HomeMy WebLinkAboutBLD2007-00055 BOLDING PERMIT APPLICATIc MLA07N00071 Review
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00055 Received Date: 2/14/2007
SITE ADDRESS: 140 FLORENCE ST
OWNER: FIRENZE COURT LLC PHONE: 206-842-9984
16221 REITAN RD NE
BAINBRIDGE ISLAND WA 981101002
IRVING PARK ADDITION
SUBDIVISION: Block: 21 Lot: 5+
PARCEL NUMBER: 963302105 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: ON THE LEVEL CONSTRUCTION PHONE: 360-434-0123
4553 SE HORSEMAN RD
PORT ORCHARD WA 98366
Contractor's License LEVEL*961 CR Expires 2/26/2008
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOF NEW SFR W/ATTACHED GAR 120 GAL A/G PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,460
VALUATION 125,000.00 ADD'L: • tc_ HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: EEE
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
GARAGE: 488
CONST TYPE: SETBACK:
DECK: 120
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: CITY
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date: ;7//4l D—1 C ,
U
Type Amount Paid By: Date: Receipt: Approved/Date
Total: APPROVED
MAR 1 2007
Jefferson County Planning
&Building Department
Jefferson County Building Dilion Permit Num BLD07-00055
Applicant: FIRENZE COURT LLC
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2003 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks 7/'. 9/O7
Erosion Control
Foundation Footing 7/2497 r �
Footing Drains
Foundation Stem Wall ' ‘i,_o1 G
Undergroun robing ) - �w�
Straps(hold downs) t S�' tI l rG c P
Ext. Shear Wall Nailing (4` ( 177115
Rough-in Plumbing
Framing
Airseal t2 }
Insulation:Walls to,"4.
Insulation: Floors -4
Insulation: Ceiling _t'
fit Shear-Wa#-N.ailjng
Wallboard Nailing
Gas Line: Interior ,_9�/
Gas Line:Exterior_ \ )
Propane Tank
Heat/Chimney Clearance 1+
Drywell/Alt Drainage
Address Posted
1 1�
FINAL INSPECTION �'�: '�� (✓c1
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• • ..
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
Al Scalf, Building Official
PERMIT #: BLD07-00055
SITE ADDRESS: 140 FLORENCE ST Issue Date: 03/7/2007
PORT TOWNSEND, 98368 Final Date: 12/22/2011
APPLICANT: GARRETT LARSON PHONE:
16221 REITAN RD NE
BAINBRIDGE ISLAND WA 98110-1002
SUBDIVISION: IRVING PARK ADDITION Block: 21 Lot: 5
PARCEL NUMBER: 963302105 Section: 16 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GAR 120 GAL A/G PROPANE TANK
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003
EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes o
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 12/22/2011
I:\F_BLD_Occupancy.rpt 10/29/19
• .
CONDITIONS for Building Permit# :BLD07-00055
1.) PRIOR TO OCCUPANCY--FINAL APPROVAL OF SEPTIC PERMIT, SEP05-18, IS
REQUIRED.
2.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND
SEPTIC TANK/PUMPTANKS.
3.) The application was reviewed by the Jefferson County Department of Community
Development staff on March 1, 2007 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:
SARPA& SUSC aquifer recharge area.
4.) 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.
5.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
6.) 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.
7.) 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.
8.) The applicant is proposing to create or add 2980 square feet of impervious surface and
6570 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your
proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution
Prevention) of the Department of Ecology Stormwater Management Manual for Western
Washington 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.
9.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through #12 of the Department of Ecology's Stormwater Management
Manual for Western Washington 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.
10.) 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.
11.) 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).
12.) The site plan as submitted with the building permit application on February 14, 2007 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 March 1, 2007 shall be resubmitted for
review and approval by Jefferson County Department of Community Development.
13.) This approval is for a single famillsidence with attached garage and 120 gale
above-ground propane tank 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.
14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
15.) Not more than 2 unlicensed vehicles shall be stored on any lot 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 Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor
vehicles is prohibited except in those districts where specified as an autormobile wrecking
yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter
18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile
wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor
vehicles be stored in a critical area.
16.) Minimum setback from Florence Street right-of-way shall be 20 feet. Minimum side and
rear yard setbacks shall be 5 feet.
17.) 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.
