HomeMy WebLinkAboutBLD2004-00003 BUILDING PERMIT APPLIG `i ION MRA0W000 05
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00003 Received Date: 1/5/2004
SITE ADDRESS: 105 W FIR ST
PORT LUDLOW, 98365
OWNER: HARVEY J MINNIHAN PHONE: (360) 437-0380
JANE MINNIHAN
PO BOX 1407
PORT HADLOCK WA 98339-9730
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 821271004 Section: 27 Township: 28 N Range: 01 E
CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105
355 LOFTUS
PORT TOWNSEND WA 98368
Contractor's License WALTECC012BA Expires 1/1/2004
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE & DECK(S)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,074
VALUATION 225,000.00 ADD'L: 780 HEAT TYPE: HTP
CODE EDITION: 1997 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 611 SHORELINE:
CONST TYPE: DECK: 158 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 3 Seismic Streams
Total: 3 Total: 3 Flood Way Floodplain
Routing Date: I F&W Landslide
/0� Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,693.75 KAS 01/05/04 292919 t .�.
Plan Check $1,100.94 KAS 01/05/04 292919
State Building Code $4.50 KAS 01/05/04 292919 MAR 2 9 2004
Potable Water Application $51.00 KAS 01/05/04 292919 Jefferson County Planning
Total: $2,850.19 & Building Department
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00003 Received Date 01/5/2004
SITE ADDRESS: 105 W FIR ST Issue Date 03/29/2004
PORT LUDLOW, 98365
APPLICANT: HARVEY J MINNIHAN PHONE: (360)437-0380
JANE MINNIHAN
PO BOX 1407
PORT HADLOCK WA 98339-9730
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 821271004 Section: 27 Township: 28 N Range: 01 E
CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105
355 LOFTUS
PORT TOWNSEND WA 98368
Contractor's License: WALTECC012BA Expires: 01/01/2006
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & DECK(S)
REQUIRED INSPECTOOF S:
[ ] SFTBACKS: ACS#////' ii
[ ] UFFER: a _5- in",
[ ] Footing: / /./L'G4q 2&9J1 4%/6 '
[ ] Foundation: Ode -5/2-7/ei,
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall : (er c g. /y(510
[ ] Framing: eir#�eakrke,J/.A 2/q/So
f 1 Plumbing: 0,� 4/Q,S, : 1 breit.n° ./,ji.3 o Y:0-6-op1// /
[ ] Propane Tank/Lines: / fR 6AS Lews3 it / GS D oSr
[ ] Insulation: � -2- 4/2.;
f 1 Sheetrock: DK 3/// llS _
[ ] Septic Sytem Final Approval:
f 1 Road Approach Final Approval:
[ ] Zoning Final Approval:
( 1 Final/Occupancy Approval: �te 4, l'/ /'D/31/Ob
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIR D PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY -SEE REVERSE
SPECIAL CONDITIONS FOR CIE # BLD04-00003
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on January 7, 2004 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:
Landslide Hazard Areas, Type 4 Stream, Susceptible Aquifer Recharge Areas and
Coastal Seawater Intrusion Protection Zones (SIPZ).
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.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
4.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type,
geologic material, and groundwater that may combine to create problems with slope
stability, erosion, and water quality during and after construction or during natural events
such as earthquakes or severe rainstorms.
5.) A Type 4 Stream (Fish and Wildlife Habitat Area) has been identified on the subject
property. The stream will require a setback of 100-feet. The setback shall be measured
horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas
shall also have Buffers and Building Setbacks established.
6.) Buffers are areas that shall be maintained in their natural condition, however, minor
pruning or alteration of vegetation may be permitted as long as the function and character
of the buffer are not diminished.
7.) The identified Fish and Wildlife Habitat Area (Type 4 Stream), shall maintain a vegetative
buffer setback of 100-feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM)to the single family residence with attached garage and decks.
8.) An additional setback of five (5)feet is required from the edge of the buffer area to the
proposed single family residence with attached garage and decks.
9.) 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.
10.) 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.
lk11.) Among the native conifer spits which may be used in buffers or for re-veation
include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis),
Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar
(Thuja Plicata), and Western Hemlock (Tsuga Heterophylla).
