HomeMy WebLinkAboutBLD2008-00520 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 #: BLD08-00520
SITE ADDRESS: 165 SWANSON AVE Issue Date: 03/3/2009
PORT TOWNSEND, 98368 Final Date: 11/9/2009
APPLICANT: MICHELE MUELLER PHONE: 425-876-3725
PATRICIA L NERISON
2039 NW 62ND
SEATTLE WA 98107
SUBDIVISION: OCEAN GROVE ESTATES#2 Block: 8 Lot: 18+
PARCEL NUMBER: 977100824 Section: 24 Township: 30 N Range: 02 W
PROJECT DESCRIPTION: NSFR W/A/G 100 GAL PROP TANK
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING
CODE 2006 EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes (no -
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/9/2009
I:\F_BLD_Occupa ncy.rpt 10/29/19
UILDING PERMIT APPLICA•N MRLA08 0eview 0p514
e: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00520 Received Date: 12/30/2008
SITE ADDRESS: 165 SWANSON AVE
PORT TOWNSEND, 98368
OWNER: MICHELE MUELLER PHONE: 425-876-3725
PATRICIA L NERISON
2039 NW 62ND
SEATTLE WA 98107 OCEAN GROVE ESTATES#2
SUBDIVISION: Block: 8 Lot: 18
PARCEL NUMBER: 977100824 Section: 24 Township: 30 N Range: 02 W
CONTRACTOR: INTEGRITY HOMES & REMODELING PHONE: (360) 316-9472
124 SWANSON AVE
PORT TOWNSEND WA 98368
Contractor's License INTEGHR953PD Expires 9/29/2009
REPRESENTATIVE: INTEGRITY HOMES PHONE: 360-346-9172
DONNIE CHARLTON
124 SWANSON AVE
PROJECT DESCRIPTIOI' NSFR W/ A/G 100 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,170
VALUATION 240,000.00 ADD'L: 723 HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER: 187
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 345
BANK HEIGHT:
SEWAGE DISPOSAL: CMY
WATER SYSTEM: OTHER
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date:
Type Amount Paid Bv: Date: Receipt: /\P�'t V E rD
Permit $1,777.75 LYK 12/30/08 105211 H V
Plan Check $1,155.54 LYK 12/30/08 105211 MAR 3 ?.009
State Building Code $4.50 LYK 12/30/08 105211
Total: $2,937.79 Jefferson County Planning
& Building Department
Jefferson County Building •sion Permit Nurr: BLD08-00520
Applicant: MUELLER
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2006 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 4-/_eOl
Erosion Control 4-�)` � BMPs during construction. Drywell or raingarden minimum 10 ft from
CI\ prop lines and structures.
Foundation Footing ^
�.7 Footing Drains 5—
l°1 9e*--
Foundation Stem Wall 4 - oc E
Underground Plumbing `{`ry f
4 ,/)`,,, 1E,f}i 1 (R./ZS -- 1l )_7/07
Under Floor Framing
Straps(hold downs) -/g)ôc, )4
Ext. Shear Wall Nailing i'k 4)
Rough in Plumbing —1g-01
Framing f/
( -Ut( ti
Airseal
Insulation: Walls S_r1_o 1
Insulation: Floors Li 17(01 R,lo S UA,3
Insulation: Ceiling �i lS_134k
Int. Shear Wall Nailing
Wallboard Nailing 1 I —9 -V/ ),- .
Gas Line: Interior ' • it----
Gas Line: Exterior 1-0
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage 5-17)Q1
5L'
Address Posted
Miscellaneous solar panels roof
Miscellaneous heat tubes side wall
FINAL INSPECTION ((L t -0 ¶ , .
FINAL INSPECTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD08-00520
1.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND
EDGE OF SEPTIC TANK AND PUMP CHAMBER.
2.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF
THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS,
TREATMENT AND DISPOSAL COMPONENTS.
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 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 automobile 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 requirements 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.
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.) Minimum setback from Swanson Avenue and Becker Street rights-of-ways shall be 20
feet. Minimum side and rear yard setbacks shall be 5 feet.
9.) A 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.
