HomeMy WebLinkAboutBLD2010-00154 •
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 #: BLD10-00154
SITE ADDRESS: 281 MACHIAS LOOP RD Issue Date: 08/9/2010
PORT LUDLOW, 98365 Final Date: 8/10/2011
APPLICANT: FERGUSON & COLE INC PHONE: 360-698-4665
9927 MICKLEBERRY RD NW
SILVERDALE WA 98383-9195
SUBDIVISION: PORT LUDLOW NO. 1 AREA 4 Block: Lot: 78
PARCEL NUMBER: 990400474 Section: 9 Township: 28 N Range: 01 E
PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 50 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 ON8/10/2011
I:\F_BLD_Occupancy.rpt 10/29/19
Jefferson County Building Division
Permit Nurr r: BLD10 001 54
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 20 6International 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 ct ,.t_--t Uv Minimum setback from Machias Loop Road right-of-way shall be 20
feet. Minimum side and rear yard setbacks shall be 5 feet.
Erosion Control SEE CONDITION 2&3
Foundation Footing
Footing Drains
Foundation Stem Wall tJ ADD hh n
Underground Plumbing D����/," �
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing
Rough in Plumbing j� �� /it/
Framing /
lI
Blocking
Airseal /
Insulation:Walls
Insulation: Floors
Insulation:Ceiling i.
Int.Shear Wall Nailing 1-04
Wallboard Nailing
Gas Line: Interior �
Gas Line:Exterior
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage SEE CONDITION 1 -PLDD TO INSPECT STORM WATER
Address Posted ,
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
BUILDING PERMIT APPLIC N MLA10-00182
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00154 Received Date: 5/13/2010
SITE ADDRESS: MACHIAS LOOP RD
PORT LUDLOW, 98365
OWNER: FERGUSON & COLE INC PHONE: 360-698-4665
9927 MICKELBERRY RD NW
PO BOX 245
SILVERDALE WA 98383-0245 PORT LUDLOW NO. 1 AREA 4
SUBDIVISION: Block: Lot: 78
PARCEL NUMBER: 990400474 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI NSFR W/ ATT GARAGE & A/G 50 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,940
VALUATION 204,519.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
GARAGE: 482
CONST TYPE: SETBACK:
DECK: 360
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 2
Total: 3 Total: 2 .
Routing Date: C_____ _ .._.___ `�
/)
Type Amount Paid By: Date: Receipt: A PP
r�e�,Q�eer —Permit $1,581.75 LYK 05/13/10 117687 11•�A!( ���//
Plan Check $1,028.14 LYK 05/13/10 117687 AUG q aio
State Building Code $4.50 LYK 05/13/10 117687
Potable Water Application $98.00 LYK 05/13/10 117687 Jefferson County Planning
Total: $2,712.39 &Building Department
•
CONDITIONS for Building Permit# :BLD10-00154
1.) THE STORMWATER AND ANY INSTALLATION INSPECTIONS SHALL BE
CONDUCTED BY THE PLDD.
THE PIPE ENDS NEED TO BE CUT SHORT OF THE DITCH LINE SO THE
JEFFERSON COUNTY DITCH MAINTAINANCE CREW DO NOT CUT THEM OFF
WHEN MOWING THE DITCH LINE.
THE ROADWAY APPROACH AND DRIVEWAY NEED TO BE SLOPED IN A MANNER
THAT DIRECTS RAINWATER INTO THE DITCH AND NOT ON THE ROADWAY.
2.) 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.
3.)
4.) 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.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) 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.
7.) This parcel is within the Port Ludlow no shooting area per JCC 8.50.
8.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
9.) The road approach permit(RAP10-0042) must be inspected and finaled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the
final road approach inspection.
10.) Per MPR Code Section 3.17, accessory dwelling units (ADUs) shall not be allowed in the
MPR-SF zone.
11.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
12.) The building height is not to exceed 35 feet.
13.) Minimum setback from Machias Loop Road right-of-wayshall be 20 feet. •
and rear yard setbacks shall be 5 feet. Minimum side
14.) 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.
15.) 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.
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4171%4c& JEFFERSON COUNTY
DEPARTMENTOFCOMMUNITYDEVELOPMENT
...
'� 621 Sheridan Street• Port Townsend •Washington 98368
360/379 4450 • 360/379-4451 Fax
&, p'r www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: ib - I g'7
Project Description(include separate she is as necessary): ,__
QS�=�(Z. if G IW Alf- r 9 tar( L
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Tax Parcel Number: 61 CC04 �� t��' Property Size: — (a cr?jvv Sf (acres/square
� ( q re feet)
Site Address and/or Directions to Property:
LoT 76 (.2A) M196(►141-sGc,,,,e roe-1 6„Dt_U1...)
Property Owner(s)of Record: /-'62GoSDA) 4 C , TN c
Telephone: 30o Co 2 U 63B 3 ca« Fax: 3,t'j(-2 ("i 8 SSQ(.) email: SC ri p.Ferezqs0.4c,a-cw.A.
