HomeMy WebLinkAboutBLD2004-00308 BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00308 Received Date 05/12/2004
SITE ADDRESS: 31 LEONE CT Issue Date 05/28/2004
PORT LUDLOW, 98365
APPLICANT: GE LAND LLC PHONE: (253)826-4261
1125 57TH ST E STE D
SUMNER WA 98390
SUBDIVISION: GARTEN ESTATES Block: Lot: 26
PARCEL NUMBER: 952900026 Section: 34 Township: 28 N Range: 01 E
CONTRACTOR: GE LAND LLC PHONE:
1125 57TH ST E
SUITE D
SUMNER WA 98390
Contractor's License: GELANLL966DD Expires: 03/04/2006
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & COVERED PORCH
REQUIRED INSPECTIONS:
[L SETBACKS: Ok (3/zf/oii Pi
UFFER: No
Footing: OK 4./is1ibfi FEE. 6r ciFir DES(et) vilail ,
Foundation: Og [d/GOhd?/ems 7 /f/o$ !!
feimjr.
ormwater FINAL Approval: j,
1[ Underground Plumbing:
Underground Insulation:
Shear Wall : d/( R//0,110/
Framing: ,0/< 8/25/641 ' '
Plumbing: OK /a/fond(bong 872S/o14
[ ] Propane Tank/Line : O tk Ts
If Insulation: OK 8�2-74
f Sheetrock: Ok 3o/4 tIV
Septic Sytem Final pproval:
Road Approach Final Approval: N f l
Zoning Final Approval:
Final/Occupancy Approval: ,v - .,
EALTH DEPAR AND PUBLIC WORKS APPROVAL REQUIRED 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
•
BUILDING PERMIT APPLICATION MLA04-00268
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00308 Received Date: 5/12/2004
SITE ADDRESS: 31 LE NE CT
PORT LUDLOW, 98365
OWNER: GE LAND LLC PHONE:
1125 57TH ST E STE D
SUMNER WA 98390
SUBDIVISION: GAR) EN ESTATES Block: Lot: 26
PARCEL NUMBER: 952900026 Section: 34 Township: 28 N Range: 01 E
CONTRACTOR: GE LAND LLC PHONE:
1125 57TH ST E
SUITE D
SUMNER WA 98390
Contractor's License GELANLL966DD Expires 3/4/2006
REPRESENTATIVE: GE LAND LLC PHONE: (253) 826-4261 X 123
THOMAS AN MAN
1125 57TH STE STE D
PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE & COVERED PORCH
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 871
VALUATION 211,242.00 ADD'L: 1,371 HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES: 2
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 427 SHORELINE:
CONST TYPE: DECK: 30 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: LUDLOW 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: F&W Landslide
rj`tk°1: /3/ Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: A ro / t
Permit $1,620.95 KAS 05/12/04 64418 A P P
dvD
State Building Code $4.50 KAS 05/12/04 64418
Potable Water Application $52.00 KAS 05/12/04 64418 MAY 2 8 2004
Total: $1,677.45 Jefferson County Planning
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Buildi g Department
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'-'-�, ^, ` '02 Sheridan Street,Port Townsend WA 88368[3601370-4450
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Project Description: t. ---- • ?1 1 l%
Buildin: pe: Project Type: Frame Type:
'oo.
Garage Attached/Detached Addition teel
Modular Alteration/Remodel Concrete •
Commercial Repair Masonry
Multi-family/#of Units Demolition Other:
Industrial
Other:
Bathrooms: ) Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: 2 Existing: Sewer_ Community System Electrici Oil
Proposed: Proposed: 9 vidual System Woodstove Propane
Total: Total: If not sewer,fill out the following: Heat Pump
Conventional Alternative Other
Permit# SEP
Water Supply: A l
Private well Two Party Well Public:Name of water system: 1.�Lk)144 6 1-�(�Cil___,
+
Square Footage:if,„
,p /�I- For Office Use Only
Main Floor L� l ��,VIR�.� Consistency Review ��
2ND Floor I J 7 ( I"o1.4OG 6> Base fee I J (o 0a0• of&-
3rd Floor Plan Check fee Pk S-j-OCAL ? actyi . (3
J
Htd Basement State Surcharge fee --1..
