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BLD2006-00025
CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD06-00025 Issue Date: 03/29/2006 SITE ADDRESS: 303 BOARDWALK AVE PORT TOWNSEND, 98368 Final Date: 5/8/2007 APPLICANT: BRETT N NELSON PHONE: 360-385-0279 CHRISTINA L NELSON PO BOX 205 PORT HADLOCK WA 983390205 SUBDIVISION: FULTZ SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 001342001 Section: 34 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NSFR WI ATT GARAGE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: 10-) TYPE OF CONSTRUCTION: CSNJ j SPRINKLER SYSTEM yes (no) THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/8/2007 , . . ,' '-'''''', . -- '') roc. - S FrEl Oki_ - ' Ir15 Mi4._ c't 01 Bt�f' ing�ffirial Si nature Date I:\F_BLD_Occupancy.rpt 10/29/19 *JILDING PERMIT APPLICATI MRLA06-000 ': Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: SITE ADDRESS: BLD06-00025 303 BOARDWALK AVE Received Date: 1/23/2006 PORT TOWNSEND, 98368 OWNER: BRETT N NELSON PHONE: 360-385-0279 CHRISTINA L NELSON PO BOX 205 PORT HADLOCK WA 983390205 FULTZ SHORT PLAT SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 001342001 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: APEX CONSTRUCTION PHONE: (360)765-4374 PO BOX 807 PORT HADLOCK WA 98339 Contractor's License APEXC**000CZ Expires 1/16/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 275,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 4 Prop: 4 Total: 4 Total: 4 Routing Date: t a'-\ 10(q;;i:) Type Amount Paid By: Date: Receipt: APPROVED `/E Permit $1,973.75 LYK 01/23/06 79019 / �l Plan Check $1,282.94 LYK 01/23/06 79019 MARa`A 2006 State Building Code $4.50 LYK 01/23/06 79019 Potable Water Application $55.00 LYK 01/23/06 79019 Jefferson County Planning &Building Department Total: $3,316.19 00 L • . BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00025 Received Date 01/23/2006 SITE ADDRESS: 303 BOARDWALK AVE PORT TOWNSEND, 98368 Issue Date 03/29/2006 APPLICANT: BRETT N NELSON CHRISTINA L NELSON PHONE: 360 385 0279 PO BOX 205 PORT HADLOCK WA 983390205 SUBDIVISION: FULTZ SHORT PLAT PARCEL NUMBER: 001342001 Block: Lot: 1 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: APEX CONSTRUCTION PO BOX 807 PHONE: (360)765-4374 PORT HADLOCK WA 98339 Contractor's License: APEXC*k000CZ Expires: 3/29/2008 PROJECT DESCRIPTION: NSFR W/ATT GARAGE CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS:UFFER: /3(/ (c7 Footing: ?j f 3/ C) Foundation:j ,. `'4I7 Ob Stormwater FINAL Approval: '7 • r- )//-. o4. Underground Plumbing: tffi}S a-/y.o4 c_AAS4„-'&.t,-, Underground Insulation: Shear Wall : Ekr dJ 5fr/DG, i N\ k*V C7 ce' 'Z- 0 Sheathing: Framing: , ;f0D-fuhco(),4 ,i/ple:, 6,,v�,<, ,k,-,,,9.v-criaau� t"2.,.ns Plumbing: "-{-ao Propane ank/Lines: Insulation: lI5Lruor, L116p Ro.,+... Lew.�i I .l,o Sheetrock: -'\.;(C AlA Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: , 5-1 r'7 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 SPECIAL CONDITIONS FOR CASE # BLD06-00025 1.) 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. 2.) A Stormwater Site 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. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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). 5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 6.) The building height is not to exceed 35 feet. 7.) 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. 8.) 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. 9.) Minimum setback from Boardwalk Avenue right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 ON � JEFFERSON COUNTY E ! Yj �C } • ,r ' ' DEPARTMENT OF COMMUNITY DEVELOPMENT ► `1 0s21 Sheridan street-Port Townsend-Washington 98368 ' JAN 2 3 2006 3601379 4450• 360/379-4451 Fax ! www.cojefferson.wa.us/corntrideveloprnent Master Permit Application MLA: 0 (0- 1 61 Project D�iptsK.t� Q ate sheets as necessary): Q Tax Parcel (� /`- Property ; 9(?,'£// `)' /- Number: 0 0 1. I-1 , et , Size: 04 a fi//.