18.) 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.
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.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
22.) The lot has been designated as RR 1:5 under the Jefferson County Comprehensive Land
Use Map effective August 28, 1998.
23.) An address of 140 Florence Street has been assigned to the lot. Florence Street is a
county local access road (C624019).
24.) A septic permit (SEP05-0018) was approved on March 22, 2005. A complaint
(COM06-0005) for an alleged fence built without a permit is pending and affects
approximately 6 houses along Florence Street.
25.)
26.) The lot was created through the Irving Park Addition Subdivision on May 5, 1888 and
amended on December 26, 1990 under AFN 337104.
27.) An Engineered Stormwater Plan dated May 4, 2001 prepared by Colette M. Kostelec, P.E.
was submitted with a stormwater permit(BLD01-0261) for the eight parcels that comprise
this development. The stormwater permit was approved and finaled by Jefferson County
on April 15, 2002.
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' _ JEFFERSON COUNTY DCO
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,w� �g �r3 DEPARTMENT OF COMMUNITY DEVELOPMENT
�' S Sr `'� 621 Sheridan Street • Port Townsend • Washington 98368--=- f
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360/379-4450 • 360/379-4451 Fax
�S 0, 0 www.co.jefferson.wa.us/commdevelopmeit s � ��07
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Master Permit Application I IL-A: (%� _�\
Project Description (include separate sheets as necessary): 1 JEVEL01-1,,L ,1J
CA'N 97 S:=,C f— 2 C44. c , G4..�
Tax Parcel Property G�
Number: 9 .p 3 302 ( 045. Size: 'Z.' -I&o I S.f- (acres/square feet)
Site Address and/or Directions to Property:
1 '0 R-e'1eoc-r_- sr.
Property Owner(s)of Record: Fj'aFf4- GOAT CA—L. C-iArazE ( ei,)
Telephone:ZO6o &e. 9964 Fax: 2 6412 1.7913 email: t:Zigre114614.42wHAecirtr ,oal
Mailing Address: ((i,ZZ f, 6N IZb la,4.1 1- 47.114S I e,110
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit? (Check each box that applies
Building 0 Variance (Minor, Major or Reasonable Economic Use)
Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular 0 Special Use (Essential Public Facilities)**
❑ Commercial* 0 Boundary Line Adjustment
O Change of Use 0 Short Plat**
g Address 0 Road Approach 0 Binding Site Plan**
❑ Home Business 0 Cottagelndustry 0 Long Plat**
❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Sign 0 Plat Vacation/Alteration**
❑Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
❑Stormwater Management 0 Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
❑ Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
0 Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request
*May require a Pre—Application Conference _ **Requires a Pre-Application Conference
Please identify any other local, state o 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).
OWNER SIGNATURE :e / Date: Z•Y7/'O7
By signing this application 'a m,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, indemni and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in any w accrue a ainst Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide ac ss and r' t of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required I r insp , ' s. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applicatio t he o ants prior n tice.
Signature: _ Date: Z' ) , ° 7
The action or actio Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered speci s 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" A."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will n violate th ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in mplian ith the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferabl onsibil' adhering to and complying with the ESA. The Applicant has read this disclaimer and.signs and dates it below.
Signature: _ Date: "2,... l y ' 1 7
G:\PermitCenter ###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
1 BUILDER STATEMENT
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFAC PHONE: Fax:
"w 7,'/JE AvL Co/✓s7 (36o ) '3/ 0/23 ( )
MAILING ADDRESS: 95s"3 S. /04.57 h4Ai J-p EMAIL: 0/ 7, Lf/-cv�o7� L ii.e, . U.
