-1901
Invoice/Permit #
Applied date
Issue date
Expire date
BLD-2019-0413
07/02/2019
08/12/2019
02/07/2021
Job Address: 1319 6TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-1723 Project:
APN: P55645
Remarks: Demo Garage and replace with new garage /shop.
Owner: KATHLEEN DICKINSON Contractor: KREIDER CONSTRUCTION
Address: 1709 6TH ST Address: 1010 22ND ST
ANACORTES WA 98221-1744 ANACORTES WA 98221-2521
Phone: Phone: (360) 707-5588
License #:
General Information: Fees:
Building Valuation 175000 Building Permit Fee 17413.75
# of Boilers <= 100,000 BTU 1 Plan Review Fee 918.94
# of Radiant Hydronic Piping 1 State Building Code Fee Resi 6.50
# of Ventilation Fans 3 Mechanical Permit Fees 80.10
# of Gas Piping 1 Plumbing Permit Fee 41.00
# of Water Closets 1 Total Calculated: 27460,29
# of utility Sinks 1 Deposits/Receipts: 918.94
# of Water Piping 1
#_of Gas Outlets 1 Total Due: 1,541.35
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO -ANY OTHER STATE OR
LOCAL LAW REGU I G ONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
(�(GNA�URE OF OWNER OR AUTHORIZED AGENT IS
Permits and Insp... -BLD-2019-0413 - 2019
019316-0012 Carla Br... 08I1312019 02:25PM
12376 - KATHLEEN DICKINSON
BLD-2019-0413 Single Family AlterationlRepair Permit
Payment Amount: 1,541.35
Transaction Amount: 1541.35
CHECK: 5142
Site Address H•
Building Permit
- __ � : _ -->- ..-�• -.:q; ���! _ �—.�:=wee
Public Works
r COL U, JCeZ f gc.� 4Qx 2I:L w l- 4 F?SM LZiN�=
i
i
Planning
Stormwater
Fire
Project Inter -Departmental Plan Review Tracking
+C3 City of Anacortes Invoice/Permit #: BLD-2019-0413
G 904 6th Street
Applied date: 07/02/2019
P.O.Box 547
Anacortes, WA 98221-0547 Issue date:
Expire date: 12/28/2020
(360) 293-1901
c0 ,
Job Address: 1319 6TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA98221-1723 Project:
APN: P55645
Remarks: Demo Garage and replace with new garage /shop.
Owner: KATHLEEN DICKINSON Contractor: KREIDER CONSTRUCTION
Address: 1709 6TH ST Address: 1010 22ND ST
ANACORTES WA 98221-1744 ANACORTES WA 98221-2521
Phone: Phone: (360) 707-5588
License #:
General Information: Fees:
Building Valuation 175000 Building Permit Fee 13413.75
Plan Review Fee 918.94
State Building Code Fee Resi 6.50
Total Calculated: 21339,19
Deposits/Receipts: 0.00
Total Due: 27339.19
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
Permits and Insp... -BLD-2019-0413 - 2019
019253-0063 Carla Br... 07IO2t2019 04:58PM
12376 - KATHLEEN DICKINSON
BLD-2019-0413 Single Family Alteration/Repair Permit
Payment Amount: 918.94
Transaction Amount: 918.94
CHECK: 020229
�
Wwwwo� zv � OVIr
L�%- 6 0 4 I ._
PL ,O& NWY, & ECONOMIC DE LOF
RESIDENTIAL BUILDING PERMIT APPLN
Mailing Address: P.O. Box 547, Anacortes, WA 982
Office Location: 904 6`h Street, Anacortes WA 9881
Phone: (360) 2934901
2019 �
PLEASE REFER TO THE RESIDENTIAL BUILDING PERMIT CHECKLIST BELOWFOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #):
U31q OH STREET
Subdivision/Lot #:
APPLICANT:
KATKL9E.N ► lC1;W50 J
Address (Street, City, State, Zip):
1109 1PT4 54TREET AKAC0121r=5
PROPERTY OWNER:
SAW AS Af"4GA14T
Address (Street, City, State, Zip).
CONTACT PERSON:
Address (Street, City, State, Zip):
2415 7 AWN4E 5u1TE
LENDING AGENCY:
KA
Address (Street, City, State, Zip):
�c�Z ANnGo2T�,S
CONTRACTOR:
�Z�iD�1Z COtJ�ot�,UGt►Oti1
Address (Street, Ci , State, Zip):
1010 22 Nn S�ieCE T AWAC.OQ ES
*All Contractors &Subcontractors must have a valid City of
Anacortes business license prior to doing work in the City. Contact
the City's Finance Department at (360) 299=1968.
PROPOSED WORK: 0EMat MI EXISTIN42 44B SF
lst Floor SQ':
2°d Floor SQ':
Fire Sprinkler:
PARCELS) #: �5(Dy5
PROJECT VALUATION& $
M K
Phone:
Email Address:
Phone:
Email Address:
Phone:
3Coo Z9 3 O►o(v
mail Address:
roods G brm ooks i61dXt+oI)ordi4ed-
Phone:
Email Address:
G
Phone:
3Cr� col 558�
Email Address:
61rc9 e i,r >✓tcwconslrut6nr com
rofessional License #: Exp. Date:
K1WbC1021 M 10 30 2011
Business License M Exp. Date:
W1887 12 3 1 31 2019
i06E" nL)%Lf) NEW 61'S` 5F 5ROp/GARM
Garage /Carport SQ': �3 �{
Deck/ Covered Porch/ Patio SQ':
El Yes 0 No Lot Area SQ': (p000. ,
I declare under penalty of perury that the information I have provided on this form/application is true, correct, and
j
complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit
application to the City of Anacortes.
Print Name_ NOW M 1000fN Owner Id Agent ❑ (specify): ARGUI'TVC4
Signature Date: 20I ojuN� 20V j
Page 1 of 5
Total Disturbed Land/Soil SQ': E Xrtj11NO I MPEw IM)
New hard surfaces (pervious & impervious) t4b CHANGE
N
Tot
at Proposed:
Land converted from native vegetation to lawn or landscaping SQ'
Land converted from native vegetation to pasture SQ' O
Equipment Type:
55 coY
Appliance/Equipment Information (new and relocated):
Furnace: Gas #: Elec #:
Wall Heater: Gas #: Elec #:
Gas Water Heater: #:
Heat Pump: Elec #M
A]L-0 *` Y �c; � _ETC \�•c. /
Radiant /Hydronic Heating: Gas #: j
Exhaust Fans: Bath #: j
Location(s):
Other #:
Other #:
BTU: Other #:
Other: #: Location(s):
Elec #: Other: #: Location(s): S1i0P
Laundry #: Other: GARA&E, �9000
Range Hood: #: Location(s):
Fireplace: Gas #: Elec #:
Clothes Dryer & Duct: Gas #: Elec #:
She/Range/Oven: Gas #: Elec #:
/Gas PipjueOutlet(s): #: Location(s): Td
Boiler Gas #: Elec #:
Other: #: Location(s):
Fixture Type (new and relocated):
Water Closet (Toilet):
Kitchen Sink:
Utility Sink:
Tub:
Hand Sink:
Shower:
Dishwasher:
Hose Bib:
Other: #: Location(s):
Other: #: Location(s):
Other: #: Location(s):
b►AWT KAM UNIT
BTUs: Location(s):
TOTAL MECHANICAL OUTLETS: S
Fixture Type (new and relocated):
Refrigerator water supply (for water/ice dispenser):
Pressure Reduction Valve/Pressure Regulator:
Water Service Line:
Water Piping:
Clothes Washer:
Electric Water Heater: Tank -less? Yes ❑ No ❑
Backflow Prevention Device:
Other:
TOTAL PLUMBING FIXTURES:,]
Page 2 of 5
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
RESIDENTIAL BUILDING PERMIT CHECKLIST
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6ah Street, Anacortes WA 98821
Phone: (360) 293-1901
Plans shall be of sufficient clarity to indicate the location, nature, and extent of the work proposed, and
conform to the provisions of the adopted International Codes and City Ordinances,
PERMIT TYPE:
SUBMITTAL REQUIREMENTS:
p
c.