(0'f- (acres/Square feet) Site of5 . riTi A V- dIK_y s) Record: I rections to t S , _ el Telephone: S L_` -..S (�,t_ �'7 Fax email: Malting address: l� C /30: X :?0,5` �! lr �, �104. T,ta7-9 iApplicant/Agent(if different from : 1 Telephone: Fax: email: fvfailing What kind of Permit?(Check each box that applies) L/Suilding u Variance(Minor,Major or Reasonable Economic Use) u Demolition Permit a Conditional Use(C(a),C(d),or Cj** 'K Single Family u Discretionary'IT or Unnamed Use Classification u Garage Attached/Detached u Special Use(Essential Public Facilities)'* L; Manufactured Home u Boundary Line Adjustment u Modular u Short Plat** Lr Commercial* u Binding Site Plan** U Change of else a Long plat•* u Address so)/ I Road Approach U Planned Rural Residential Development(PRRD)/Amendments** u Propane u Plat Vacation/Alteration** u Allowed'Yes'Use Consistency Analysis u Shoreline Master Program Exem ptiorr/Permh Revisions" a Stotrrwvater Management a Shoreline Management Substantial Development•* U Site Plan Approval Advance Determination(SPAAD)* u Shoreline Management Variance u Temporary Use u Comprehensive Plan/UDC/Land Use District Map Amendment u Wireless Telecommunication* u Jefferson County Shoreline Master Program Amendment u Forest Practices Act/Release of Six-Year Moratorium *May requf e a Pte Conference Requires a Pre-Appfs7ation Conference Please Identify any other local,state or federal permits required for this proposal,if known: DESIGNATION OF AGENT i hereby designate to act as my agent in matters relating to this application for permit(s). OwriER SIGNATURE Date: By signing this application form,the owner/agent attests that the hrftxration 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 attorneys 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 application i review and any required tater citrus. and riyt of entry to this property shall be requested and shall occur only during regular business Signature: J' Date. � Z/ The action or actions Applicant wilt 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'clan 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. My individual,group or agency can file a lawsuit on behalf of an your action(S)even if you are in compliance with the Jefferson Countyendangeredht ,sheNavies ins regardingindividual al development code.The Applicant acknowledges that he, a it holds individual and non-transferable ' and complying with the ESA The Applicant has read this disdatrtsigns and dates it below. Signature: - /1 1" Date: /,2 e -/ . 9 C:\Documencs and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc ID Ill OWNER BUILDER STATEMENT . , ! r `___._.___':,_,___._: i , ':, • The signer of this moment doesthenstry�`thattheyCa are the Owners oft*parcel referenced herein,that-Mey`ers not , they w be assuming the or000sed o° J N IV o� J LU ' Signature: ?i• ��G� Z"�t. Date: / •1 Y` %I Jf t - CONTRACTOR i NLIFACTURED HOME INSTAL at: 1�I- i S• F _.r MAILING ss: V r - O) 3h -L43-1 (%,07 - ,3`7 CONTRACTOR Mast WAiNSC 0 Nt> : LC I -S C vcR C',Z O ©Y 7 NUMBER AtcwrEcrtEndn . Apr! T! ` r 4'"•►e:0 i:0 PHONE ✓• ; 3, -?;,-.'d,Ji-� FAX:( ) ADDRESS: EMAIL Project Type: ' Frame Type: Bathrooms: Shoreline: ' Type of Sewage Disposal: ..)c- Wood Existing: Sevrer 0 Steel , $ k i - D-Community System fl © Cona ebe Tom: _ n Repair 0 Masonry Bedrooms: ,l ■■ SEP Penult# C -'t''Ow'$L 1 D Demolition 0 Existing: •* Private• well D Two Pay , Proposed: ._ tamPtiT y of 4>/..- /C��2 Tatad: .e/ 1 ofSystem:{�, IA-. V/. ! !Li, a •. y�• - «,.. ..i eL 11: 1:;. _ '1; .a:1. --, Number of Parking Spaces•,�•e'�!!