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2016, 04-19 Permit: RGR-2016-0002 Grading Community Development Department (Staff Use Only) Permit Center Sc�TYOF �������� � � 11703 East Sprague Avenue, Suite 6-3 pokane Spokane Valley, WA 99206 PERMIT No.: Tel: (509) 720-5240 .0,0Valley Fax: (509) 688 0037 CHECKLIST?: ❑Y ON INIT: permitcenter@ spokanevallev.orq LAND DISTURBANCE PERMIT APPLICATION STAFF USE: ❑ ENGINEERED GRADING ❑ REGULAR GRADING ❑ GRUBBING & CLEARING APPLICANT USE: SITE ADDRESS: TBD ASSESSORS PARCEL NO.:45103.0244,.0233,.0249,.0250&.0251 APPLICANT NAME: A&A CONSTRUCTION AND DEVELOPMENT INC. PHONE: 1-509-624-1170 EMAIL: TIM©AACDI.COM CONTACT NAME: TIM GRIGSBY ❑ SAME AS APPLICANT): PHONE: EMAIL: CELL: PROPERTY OWNER NAME: AL LLC ❑ CHECK IF APPLICANT MAILING ADDRESS: SAME AS ABOVE CITY: STATE: ZIP: PHONE: EMAIL: CELL: CONTRACTOR NAME : A&A CONSTRUCTION AND DEVELOPMENT INC. ❑ CHECK IF APPLICANT MAILING ADDRESS: ME AS ABOVE CITY: STATE: ZIP: PHONE: EMAIL: CELL: STATE LIC. NO.:AACONDI134LE EXPIRES: UBI: 601009376 DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: PUT UP EROSION CONTROL.CLEARING SITE OF ALL UNSUITABLE DEBRIS AND UNUSABLE MATERIAL.STRIPPING AND STOCKPILING TOPSOIL. ESTIMATED QUANTITIES (CUBIC YD): CUT: FILL: 0 IF CUT, PROVIDE DESTINATION OF SOIL: AIRWAY HEIGHTS START DATE: 4-20-2016 • : CTIMAT D COMPLETION DATE:4-28-2016 CSV PERMIT CENTER APR 1 9 2018 / /20 Signature: Date Updated March 2011 Project# C R— .0.0z C:\Users\tim\Downloads\LDPA(2).do Neme Submittal# IZgb3 C5'11-4 )140i\> osim.°Nvoimps., Skane LAND DISTURBANCE (LD) PERMIT CHECKLIST c1Tt OF For Grading, Clearing and Grubbing work outside the Right-of-Way(ROW) (For work within ROW need a ROW permit) ValleY Permit Center♦ 11703 E Sprague Ave Suite B-3 ♦Spokane Valley WA 99206 509.688.0197 1 Fax: 509.688.0037 1 permitcenter@spokanevalley.org Project Address: /i CI f e s s Uk hiV G i i Today's Date: 4 //q//6 Project Descri tion: ,t' li' i I.Mar , dr'K Signature: ,��� �1 ` Print Name: l on o h y A 6- 6- 5.by The purpose of this checklist is to gather information about the proposed project so to determine what land disturbance permit, if any, is required by the Spokane Valley Municipal Code. Starting with Part 1 and working from top to bottom, please answer the following questions. The first"Yes" identifies the type of land disturbance (LD) permit required. PART 1 — Is LD work exempted or already covered? (SVMC 24.50.020) If so then LD permit not needed. [' Yes ❑ No Does your project only have to do with emergency utility work; cemetery graves; eliminating septic tanks; digging out a basement; building a wall less than 4 feet high; disposal of refuse that is covered under other regulations; already permitted mining, quarrying, stockpiling of aggregate material (rock, sand, gravel, aggregate, or clay) or exploratory excavations done under the direction of a licensed engineer or engineering geologists? If yes, then project exempted from a LD permit. PART 2— Engineered Grading Permit needed? (SVMC 24.50.030; 2 sets plans, caics etc. from Engineer) LI Yes ❑ No Will this grading be for a short plat, subdivision or binding site plan? ❑ Yes ❑ No Will any grading occur in a FEMA floodplain, wetland, wetland buffer, Fish and Wildlife habitat conservation area or geologically hazardous area? ❑ Yes ❑ No Will the volume of excavation or fill for the project be over 500 cubic yards? (If checked Yes then a SEPA environmental checklist will need to be submitted for review) ❑ Yes ❑ No Will the grading create a base or support for a permanent structure? ❑ Yes ❑ No Will the grading be for a driveway that is longer than 150 feet? ❑ Yes ❑ No Will any grading occur in a drainage channel or be for a water feature (like a perennial or intermittent pond) with a surface area greater than 500 square feet? ❑ Yes ❑ No Will this grading result in the addition or replacement (excluding pavement maintenance) of 5,000 square feet or more of impervious surfaces or the disturbance of 1 acre or more land or the construction of new drywells or other underground injection control (UIC)facilities? ❑ Yes ❑ No Will any excavations or fills have slopes at 2:1 (H:V) or steeper and heights greater than 2 1/2 feet? ❑ Yes ❑ No Will any excavations or fills have slopes at 10:1 (H:V) or steeper and heights greater than 4 feet? PART 3— Regular Grading Permit needed? (SVMC 24.50.040; 1 set of plans showing grading and temporary erosion and sediment control; does not require engineering) ❑ Yes ❑ No Will the volume of excavation or fill be over 50 cubic yards on any one lot? ❑ Yes ❑ No Will any excavations have slopes at 2:1 (H:V) or steeper or heights greater than 3 feet? ❑ Yes ❑ No Will any fills have slopes at 2:1 (H:V) or steeper or heights greater than 2 feet? PART 4—Grubbing and Clearing (G&C) Permit needed? (SVMC 24.50.050; 1 set of plans showing G&C and temporary erosion and sediment control; does not require engineering) ❑ Yes LI No Will the G&C work disturb 5,000 or more .