pot
o
The number indicates the number of
;
ara
copies for submittal (if applicable).
a
b
0IL
Residential Building Permit Application 1 1 1 1 1
Site Plan (Drawn to Scale & Surveyed —if 2 2 0 2 2
applicable)
Building Plans (Drawn to Scale) 2 2 2 2 2
Reduced Site Plan (I I" X 1751) 2 2 0 1 1
Reduced Floor Plan (11" X 17") 2 2 2 2 1
o' Structural Calculations (if applicable) 2 2 2 2 2
N N Energy Code Compliance (shown on plans) ✓ ✓ ✓
Stormwater Minimum Requirements 1-5 3 3 3 3
9 Landscape Plan FAISTIN& LANPSCppG 2 2 2
N N Grading Plan/Cut/Fill 2 2 2
Critical Areas Report (if applicable) 1 1 1 1
N Geotechnical Report (if applicable) 1 1 1 1
Plan Review Deposit (due upon submittal) ✓ ✓ ✓ ✓ ✓
Page 3 of 5
Y PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
RESIDENTIAL BUILDING PERMIT SITE PLAN CHECKLIST
Mailing Address: P.O. Box 547, Anacortes, WA 98221
q w Office Location: 904 0 Street, Anacortes WA 98821
Phone: (360) 2934901
SITES PLANS MUST BE ACCURATE, CLEAR, AND DRAWN
TO SCALE. DRAWINGS SHALL INCLUDE:
i! 1. Draw plans to a standard engineering (i.e., 1" =10', 1" =20', etc.) or architectural scale.
List the graphic scale used on the site plan.
r 2. Include landowner name(s), parcel number, &site address on the site plan
✓ 3. Provide north arrow on site plan
� 4. Show property lines (from a recorded survey), lot dimensions, property corner locations, &
adjoining street name(s)
oNot 5. Provide a co of a survey of the subject property with the site plan
SU►tuEtrE� copy Y j p p Y
CoR1�r<,I
(AW4C� 6. Show the location, dimensions, and distances to property line of all existing and proposed
structures, drain -fields, septic tanks, and wells. Additionally show zone's setback lines.
IAA 7. Location of rock construction entrance
,/ 8. List lot size square footage &acreage
ND 9. Provide corner elevations of the site & lot topography of existing & proposed grading
GRApE (drawn at either 2 or 5 foot contours)
C14AO 6
H" 10. Location of proposed soil stockpile area
11. Location of decks & patios (existing & proposed; covered &uncovered)
✓ � 12. Location of driveway (existing &proposed)
✓ 13. Sidewalk /walkway location (existing &proposed)
NA 14. Retaining wall /bulkhead location (if applicable)
Na 15. Location of existing septic system &/or well
16. Provide lot coverage calculations for existing & proposed buildings
✓ I 17. Provide impervious surface calculations (existing &proposed)
✓ 18. Location & name of streets /alleys (existing & proposed)
19. Location & purpose of easements (public & private) —if applicable
PAGE 1 OF 2
20. Show the location of drainage, catch basins, low impact development (i.e., rain gardens &
✓ bio-swales) —include a complete stormwater plan (see residential stormwater application
checklist for more information)
EI41kE 21. Show proposed Ian cj caRinR (along street frontage, around perimeter, & internally to
PJ FoW%l property) either on t�e site plan or as a separate landscape plan. List the plants chosen
kw4)iu�'It common name &/or species). Provide landscape area square footage /calculations and
how the required minimum landscaping is met. Native plants are preferred.
✓ 22. Show the location of utilities (existing &proposed), connection to the sanitary -sewer,
storm -water, and potable water service connections
23. Show the distance that the front of the building is to the nearest fire hydrant
24. Show the location of critical areas (i.e., streams /creeks, wetlands, and geologically
�Q hazardous areas/ steep slopes) that are either on the subject property or within 300 feet of
it —include a critical area report if applicable
25. If the subject property abuts a shoreline, show the location of the shoreline, bulkhead,
ordinary high water mark (OHWM) and setback. List the percent slope as measured from
UA top of bank landward. Provide impervious surface calculations for existing & proposed
development (from top of bank landward). A shoreline exemption may be required —
inquire with PCED for what this entails.
PAGE20F2
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
DEMOLITION & OIL TANK DECOMMISSIONING PERMIT CHECKLIST
Mailing Address: P.O. Box 54 7,Anacortes, WA 98221
lot Office Location: 904 6`" Street, Anacortes WA 98821
Phone: (360) 2934901
UTILITY DISCONNECTION:
WATER DEPARTMENT
GAS: ❑ YES i NO
C N/A
❑ YES Cd NO
CABLE TV
ELECTRICITY
❑ YES C�NO
❑ YES I� NO
PERNIIT TYPE:
rA
A9
t�
p
C
n
�
SUBMITTAL REQUIREMENTS:
d
d
c
0
(The number indicates the number of copies for
o
`�
submittal -if applicable)..
emit&o
�
W.
a
�
ara
.' Demolition Permit &Oil Tank Decommissioning Application 1 1 1
or/ Site Plan 1 1 1
NA Pedestrian Safety Plan (for Demolition Permits) 1
Asbestos Survey —Prepared by a Washington State Certified Asbestos 1 1
Abatement Contractor (for Demolition Permit)
via Provide Proof of NWCAA Demolition Permit Approval' �0/
Na City of Anacortes Fire Department Tank Removal Permit2
If the building is 50 or more vears old, provide evidence that the
'0 Department of Archaeology and Historic Preservation (DAHP) has
determined the building to be insignificant/significant. If the building is
v� determined to be significant, SEPA environmental review may be required.
NOTE:
1. Please contact the Northwest Clean Air Agency (NWCAA) located in Mount Vernon, Washington at
(360) 428-1617 or online at http://nwcleanairwa.gov. Unless deemed exempt by the NWCAA, all city
required demolition permits also reauire a demolition permit from the NWCAA. You can also contact
the NWCAA for a list of WA State Certified Asbestos Abatement Contractors if needed.