Among native tree species which may be used includes: Vine Maple (Acer Circinatum),
Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus
Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa),
Bitter Cherry(Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara
(Rhamnus Purshiana), Pacific Willow(Saliz Lasiandra), and Scouler's Willow (Saliz
Scouleriana).
Among the native shrub species which may be used are: Sevice-Berry(Amalanchier
Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean
Spray(Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark
(Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa
Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry
(Sambucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry
(Vaccinium Ovatum), Red Huckleberry(Vaccinium Parvifolium).
12.) All construction activities shall not encroach upon the buffer. This includes the storage or
preparation of materials.
13.) A permanent physical separation along the boundary of the buffer area shall be installed
and permanently maintained. Such separation can include installing logs, trees, a
hedgerow, or any other prominent physical marking approved by the UDC Administrator.
14.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100)feet, whichever is less. Signs shall be in place prior to and
during construction activities. The signs shall contain the following statement: "Buffer- Do
Not Remove or Alter Existing Vegetation."
15.) 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.
16.) 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.
17.) 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.
18.) The applicant is proposing toeate or add 2685 square feet of impervious•rface and
22774 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
meeting Minimum Requirements#1 through #5 of the Stormwater Management Manual
for Western Washington.
19.) 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).
20.) The revised site plan as submitted on February 11, 2004 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 February 24, 2004 shall be resubmitted for review and approval
by Jefferson County Department of Community Development.
21.) This approval is for a single family residence with attached garage and decks only. Any
future permits on this site are subject to review for consistency with applicable codes and
ordinances and does not preclude review and conditions which may be placed on future
permits.
22.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
23.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
24.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
25.) All construction activities shall not encroach upon the buffer. This includes the storage or
preparation of materials.
26.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
27.) 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.
28.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
29.) 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).
30.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Plan Land Use Map effective August 28, 1998.
31.) A septic permit(SEP01-0016twas approved on September 17, 2001 for'stem of 360
gallons per day to serve primary residence.
A septic permit(SEP01-00165)was approved on September 17, 2001 for a system of 360
gallons per day to serve the accessory dwelling unit.
32.) W Fir St(C505609) is a county local access road. A road approach was reviewed under
RAP00-00121, and an address of 105 W Fit St has been assigned to the parcel.
33.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
34.) The building height is not to exceed 35 feet.
35.) Minimum setback from W Fir St right-of-way is 20 ft. Minimum setback from Paradise
Bay Rd right-of-way is 20 ft. Minimum setback from Andy Cooper Rd right-of-way is 20 ft.
Minimum setback from Teal Creek (Type 4 Stream) is 105 ft. Minimum side and rear
setbacks are 5 ft.
36.) 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.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
�gON Ca Jefferson Waimea of Community bovelown''
021 Port Townsend WA WWI(UM 371-4451
ti va 1i
4.
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4s�rxr>ro2 o cQt o o n
Project Description:
Building Type: Project Type: Frame Type:
Single Family , q New Wood
Garage Attached/Detached- ❑ Addition ❑ Steel
0 Modular 0 Alteration/Remodel ❑ Concrete
0 Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
❑ Other.
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat
Choose one:
Existing: Existing 0 Sewer 0 Community System ❑ Electricity ❑ Oil
Proposed: Proposed: Individual S stem
Total: 3. Total:
y 0 Woodstove `Propane
If not sewer,fill out the following: 'Heat Pump
❑ Conventional 0 Alternative ❑ Other
Permit# SEP
Water Supply:
"J'Private well ❑ Two Party Well❑ Public:Name of water system:
Square Footage: For Office Use Only
Main Floor 4JO ' l 35 31 q° 72-
!� 5a�tg� �� Consistency Review �QQ
2ND Floor Base fee 16 9 3. ']S
3rd Floor Plan Check fee—65% / / (7 0 . g 5
Htd Basement /ill Lv State Surcharge fee - SO
Unhtd Basement ISubtotal 022 7 7, /9
Garage/Carport (O // 4Ol 2-1 Pot Water Review fee cii"2, Cr
Decks 41; "iaLi.
