HomeMy WebLinkAboutBLD2005-00095 I
e •
BUILDING PERMI
T
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00095 Received Date 02/18/2005
SITE ADDRESS: 214 KALA POINT DR Issue Date 03/22/2005
PORT TOWNSEND, 98368
APPLICANT: DAVID TREAT PHONE: (253)377-0835
46039 284TH AVE SE
ENUMCLAW WA 98022-9315
SUBDIVISION: IRONDALE Block: 134 Lot 40-44
PARCEL NUMBER: 962113410 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE
CALL IN FOR THE REQUIR D SPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: Le (! `. es"
UFFER:
Footing:4-?1� C.A'c.�,' ;; D.:
Foundation
FINAL Approval: 71a/fr L, A/E 5 j4/ GY— 5 j/,3
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing: /
Framing: 4.✓/C<<,,,e x //;/
Plumbing: /c,� J� •i� ��—
Propane ank/ Lines:
Insulation: 61- / /may •
Sheetrock:n 6//A.T •
Septic Syt‘m FindI Approval (If not on sewer):
Road Approach Final Approval: )
Zoning Final Approval:
Final/Occupancy Approv 2;7/CI<,
HEALTH DEPARTMEN AND BLIC 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 pill.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY - SEE REVERSE
UILDING PERMIT APPLIC MLA05-00101
AN Review
Jefferson County Department of Community Development Tye I
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00095
SITE ADDRESS: KALA POINT DR Received Date: 2/18/2005
PORT TOWNSEND, 98368
OWNER: DAVID TREAT
46039 284TH AVE SE PHONE: (253)377-0835
ENUMCLAW WA 98022-9315
SUBDIVISION: IRONDALE
Block: 134 Lot: 40-44
PARCEL NUMBER: 962113410
Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER
PHONE:
REPRESENTATIVE: MIKE THACKER
80 W FITCHBURG PHONE: 360-385-4149
PORT HADLOCK WA 98339
PROJECT DESCRIPTIOI NEW SFR W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 170,000.00 MAIN: 1,630
ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003
HEAT BASE: HEAT TYPE
OCCUPANCY: R-3
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: 5N OTHER:
CONST TYPE: GARAGE: 590 SHORELINE:
DECK: SETBACK:
SEWAGE DISPOSAL: CON BANK HEIGHT:
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
Exist: STORMWATER: YES NO AREA
Exist: Wetland Prop: 3 Prop: 2 Erosion
Total: 3 Total: 2 Seismic Streams
Flood Way Floodplain Routing Dat F&W
-- i
05 Landslide
��// C e Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt:
Permit
Approved/Date
$1,385.75 BAC 02/22/05 41468 APPROVED
Plan Check $900.74 BAC 02/22/05 41468
State Building Code $4.50 BAC 02/22/05 41468 MAR 2 Z
2005
Potable Water Application $53.00 BAC 02/22/05 41468
Total: $2,343.99 Jefferson County Plannin&
&Building Depanment
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I
SPECIAL CONDITIONS FOR COE # BLD05-00095 •
1.) The road approach permit (RAP05-00043) must be inspected and finalled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact the Department of Public Works at 360-385-9160 for the final
road approach inspection.
2.) 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.
3.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
4.) A Medium Stormwater Plan 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.
5.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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).
8.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are
subject to the stormwater requirements in UDC Section 6.7 and must meet the "Area of
Impervious Surface Coverage" to the maximum extent practicable as determined by the
Administrator." Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
9.) The building height is not to exceed 35 feet.
10.) Setback from Kala Point Dr. right-of-way is no less than 20 ft., side and rear setbacks are
no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more
restrictive setback shall apply.
11.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an ihtegral part of a building or structure.
Ground level lighting is encouraged.
12.) 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.
13.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
I:\F_B LD_Pe rm it_B u ild ng.rpt
10/29/19
I,sozv co • Jefferson Coul�,rDepartment of Community Development
'es. f &,� 621 Sheridan Street,Port Townsend WA 88368[360)378-4450
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Project Description:
Building Type: Project Type: —
Single Family Frame Type:
p(New f Wood
❑ Garage Attached/Detached ❑ Addition
❑ Modular CI Steel
❑ Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair
❑ Multi-family/#of Units CI Masonry
❑ Demolition ❑ Other:
❑ Industrial
❑ Other:
Bathrooms: Bedrooms: Type of Sewage Disposal:P Type of Heat:
Choose one:
Existing: Existing: ❑ Sewer ❑ Communi S stem Proposed: GI, Proposed: '3 ty Y �Electricity ❑ Oil
Total: Total: V7`Individual System ❑ Woodstove ❑ Propane
If not sewer,fill out the following: ❑ Heat Pump
Itonventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply:
❑ Private well ❑ Two P. ' Well[/Public:Name of water system: IA
b
Square Footage:
For OfflCe LI my 7
Main Floor (D 3 6 I 0(Q 10`
2ND Floor 1�' Consistency Review ,0 0
Base fee ( t 3 _ .15
3rd Floor
Plan Check fee—65% 90(3 . 7 4
Htd Basement State Surcharge fee "k, ')O
Unhtd Basement Subtotal 133� c�G
Garage/Carport 4. 9 0 I 3 30 Q 11
• Pot Water Review fee U-1
Decks — 911/Rd Approach fee I 1
Commercial III TOTAL
TOTAL a , 5�3. be
Industrial Receipt# '7 ( '.(22
Other Cash/Check# 1050
Total Valuation: Initials
Or i Date a//g/05
Estimated ost: t (' I ()(em) `)
If within 200 1\3
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 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 provid- .cc ss and right of entry . efferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections.