�t:. /' Proposed: . Spaces: Number of occupants(" *Atli:, .. _ %�*►�, .: .�;,etc) Current A - r i . IBC :. of - f = F. Service? Yes I No if this is a - .. ::1i T:. . L• ` - Instal :;, . -,l{ I mark all hems below that ..s t., . underground Tads I Above ground Tank Size of Propane Tank i Heat Stove I Cook Strove I Wes„e I Fireplace Insert I Hot Water Tank I Pellet Stove u Other Is this aovliance bebiu installed in a Manufactured i Mobile Home? Yes I No When applying for a permit to install a propane tank you must also submit a site plan shoving all of the buildings,all property tank location and sias, -hem-the propane ink to all propes-ty lilies,buildings and septic sys mom, Including the reserve area. Square C Footage For Office Use Only , F-14 5 C P/R ES 2�; (�,5.roposed AmountCO�t Mahn Floor eu Floor 11. ,f . 115,q I,y.Consistency i2eview. t`�3. /,�.S Base fee: �y y- 3T0 Floor _l q�5 53q Addt�ornal Section: `t 75 ° 1 Mezzanine: - • Plan Check fee: 1 )aF5o?• 9`4 Heated Basement . State Surcharge fee: Unheated Basement Pot Water Review fee: Other Unheated 91 lRd � � (1 •bD Approach fee: �j., Garage/Carport - e , 11,<1 O �—��`-®-'?t(11/�1. e 3 I,1, i I)9aLr.42 TOTAL: $ ,_-7 ."�i 7i /• i `1 Decks 'i, Receipt Number:T Cashlcheck Number: ,� V L 1 W.a.i o►C - qt 1 I i-7$ .50 10 (3 ESTimwTED C (RE ) oZlP$ (c'�1G`�j ' .Fair ma*er value or:, .:„. and :.'*::..: Mina h4.•J l'J(C� 4a'75 OW . 14-z..) cfiziocuments and sutiog\m+xhil\•*;,r.•.im P -a oa d„c • JEFFERSON COUNTY tiac'i - '44414 Ki DEPARTMENT OF COMMUNITY DEVELOPMENT JAN 2 5 24)6 3 621 Sheridan Street • Port Townsend -Washington 98368 �O 360/379-4450 • 360/379-4451 Fax i'Z.[fl► http://www.co.jefferson.wa.us/commdevelopmentl STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# �,s C{, ,�L,'' PROJECT/APPLICANT NAME: Li : .-.a.t.‘,y._ JJ . R 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. .J`, y Existing Conditions Summary 2. Describe the existing topography. indicate contours on the site map. tit .fir. = -1,--1 1;:k = I q 4A e- :,;- (i, 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. a1 t 4. Describe the existing soils. Indicate soil type on the site map. tLCTL:.,- ',_,it V..:.�,..` 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 appli le,and indicate acreage of each. L� r _ b 6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED k: l: 1,- t- _ STOP M WATF,R PLAN \. - AA31 2006 trrN Stor►wa R �u�CP 1EFFE S UNT I 5 stormwater e plan template—rev.10/1/2003 ', Pi DF.PT.OF C T GVFL f�NT'. SIGNATI;RE w • • 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. 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.). 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. > C:,f rw.t.a'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.] • 11. Descnbe the performance goals and standards applicable to the project. 12. Desc- the flow control system. • stormwater site plan template—rev.10/1/2003 6 • • 13. Describe the water quality system. ‘,\.\, -\ \\ al 2 5 2006 - 14. Describe the conveyance system analysis and design. \`1 \\\\-- _ 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. \\.., \1r- . 16. Proposed thods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Bt�il ing Code. \\+..r `k 1 17. Describe the proposed surfacing material. 18. Desc' 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"prorjects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. 1\4 ) 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. l : 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. tFyti — stomiwater 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 emd v�,.e 1;1. r ,J L.C:..r.4 LLL .e0.4. 2. EstablishConstruction Access. ' 1 •\ �,L% ,.ZJ�C r� (1� SL .A-&t L t' / VL[i�t;4 !. � 3. Control Flow Rates. \� t• 4. Install Sediment Controls. t;_\ 4),L. AAAA441_ •••••1.