• qtci 911/Rd Approach feeds k 1 Mk,
Commercial 1G'o a 9c W /9
Industrial A. _ 34.� TOTAL Receipt# pa3 Co `!
Other 1y 0 10, •-
Cash/Check# (,Q
Total Valuation: _. `�� Initials
Or Date (/S/ 0
Estimated ost. (7:)C , 11
If within 0' of the Shore ,
Distance to Bank or r�nary High Water Mark ft.Bank Height
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.
1 /
Signature: I i., 4 7 Date: _ .O 0 q
q4V R
it-
H:HOME\PLNCNTR\INFOBLDG\FORMS\ 11_32.n1
s0N PERMIT # BLD C C 1E l " CL; M 1
off # ' JEFFERSON COON - ' i
40, 1, DEPARTMENT OF COMMUN1 D VELOPMENT _ FEB 1 7 2u
,, , 621 Sheridan Street • •.' I t.n I+ii I N'(asbipgton 98368
O 360/379-4450 • 360/3r` . . JEFFERSON COUNTY F'h1EN1
http://www.co.jefferson.wa.us/commdevelopment/ DEPT.OF COMMUNITY DEvtIU
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
t MLA# (y\L 04-S PROJECT/APPLICANT NAME:
•
Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map,
applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submi
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 th
site maRCL `
s-t=d- _c cl_e <-1-LQ ptIQT,Atto
Existing Conditions Summary
2. Dc'—
cribbee the existing topography. Indicate contours('t on the ite
�p k� -— - Qa t r,C I . $ r-
3. Descri a the existing vegetation. Indicate native vegetation areas on the site map.
0..A,..is,
4. Describe the existing soils. Indicate soil type on the site map.
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 acreage of each
6. Describe any excess levels of noise generated by the proposed use or activityAPPROVJiTi
tJ I-A STORMWATER PLAN
4 rE8 4 2004
,
JEFFERSON COUNTY-
stormwater site plan template—rev.10/1/2003 DEPT.OF C 'N UNI OP 5
SIGNATURE:
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7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams,
steep slopes,etc.)on the site. Indicate location on the site map.
-"C"-Nr\-0,--t--(2. eALLA CI A_,rN3 1.7;3‘..A4 074.1)....A.sab
8. Describe the general vicinity of the site,including adjacent land uses and structures, utilities, roads, and sensitive/critical areas
(streams,wetlands,lakes,steep slopes,etc.). ,
`C)a-id Cl. el p.)LCI..43..(.— r : L-N.5.±,e-- :)--b S--(.. -C--/ GLA%-eg -
•
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 site. Locate these facilities on the site plan an differentiate proposed facilities from existing facilities.
tirV-1-4(14-11-11a Air . kA .
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 forilrge"projects or projects that involve the potential for dispersion of contaminants.]
11. Describe the performance goals and standards applicable to the project
cti.....„L,Ltun
12. Describe thr
flow control system._ _ _
[ V, s , I— ,. z ,-., IV ECEOVE 1-______
E FES, 17NA
,,, i ; JEFFERSON COUNTY
stormwater site ptan temiFati 1-rev 1UV1/2003
x F DEPT.OF COMMUNITY DEVELOPMENT 6
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d
13. Describe the water quality system.
— a-C) REC
FEB 1 7 2004 LI_11U)
14. Describe the conveyance system analysis and design. JEFFERSON COUNTY
A- DEPT.OF COMMUNITY DEVELOPMENT
15. Descri_bg the scarce of fill material,physical characteristics of fill material,and deposition of excess material.
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
17. Describe the proposed surfacing material.
18. Descr a methods for restoration of the site.
•
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. 14
20. List here and.jpclude any special reports or studies conducted to prepare the Stormwater Site Plan.
•
4IA
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
restrictions here.
1.� (A-
= r . .1 17,
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stormwater site plan template—rev.10/1/2003
7
se+
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 follows must be installed 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 (SWI'P) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential
I
development. 1
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.