Mailing Address: 7'?2 7 Al,Cl 8��rc! p_.o A/t„/ L fi c.✓F„ru-)RcT / w k 9 S 38?
Applicant/Agent(if different from owner): Sc,,i e t o,J
Telephone: cA/�„ E Fax:
email:
Mailing Address:
hat kind of Permit?(Check each box that applies 0 Lot or Road Segregation
ilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
Single Family r J arage Attach etached 0 Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home .0 Modular` r---- . 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach ❑Short Plat**
❑ Home Business 0 Cottage Industry 0 Binding Site Plan**
0 Propane ❑Long Plat**
❑ Sign -. ❑Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration**
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑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 0 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:
DESIGNATION OF AGENT r;H'i' 13 -LUIU
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or 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 later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application that e or he wants prior notice.
Signature: 5//31 t eD
Date:
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and Could lead to a potential"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 are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable respons• in adhering adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: �� Date: /r 3//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:
GENERA CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
477)2 (C_1U)S0-)1 (.. HC.- ( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: rElL6)()GI 1- 3 7 R tk NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Pfoject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New
Wood Existing: ASewer
O Addition 0 Steel Proposed: 2 B k ❑ Community System
❑ Alteration/Remodel 0 Concrete Total: '1. _ Hei ht: 0 Individual System
❑ Repair 0 Masonry SEP Permit#
Bedrooms: Water Supply:
O Demolition ❑ Other: Existing: � Set
TTTT�� 0 Private well 0 Two Party
Type of Heat: Proposed: 3 >t Public
Ec,-6 4. o f 1\) Total: 3 N me of System: 04VM 0 c-
wirce42_ St'-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 FoodService? Yes / No
If this is a Propane Tank and/or Appliance Installation rmit,mark all items below that apply:
I Underground Tank - Above ground Tank Size of Propane Tank: ,S <<�
1 Heat Stove - Cook Stove i Woodstove - ireplace Insert Hot Water Tank 1 Pellet Stove 1 Other
Is this appliance being installed in a Manufactured I Mobile Home? Yes /0
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. ` ' ,, li ,\ tESm t :1 s -i � �
a"
' Y i} b :, z
Square Footage Current Proposed F ice UseOn * ` : Amount '_ vis ' l Main Floor Heated EH Bld App Review:
(CO 0 iri leic�.5
2"d Floor Heated Consistency Review: 13
`�
Other Heated Base fee: 1 JS I .75
Mezzanine Additional Section:Plan Check fee: _
Heated Basement 1 CA • i y
Unheated Basement State Surcharge fee: j i
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL 54
Decks 911/Rd Approach fee: 0 13 -- �(�
Other QUC�c (t i 300 ci3 7V TOTAL: $ 3 ilv 9
V Receipt Number: I I l&78-7
``tc•.: (o Cash/Check Number: cl LI m
ESTIMATED COST(REQUIRED) Date: ,�(�
•Fair market value of all labor and materials foundation to finish t f `-
•> k.SSIO00 Initials: (_____.-._:_= ,.--.�
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•rmwate : Ai ei
Requir +_ IAPPROVED
STORMWATER PLAN
��.�ON COS
r4 ,� JEFFERSON COUNTY AUG — 9 2010�`, ,`aq DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368 JEFFERSO .oU
;, O�O� 360/379-4450 . 360/379-4451 Fax DEPT.OF CO k DEN .�•7 ME I
$7N http://www.co.jefferson.wa.us/commdevelopment/ SIGNATUR �_i_ ='��. ,
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# 10-. -2 PROJECT/APPLICANT NAME: raCwSoN 4 c� / �NL/P - 7 b
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. �/�/��
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Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map. MAY i 3 2010
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3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
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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 by the proposed use or activity:
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stormwater site plan template—rev.10/21/2008 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.
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.).
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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.
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.
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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 performance goals and star ards applicable to the project.
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12. Describe the flow control system.
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stormwater site plan template—rev.10/21/2008 6
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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. [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. -
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20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
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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.r A/ Pdc-r Lt1Dto w) PCGG 4(i2a%1- f c-r/r-t L-4"1�T
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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 Volume II Section 3.2.3 of the Manual (beginning
on page 3-7).
12 Required Elements-Construction SWPPP
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.
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6. Protect Slopes. ,
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7. Protect Drain Inlets.
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stormwater site plan template—rev.10/21/2008 8
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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).
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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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stormwater site plan template-rev.10/21/2008
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).
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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.
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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.10/21/2008 10
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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 BMPs to be used for the control of pollutants other than
sediment(e.g.,concrete wash water).
8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on
the construction site. Sampling stations should be located upstream and downstream of the project site.
stormwater site plan template—rev.10/21/2008
11
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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.
57/3/f
(LAND ER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
stormwater site plan template—rev.10/21/2008 12
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