2. Oil Tank Decommission Permits also require a "Tank Removal Permit" from the City of Anacortes
Fire Department. Please contact the Fire Department at (360) 293-1925 to obtain a permit application.
Page 2 of 2
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1319 6th STREET
KEYSTONE BUILDING SERVICES
BLD-2015-0572
1319 6th STREET
KEYSTONE BUILDING SERVICE
REVISED AAS BUILD
L AVE
1319 6TH ST
SIDEWALK
DOLLY HEIN
Q JUL 0 2 2019
Lll
Storm Water Minimum Require
ENGINEERING DEPARTMENT
904 6th Street Anacortes, WA 98221
www.anacorteswa.gov
FILE COPY
Official Use Only: (Information to Inspectors)
Required Storm Water Facility and other related requirements:
Project Address: _1319 6th Street_
Parcel Number: _P55645
Permit Number: [ UD , ZO\9 - r"13
Submittal Date: _July 1,2019
Revision Number:
Acceptance Date (COA): 05vC9 I
Reviewer:
FRONT OF REPORT
Submittal Checklist:
o TAB 1 - Drainage Analysis — Minimum Requirement #2 "
o APPENDIX 1 - Survey performed by a Professional Land Surveyor
o APPENDIX 2 -Model Soil Management Plan for BMP T5.13
o APPENDIX 3 -Determining Construction Site Sediment Damage Potential (Appendix 7)
o APPENDIX 4 -Site Plan with all applicable information (Minimum Size 11x17 — 30 scale)
o APPENDIX 5 -Documented Site Photos (North, South, East and West)
'Project Description: (What is it you are looking to do? Provide details regarding, but not limited to, Lot SF,
Home SF, New and Replaced Hard Surface)
The project is located in the Southeast corner of 6th Street and "L" Avenue. This project is to construct a 934
square foot garage/shop that will replace an existing 448 square foot garage and will access from "L" Avenue
to the West. The existing 2,047 square foot house will not be changed. The new shop will also replace a
portion of the existing concrete driveway. An additional 18 feet by 20 foot wide concrete apron will be replaced
on the west side of the new shop accessing "L" Avenue with pavers. Total new and replaced hard impervious
area including the new pavers will be 1,294 square feet. * = wHs % ouh Yz 6 nr poCRTF.
MJt t o1 ` fir ti ( &L0,-
Existing Site Conditions Summarv:
(Additionally, provide information on previous permits, if any, like Grade and Fill, Clear and Grade, topography,
vegetation, drainage, Critical Areas adjacent to the site and how it may affect this project if soils are disturbed,
Soils Type (Included in Soils Analysis Report), Erosion Problem Areas, Construction Phasing lSequence)
The existing house was remodeled after 2015. The proposed shop lies on the south uphill side of the property
with 6th street being the the downhill side of the property. "L" Avenue lies to the West of the house and a
gravel alley on the south uphill side of the house. The proposed garage and shop will access "L" Avenue and
not utilize the gravel alley.
Version Date: December 19, 2018
Developed Conditions Summarv:
(Additionally, to be shown on the site plan. Identify cut and fill areas, proposed slopes of all hard
surfaces, proposed contours)
The developed summary was identified in the Project Description above. A total of new and replaced
hard surfaces will total 1,294 square feet. The drainage from the new garage/shop will connect to the
roof drainage system in the house that is connected to the drainage system in 6th Street. The new
hard surfaces between the garage and 11th Street is pavers that will slope to the northwest and to 11th
street and into adjacent planters. The area of the proposed garage/shop is relatively flat to the
existing terracing of the site.
Site Sediment Transport Score: _35_Total Points (High\Low) (See Determining Construction Site Sediment
Damage Potential (Appendix 7)
Complete the Applicability Requirements —Flow Chart (Figure I-2.4.1 Attached, Figure I-2.4.2 Attached
and Figure I-2.5.1 Attached)
- Highlight the path and attach
DOE Stormwater Management Manual Minimum Requirements: (MR#1 to MR#5 only).
Refer to the 2012 Department of Ecology Manual, as amended in 2014 for further required information.
Version Date: December 19, 2018
star# :Herhe
Does the site have 3F 9
or more of existing
impertrious coverage?
W
Does the project result in.
5,000 square feet, or No,
greater, of new plus
replaced hard surface
area?
,all Mirri.mum Requirements
apply to me new and replaced
hard, surfaces and converted
vegetation
f EP' RTb1E1'tiIT aF
: iateai as Irl tar
areas_
es See Redevelopment inimurn
% Requirements and Flow Chart
f1=►gore I-' : #.2}.
Dues the project convvert
acres or more of vegetation to
lawn or landscaped areas, or
convert 2_5 acres or more of
motive vegetation t,a pasfi.iram?
Minin unr F equireanents ; '1
thrae glr #5 applyr to the newr
and repla-ced hard surfaces
and the land disturbed.
Does the project result in ,l l}
square feet, or greater, of new plus
replaced hard surface area?
Does the project have land
disturbing activities of?,(}a
square feet or greater?
Minimum ILecqu irernent #2
applies_
Fi r
Fly h t fir terminiffl,g Re :ir t fir
New
DeVE)Jopniellt
Please e hr :,r • ..eL, . a.gav, eaa}er At. hf MJ far ^npy rig ht nutl, Inclu lr gi Ferm slc .,
lirnit3lon c i 113 IIIt , 3;9d i115E131mer.
TAB 2 (MINIMUM REQUIREMENT #2)
• 1=2.5.2 Minimum Requirement #2 — Construction Stormwater Pollution Prevention Plan (SWPP)
All projects are required to complete Minimum Requirement 2.
Refer to the 13 Elements of the SWPP (See document below, complete and attach)
See attached Table 4.1.1, Table 4.2.1 and Table
Provide Engineering Calculations as an attachment for Sediment Ponds\Traps, Diversions,
Waterways and Runoff/Stormwater Detention Calculations.