Unhtd Basement `/� Subtotal 1(O —1 3•gS-
Garage/Carport 7 2.7 10 ° Pot Water Review fee 85
i Decks ,' c.# 3 o O $11/Rd Approach fee 1 1 5p
Commercial rilli 1°
TOTALIt
r _ /'
Industrial D. 1 1a°ra' Receipt# l� � ' 22)
Other 4/ Cash/Check# I 1
a
Total Valuation: Initials t
Or Date a.b f/,� '
Estimated Cost: \ '7 0 j `2,,.
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft.Bank Height ft.
By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any
omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey'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 ntry rs9ri County 's employees,representatives or agents for the purpose of application review and any required later inspections.
Access and right of entry to the a lie s pc a requested and shall occur during regular business hours.
Signature: Date:5 'G e
, / OVER ►
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SITERO PLAN D
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MAY 2 4 2004
JEFFERSON COUNTY
IMPERVIOUS SURFACE DEPT.OF t4MUNIT D- irp
RUNOFF TO DRAN TO SIGNATURE; y`�
STORM WATER SYSTEM. virr ""
PARCEL# 952-900-026 LOT SQ. FT: 16,481 GE LAND LLC
HOUSE PLAN# S-2242 DISTURBANCE AREA: 4456 1125 57th ST. E. SUITE D
31 LEONE'S COURT IMPREVIOUS AREA: 2056 SUMNER,WA 98390
1:1Drafting\Plat neaps\Gartin EstatTs Plat.dwg,5/1212004 10.00:28 AM,Toby (253)826 4261 —
SPECIAL CONDITIONS FOR CM E t BLD04-00308 •
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on May 24, 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:
Susceptible Aquifer Recharge Areas, Special Aquifer Recharge Protection Zones and
Type 5 stream touching the northern boundary line.
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.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special
Aquifer Recharge Protection Areas and the following land uses located within Susceptible
Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural
Residential Land Uses requiring a Discretionary Use or Conditional Use Permit (4)All
Rural Residential Land Uses with nonconforming uses that would otherwise require a
Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential
Developments (6) Unsewered residential development with gross densities greater than
one unit per acre. All of the above listed uses shall be subject to the applicable
requirements and standards of the Jefferson County Unified Development Code.
5.) A Type 5 Stream (Fish and Wildlife Habitat Area) has been identified on the subject
property. The stream will require a setback of 50 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.) Among the native conifer species which may be used in buffers or for re-vegetation
include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis),
Shore Pine (Pinus Contorts), 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).
8.) 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.
9.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative
buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM)to the single family residence.
411
10.) An additional setback of five ( feet is required from the edge of the buffer' ea to the
proposed single family residence.
11.) 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.
12.) 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."
13.) The applicant is proposing to create or add 2056 square feet of impervious surface and
4456 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 submit a
stormwater plan meeting Minimum Requirements#1 through #5 of the Stormwater
Management Manual for Western Washington.
14.) 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).
15.) The site plan as submitted with the building permit application on May 12, 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 May 24, 2004 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
16.) This approval is for a single family residence 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.
17.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
18.) 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).
19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
20.) The building height is not to exceed 35 feet.
21.) Minimum setback from Leone Ct right-of-way is 20 ft. Minimum setbcak from easement
along the northern boudary line is 20 ft. Minimum side and rear setbcaks are 5 ft.
22.) Exterior lighting for commercial and industrial uses shall not exceed thirty feet(30') in
height from the finished grade. Exterior lighting for residential uses shall not exceed
twenty feet(20') in height from the finished grade, excepting when such lighting is an
integral part of a building or structure. Ground level lighting is encouraged.
23.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
24.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Plan Land Use Map effective August 28, 1998.
25.) A septic permit (SEP04-00006)was approved on May 27, 2004 for a system of 360
gallons per day.