• •- - - - : - =- , -i•eve_Largore trees? (Note that forest practices overseen by •, R or co?•', Wfpcittfe are a mpt) ❑ Yes ❑ No Will there be any clearing on slopes or n:ar/in - SA 1•• i > tlands, tland buffers, Fish and Wildlife habitat conservation ar:as, geo og cal' �gkas o erodible soils? Aa If the answers to all of the questions above are "No"then a •ermit is n �r�gttirdthe propo d work. rolect# /?4 IZ 1-o/, - CVL Name 7773 Submittal# For reglrirements, see Spokane Valley Municipal Code Chapter 24.50 LAND DISTURBING ACTIVITIES Permit Number: Parcel Number: Today's Date: /� r `-r Street Address: i IS D Property owner: FlI 1 1 Applicant: I u„s1:. _li .n+'(ii' Pan Preparers Onsite Contact: 1) For Regular Grading or Grubbing_ and Clearing: of existing and new and structures — show on site plan: detail) street to keep dirt out A) Show on the site plan: 9 Adjacent or nearest streets 0 Footprints 0 Property boundaries buildings 0 Boundary of work area 0 Known utilities © Arrows pointing downslope before work begins 6) Temporary erosion and sediment control (TESL) 0 Sit fence at downslope portions of project (see © Protection of drainage structures onsite or in the from getting in (see detail example) O locations where concrete trucks will get washed 2) For Regular Grading only - additionally provide: 0 Show arrows pointing to what will 0 Delineate which areas are cut and © What is the vertical height of maximum: Cut slope: feet, FFI O Delineate existing and new pat#ne be downsiope after work is done which are fill slope: feet s=`eat w#Lit Li#menxtons Note: and sediment contro'i measures shai' be or grubbing and clearing begins and these maintained for the extent of the project. and repair as needed. The applicant is all soil or the protea site and adding other to accommodate changing or unexpected site Stabilise bare soils in autumn v.'ith seeding. adjacent to the construction access route(s) at If sediment has been tracked off site then drainage structures) rs required. protect adjacent properties, control dust and related debris to an approved waste dispose` • AU erosion prevention insulted before grading measures need to be including replacement respensib:e for confining measures as necessary and weather conditions. o Inspect all roadways the end of each day. cleaning (streets and b The Contractor shall remove all construction site. CALL 2 BUSINESS DAYS BEFORE YOU DIG 811 OR 1-800-424-5555 t'ptare6 limb 2010 Regular Grading or Grubbing and Clearings Site Plan 45 0_3=Oa 1--10' r=20' 1"=30' 1"=40' 1`=50` 1`-50' 1`- 100` City Use Only - Reviev2ed for completeness by: sit Fence Detail inset Protection Example Joints InIdler fabric shoPhesplr d at staples, vire rIn sat R -oats. Use�R � 2'y;2'bytEGa.wire or ejivalent to attach fabric to posts equivalent standard P1 View Drain c C as strength febrrc used__.„ 11/ -.1! 9 t;'` 1 Filter fabric ! Concrete ll %1 3 r�, 11 ,iiinilii pts � d l _ [1 ti fr lock c2 -qT�-'-tvlip t lImum4°x4°trench r...- Past sa®,Ing to Vi rte tnnx t may ba lrk ra sed wi a backing is used 7.3.;2© -Silt Farm Backfh trench with native sal or x'4`•1.5 washed grave 2°x2° Wood vats, steal fence posts,a equivalent ro') r ? Gravel )o } Backfill �' iS Ci �eaS Section A ® A Con .roto Gravel Backfill ©verflow Wn er Chu Block vire Screen or Filter Fabric / Ponding H endncJH f fl.. tr ;c -sus, \11fI .‘\ti-brop Inlet Rotes_ 1. Drop inlet sediment barriers are to b used for small _ rear'-' drainage areas. (less than 5%) 2. Excavate a basin of sufficient s`e adjacent to the drop int. ,. The top of the structure (pond rg heigt-tt must he Hatt t acv t e o r eaevaton downslope to prevent runoff from bypassing the inlet A temporary dike may be necessary on ,,e acs ¢slotie side of the structure. Figure 7.3,15— Sleek and Grave! Filter