HomeMy WebLinkAboutBLD2004-00706 . • 110
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00706 Received Date 11/9/2004
SITE ADDRESS: 451 S BAY WAY Issue Date 12/28/2004
PORT LUDLOW, 98365
APPLICANT: JAMES A BEEBE PHONE: (425) 881-2868
PATRICIA M SIEMION
13774 NE 32ND PL
BELLEVUE WA 98005
SUBDIVISION: OAK BAY WATERFRONT TRACTS Block: Lot: TX84+
PARCEL NUMBER: 976800041 Section: 29 Township: 29 N Range: 01 E
CONTRACTOR: SCHWEIZER CONSTRUCTION CO PHONE: (360)385-7119
6727 CAPE GEORGE RD
PORT TOWNSEND WA 98368
Contractor's License: SCHWECI001BG Expires: 1/11/2006
PROJECT DESCRIPTION: NEW SFR AND DECK AND FRONT PORCH
ALSO U/G 250 GAL PROPANE TANK
CALL IN FOR THE REQUIRED INSPECTIONS THAT PLY TO YOUR PROJECT.
SETBACKS: (J!( ile,;rdbb,7 s 1c/r5r
UFFER: OK 06/e5-
Footing: D4C /e/As ��ts�
Foundation: M /IdAnjr'd, jpns //2476s,
Stormwater FINAL Approval:
Underground Plumbing: DBE' w/CQn,orri,ms x j//oS #f
Underground Insulation: �/�
Shear Wall : /* f ''6S,
Framing: 2J le d b)/eDIchkiosS
Plumbing: ld( .07 S11/
Propane Tank/Lines: I Ae
Insulation: dK Sfr AS
Sheetrock: OR S-i47OS
Septic Sytem FinalApproval If not on sewer):
Road Approach Final Approval:
Zo Final Approval: V
`final/ ccupancy Approval: "t1 2-(Z-7/ D(
HEALTH DEPARTMENT 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
MLA04-00636
ja
UILDING PERMIT APPLICA i� N Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: . BLD04-00706 Received Date: 11/9/2004
SITE ADDRESS: })\,S BAY WAY
PORT LUDLOW, 98365
OWNER: JAMES A BEEBE PHONE: (425) 881-2868
PATRICIA M SIEMION
13774 NE 32ND PL
BELLEVUE WA 98005
SUBDIVISION: OAK BAY WATERFRONT TRACTS Block: Lot: TX84
PARCEL NUMBER: 976800041 Section: 29 Township: 29 N Range: 01 E
CONTRACTOR: SCHWEIZER CONSTRUCTION CO PHONE: (360)385-7119
6727 CAPE GEORGE RD
PORT TOWNSEND WA 98368
Contractor's License SCHWECI001BG Expires 1/11/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW SFR AND DECK AND FRONT PORCH
ALSO U/G 250 GAL PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,017
VALUATION 347,329.00 ADD'L: 642 HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: 663 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: 1,354 #OF STORIES:
OCCUPANCY: OTHER: 120
CONST TYPE: 5N SHORELINE:
GARAGE: SETBACK: 48
CONST TYPE: DECK: 1,170
BANK HEIGHT: 40
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 3 Seismic Streams
Total: 2 Total: 3 Flood Way Floodplain
F&W Landslide
Routing Date: I( 1 ISM /O 4 ''`V Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $2,382.55 BAC 11/09/04 68711 APPROVED
Plan Check $1,548.66 BAC 11/09/04 68711
State Building Code $4.50 BAC 11/09/04 68711 DEC 2 6 2004
Potable Water Application $52.00 BAC 11/09/04 68711
Jefferson County Planning
Total: $3,987.71 &Building Department
I
4.soN O
cob JEFFERSOAUNTY 0 Cr--- ..
DEPARTMENT OF COMMUNfTY DEVELOPMENT
�' ! ` 621 Sheridan Street O.
Port Townsend•Washington 98368 \`
( ,..