Version Date: December 19, 2018
abTe4.1.1 Source• • 61TIr s by
RUP or Elernent Name Preserve Establish StablitEe protect Control Maintain Manalle the Prouct Low
%%getalloniMark Constniction sags Slopes Pollubm amps project Impact
., , ie Llffft Access [ a zn-nT
BLIP C102: Bufierlonea ✓ +
BMP C103: High VYlbl tyr Plastic or Met•i ✓
Fence
BHP C105: StablkedConstructlon ✓
Emrana / Edt
BHP C105: M&mlV*mh ✓
BHP CIM Construction RoadlParki ng ✓
Area 5ta611zadon
BHP C120:Teroporaryand Permanent ✓
Seeding
BHP C72le Mulching ✓ ,/
BMP C122: H40 and Bic nkeft ✓ ✓
0MP C122: Plaatk Covering ✓
BMP C124L Sodding ✓
BMP C129t Topeelling/Composting ✓
BMP C720: Po"rytonide for Sall Erosion ✓
Protedlon
BMP C130a Surface Roughening ✓ /
BMP C131: GradlentTerram ✓ ✓
BMP C140: DuatControl we
0MP C100t Matarlole On Hand ✓ n/
BMP C131: Concrete Handling ✓
BMP Ciff2: Saaneutting and Suriecing ✓
Pollution Preventlon
BMP C153: Matarlal Delivery, Storage and ✓
Conwilm itt
0MP CIM Concrete Washout Are@ ✓
BMP C160: Certillod Eroalonand ✓
Sediment Control Load
BMP C162: Scheduling ✓
Version Date: December 19, 2018
Table 4.2.1 Runoff Conveyance and Treatment BIVIP's by SWPPP Element
t]salbnt WC Ele;n► nttalx Elornanttfl3
ElanwantM Elen*MK6 EltowntN711Eierlarntif9 Clanrxnt trg
Install SGibillzu Prolut, Low
amp or41wwntNw* control rJlh nN Ii Fata91, Falar- Chal,rwlS I contfW aPankrofDam Ida
Flow Raws Slopes gain InIalx Pollutants Mtering
Can rats and 4udefs ]eYelupuient
We CMOF jnj&mtpkw EkIke and awple
IMP C20Z Channel Una ve
RMP C21M, WPatgr Bwpg ve
.IS : 1 •:h:
utr c. a r. Llgaelt Cy ns
BNIIP C.2 : Tr anerdar Alt l
Er►tad d 1',Hrn la+efrwj
6Ml' G2alB; {iUtlist Pt ts tia i
BMP G xa: 5 r rrn fpraln Inlet IRr ita t rt•
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Version Date: December 19, 2018
13 Elements of SWPPP
(Construction Stormwater Pollution Prevention Plan)
Please check off boxes to show that each element has been read and understood. Provide details where
applicable and if certain aspects are unnecessary or exempt, clearly justify. Details of the 13 Elements and the
correlating BMPs are listed Above from the 2014 Stormwater Management Manual for Western Washington
(SWMMWW). A link is provided on the City of Anacortes website, under Planning, Community, & Economic
Development Department, as well as under Stormwater on the Engineering Division of Public Work's page.
Owner Name: Kathleen Dickinson
Site Address: 1319 61" Street
Prepared By: Dale Herrigstad P.E.
The Stormwater checklist or building permit determined that:
X The 13 elements must be
addressed for construction activity
adding under 2,000 sq. ft. of hard
surface area.
❑ These elements must be addressed
for construction activity adding 2,000
sq. ft. or more of hard surface area.
This means that an attached narrative
and site plan are required with this
document.
Under each element, explain the best management practices (BMPs) used or lustifv reasoning for
those that will not be used. If needed, please attach a narrative to further explain plans or justification.
ELEMENT 1: Preserve Vegetation/Mark Clearing Limits
❑ Before beginning land disturbing activities, including clearing and grading, clearly mark all clearing
limits, sensitive areas and their buffers, and trees that are to be preserved within the construction area.
❑ Retain the duff layer, native top soil, and natural vegetation in an undisturbed state to the maximum
degree practical.
The construction limits will be identified along the alley and the adjacent property to the east as
possible. Little if any existing vegetation will be disturbed due to the small foot print of the site. No
trees will be disturbed.
ELEMENT 2: Establish Construction Access
❑ Limit construction vehicle access and exit to one route, if possible.
❑ Stabilize access points with a pad of quarry spalls, crushed rock, or other equivalent BMPs, to minimize
tracking onto roads.
❑ Locate wheel wash or tire baths on site, if the stabilized construction entrance is not effective in
preventing tracking sediment onto roads.
❑ If sediment is tracked off site, clean the affected roadway thoroughly at the end of each day, or more
frequently as necessary (ex: wet weather). Remove sediment from roads by shoveling, sweeping, or
pick up and transport the sediment to a controlled sediment disposal area.
❑ Conduct street washing only after sediment is removed in accordance with the above bullet.
❑ Control street wash wastewater by pumping back on site or otherwise preventing it from discharging
Version Date: December 19, 2018
into systems tributary to waters of the State.
Construction will be accessed from "L" Avenue to the west. The existing concrete apron may be
retained until the building construction is completed or replaced with a construction entrance. Due to
the small footprint there is little concern to track sediment off site. 5rAp e.toSN cNOJ
ELEMENT 3: Control Flow Rates
❑ Protect properties and waterways downstream of development sites from erosion and the associated
discharge of turbid waters due to increases in the velocity and peak volumetric flow rate of stormwater
runoff from the project site.
❑ Where necessary to comply with the bullet above, construct stormwater retention or detention facilities
as one of the first steps in grading. Assure that detention facilities function properly before constructing
site improvement (e.g. impervious surfaces).
❑ If permanent infiltration ponds are used for flow control during construction, protect these facilities from
siltation during the construction phase.
The catch basin in the southeast corner of the intersection of 6t" and "L" Avenue will require a catch
basin insert with the WSDOT catch basin insert Standard Plan 1-40.20=00. No temporary ponds are
proposed. F3m? c-2Za- S'rbyLn % c"tR .a %N%.*T Facbmeemb" .
ELEMENT 4: Install Sediment Controls
❑ Design, install, and maintain effective erosion controls and sediment controls to minimize the discharge
of pollutants.
❑ Construct sediment control BMPs (sediment ponds, traps, filters, etc.) as one of the first steps in
grading. These BMPs shall be functional before other land disturbing activities take place.
❑ Minimize sediment discharges from the site. The design, installation and maintenance of erosion and
sediment controls must address factors such as the amount, frequency, intensity and duration of
precipitation, the nature of resulting stormwater runoff, and soil characteristics, including the range of
soil particle sizes expected to be present on the site.
Direct stormwater runoff from disturbed areas through a sediment pond or other appropriate sediment
removal BMP, before the runoff leaves a construction site or before discharge to an infiltration facility.
Runoff from fully stabilized areas may be discharged without a sediment removal BMP, but must meet
the flow control performance standard in Element #3, bullet #1.
Locate BMPs intended to trap sediment on -site in a manner to avoid interference with the movement of
juvenile salmonids attempting to enter off -channel areas or drainages.
❑ Provide and maintain natural buffers around surface waters, direct stormwater to vegetated areas to
increase sediment removal, and maximize stormwater infiltration.
❑ Where feasible, design outlet structures that withdraw impounded stormwater from the surface to avoid
discharging sediment that is still suspended lower in the water column.
Due to the close proximity of the project to the existing house and small footprint of the project the
sediment controls will need to be addressed as the project progresses. It is unlikely silt fencing will be
possible. Sediment traps will not be practical and will only disturb additional area. 6MVI c.Z25!
W AMWJE, i . $IMP G Z20* 5JV24vN lt4 ET f bT4E JU&m i
/ELEMENT 5: Stabilize Soils
❑ Stabilize exposed and unworked soils by application of effective BMPs that prevent erosion. Applicable
BMPs include, but are not limited to: temporary and permanent seeding, sodding, mulching, plastic
covering, erosion control fabrics and matting, soil application of polyacrylamide (PAM), the early
application of gravel base early on areas to be paved, and dust control.