26.) Leone Ct is a private road (P580). The road approach is existing and an address of 31
Leone Ct has been assigned to the parcel.
27.) This parcel was created through Garten Estates under AFN 465764, filed of record
February 14, 2003 in Volume 7 of Long Plats, page 171-175 with Jefferson County
Auditor's office.
28.) A Declaration of Easement has been recorded under AFN 484174.
29.) A stormwater plan for a medilproject has been submitted and approve•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.
30.) A minimum of two (2)on-site parking spaces are required for the single family residence.
31.) A 30 ft setback shall be maintained from the disposal component and reserve area to any
downslope footing, curtain, infiltration trench or drainage ditch. A 10 ft setback shall be
maintained from the disposal component and reserve area to any upslope footing, curtain,
infiltration trench or drainage ditch.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
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f C JEFFERSON COUNTY `� — rQ P nr
W '.y. +a DEPARTMENT OF COMMUNITY DEVELOPM r---- - l I
. -s . " ' 'ti 621 Sheridan Street • Port Townsend •Washington $6a ,, ,,, , . t
� N��O 360/379-4450 • 360/379-4451 Fax ? ,
http://www.co.jefferson.wa.us/commdevelopment/ i i
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Stormwater Calculation Worksheet � ,> 'Jt':�`
MLA# '09 - V PROJECT/APPLICANT NAME: CT E ` tiv.1 `^`-- ..--
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first
to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application, building permit application, or other land use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required.
2 PARCEL SIZE(I.E.,SITE)
Size of parcel •38 acres An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet I 1/8 1 sq/ft
Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and
non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling,
excavation, and compaction associated with stabilization of structures and road construction.
Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the
Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as
Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonberry,
and salal; herbaceous plants such as sword fern,foam flower,and fireweed.
LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL
Calculate the total area to be cleared,graded,filled, Answer the following two questions related to
excavated,and/or compacted for proposed development conversion of native vegetation:
project. Include in this calculation the area to be cleared for.
2 -, Does the project convert'/<acres or more of
Construction site for structures J sq/ft native vegetation to lawn or landscaped areas?
am/
f Drainfield,septic tank,etc. to / 6P ' sq/ft Circle: Yes
No
Well,utilities,etc. sq/ft Does the project convert 2'/z acres or more of
Driveway, parking,etc.
08 /ft s native vegetation to pasture?
q
Lawn,landscaping, etc. t 5 cFS c, sq/ft Circle: Yes No
Other compacted surface,etc. sq/ft In�di `eI sed:
Total Land Disturbance A/4/5—Co sq AD�ft PRO • � (cu/yd)
MWATER PLAN
[over]
MAY 24 Z004
4
stormwalercalcworksheet.doc—REV.10/12/2003 1EFFERSON COUNTY in
DEPT.OF 'O. NUN Tjf D�t� 1
SIG\ATURE: `Y J1r t
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Impervious surface is a hard surface that either prevents or retards the entry of water into the qii mai ntle g ba lder neturEf`eonditions-' ,
prior to development. A hard surface area which causes water to run off the surface in greater q antities or at an increased rate of flow
from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof
tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen roatleJ als, .
and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. ;,APT. OF C-': _ -1, "` 't
STORMWATER CALULATIONS-IMPERVIOUS SURFACE
NEW EXISTING
Structures(all roof area) I J 7 I sq/ft Structures(all roof area) sq/ft
Sidewalks 2 7 sq/ft Sidewalks sq/ft
Patios .6) sq/ft Patios sq/ft
Solid Decks sq/ft Solid Decks sq/ft
(without infiltration below) (without infiltration below)
Driveway 4 0 sq/ft Driveway sq/ft
Other sq/ft Other sq/ft
Total New 2. .c. co sq/ft Total Existing sq/ft
TOTAL NEW+TOTAL EXISTING* 205Z sq/ft "This amount will be used to check total lot coverage.
The following questions will help determine whether the proposed project is considered development or redevelopment.
DEVELOPMENT v.REDEVELOPMENT
Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: %
Does the site have 35%or more of existing impervious surface? Circle: Yes 4..-1 V V
FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be
used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the
attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum
Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements.
