2015, 04-30 Permit App: GNC-2015-0001 Grubbing, Clearing s{
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Community Development Department (Staff Use Only)
Permit Center
Sj'öI! iie
` 11703 East Sprague Avenue, Suite B-3
PERMIT No.: •,Cv� W w 44/'. 70/S w0/
Spokane Valley, WA 99206
Valley
Tel: (509) 720 5240
4��� Fax:perm(509)
itcenter688Ca�
spoka 0037neva I lev.orq NIT:CHECKLIST?: ❑Y ON IT:
LAND DISTURBANCE PERMIT APPLICATION
STAFF USE:
0 ENGINEERED GRADING 0 REGULAR GRADING GRUBBING &CLEARING
APPLICANT USE:
SITE ADDRESS: 442, 4'� // //(144
ASSESSORS PARCEL NO.:
APPLICANT NAME: ,4(P)c �/� $.,‘,LA,-s`w �j/�
PHONE: / �'EMAIL: �C W @/-1✓C, L-t�< 77 -/7 CELL: - f 7v
CONTACT NAME (®SAME AS APPLICANT): /44/C / ,(j ei,
PHONE: EMAIL: CELL:
PROPERTY OWNER NAME: /ffek" 1' /;,e,-,4 0 CHECK IF APPLICANT
MAILING ADDRESS: /4f-e—�/ c v-4.f' /Y/.? p $ 6/-4i c -e� /�c�y
CITY: 5`'30/��__ v
et 41 e 14,,74 _ STATE: !/�'�� �}
ZIP: ( Y 2/e
PHONE: SOS'/ - EMAIL: CELL: 6"-2-1 7''1 72615'
CONTRACTOR NAME: (0 TBD): ❑ CHECK IF APPLICANT
MAILING ADDRESS:
s__, J
CITY: STATE: C2I1 : , 0 4 '_. i. ,, ::::. , f I
?
PHONE: EMAIL: :CELL: APR " {i, 2ni5
STATE LIC. NO.: EXPIRES: 'UBS
,NE,-:,_,
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: 1,-. ti. ,if--, "`---___._____�.�
c/c%/,' ems/ *- c Aid 4-445X /c re/ 4 /0/
ESTIMATED QUANTITIES (CUBIC YD): CUT: 2O FILL:
IF CUT, PROVIDE DESTINATION OF SOIL:
START DATE: S-/-/5 ESTIMATED COMPLETION DATE: 6'-//5�
(? I/ / 30 X20 / ;---
Signature:
5Signature: Date
Updated March 2011
P:\Community Development\11 Forms\B.Development Engineering\LDPA.doc
or requirements, see Regular Grading or Grubbing and Clearing - Site PI,n RECEIVED
un Spokane Valley Municipal Code
Chapter 245th Draw Arrow / / cm. .f I 1/ ..r' e° *C 4r
l LAND DISTURBING ACTIVITIES Pointing to Q I 2015
04000'Vallorth: .Project#
If' C'ZOLs-' Coo/
Permit Number: Parcel Number Today's Date: t.lee rt. ate let dame
X • 1 7,
SMG -2015-fJCOI 35.23y. (Ccl y_ 30 ,-/5- Submittal -- - —
Street Ad//dr/ass: //
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Property owner: Applicant: r, (
Plan Preparer: Onsite Contact:
1)For Regular Grading or Grubbing and Clearing: 2 t"
A)Show on the site plan: , �
4 ;I; `
0 Adjacent or nearest streets 0 Footprints of existing and new
0 Property boundaries buildings and structures
Boundary of work area 0 Known utilities " 4
tie _
0 Arrows pointing downslope before work begins
8)Temporary erosion and sediment control(TESL)-show on site plan: '`" —
,,,,-4-t *.., .lic""4 - , I
❑Sit fence at downslope portions of project(see details ,
0 Protection of drainage structures onsite or in the street to keep dirt '. .-
from getting in I(see detail example) 4� ,
0 Locations where concrete trucks will get washed out , a
21 For Regular Grading only- a ddrtronally+provide: g -.IV'V
0 Show arrows pointing to what will be downslope after work is done i."?-:"1-..11' ,. , # �' - �`
0 Delineate which areas are cut and which are fill
0-A,`...„ „,f �,.