360/379-4450 • 360/379-4451r Fax
•ei O� www.�o.jefferson.wa.us/commdevelopment
�41NG NOV - 9 2004
Master Permit Application MLA: U 1- -' (V 3,‘,9
Project Description(include separate sheets as necessary):
ud
-J _
Tax Parcel QC
Number: �7(0_ 6610 Property 4�237 _ !
�' Size: .�', (acres/square feet)
Site Address and/or Directions to Property: p�, 1 l
Property Owner(s)of Record: 'Jlrh e' if 1X{1ry- Ian
�t J 1
Telephone: 425—aQj[-�'�,�,(o$ Fax:_ v, email:
Mailing Address: 13774 NE 324.1r, �}-*
Applicant/Agent(if different from owner): ""reyni f s/1 i-f,-chi l I
Telephone: 21:6)-40 35=3( I Fax: 9eie.,-037"Q'5T i email:torn.(...on Ite_lictl €
Mailing Address: Po Sox stDz1...rie ii , `a5t. Db/2. . Goth east tits-
What kind of Permit?(Check each box that applies)
t i Building ❑Variance(Minor,Major or Reasonable Economic Use)
0 C emolition Permit ❑ Conditional Use[C(a), C(d),or C]**
XSIngle Family ❑ Discretionary`D*or Unnamed Use Classification
0 Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home CI Boundary Line Adjustment
CI Modular 0 Short Plat**
❑ Commercial* ❑ Binding Site Plan**
0 Change of Use ❑ Long Plat**
CI Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
0 Propane ❑ Plat Vacation/Alteration**
l]Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
I] Stor nwater Management ❑ Shoreline Management Substantial Development**
ii Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
I7 Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wire less Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
ii For.:st Practices Act/Release of Six-Year Moratorium
May require a Pre-Application Conference **Requires a Pre-Application Conference
Please identify any other local, state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate" "p] M(t'r1I P[l to act as my agent in m:,tters relatingto this application for pernit(s).
LOWNEI;SIGNATURE 1 ��IM I�.�� , / //(/�(�
"CC Date: f
By signing this application form,the owner/agent attests that the Information provided herein,and In any attachments,Is true and correct to the best of
his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent 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 a id right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: ��(/� &A ifattuuz,
Date: (Z/(j/64
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential lake"of an endangered species as those terms are defined In the federal law known as the
"Endangered Species Act"or`ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(5)even if you are In compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and nay transferable re_sponsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signait ire: „'�..!}L)U,( • rs l.�...t Date: ID/i f f 64
G:\Pennit€enter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
I •
OWNER BUILDER STATEMENT
40
The`signer of this statement does hereby certify that they are the Owners of the panel referenced herein,that they are not licensed Contractors and that\
they will be assuming the responsibility of the General Contractor for the proposed project.
Slgnatur E!: E
Date: 4.
NOV - 9 2004
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
:mac.►'1A)(1Z r- 6:AritYucE1o,, ( ) 52)5'711°, ( - ) _ ..
MAILINc ADDRESS: (.i"72Z C / _ _: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: SC4 W EG I DO ( b7 NUMBER
ARCHITECT/ENGINEER: —Torn Y M i+ tn .t I may,,,/. PHONE (. _
?,04,)C 5.3f5I FAX:(20 )9�j7.00'71.}
MAILING ADDRESS: l 0 t�?=x 52?4 Cd tt ii 96(�Q EMAIL 1 .L illi t{hell_ C„[Q &(mc- 1-i he
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
K New X Wood Existing: D 0 Sewer
0 Addition ClSteel Proposed: �j Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 3 Height:, Individual System
El4 Rep air 0 Masonry d SEP Permit# 04-20 I
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: O Setback: )4 Private well ❑ Two Party
Type of Heat: Proposed: ��,/ ❑ Public
Total: �' Name of System: I I
15,' ''k'
If this is a Commercial Protect you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all Items below that apply:
Uncl':rground Tank ❑ Above ground Tank Size of Propane Tank: 2.SD
❑ Heat Stove X Cook Stove Cl Woodstove 0 Fireplace Insert NK Hot Water Tank ❑ Pellet Stove <OtherFtitinC.(-C
Is this appliance being installed in a Manufactured I Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage For Office Use Only ,i�,4°kr, � ',, t=,'t ; irT„. A
Current Proposed , j t :f 1
Main Floor iffy ti, 1„
20(7 . ir: �... , �,..:i F i :,F'Fa 1, 4q �yt�jr�rr 'v 1 } .:
2""Floor i,�r •• fee! a ' '/`� , ,;r
3"°Floor i .e j 4s ``,' ,• r
• *Additional Sedio�t; ": 7`q. 1 / A P � LQ r� t.