❑ Control stormwater volume and velocity within the site to minimize soil erosion.
❑ Control stormwater discharges, including both peak flow rates and total stormwater volume, to minimize
erosion at outlets and to minimize downstream channel and stream bank erosion.
Version Date: December 19, 2018
❑ Soils must not remain exposed and unworked for more than the time periods set forth below to prevent
erosion.
o During the dry season (May 1 — Sept 30): 7 days
o During the wet season (Oct 1 — Apr 30): 2 days
❑ Stabilize soils at the end of the shift before a holiday or weekend if needed based on the weather
forecast.
❑ Stabilize soil stockpiles from erosion, protect with sediment trapping measures, and where possible, be
located away from storm drain inlets, waterways, and drainage channels.
❑ Minimize the amount of soil exposed during construction activity.
❑ Minimize the disturbance of steep slopes.
❑ Minimize soil compaction and, unless infeasible, preserve topsoil.
Little or no soil will be disturbed except for possibly just adjacent to the new foundation for
the garage/shop.
LEMENT 6: Protect Slopes
❑ Design and construct cut -and -fill slopes in a manner to minimize erosion. Applicable practices include,
but are not limited to, reducing continuous length of slope with terracing and diversions, reducing slope
steepness, and roughening slope surfaces (Ex: track walking).
❑ Divert off -site stormwater (run-on) or ground water away from slopes and disturbed areas with
interceptor dikes, pipes, and/or swales. Off -site stormwater should be managed separately from
stormwater generated on the site.
❑ At the top of slopes, collect drainage in pipe slop drains or protected channels to prevent erosion.
o *Temporary pipe slope drains must handle the peak volumetric flow rate calculated using a 10-
minute time step from a Type 1A, 10-year, 24-hour frequency storm for the developed condition.
Alternatively, the 10-year, 1-hour flow rate predicted/indicated by an approved continuous runoff
model, increased by a factor of 1.6, may be used. The hydrologic analysis must use the existing
land cover condition for predicting flow rates from tributary areas outside the project limits. For
tributary areas on the project site, the analysis must use the temporary or permanent project
land cover condition, whichever will produce the highest flow rates. If using the Western
Washington Hydrology Model (WWHM) to predict flows, bare soil areas should be modeled as
"landscaped" area.
o Where 15-minute time steps are available in an approved continuous runoff model, they may be
used directly without a correction factor.
❑ Place excavated material on the uphill side of trenches, consistent with safety and space
considerations.
❑ Place check dams at regular intervals within constructed channels that are cut down a slope.
❑ Consider soil types and its potential for erosion.
❑ Stabilize soils on slopes, as specified in Element 5.
❑ BMP combinations are the most effective method of protecting slopes with disturbed soils. Ex: Use both
mulching and straw erosion control blankets.
There are no steep slopes to protect.
✓ELEMENT 7: Protect Drain Inlets
❑ Protect all storm drain inlets made operable during construction so that stormwater runoff does not
enter the conveyance system without first being filtered or treated to remove sediment.
❑ Clean or remove and replace inlet protection devices when sediment has filled one-third of the available
storage (unless a different standard is specified by the product manufacturer).
❑ Where possible, protect all existing storm drain inlets so that stormwater runoff does not enter the
conveyance system without first being filtered or treated to remove sediment.
❑ Keep all approach roads clean. Do not allow sediment and street wash water to enter storm drains
Version Date: December 19, 2018
without prior and adequate treatment unless treatment is provided before the storm drain discharges to
waters of the State.
❑ Inlets should be inspected weekly at a minimum and daily during storm events.
The catch basin in the southeast corner of the intersection of 6th and "L" Avenue will require a catch
basin insert with the WSDOT catch basin insert Standard Plan 1-40.20=00. No temporary ponds are
proposed.
r/ ELEMENT 8: Stabilize Channels and Outlets
❑ Design, construct, and stabilize all on -site conveyance channels to prevent erosion from the following
expected peak flows:
o *Channels must handle same peak volumetric flow rate as temporary pipe slope drains listed in
Element 6, above.
❑ Provide stabilizationincluding armoring material, adequate to prevent erosion of outlets, adjacent
,
streambanks, slopes, and downstream reaches at the outlets of all conveyance systems.
❑ The best method for stabilizing channels is to completely line the channel with a blanket product first,
then add check dams as necessary to function as an anchor and to slow the flow of water.
There are no channels or outlets to stabilize.
ELEMENT 9: Control Pollutants
❑ Design, install, implement, and maintain effective pollution prevention measures to minimize the
discharge of pollutants.
❑ Handle and dispose of all pollutants, including waste materials and demolition debris that occur on -site
in a manner that does not cause contamination of stormwater.
❑ Provide cover, containment, and protection from vandalism for all chemicals, liquid products, petroleum
products, and other materials that have the potential to pose a threat to human health or the
environment. On -site fueling tanks must include secondary containment. Secondary containment
means placing tanks or containers within an impervious structure capable of containing 110% of the
volume contained in the largest tank within the containment structure. Double -walled tanks do not
require additional secondary containment.
❑ Conduct maintenance, fueling, and repair of heavy equipment and vehicles using spill prevention and
control measures. Clean contaminated surfaces immediately following any spill incident.
❑ Discharge wheel wash or tire bath wastewater to a separate on -site treatment system that prevents
discharge to surface water, such as closed -loop recirculation or upland land application, or to the
sanitary sewer, with local sewer district approval. Wheel wash or tire bath wastewater should not
include wastewater from concrete washout areas.
❑ Apply fertilizers and pesticides in a manner and at application rates that will not result in loss of
chemical to stormwater runoff. Follow manufacturers' label requirements for application rates and
procedures.
❑ Use BMPs to prevent contamination of stormwater runoff by pH -modifying sources. The sources for this
contamination include, but are not limited to: bulk cement, cement kiln dust, fly ash, new concrete
washing and curing waters, waste streams generated from concrete grinding and sawing, exposed
aggregate processes, dewatering concrete vaults, concrete pumping, and mixer washout waters. Adjust
the pH of stormwater if necessary to prevent violations of the water quality standards.
❑ Assure that washout of concrete trucks is performed off -site or in designated concrete washout areas
only. Do not wash out concrete trucks onto the ground, or into storm drains, open ditches, streets, or
streams. Do not dump excess concrete on site, except in designated concrete washout areas. Concrete
spillage or concrete discharge to surface waters of the State is prohibited. Do not use upland land
applications for discharging wastewater from concrete washout areas.
❑ Obtain written approval from Ecology and provide to the City before using chemical treatment other
than CO2 or dry ice to adjust pH.
❑ Woody debris may be chopped and spread on site.
Version Date: December 19, 2018
❑ Conduct oil changes, hydraulic system drain down, solvent and de -greasing cleaning operations, fuel
tank drain down and removal, and other activities which may result in discharge or spillage of pollutants
to the ground or into stormwater runoff using spill prevention measures, such as drip pans.