(1S-4,
ON cb JEFFERSON•UNTY •
3 DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend • Washington 98368
4,1118100. 360/379-4450 • 360/379-4451 Fax
�`�f�i7NO`S5 www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: _� I U
Project Description ( ude separate sheets as necessary): _
flame/ Z ►, 1 � CP f 9<W -drop (iv )Ic
Tax Parcel Number: q 17 l all) Property Size: (acres/square feet)
Site Address and/or Directions to Property:
14 F�i 1 * 14 77"36k
Property Owner(s)of Record�e�.G f1 .P,� Qtn.,�—j1 tl /V e r o t'l
Telephone: 425 B'7(0 3725 Fax: email:
Mailing Address: Z.3`j Nw G'z-
Applicant/Agent(if different from owner): jeVlvl Cesar
Telephone: 38b� Rig Fax: es en s 6�J
email: Gate gf .covet,
Mailing Address: g ll{ ar.[o(
What kind of Permit?(Check each box that applies
jggwilding ❑Critical Areas Stewardship Plan
Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
0 Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]**
0 Manufactured Home 0 Modular ❑ Discretionary"D"or Unnamed Use Classification
0 Commercial* 0 Special Use(Essential Public Facilities)**
0 Change of Use 0 Boundary Line Adjustment
0 Address 0 Road Approach 0 Short Plat**
❑ Home Business ❑Cottage Industry 0 Binding Site Plan**
❑ Propane 0 Long Plat**
❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration**
❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre-Application Conference 0 Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
•
EGNATION OF AGENT
I hereby designate ' e1Nt r to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE j ,bl.;. /4ilitda � Date: I pY
By signing this application form,the ow er/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or its 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 and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required ter. s ectio . S ff's access . .ht of entry ill be assumed unless the applicant informs the County in writing at the
time of the ap lication t t h or he nts ' r notice. A
Signature: h. 1..44.pg Date: / Q. V g
The action or actio s A licant will undertake
as a result of the issuance of this permit may negatively impact upon o e 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 regarding your
action(s)even if you ar n cd(np.ance ith the fferson Co• . lopment de.The Applicant acknowledges that he,she or it holds individual
and non-traVerable r o it)* y for he in o a d comp . '
ytke ES . he Applicant has read this disclai r a signs and dates it below.
Signature: •µ.+.�, ( _ Date: /2 0 5 �
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
0 .
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 MANUFACTURED H INST LLER: PHONE: FAX:
�o�nre (- sec3ko)571 9od3 )
MAILING ADDRESS: MAIL: IK '}r4 LtsB f ,60w1
CONTRACTOR'S LICENSE WAINS ✓ JJ
NUMBER:
lNTe- HP 163PD NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
)4 New xj Wood Existing: ❑ Sewer
❑ Addition El Steel Proposed: — Bank o Community System
❑ Alteration/Remodel ❑ Concrete Total: '' — Height: 11 Individual System
❑ Repair El Masonry �/4 SEP Permit# OG -aySG
❑ Demolition El Other: Bedrooms: Water Supply:
Existing: _V — Setback: ❑ Private well Cl Two Party
Type of Heat: Proposed: _2_ 9 Public
ate, Total: _2_= Name of System:
If this is a Commercial Project 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 Propaneakand/or Appliance Installation permit,mark all items below that tapply:
I Underground Tank, ove ground Tank Size of Propane Tank: I( )j
I Heat Stove I Cook Stove I Woodstove 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 ..• „s'.z .Amount , Revision
Main Floor Heated it
O '(���'iv EH Bld App Review: Z —
2nd Floor Heated 1 73 700 Ct Consistency Review: — 13-1
Other Heated Base fee: 111. C
Mezzanine Additional Section:
Heated Basement Plan Check fee: -c —.
11��
Unheated Basement State Surcharge fee: 51)
Other Unheated !0
t 4`i c- 10 Pot Water Review fee: bX LSn I3(
Garage/Carport SUBTOTAL
31(1 'c. ffff 777/
Decks /r S--no4co 911/Rd Approach fee:
CXISi1 -€)
Other TOTAL: $ 3 (Vi , ri
Receipt Number: `oc7:)-al
ic10 S�CashlCheck •
Number: 1L` 73
ESTIMATED COST(REQUIRED) � Date:
•Fair market value of all labor and materials foundation to finish 17- �T c'
d r7� Initials: —_
•
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
. APPRo jig
r STOMA
ER P."
LAN
O JEFFER '.ON
Y ui i! .1 DEPARTMEN OEbCQ tof,. •.' %Po - - .v foie,
621 Sheridan Street • Port Townsen t. • ►►as• • . '� :
4 360/379-4450 • 360/379-4451 Fax
Z/IN http://www.co.jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# l J U )I LI PROJECT/APPLICANT NAME: / /'L. 4�L-�/
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. � - d /
-Tat lzfr• is te.�'Iwe - 1` c.,, 9.,,,e(Aeaxpo-se --li-.e_3.-14 kt4, P , • r,4
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Existing Conditions Summary
2. 2..
cribe the xisting topography. Indicate contours on the ite
s.4 2' ,.( s rasa e v o 14 11 gf /P• CG 54o-VasS 41
3. Descr' e the existing vegetation. Indi to native vegetation areas on thgsite map.
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As Gvr ll �t r Jhr, X .s 77 �MSt / ,c a,►- / V
rrrl� y S lea„- .cam.