S�
F x /
Mezzanine: -tPlan Check foe 1 �`4 !~ t« 1 C it #; �� s�+
1412
Heated Basement ,I .jay ' r F• , '' 1 'F .7.'t , , a" ,
eir
A4W9Mate sintiar96-4: !.. ..".1'.-!: :4!. .:' '.:,:..,:-. '.. 7,-tv:v..7tdi i-,-.50
Unheated Basement 13 (Opt *- c` 11. #'
Water R�Ni .f9ti� �� ,+ r�� t !� ,u�
Other Unheated ,4 911 ,Y x �117 .'.w..'i1.1to •
i r •
.:....—,. -:,---.:-.-".f'..'o.''''',u':'t:cI,,.w-,.,ti,:..!,....5-...Ai.:%?T.it:'.:41.-,'.''''...;,'.:
' .t t{'Syw'ft. _
GaragriCarport f{{{{{� �,
Decks SII ��\. S �� L ` IF
1170 23 5/4 eceipt Nifmbr''.- f t y 1 [..
Other ,i• .i�_: t 1
"1'?'1r1{'?GC'G17 12 4(, ast Check Numbs r ' �,
ESTIMATED COST(REQUIRED) `." S . ,�~cYa
•Fair market value of all labor and materials foundation nish •�$1,
500 h.:(,:: (01 '
G:\PermitC:enter\FORMS\DRIB FORMS\Master Permit Application 7-8-04.doc
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"� , DEC 19 2005 '1 -' ! '
JU r;-��r., COUNTY 1
EDBEEBE HOUS AS BITaD.....,__, ,.. RAINAE\,
REVISED S. / P �;
Mitchell Designdated ►��� 'J��\, ), _ i ., , , 9, i \
,` ` ,
Tom Mitchel! Architect __ Has beenAPPRO D '-r
•
P O. Box 3952, Seattye, Wa. 98124 by ARSON COUNTY \
(206) 935-3151 F . DINT.or •• i.
c. (206)937 OQ71 aim • Ah,a_ . ...v . , 1
toM.I.MitChell@conicast.net
i
SPECIAL CONDITIONS FOR ME # BLD04-00706
1.) 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.
2.) 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.
3.) 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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).
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) Minimum setback South Bay Way right-of-way is 20 ft. Minimum side yard setbacks are 5
ft. Minimum setbcak from the top of the bank to the proposed single family residence is
47 ft.
9.) 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.
10.) Lighting fixtures shall be desed and hooded to prevent the light sourcem 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.
11.) Prior to final building inspection, applicant shall submit a letter from the engineer stating
that the tightline has been constructed to the required specs & requirements as is capable
of handling the stormwater runoff from the single family residence and any other
impervious surface that will be directed into the tightline.
12.) A stormwater plan for a large 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.
13.) A minimum of four(4) parking spaces are required for the single family residence and
accessory dwelling unit (ADU).