2. Establish Construction Access.
3. Control Flow es.
4. Install Sediment Controls.
\in ail-RAJ V L -- t-vcrvo W-t Li �c a>C1�I-
5. Stabilize Soils.
6. Prot t Slope .
7. Protect Drain Inlets.
FEBECEHE
1 7 2004
JEFFERSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT
8
stormwater site plan template—rev.10/1/2003
12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
IQ
9. Control Pollutan
• rrt tcaL ern car Atti-' ,r4
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
FC -hllVE n
11. Maintain Best Management Practices(BMPs). Ili 2004
FEB 1 7
JEFFERSON COUN1Y
DEPT.Ut t 6MMUti1TY DEVELOPMENT
12. Manage the Project.
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residentk
areas,roads). `
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 401
yards).
3. Environmentally Sensitive Areas.
a. Description of environme tally sensitive areas that are on or adjacent to the site.
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).
5. Construction Phasing.
a. Con ction sequence
Ct_ 8'i')
b. ; Construction phasing(if proposed)
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a ropQsed construction schedule.
l
II. Wet Season Construction Activities.
a. P oposedwe season construction activities.
b. Proposed wet season construction activities for environmentally sensitive areas.
7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. •
k_a t--v<
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.
a. Sediment Ponds/Traps.
b. Diversions.
c. Waterways. E C fs E ! & it
d. Runoff/Stormwater Detention Calculations
F EB 17 ?004
stormwater site plan template—rev.10/12003 JEFFERSON COUNTY 10
DEPT. OF COMMUNITY DEVELOPMENT
SECTION II—EROSION AND SEDIMENT CONTROL PLAN
Sediment and erosion control measures may be depicted on the master land use application plot plan,a stormwater site plan,and/or
separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan:
1. General. 3 �f
a. Vicinity Map �l
b. Jefferson County Approval Block
)I
c. Erosion and Sediment Control Notes -i 20'A =,)
FEB 1 ��b��► I )
2. Site Plan.
a. Legal description of subject property. JEFFERSON COUNTY
b. North arrow. DEPT.OF COMMUNITY DEVELUPMEN
c. Indicate boundaries of existing vegetation(e.g.,tree lines,pasture areas,etc.).
d. Identify and label areas of potential erosion problems.
e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable).
f. Show existing and proposed contours.
g. Indicate drainage basins and direction of flow for individual drainage areas.
h. Label final grade contours and identify developed condition drainage basins.
i. Delineate areas that are to be cleared and graded.
j. Show all cut and fill slopes indicating top and bottom of slope catch lines.
3. Conveyance Systems.
a. Designate locations for swales,interceptor trenches,or ditches.
b. Show all temporary and permanent drainage pipes,ditches,or cut-off trenches required for erosion&sediment control.
c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts.
d. Shows grades,dimensions,and direction of flow in all ditches,swales,culverts and pipes.
e. Provide details for bypassing off-site runoff around disturbed areas.
f. Indicate locations and outlets of any dewatering systems.
4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs.
5. Erosion and Sediment Control Facilities.
a. Show the locations of sediment trap(s),pond(s),pipes and structures.
b. Dimension pond berm widths and inside and outside pond slopes.
c. Indicate the trap/pond storage required and the depth,length,and width dimensions.
d. Provide typical section views through pond and outlet structure.
e. Provide typical details of gravel cone and standpipe,and/or other filtering devices.
f. Detail stabilization techniques for outlet/inlet.
g. Detail controlrestrictor device location and details,
h. Specify mulch and/or recommended cover of berms and slopes.
i. Provide rock specifications and detail for rock check dam(s),if applicable.
j. Specify spacing for rock check dams as required.
k. Provide front and side sections of typical rock check dams.'
I. Indicate the locations and provide details and specifications for silt fabric.
m. Locate the construction entrance and provide a detail
6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and
illustrated with detailed drawings. _
7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than
sediment(e.g.,concrete wash water).
8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on
the construction site. Sampling stations should be located upstream and downstream of the project site.
•
stormwater site plan template-rev.10/1/2003
11
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Stormwater
rsothe Siteaft Plantedproperty.Changes
If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be
submitted to DCD prior to construction. 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-bulb"))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 the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all
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( DOWNER OR AUTHORIZED REPRESENTATIV IGNATURE) 0E)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
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FEB 17 Z004
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