4. Describe the existing soils. Indicate soil type on the site map.
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5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site—above, below, and on the ground). Indicate
existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if
applicable,and indicate acreage of each. ,,
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6. Describe any excess levels of noise generated b the proposed use or tivity:
storrnwater site plan template-rev.10✓1/2003 5
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7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams,
st59p slopes, c.)on the site. Indicate location on the si�m c...ap.
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8. Describe the general vicinity of the site,including adjacent land uses and structures, utilities, roads,and sensitive/critical areas
(streams,wetlands,I es,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:la and diff rentiate roposed fad ties m existing facilities.
as.- 4w 64,0i-l'YS J
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.]
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11. Describe the p ormanc� andards applicable to the project. � �,
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12. Desc ribe the flow control system.
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4, cgstet- j Ast (1e4 tocil •-. ?--- 1 .4- i.,a ,,, r,
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stormwater site plan template—rev.10/1/2003 6
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13. Describe the water quality system.
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14. Desce cQeyance,system analysis and design.
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15. Describe the squrce of fII, na tial,physical characte 'sties of fill material,and deposition of excess material.
e_-�,dL tAr,e (2-4711&(Lj
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
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Unif rm Building Code.
17. Describe the proposed surfacing material.
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18. Descri metho s for restoration of a site.
i?.....1.:,:_ct dAra.,,,,.... 42,%re 6.00 /►
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.e.
/"7
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
/144
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
restrictionsA here.
ic
/vV
stormwater site plan template—rev.10/1/2003
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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 Cearing�Li�mrt�s. •
rit-
2. Establish Construction Access.
vim., 01.04,4
3. Control Flow Rates.
4. s.
4 sP tall S.1 A.\ Coq of t �
5. tabilize Soils.
6. PriFlopes.
7. Protect Drain Inlets.
477
stormwater site plan template—rev.10/1/2003 8
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12 Required Elements-Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
9. Control utants„ / - 6
4.7-j c--4 Viy,t:14
10. Cogtrol De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
11. Maintain Best Management Practices(BMPs).1 4`�,[ u- Lv-"k.-- 4-1"The-?6-C liv..41 S�`t rQ 4 v 0si._ 4
11/4-9,44,444 'n 44-9-1-1A-1-1",1-1 1 et' ..i)4 I-1
12. 'Manage the I rnoiect.
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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).
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
y r
etli
3. Environmentally Sensitive Areas.
a. 7p, ription of environmentally sensitive areas that are on or adjacent to the site.
storrnwater site plan template—rev.10/1/2003
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b. Dgscription 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. .,eibility,settleability,permeability,depth,texture,soil structure).
A7
5. Construction Phasing.
a. Construction seg-u_e�e
+ /� / 43. U✓ ' ' �'
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b. Construction phasing(if proposed)
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a ro osed co struction s hedule.
6terl '"1 p oz(o
II. Wet Season Construction Activities.
a. Pr posed
c�ion_ac tiy{ties.
b. Proposed wet season construction activities for environmentally sensitive areas.
U4
7. Financial/Ownership Responsibilities.
a. Identify the proopperty owner s 'nCsiblefor t initiation of bonds and/or other financial securities.
itei
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b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts._
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8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. i
a. Sediment Ponds/Traps. / /
b. Diversions. / /
c. Waterways. ` `/
d. Runoff/Stormwater Detention Calculations
stormwater site plan template—rev.10/1/2003 t0
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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 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 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 13MPs 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.
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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 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.
C,<.(•.^7 ''S4) ,-13k
(LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
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stormwater site plan template—rev.10/1/2003 12
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RESIDENCE FOR:
*' DRAWN 87, KC
1'�U R-�1 R IJOi�I DATE. Ivos/oe SITE PLAN
COKER DESTGNWORKS, LI
O 165 SWANSON AVE. SCALE I".30' 8i4 GARFIELD
\, PORT TOWNSEND, WA 9S3C�8 000KER DESIGNWORKS,LLO. 2006 PORT TOWNSEND,WA PN C3601 3essa,e