❑ Clean contaminated surfaces immediately following any discharge or spill incident. Emergency repairs
may be performed on -site using temporary plastic placed beneath and, if raining, over the vehicle.
No additional protection is proposed than noted above. Lxnr G15q Lx*.jWtjL Wwss}txSV AR.F. -b
k5T'U%1 0jG 441OD4 Qob .S - t ACIt Z 'ham USE AtA: o (-VNVE e+%-SITE AT ALL Tnm ES A 5PILL-
ELEMENT 10: Control De -Watering 4voo,q-,
❑ Discharge foundation, vault, and trench dewatering water, which have characteristics similar to
stormwater runoff at the site, into a controlled conveyance system before discharge to a sediment trap
or sediment pond.
❑ Discharge clean, non -turbid de -watering water, such as well -point ground water, to systems tributary to,
or directly into surface waters of the State, as specified in Element 8, provided the de -watering flow
does not cause erosion or flooding of receiving waters or interfere with the operation of the system. Do
not route clean dewatering water through stormwater sediment ponds. Note that "surface waters of the
State" may exist on a construction site as well as off site; for example, a creek running through a site.
❑ Handle highly turbid or contaminated dewatering water separately from stormwater.
❑ Other treatment or disposal options may include:
1. Infiltration
2. Transport off -site in a vehicle, such as a vacuum flush truck, for legal disposal in a manner that
does not pollute state waters.
3. Ecology -approved on -site chemical treatment or other suitable treatment technologies.
4. Sanitary or combined sewer discharge with local sewer district approval, if there is no other
option.
5. Use of a sedimentation bag with outfall to a ditch or swale for small volumes of localized
dewatering.
❑ Construction equipment operation, clamshell digging, concrete tremie pour, or work inside a cofferdam
can create highly turbid or contaminated dewatering water.
❑ Discharging sediment -laden (muddy) water into waters of the State likely constitutes a violation of water
quality standards for turbidity. The easiest way to avoid discharging muddy water is through infiltration
and preserving vegetation.
If dewatering of the foundation is required it should be pumped or discharged into downhill vegetation.
1Jt (?Ek 'C 11. 1 IS A•tiTL. .Ti 'p a..► 'TIi S FiZo.)t - ,
+ ELEMENT 11: Maintain BMPs
❑ Maintain and repair all temporary and permanent erosion and sediment control BMPs as needed 4-
El Remove all temporary erosion and sediment control BMPs within 30 days after achieving final site
stabilization or after the temporary BMPs are no longer needed. Some temporary erosion and sediment
control BMPs are bio-degradable and designed to remain in place following construction such as
compost socks.
❑ Provide protection to all BMPs installed for the permanent control of stormwater from sediment and
compaction. All BMPs that are to remain in place following completion of construction shall be
examined and placed in full operating conditions. If sediment enters the BMPs during construction, it
shall be removed and the facility shall be returned to the conditions specified in the construction
documents.
❑ Remove or stabilize trapped sediment on site. Permanently stabilize disturbed soil resulting from
removal of BMPs or vegetation.
BMP's should be inspected and maintained after each storm event as condition require.
Gra+'tRA Li2 p+ e1t- o T`1 awNE1L SvBM \T G11 1C1.Y tot- Ati
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Version Date: December 19, 2018
ELEMENT 12: Manage the Project — Projects subject to Minimum Requirements 1-9 must have a Certified
Erosion and Sediment Control Lead (CESCL) for site inspections. Projects subject to Minimum Requirements
1-5 do not require the inspector to be certified. By the initiation of construction, the SWPPP must identify the
CESCL or inspector, who shall be present on -site or on -call at all times.
❑ Phase development projects to the maximum degree practicable and take into account seasonal work
limits to prevent soil erosion and prevent transporting sediment from the site during construction.
❑ Inspection and monitoring — Inspect, maintain, and repair all BMPs as needed to assure continued
performance of their intended function.
❑ Maintain, update, and implement the SWPPP.
❑ Clearing and grading activities for developments shall be permitted only if conducted using an approved
site development plan (e.g., subdivision approval).
❑ From Oct 1 through Apr 30, clearing, grading, and other soil disturbing activities is permitted only if
shown that the site operator will prevent silt -laden runoff from leaving the site through a combination of
the following:
1. Site conditions including existing vegetative coverage, slope, soil type, and proximity to
receiving waters.
2. Limit activities and the extent of disturbed areas.
3. Proposed erosion and sediment control measures.
Weather conditions can influence the seasonal limitation on site disturbance. The City of Anacortes has
the authority to take enforcement action per AMC 19.76 Stormwater.
❑ The following activities are exempt from the seasonal clearing and grading limitations:
1. Routine maintenance and necessary repair of erosion and sediment control BMPs;
2. Routine maintenance of public facilities or existing utility structures that do not expose the soil or
result in the removal of the vegetative cover to soil
3. Activities where there is 100% infiltration of surface water runoff within the site in approved and
installed erosion and sediment control facilities.
A Certified Erosion and Sediment Control Lead (CESCL) is not required for this project due to the size of the
project under the 5,000 square foot threshold. "fYiE L' 't L, AM ow1AEQ UQJLA..
MANP4=e. ark CiZz 1
ELEMENT 13: Protect Low Impact Development BMPS
❑ If implementing any bioretention faces or rain gardens, refer to the applicable BMP sections of the
Manual for requirements.
None are required due to the size of project under 2,000 square feet of new or replaced hard surfaces.
Applicant Signature
Date
Version Date: December 19, 2018
TAB 5 (MINIMUM REQUIREMENT 45)
• Minimum Requirement #5 — On -site Stormwater Management
All sites are required to utilize BMP 1 5.13 — Post Construction Soil Quality and Depth.
For each surface, consider the BMP's in the order listed for that type of surface. Use the first BMP that
is considered feasible. No other on -site Stormwater Management BMP is necessary for that surface.
Feasiblity shall be determined by evaluation against:
1. Design criteria, limitations and infeasty criteria idened for each BMP in this manual, and;
2. Competing needs criteria listed in Chapter V-5 — On -site Stormwater Management.
Lawn and Landscaped Area:
• BMP T5.13: Post -Construction Soil Quality and Depth. (Attach Detail in Report)
Refer to this site for requirements and specifications. All projects are required to utilize this BMP
http://www.soilsforsalmon.orp/pdf/Soil BMP Manual.pdf
See below for the "Model Soil Management Plan for BMP T5.13" to be submitted with Drainage
Report and Application Material.
Little or no soil will be disturbed except for possibly just adjacent to the new foundation for
the garage/shop.
PROJECT INFORMATION "Model Soil Management Plan for BMP T5.13" age # of pages
Complete all information on page 1; only site address and permit number on additional pages.