For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution
Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and
prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction
Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those
that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum
Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan,
principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or
prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual.
APPLICANT SIGNATURE
By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and
correct toy. of y ledge. I also certify that this application is being made with the full knowledge and consent of all
owners• d y.
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stormwater calc worksheet.doc—REV.10/12/2003 - 2 i
4)At ° , JEFFERSON COUNTY f n
j DEPARTMENT OF COMMUNITY DEVELOPMENT f i
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4. 621 Sheridan Street • Port Townsend • Washington 98368 I}t 'g 1
,ri _OTC? 360/379-4450 • 360/379-4451 Fax
ilv http://www.co.jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL`1E-Lat IPLATE OP M
MLA# 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, the
applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a
separate stormwater site plan map.
Project Overview
1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the
site map.
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Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
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3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
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4. Describe the existing soils. Indicate soil type on the site map.
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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.
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6. Describe any excess levels of noise generated by the proposed use or activity:
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7. Describe significant geographic features and critical areas (i.e., environmentally se4itive areas such as wetlands, streams,
- steep slopes,etc.)on the site. Indicate location on the site map. I
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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.).
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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 and differentiate proposed facilities from existing facilities.
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10. If the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed
for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is
normally for large"projects or projects that involve the potential for dispersion of contaminants.]
11. Describe the performance goals and standards applicable to the project.
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12. Describe the flow control system.
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stormwater site plan template—rev.10/1/2003 6
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13. Describeeth j water quality system.
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14. Describe the conveyance system analysis and design. 4 Ir^N.
MP
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15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material.
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16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
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17. Describe the proposed surfacing material.
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18. Describe methods for restoration of the site.
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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. J 1
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
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 �14/
storrnwater site plan template-rev.10/1/2003
7
1 E'yau l G C �)-r i
CONSTRUCTION STORMWATER POLLUTION PREVENTION P (SWPPP)
The Construction SWPPP addresses sediment and erosion control during construction. The MPs indicated by the applicant in the
template that follows must be installed on the ground during all construction phases of the projectPIT S 4)roponent is reip8H6iblelor
preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consurt-the-Construction Stormwater
Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential
development.
SECTION I-CONSTRUCTION SWPPP NARRATIVE
1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or
will.be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable
to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual (beginning on page
2-15).
12 Required Elements-Construction SWPPP
1. Mark Clearing Limits.
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2. Establish Construction Access.
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3. Control Flow Rates.
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4. Install Sediment Controls.
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5. Stabilize Soils.
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6. Protect Slopes.
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7. Protect Drain Inlets.
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stormwater site plan template—rev.10/1/2003 8
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12 Required Elements-Construction SWPPP(continued) 1
8. Stabilize Channels and Outlets.
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9. Control Pollutants.
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10. Control De-Watering (the act of pumping groundwater or stormwater away from an active construction site).
11. Maintain Best Management Practices(BMPs).
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12. Manage the Project.
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2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas,roads).
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b. Description of the downst eam drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
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stormwater site plan template-rev.10/1/2003
9
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b. Description of special r uirements for working in or near environmentally sensitive s.
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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).
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5. Construction Phasing.
a. Construction sequence
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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 proposed construction schedule.
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II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
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b. Proposed wet season construction activities for environmentally sensitive areas.
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7. Financial/Ownership Responsibilities.
a. iIO ntify the property owner responsible for the initiation of bonds and/or other financial securities.
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b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.. ,
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8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.
a. Sediment Ponds/Traps.
b. Diversions. A/A-
c. Waterways. /UQ—
d. Runoff/Stormwater Detention Calculations
10
stormwater site plan template-rev.10/1/2003
Stormwater Site Plan Changes
If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be
submitted to 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-builts")when the project is
completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as
constructed.
APPLICANT SIGNATURE
By signing the Const ction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and
correct to the b 9 dge. I also certify that this application is being made with the full knowledge and consent of all
owners of th ff d
DOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED:
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1
12
stormwater site plan template—rev.10/1/2003