I:\F_BLD_Permit_Buildng.rpt 1 0/29/1 9
•
,?,10N 0O
r4 e,), JEFFERSON COUNTY
, Y
'4 DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368
U 360/379-4450 • 360/379-4451 Fax
` 1N http://www.co.Jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
mu Nit o' ' - 010 PROJECT/APPLICANT NAME: -roirr, 4 t+cinG t I
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. •
t\IGW 'Btv . G,wl(1 �- 605e a(oh With 4h cte_ce5ar bcxldth :
ue5 - osc� ( a ) _t. t-, tirden c h .�
Existing Conditions Summary
2. Describe the existing topography. Indicat contours on the site map.
Ji�-G s 4) S,oc � t "} , GI 1FQ 1
bank. oh +ham inoruth einel . M c*I belutIclarci l�
WctfeArravNt
3. Describe the a ting vegetation. Indicate native vegetation areas on the site map.
t� )
ENge Yam'it1 PPcioos fG4 ! Exttti ck, ', a�ccQSS
V t�5 -itarrd arm at" t#i0t sc Slit,'
J
4. Describe the existing soils. Indicate soil type on the site map.
No Sods vzi) '
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.
E x tsf I In Glealtna Ov) sv f'a.c.e. fTiVr)--) •th +o north
-taWat-cis' LOcctn�- “Iv►t
6. Describe any excess levels of noise generated by the proposed use or activity A PO V L' L
tslotnG STORMWATER PLAN
- C 2 8 2894
JEFFERSON COUNTY
stonnwater site plan template—rev.10/1/2003 DEPT.OFt ai . UNITY 0 EI'.@PMENT 5
SIG\ATURF.:�`
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.
Sf eep G north ehd
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.).
ek tivn halY5e +0 west, Vacccv* too east,
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.
g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e., per, MP T5.30
in the Manual)or,if not,what types of stormwater flow control will be utilized for the site or specific threshold disc rge areas
within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities.
IS.. 4!A.a • A A ..♦ r 6_y AA. 0..11 C V1 t•(.3 ' I.-. •
[And Po e0_,A-t- revl - ) Iv) We. tr n Ld d le of 'wle
c 4f • f.%o lne W u ' Go v,cevrt-ro+e ( otn bah k.
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.]
No treat-Went
11. Describe the performance goals and standards applicable to the project.
a� butldlyni
12. Describe the flow control system.
142) Piifta , W t e.1- cts e,r•sed a''.at i -Crave bc&nk-
a
6
stormwater site plan template-rev.10/12003
13. Describe the water quality system.
N,c frcaktinnn-F . N•h eAdvZt rth cl a1€r cc be+.tnk
14. Describe the conveyance system analysis and design.
N
15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material.
RediSk-rib0+e, mr. n44 e 41&c ba e!i1" to courttiarcl
bct-wlGe,n bu 0 c1t .
tic, Ft har{i tn.145 Lt�d1rf 'S '
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
No 'StWOCAVwA,t ft l
17. Describe the proposed surfacing material.
brat.✓ci € drLuewac
18. Describe methods for restoration of the site. •
dralgl'telc
IP _ ■ . a , ruins to i 41 n A'h v-t f
. eper t .1.4eAt-6k/ .ors_
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.
NA
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
MAN
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.
stormwater site plan template—rev.10✓1/2003
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 (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.
StI+ few dectV)C ed a f \ko a1 ta+n 111ealp4enancc
2. Establish Construction Access.
e.00Sar elt evrt-ranG,t Flex"' bvnp G tos
3. Control Flow Rates.
MAihtai 54t)' i exist Veal efth EMIkfip
LLm t+ cl iart►0
4. Install Sediment Controls.
So* Face per' trap 233
MGtnt&LI% Vet CtWIII teip
5. Stabilize Soils. •
1Z61,1 cant l v n vrtd teac.l i & 4ee Ccsvr p tL+tavi.
6. Protect Slopes. •
Sat FerGe / t►oIetin't.Gtty, Vt54atten1 SiTtp
7. Protect Drain Inlets.
NA
s
stormwater site plan template—rev.10/1/2003
12 Required Elements—Construction SWPPP
8. Stabilize Channels and Outlets. (continued)
9. Control Pollutants.
10. Control De-Watering(the act of pumping groundwater or stormwater away from
an active construction site).