Version Date: December 19, 2018
Site Address / Lot No.:
GZ12e > oe. ro I T74. L kTL I a 11 TD ZJ IkL Dopl k
Permit Type:
Permit Holder:
Mailing Address:
Contact Person:
Plan Prepared By:
Permit Number:
Phone:
Phone:
ATTACHMENTS REQUIRED (Check off required items that are attached to this plan)
Site Plan showing, to scale: _Areas of undisturbed native vegetation (no amendment required)
New planting beds and turf areas (amendment required)
Type of soil improvement proposed for each area
Soil test results (required if proposing custom amendment rates)
Product test results for proposed amendments
AREA # (should match Area # on Site Plan)
PLANTING TYPE Turf Undisturbed native vegetation
Planting Beds Other:
SQUARE FOOTAGE OF THIS AREA: square feet
SCARIFICATION
Subsoil will be scarified
PRE -APPROVED
AMENDMENT METHOD:
Topsoil import
Amend with compost
Stockpile and amend
( cu. yds. stockpiled)
CUSTOM AMENDMENT
_ Topsoil import
Topsoil & compost lift
Amend
_ Stockpile and amend
( cu. yds. stockpiled)
MULCH
nished total 12" loosened depth.
inches (depth) of scarification needed to achieve fi
inches of compost or imported topsoil applied
X 3_1 (conversion factor, inches to cubic yards) PRODUCT:
= cu. yards per 1,000 sq. ft.
X ,000s sq.ft. in this area
= cubic yards of amendment QUANTITY: CU. YDS.
(needed to cover this area to designated depth)
Attach test results and calculations.
inches organic matter or topsoil import PRODUCT:
X 3_1
= cu. yards / 1,000 sq. ft.
X _,000s sq.ft. in this area
= cubic yards of amendment QUANTITY: CU. YDS.
,000 sq.ft. PRODUCT:
X 6.2 (conversion, to give 2 inch mulch depth)
= cubic yards of mulch —> —> —> QUANTITY: CU, YDS,
TOTAL AMENDMENT/TOPSOIL/MULCH FOR ALL. AREAS (complete on page 1 only, totaling all areas/pages in this Plan)
❑ Product #1:
❑ Test Results: %organic matter
❑ Product #2:
❑ Test Results: % organic matter
❑ Product #3:
❑ Test Results: % organic matter
Date: Inspector:
Date: Inspector:
C:N ratio <25:1 (except mulchor <35:1 for native plants)
❑ Quantity: cu. yds.
,
❑ Quantity: cu. yds.
C:N ratio <25:1 (except mulch, or <35:1 for native plants)
El Quantity: cu. yds.
C:N ratio <25:1 (except mulch, or <35:1 for native plants)
Approved: Revisions Required:
Approved: Revisions Required:
"stable" (yes/no)
"stable" (yes/no)
"stable" (yes/no)
!I
Version Date: December 19, 2018
N 89.2240' W 379,76'
FOUND CONCRETE
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'S CERTIFICATE
K. HERRIGSTAD, P.L.S.
6TH STREET
N 89622'58' W 379,69' (380' PLAT) FOUND BRASS POINT SET
IN CONCRETE IN
MONUMENT CAST WITH
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GRAPHIC SCALE
AUDIT❑RS CERTIFICATE
RECORD OF SURVEY AT THE R&Etl M, DALE K. HERRIGSTAD
54agi1 Cgrli ltY AGfi,y. . '.t. $157.00
DEPUTY AUDIT❑R
t 10, Block 101, "MAP OF THE CITY OF
in Volume 2 of Plats, page 4, records of
ALS(I;;,,thFF poiv'4pri";pf tract of land included in that certain strip of land which is
shown ,1 nd'pdesigbdted on said Map of the City of Anacortes as "Reserved a
right of" for the Seattle and Northern Railway," described as follows:
k
1369im1in%At the southeast comer of said Lot 9, Block 101, said point being on
#F blaitheasterly boundary line of said strip of land designated 'Reserve a right
of way for the Seattle d: Northern Railway
thence South on the East line of said Lot 9 produced to a point where it
intersects the North line of the alley running through said Block 101 produced;
thence West along said North line produced a distance of 60 feet;
thence North to the Southeast comer of said Lot 10. Block 101;
thence Westerly along the Southerly corner of said Lot 10, Block 101;
thence Westerly along the Southerly fine of said Lots 9 and 10. Block 101, to
the point of beginning.
Situate in the City of Anacortes, County of Skagit, State of Washington.
NOTES.-
1. LEGAL DESCRIPTION WAS AQUIRED FROM A STATUTORY WARRANTY DEED UNDER
AUQDITOR'S FILE NUMBER 201509100019.
2.L FOUND CONCRETE MONUMENT IN CASE 10-14-2015.
3. NAIL FOUND AS NOTED 10-14-2015.
4.9 SET REBAR k CAP 27807 ON 10-15-2015.
5. EQUIPMENT USED: CARLSON CR2, 2' Total Station.
6. ERROR OF CLOSURE MEETS WASHINGTON STATE SURVEY STANDARDS.
7. SURVEY METHOD: STANDARD FIELD TRAVERSE.
B. BASIS OF BEARINGS: ASSUMED
9. THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT OF A CURRENT TITLE
REPORT. THIS SURVEY DOES NOT PURPORT TO SHOW ALL EASEMENTS
RESTRICTIONS, RESERVATIONS, PROVISIONS, COVENANTS OR CONDITIONS WHICH MAY
AFFECT THE PARCELS SHOWN HEREON.
10. THIS IS A BOUNDARY SURVEY ONLY, UTILITIES WERE NOT INVESTIGATED.
11. THIS SURVEY HAS DEPICTED EXISTING OCCUPATIONAL LINES IN ACCORDANCE
WITH WA.C.CH. 332.130. THESE OCCUPATIONAL INDICATORS MAY INDICATE A
POTENTIAL FOR CLAIMS OF UNWRITTEN TITLE OWNERSHIP. THE LEGAL RESOLUTION
OF SUCH CLAIMS HAS NOT BEEN RESOLVED BY THIS BOUNDARY SURVEY.
RECORD OF SURVEY FOR: Dolly Hein
4220 Marine Heights Way
Anacortes, WA 98221
A PORTION OF THE SE 1/4, SECTION 13,
TOWNSHIP 35 N„ RNG, 1 EAST, W,M,
SKAGIT COUNTY, WASHINGTON
SHEET I OF 1
OWN BY: DKH
CHECK BY: DH
DATE: Oct 2015
SECTION 13, TOWNSHIP 35 N, RNG 1 EAST
HERRIGSTAD ENGINEERING & SURVEYING SCALE 1'=40
4320 Whistle Lake Road, Anacortes, WA 98221 (360) 293-8804 2015-94
APPENDIX 2 - Model Soil Management Plan for BMP 15.13
Note: Document is provided under Minimum Requirement 5 in this document
Little or no soil will be disturbed except for possibly just adjacent to the new foundation for
the garage/shop.
Version Date: December 19, 2018
i
APPENDIX 3 — Determining Construction Site Sediment Damage Potential (Appendix 7 — NPDES Phase
II Permit)
Note: See attached
i. APPENDIX 7 - Determining Construction Site
Sediment Damage Potential
The following rating system allows objective evaluation of a particular development site's potential to
discharge sediment. Permittees may use the rating system below or develop alternative process
designed to identify site -specific features which indicate that the site must be inspected prior to clearing
and construction. Any alternative evaluation process must be documented and provide for equivalent
environmental review.