CONTRACTOR'S LICENSE / 7344 WAINS
NUMBER: Levee,c 76/C/( NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
A New y.1- Wood Existing: ❑ Sewer
O Addition 0 Steel Proposed: Z Bank 0 Community System
❑ Alteration/Remodel 0 Concrete Total: Height: 0 Individual System
❑ Repair 0 Masonry SEP Permit# 0'5 '',r;'
O Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: _,-3-_ 0 Public
/ -diLl.�b 4j4..• Total: Name of System:
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Z. Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IRC Type of construction: Will you have Food SeruicP'? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
i Underground Tank XAbove ground Tank Size of Propane Tank: ;'1-..r C
I Heat Stove ` 'Cook Stove i WoodstoveX Fireplace Insert i Hot Water Tank I Pellet Stove i Other
Is this appliance being installed in a Manufactured/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 Current Proposed For Office Use Only Amount Revision
Main Floor Heated VCDEH Bld App Review:
Floor Heated \ \ 4I },-v' Consistency Review: I b'D
Other Heated l Base fee: �-Jr �ci J —` 1S' °� 1�
Mezzanine Additional Section: t - L in
J Heated Basement Plan Check �2(�( _ �1 \ Lao (oil
fge
Unheated Basement State Surcharge fee: ...e\ 0
Other Unheated Pot Water Review fee: 3
l
Garage/Carport SUBTOTAL
Decks /2 D 911/Rd Approach fee: ' a-
Other TOTAL: $ 11(oOaS� XI
3
'y .L tip•1. Recei t Number-
AP(
,I-, P531336 I70402-
t0rt as. ' Cash/Check Number: 'G� CAS
ESTIMAT 3 - e . O UIRED) � Date: � �
•Fair •.rket value of all labor an. .,aterials foundation to finish 1 Q i (4C�t, �CJ/40 I
"/ZS:JdCra lnitia(sE B. 1 4 200; 4'- '
, 4
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G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc JEVELOPMENT
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4N4 JEFFERSON COUNTS 1� "
4 . .... .-3:, DEPARTMENT OF COMMUNITY DEVELOPMENT FEB . 1 4 2007 i
►c '- ► , , 621 Sheridan Street •• Port Townsend •• Washington 9836 J
Q 360/379-4450 • 360/379-4451 Fax •'`�
9Zt1N OPMENT
http://www.co.jefferson.wa.us/commdevelopment/ __. -jori ___
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
,
MLA# M• I1 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.
w^.-ERA
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.
St'.- p v I a L) 4...1 c,L fsrZF-o
4. Describe the existing soils. Indicate soil type on the site map.
PLC 6bNNlb
5. Describe the existing site hydrology(i.e., drainage;behavior o1 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.
*L7 I N Ft L T S \(‘ii4.7,1t o r`1 Gb Nrkci- — Atal Uf 4L
APPROVED
6. Describe any excess levels of noise generated by the proposed use or activey: STORMWA'I ER PLAN
NaVAiza, Cb Tru1 c77- t•J O 1 S-16
MAR - 1 2007
StormW er 's _
Required JEFFERS° U T \
DEPT.OF C . tr Y EV L P ENT'
SIGNATURE:
stormwater site plan template—rev.10/1/2003 5
• •
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.
No .AP s d N >es rt. f
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.).
6 N Ez. (- T T a w 21.4 b(Vt Sl e
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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.
� -� .sty, (N�"T6C..L "" [I�l ?z)a 4. _ 2 0 6 5
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.]
Fr or)c.-r't o, ► ( r rrc -
11. Describe the performance goals and standards applicable to the project.
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1t. Describe the flow control system.
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stoonfi later site plan template ev.10/1/2003 6
• •
13. Describe the water quality system.
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14. Describe the conveyance system analysis and design.
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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.
large" is is normally required for
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 and include any special reports or studies conducted to prepare the Stormwater Site Plan.
5U1S i I
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.
4.
OVair7)
stormwater site 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 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
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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.
6. Protect Slopes.
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7. Protect Drain Inlets.
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12 Required Elements-Construction SWPPP(continued) ! (
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 downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
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3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
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b. Description of special requirements for working in or near environmentally sensitive areas.
4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site
soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure).
5. Construction Phasing.
a. 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).
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. Identify 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.
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.
a. Sediment Ponds/Traps. J J�_ GL V I lam 71 5C4 NJ
b. Diversions.
c. Waterways.
d. Runoff/Stormwater Detention Calculations
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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.
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 control/restrictor 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 l3MPs 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 4 da n�'to tie used fdr Monitoring"relater quality on
the construction site. Sampling stations should be located upstream and dow�r'st ,a rof the projectsiYe__-
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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 C structi SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and
correct to the be t of m owledge. I also certify that this application is being made with the full knowledge and consent of all
owners of the a ected ' rty.
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( DOWN R AUTH ED REPRESENTATIVE SIGNATURE) (DATE)
THIS ACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED:
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