11. Maintain Best Management Practices(BWIPs).
•
12. Manage the Project.
2. Adjacent Areas.
a. Descriptads).on of the adjacent areas that may be affected by site disturbance
areas, ro (e.g., streams, lakes, wetlands, residential
b. Ded receiving cription of the downstream drainage path leading from the site to the
yards).
Gwing body of water(minimum distance of 400
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
stomnvater site plan template—rev.10'1/2003
9
•
b Description of special requirements for working in or near environmentally sensitive areas.
Description of potential erosion problems on site in the context of the characteristics of the on-site
4. Erosion Problem Areas. D permeability,depth,texture,soil structure). S� •
soils(e.g.s ibiliry,settleability,p A •
5. Construction Phasing. '
a. Construction sequence
V1
l
b. Construction phasing(if proposed)
r
April 30(page 2-21 of the Manual).
6. Construction Schedule. Wet season is October 1 through Ap� 2Q05
I. Provide a proposed construction schedule..
1
II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
b. Proposed wet season construction activities for environmentally sensitive areas.
7. Financial/Ownership Responsibilities.
Ide ti the property own�r responsible for the initiation of bonds and/or other financial securities.
a. N C
' responsibility for liability associated with erosion and sedimentation
b. Describe bonds and/or other evidence of financial respo
impacts.
8. Engineering
Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.
a. Sediment Ponds/Traps.
b. Diversions.
c. Waterways.
d. Runoff/Stormwater Detention Calculations
11
stormwater site plan template—rev.10/12003
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 a
separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan:
1. General.
a. Vicinity Map
b. Jefferson County Approval Block
c. Erosion and Sediment Control Notes
2. Site Plan.
a. Legal description of subject property.
b. North arrow.
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 controVrestrictor 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
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 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
owners of the affected property.
'rc)L4A '1-d c ui (0/L /o'
(LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
7014 goo
A
stormwater site plan template—rev.10/1/2003 12
B
got=;
Th,; Catch Ba
ins-.gllaticns in alleys and
url,3ved areas in the Section A - A
Rlgnt of Way, Any other
use in the R/W will
regjire approval of
Cp,^rctions division and
Cr•lin<le Design section.
4" fain
16"Max
-- S-Min
'1:f 12" Mox
Pipe Connection
to Approved
Outlet.
C
Fro me & Grate - Per
Std Plan 264.
\ Leveling Brick or
Precast Riser
Clr (Typ)
-Outlet Tra
See Std
Plan 267.1
3 Fi3O For 12- Riser
2#3 CT For 6- Riser
�/ �3 Hoops
(c1 Opening ( Typ)
j A
— 2"
Precast Base
� � wD Wes'• � ' la
V4 (a 12" �--
Type 9 Mineral Aggregate Each Way
with Portland Cement
Section B - 8
Notes:
1. For Curb Discharge Installation See Std Plan Na 241b.
2. Install Per Standard Plan No.261.1
3 Material: Concrete - f'c= 4000 psi
Reinforcing Steel -ASTM A615 GR60
Ref. Std. Spec. Sec. 7-05.
CATCH BASIN,
E
*D
Section D - D
a.) 2'- 0" 14"
Section E: - E
Precast Riser
Reinforcing
Section C -C
Do Not Scale
E
--T D
co J
TEE IN
CHORING ROCKS
PE FROM CATCH BASIN
TEE FABRICATED FROM 6" PIPE
W
READED PLUG EA END
0
0
0
0
0
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0
0
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0
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NO HOLES OPPOSE€� �--1" HOLES SPACED 1-1/2" MIN
PIPE END
VERIFY LOCATIONS OF ALL
DRAINAGE COMPONENTS ON SITE
WITH ARCHITECT BEFORE
CONSTRUCTION
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ADT2004
BEEBE
REVISION DATE
11 /05/04
11 /08/04