Step one is to determine if there is a sediment/erosion sensitive feature downstream of the development
site. If there is such a site downstream complete step two, assessment of hydraulic nearness. If there is
a sediment/erosion sensitive feature and it is hydraulically near the site then go to step three to
determine the construction site sediment transport potential.
, P 1 — Sediment/Erosion Sensitive Feature Identification
Sediment/erosion sensitive features are areas subject to significant degradation due to the effect of
sediment deposition or erosion. Special protection must be provided to protect them.
Sediment/erosion sensitive features include but are not limited to:
i. Salmonid bearing fresh water streams and their tributaries or freshwater streams that
would be Salmonid bearing if not for anthropogenic barriers;
ii. Lakes;
iii. Category I, II, and III wetlands;
iv. Marine near -shore habitat;
v. Sites containing contaminated soils where erosion could cause dispersal of
contaminants; and
vi. Steep slopes (25% or greater) associated with one of the above features.
Identify any sediment/erosion sensitive features, and proceed to step two. If there are none the assessment
is complete.
STEP 2 —Hydraulic Nearness Assessment
Sites are hydraulically near a feature if the pollutant load and peak quantity of runoff from the site will not
be naturally attenuated before entering the feature. The conditions that render a site hydraulically near
to a feature include, but are not limited to, the following:
i. The feature or a buffer to protect the feature is within 200 feet downstream of the site.
ii. Runoff from the site is tight -lined to the feature or flows to the feature through a channel
or ditch.
August 1, 2013, Modified January 16, 2015
Potential Page 1 of 3
Appendix '- Determining Sediment Damage
Version Date: December 19, 2018
A site is not hydraulically near a feature if one of the following takes place to provide attenuation
before runoff from the site enters the feature:
iv. Sheet flow through a vegetated area with dense ground cover
v. Flow through a wetland not included as a sensitive feature
vi. Flow through a significant shallow or adverse slope, not in a conveyance
channel, between the site and the sensitive feature.
Identify any of the sediment/erosion sensitive features from step one that are hydraulically near
the site, and proceed to step three. If none of the sediment/erosion sensitive features are
hydraulically near the site, the assessment is complete.
. STEP 3 —Construction Side Sediment Transnort Potential
Using the worksheet below, determine the total points for each development site. Assign points
based on the most critical condition that affects 10% or more of the site.
If soil testing has been performed on site, the results should be used to determine the
predominant soil type on the site. Otherwise, soil information should be obtained from the
county soil survey to determine Hydrologic Soil Group (Table of Engineering Index Properties
for step 1.D) and Erosion Potential (Table of Water Features for step 1.E)
When using the county soil survey, the dominant soil type may be in question, particularly when
the site falls on a boundary between two soil types or when one of two soil types may be present
on a site. In this case, the soil type resulting in the most points on the rating system will be
assumed unless site soil tests indicate that another soil type dominates the site.
Use the point score from Step 3 to determine whether the development site has a high potential
for sediment transport off of the site.
Total Score Transport Rating
<100 Low
❑ 100 High
A high transport rating indicates a higher risk that the site will generate sediment contaminated
runoffI
Construction Site Sediment Transport Potential Worksheet
A. Existina slope of site (averaae, weighted by aerial extent): Points 2%
or less .. 0
>2-5%.............................................................................................. 5
>5-10%.......................................................................................... 15
>10-15%.......................................................................................a 30
>15%.............................................................................................50
B. Site Area to be cleared and/or qraded:
<5,000 sq. ft...................................................................................... 0
5,000 sq. ft. — 1 acre, I I I I I I I I I I I I I d 1 0 a 8 a a 9 1 0 a a 9 a 0 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 a a a 0 2 0 a 0 a 0 a 0 a 0 a 4 4 0 P a 1 30
>1 acres.........................................................................................a 50
C. Quantity of cut and/or fill on site:
<500 cubic yards............................................................................... 0
500 — 5,000 cubic yards"........ ........ M .... M & M M a a a a a 0 a a a 0 a a a ......... 5
>5,000 — 10,000 cubic yards.......................................................... 10
>10,000 — 20,000 cubic yards ........................................................ 25
>20,000 cubic yards............................................2.........................9 40
I Runoff potential of predominant soils (Natural Resources Conservation Service):
Hydrologic soil group A................................................................... 0
Hydrologic soil group B...........................................................0..... 10
Hydrologic soil group C...........................................................0..... 20
Hydrologic soil group D..............................................................a" 40
E. Erosion Potential of predominant soils (Unified Classification Svstem): GW,
GP, SW, SP soils, I I I a a 0 M a 0 a 0 0 0 0 0 a a a a a 0 a a 0 0 a 0 0 a . . . . . . . a M , M M d a a a 0 0 a a 0 0 0 0 a , 0 . . . . . . . . . . . . . A . . . . . am 0
Dual classifications (GW-GM, GP -GM, GW-GC,
GP -GC, SW-SM, SW -SC, SP-SM, SP-SC)........................... 10
GM, GC, SM, SC soils, I I I I I M a a d a 0 0 a 9 1 a 1 0 0 4 a a a a 0 0 a a 0 .............. ..... 20
ML, CL, MH, CH soils...................................................................0 40
F. Surface or Groundwater enterinq site identified and interceptedl:
Yes. a 0 a a I I I I I I I I 1 11 1 1 1 1 1 1 a 4 at 0 M M a a 0 a 0 a 0 1 0 1 0 w a No 0 . . . . . . . . . . . . . . M d 0 4 a 0 a 8 a a 0 0 a I 1 0 a 4 1 , a . . . . . . . . . . . . . . . . . . . d 0
No... low, ''I'll 11 1 11 11 11 I'D& on so 0 2 0 a I a a a a a 4 0 0 a K . . . . . K . . . . . . K a a M a a 0 0 a 0 a a a a 0 0 1 0 a I . . . . . . . . . . . . . . . . . . . . a 25
G. Depth of cut or height of fill >10 feet:
Yes................................................................................................ 125
No............................................................................................................. 0
H. Clearing and gradinq will occur in the wet season (October 1 — Mav 1): Yes 50
No..................................................................................... I ....................... 0
TOTALPOINTS.............................................................................................
1 If no surface or groundwater enters site, give 0 points.
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APPENDIX 5 - DOCUMENTED SITE PHOTOS (SHOW ALL DIRECTIONS OF THE SITE, INCLUDING FRONTAGE)
LOCATION: ALLEY AND "L" AVENUE LOOKING NORTHEAST
DESCRIPTION OF THE PHOTO: GARAGE AND PARKING TO BE REPLACED
PHOTO TAKEN BY: DALE HERRIGSTAD 7-1-2019
Location: Alley and "L" Avenue looking east
Description of the photo: Garage and parking to be replaced.
Photo taken by: Dale Herrigstad 7-1-2019
Location: Alley and east property line looking northwest
Description of the photo: Garage to be replaced.
Photo taken by: Dale Herrigstad 7-1-2019
A1.1
A2.1