0 What is the vertical height of maximum: - °
Cut slope: feet, Fill slope: feet .
0 Delineate existing and new paving areas with dimensions_ `� c
Note: ,
• All erosion prevention and sediment control measures shah be 4 ,
installed before grading or grubbing and clearing begins and these IIS a
measures need to be maintained for the extent c4 the project, ' ;r� �>� '''`
r
. z
including replacement and repair as needed.The applicant is
responsible for confining all soil on the project site and adding other . . r` ..
measures as necessary to accommodate changing or unexpected site
and weather conditions_ Stabilize bare soils in autumn with seeding. 0. -t .
• Inspectall roadways adjacent to the constntt- ern access route(s)at I. k r
the end of each day. If sediment has been tracked offsite then
v wxf .ice
iq
deaning(streets and drainage structures) is required. r
• The Contractor shall protect adjacent properties,control dust and s ,� a
remove all construction related debris to an a pproved waste disposa I =
site.
CALL 2 BUSINESS DAYS BEFORE YOU DIG
811 OR 1-840-424-5555 _ -
Updated/larch Zola
Circle Scale used: t City Use Only-
1"=10' 1"=20' 1""=30' 1"=40' 1"=50' 1"=bfl' 1"= 100' 1"x 1" Grid Reviewed for completeness by: Crate:
1
Silt Fence Detail Inlet Protection Example
in filter fabric shah thenad at • I
posts.Use yoke rings or 5 1 x. • . *' Plan
ray f' fie. or , -.,,
mauve' lent to attach fabric to poses equivalentiandard
Drain ' . .
..... strength Sa
.�. r, ° Grate • • r c •a: •o;� ,' , ; ,:.
.. .r .Mr.e . - .6.0540%4 kip ° ° RAI 6 B°k
•*0 •I ..
. .... Fuer fabric •
.S....3
+..fns. ....... C . Y � '_ .. FA O
a..4 rin
Q. 0,„o.c„,„
, I .VI.HP
il..w, a °R� a° Ll•a Q i Concrete
.... _ 11=fit^n.
,, , iE , ,=u ,1 ,.— ��:�; a -11�P--11= � ��� - Black
i
II, rla r� >r is lf�li=lr Cl-il�llm :�s.11,...1, s • �. - . ,. 0 BI k
6' iii [Jo 0
-" E .0..1 .20.c./4. — _
max T'�' ,. Minimum#"x "trench •� ` •n _ ,,r 6.
L.. / B �er�wily nati+ro soil __ .
.D
Post ming may be increased or 3t4"-1,s wed bra to ), to. . , •
tow if wire backing is used , rto
. �,�i r ► ;` �" s Gravel
s'rx "wood posts,steel fence mei•. . , 1 # Backfil
Figure?.3. Silt Fence posts,or equivalent .f,,,,w,. *.; q '" ';jj '.i.li `. Ifo
.
, -, ilk.4‘,„ mi.
ON
. ��°�w
w
Section A - A Concrete Block Wire Screen or
Filler Fabric
Gravel Backfill Overflow j
Water Ponding HT,
y Ali j}
—. i.it�•.. _. •�.r._'• ...w....1/4-m„�----- F�!// j`r kt�.-.wl •° ■•Alli.*r • °J+.,'
\, `'\ `\ ``��+ .\, \ drop Inlet / '�.. /, r
Notes: r
1.Drop inlet sediment barriers are to be used for small, nearly level drainage areas.{less than 5%)
2_Excavate a basin of sufficient size adjacent to the drop inlet.
3_The top of the structure (ponding height) must be well below the ground elevation downslope to prevent runoff from
bypassing the inlet. A temporary dike may be necessary on the downslope side of the structure.
Figure 7.115- Block and Gravel Filter