Access and right of en to e applicant's pro.-rq or structure shall be
all occur during regular business hours.
Signatur-: /� , Date: 8/ Gl_S--
H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpernutApplication 11-8-01 OVER
•
w , . °,�, JEFFEEON COUNTY Yti DEPARTMENT OF COMMUNITY DEVELOPMENT
"QS�. No,. O 621360/379-4450•Sheridan Street800/83Po1-• rt2678•Tosend360/379-4451F•Washingaxton 98368
wn
www.co.jefferson.wa.us/commdevelopment ."' 1 8 `:r;
Master Land Use Permit Application Form
PROPERTY INFORMATION
Tax Parcel Number: El Q Q 0 0 0 5 0
Subdivision Name: __..' yU v-\ v v --( 1
Lot Number: � 0
Property Size: /a ( IW ` (acres/square feet) Existing Use of Property: / .Y e.r- "c k_ `0 f
Site Address and/or Directions to Property: i�_��( ;, / )y 'I
APPLICANT& OWNER(INFORMATION
Applicant(if applicable): ).) a\,— 7r,,,Z.J S (
Telephone: -3"7.7 -6 i. SS
, / Address: { b (? `) - , }3k _, f�.
( City: E►,-,t,� t 1 n L,�; n G� Zip Code: �`� } Email Address
Applicant's Signature: J i4._.1.....j_s_ta, te:(NilaC
_,_ _�
Property Owner(s)of Record:IS Telephone:
address:
City: State: Zip Code: Email Address
I acknowledge that the applicant above is applying for a building permit on my property.
Owner's Signature: --;
I her y designate ; 1 ( ) / kc. ("Cc�-- to act as my agent in matters relating to this application for permit(s).
RTY OWN RtSIG/E jf f/ f )C�S
)
(DATE)
DESCRIPTION OF PROPOSED USE OR ACTIVITY(include separate sheets as necessary)
Jl tN,e' � - C VA1 IDS C.' Q.
[THIS SECTION FOR OFFICE USE ONLY]
Refer to the specific sections of the UDC referenced below for more information and further requirements.An asterisk (*) indicates
that a supplemental application or questionnaire may be required.
Type I Permits Refer to:
❑ Septic Permit/Evaluation of Existing System(EES) UDC Section 6.4.1 and Chapter 8.15 JCC
❑ Building/Demolition Permit UDC Section 3.2.1 and Table 3-1
❑ Allowed"Yes"Use Consistency Analysis UDC Section 3.2.1 and Table 3-1
❑ Home Business Table 3-1 and UDC Section 4.20
❑ Stormwater Management* UDC Section 6.7
0 Road Access* UDC Section 6.8
❑ Boundary Line Adjustment* UDC Section 7.2
❑ Minor PRRD Amendments UDC Section 3.6.13.15
0 Sign Permit* UDC Section 6.15
0 Site Plan Approval Advance Determination (SPAAD) UDC Section 8.7
❑ Shoreline Master Program Exemption/Permit Revisions UDC Section 5
0 Temporary Use(based on use may be Type II or Type III)* UDC Sections 4.38 and 4.39 (OVER)
Type II Permits • Refer to: • ?nt
❑ Discretionary"D"or Unnamed Use Classification UDC Sections 3.2.1, 3.2.2 and Table 3-1
to
❑ Cottage Industry UDC Section 7.3 and Table 3-1
❑ Short Plat, Preliminary and Final* UDC Section 7.3
❑ Binding Site Plan* UDC Section 7.5 if
❑ Conditional(Administrative)"C(a)" Use UDC Table 3-1 and Section 8.8
❑ Conditional(Discretionary)"C(d)"Use UDC Table 3-1 and Section 8.8(Discretionary Permit
Review Process Determined by Administrator)
❑ Variance, Minor* UDC Section 8.9
❑ Wireless Telecommunication Ordinance 06-0712-99(UDC Appendix C)
❑ Shoreline Substantial Development(Primary Use) UDC Section 5
O Forest Practices Act/Release of Six-Year Moratorium for Single- UDC Section 4.16.5(c)
Family Residence
❑ Appeal UDC Section 8.4.2 SEPA 8.10.12(b)
Type Ill Permits
❑ Conditional"C" Use UDC Section 8.8
❑ Long Plat, Preliminary* UDC Section 7.4
O Planned Rural Residential Development Preliminary Approval UDC Section 3.6.13(must be in conjunction with an
(PRRD)and Major Amendments* underlying land division application)
❑ Plat Vacation/Alteration UDC Section 7.1.3(d)
❑ Variance, Major* UDC Section 8.9
❑ Reasonable Economic Use Variance* UDC Section 3.6.4(h)
❑ Wireless Telecommunication Ordinance 06-0712-99 UDC Appendix C
❑ Shoreline Management Substantial Development,Secondary Use* UDC Section 5
❑ Shoreline Management Conditional Use* UDC Section 5
❑ Shoreline Management Variance* UDC Section 5
❑ Appeal UDC Section 8.4.3 SEPA 8.10.12(c)
Type IV Permits
❑ Long Plat,Final UDC Section 7.4
❑ PRRD, Final UDC Section 3.6.13
Type V Permits
❑ Special Use(Essential Public Facilities) UDC Section 3.3.5 r,�Y
O Jefferson County Comprehensive Plan/UDC/Land Use District Map UDC Section 9 =Et 1 8 2 . -
Amendment*
❑ Jefferson County Shoreline Master Program Amendment* UDC Section 5
❑ Appeal of SEPA UDC Section 8.10.12(d)
Other Local,State or Federal Permits
❑ Please identify any other local,state or federal permits required for this proposal, if known:
ACKNOWLEDGEMENTS [PLEASE NOTE THAT TWO SIGNATURES ARE REQUIRED]
By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their
knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property.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 its employees, representatives or agents for the sole purpose of
applica'on review and any re uired later inspections. This right of entry shall expire when the County (through the Administrator or the
Admin rator's representativ concludes the application has complied with all applicable laws and regulations.Access and right of entry to
the a cantt s pro rty sha e requested and 8-e on y during regular business hours. ' // U�
1. et__ L - (DATE) /
P P OWNER @@
T e 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"take"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 r arding your action(s)even if you are in compliance with the Jefferson County development code
The A Ii nt acknowledges a he, she or it holds individual and non-transferable responsibility for adhering to and complying with the
ESA he pplicant has rya h' disclaimer and signs and dates it below.
2. rPR \, (DATE)PER/26.,,.....-
WNER 1 _
..„,),.,sOx e
4 ,1 , JEFFERSON COUNTY
4 ►'�d DEPARTMENT OF COMMUNITY DEVELOPMENT
4 621 Sheridan Street • Port Townsend • Washington 98368
q _O�O 360/379-4450 • 360/379-4451 Fax
rat[livv http://www.co.Jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
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.
•
Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
tkSh / !? i ,t S } t• s
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.
Itit — I) YL V.) 1
6. Describe any excess levels of noise generated by the proposed use or activity:
•
f r APPROVED
STORMWATER PLAN
MAR 2 1 2005
stormwater site plan template—rev.10/1/2003
5
JEFF :•S Y/j)U ``
DEPT OF t<) bEC' 1' f: 1
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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.
Ire /
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.).
12Q S- t 4,1 ��t
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 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.
12)r)E jt , 7I•S rf4--4( iI-G 5).-Usv�r .. ,
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.]
tu � �
11. Describe the performance goals and standards applicable to the project.
12. Describe the flow control system.
6
stormwater Site plan tamped&—rev.t0+1/2003
13. Describe the water quality system.
it /L _
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14. Describe the conveyance system analysis and design.
6Lt
15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material.
A/4
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
47,7
17. Describe the proposed surfacing material.
18. Describe methods for restoration of the site.
, c t�`
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.
20. List here yand 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.
storrnwater sae plan template—rev.10/1/2003
7
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 elerntat is not applicable
to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual ieginning on page
2-15).
12 Required Elements—Construction SWPPP
1. Mark Clearing ' its.
z�. 't( /,
2. Establish Construction Access.
1 --- ID 7 LALA-..,— ,,,,ef-i , •1 u S'1` ; ,
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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8
stormwater site plan template—rev.10/12003
12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
IVJ4
9. Control Pollutants.
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
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11. Maintain Best Management Practices(BMPs).
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, residential
areas,roads).
s
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
iv,
4
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
A/A
stormwater site plan template—rev.10/1/2003
9
b. Description of special requirements for working in or near environmentally sensitive areas.
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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).
5. Construction Phasing.
a. Construction sequence
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.
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.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
b. Descnbe 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.
d. Runoff/Stormwater Detention Calculations
stormwater site plan template—rev.10/1/2003 10
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 conseni of all
owners of the affec roperty.
ma`s 210j
(LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED:
12
stormwater site plan template-rev.10/12003
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