\ -.A—L-Am•-• 5. Stabilize Soils. � 41�.•' , _y1 6. Protect s. 11‘1/4"' 7. Protect Drain Inlets. l u C kt, storrrrwater site plan template—rev.10/1/2003 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channe and Outipts. , 1 9. Control Pollutants. , ;S P 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 1, W ,✓ �a.,Si �� t7 -� t, i {— I f»i / ��1 _ 11. Maintain Best Management Practices(BMPs). .....t., 12. Manage the Project. \t_. I.-..- 2. Adjacent Areas. a. Description c,f the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 1 b. Description of downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). n i 3. Environmentally Sensitive Areas. a. Description of-environmentally sensitive areas that are on or adjacent to the site. stoiumater 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. Construction sequence b. onstnxtion 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 t 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?wrier responsible for a initia'on of bonds and/or other fin al securities. . >s, 1. 1) .Q s �` b. ds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation i 8. Engineering Calculations. Provide Design Calculations on a separate sheet fbr the following,if,applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. t.N ) d. Runoff/Stormwater Detention Calculations` stormwater site plan template—rev.10/12003 10 • • • 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 SW PPP 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. JAN 2. 5 2006 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. Desig locations for swales,interceptor trenches, or ditches. b. Showpermanent orary and drainage pipes,ditches,or cut-off trenches required for erosion&sediment control. c. Pro i um slope and cover for all temporary pipes or call out pipe inverts. d. Shows ;dimensions,and direction of flow in all ditches,swales,culverts and pipes. e. Provide etails 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. af-\\Show the locations of sediment trap(s),pond(s),pipes and structures. b' \imension pond berm widths and inside and outside pond slopes. c. li\d to the trap/pond storage required and the depth,length,and width dimensions. . P vide typical section views through pond and outlet structure. \ rovide typical details of gravel cone and standpipe,and/or other filtering devices. tail 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 cfam(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. er,N 7. Other Pollutant BMPs. Indicate on the site plan die tiops of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). +‘t; 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring w er quality on the construction site. Sampling stations should be located upstream and downstream of the project site. r 1'.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 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 affect property. 'Ittkiti t � A/// � /;" (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: J A N z }J 2000 12 stormwater site plan template-rev.10112003 • 0 ; 21 -,1 x 1 4 - ; ; : ' 1—.7 i CLOW Ul . A gi' m il -, Z 112 z .L. . z :, , _ _ 1 s : ...?.. I 0 0 7 g ...,-, SASIOW r, 71 .•••=" • 1— e z * . ) , -r < .1:1 4 ... g 4'r•-lr 4 A I § ; c L.,9 9 J. 4 ' • ili /''' '-x-W •-cl. ' ... • .- . .—......... SOMA wt.,„,G. SUOU 7: A a li : z ,t t. 4. ;.' 3 ' ,t 27; P • m N.' F to-:1721 A4 4 - T ,_.- r I I 1 1 Atii 4 g 7 T 7 M 1 8.10 AGA 1 glitii !° s.4 J D sm=tom 1--_____J suoER/PA/OLOSA ==== — — — — — — 4 P2 A '3 —2 bil 7;5 's „ 4 1 .:, xl E4 Z §. MAU SALL OA 0.9 k •„, 5:..J.5. r.•.:409 NOW 1,-9 ; C) 11••-.4\:.- --1 • ‘ 4 - II I Al 0 l * j - m . .‘ e prED UMW AIX ... . • ... , , ;-' -ri , __--_, 4 — . ..4 vs___ . . _2: Z . 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