HomeMy WebLinkAboutBLD2010-00162 UILDING PERMIT APPLICION MRLA eve0 Typ188
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00162 Received Date: 5/17/2010
SITE ADDRESS: CENTER RD
CHIMACUM, 98325
OWNER: KURT T WAGGONER PHONE: 360-340-5723
PO BOX 248
PORT GAMBLE WA 98364-0248
SUBDIVISION: Block: Lot: TX 2+
PARCEL NUMBER: 801161003 Section: 16 Township: 28 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE
REPRESENTATIVE: KATHERINE MORGAN PHONE: 360-930-0537
22461 MILLER LANE
POULSBO WA 98370
PROJECT DESCRIPTION NEW DECK
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 12,920.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 496 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
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Type Amount Paid By: Date: Receipt: Appcild/OtPermit $223.25 LYK 05/17/10 117705 vEr
Plan Check $145.11 LYK 05/17/10 117705 AU
State Building Code $4.50 LYK 05/17/10 117705 2010
Total: $372.86 Jefferson County Planning
& Building Department
Jefferson County Building Allsion Permit Nu•r: BLD10-00162
Applicant: WAGGONER
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
Foundation Footing
Framing
!G )--1 to -
FINAL INSPECTION (0_� t,
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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CONDITIONS for Building Permit# :BLD10-00162
1.) All construction activities shall not encroach upon the stream and wetland buffers. This
includes the storage or preparation of materials.
2.) A setback of 60-feet, measured perpendicularly from the wetland edge, shall be
permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the
wetland or its buffer is allowed.
3.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100) feet, whichever is less. Signs shall contain the following
statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation."
4.) A permanent physical separation along the upland boundary of the wetland buffer area
shall be installed and permanently maintained. Such separation can include installing
logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC
Administrator.
5.) The identified Fish and Wildlife Habitat Areas (Two Type N Streams), shall maintain a
vegetative buffer setback of 75-feet. The setback shall be measured horizontally from the
Ordinary High Water Mark (OHWM) to the proposed residential development including
driveways.
6.) An additional setback of five (5) feet is required from the edge of the buffer area to the
proposed residential development.
7.) A permanent physical separation along the boundary of the buffer area shall be installed
and permanently maintained. Such separation can include installing logs, trees, a
hedgerow, or any other prominent physical marking approved by the UDC Administrator.
8.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100) feet, whichever is less. Signs shall be in place prior to and
during construction activities. The signs shall contain the following statement: "Buffer- Do
Not Remove or Alter Existing Vegetation."
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.
10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
11.) 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.
12.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
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14.) The building height is not to exce935 feet.
15.) The setback from the ingress/egress easement is no less than 20 ft., the setback from
Center Rd.right-of-way is no less than 30 ft., the setback from SR 104 right-of-way is no
less than 50 ft., side and rear setbacks are no less than 5 ft. If an environmentally
sensitive area (ESA) is present, then the more restrictive setback shall apply.
16.) 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.
17.) 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.
' 1 coo . JEFFERSO NTY •
DEPARTMENT OF COMMUNITY DEVELOPMENT
"„,„,, ,, c,. 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450. 360/379-4451 Fax
,, gyp' www.co jefferson.wa.us/commdevelopment
Master Permit Application MLA: t , ri
Project Description/iindude separate sheets as necessary): ; �S
Tax Parcel Number. 60 I ( (a I O 0,3 Property size: I(o.5 9 ctL (acres/square feet)
Site Address and/or Directions to Property: IPS x k C-Cl Ar Rc Qa
6ti-(cLnCe_ flock% i5t I04 1 -L. , 0t 5 '
Property Owner(s)of Record: kt3rf'-k- . W Jt{On
eir
Telephone: 3(pQ • 3 c{b' 6•7 Z.3 Fax J
MailingAddress: ema�: �) �'�
Flo X Zy $ gQ .b[e w(# ct8 441
Applicant/Agent(if different from owner): { 4/} (.{1 iLk.a,q,r,
Telephone: ?O • c"( 0 , 0 S 31 Fax:
Mailing Address: 2 Z -L ( (� Ln tv ►ail- NIO lcan i �-�a3 1�'lpq� ,
�c,:a t5 u0N cke53`Z Uc* ..
What kind of Permit?(Check each box that applies
eilliuilding 0 Critical Areas❑ Demolition Permit Stewardship Plan
Single Family I� e Atha .7 Variance(Minor,Major or Reasonable Economic Use)
D Single
Home ❑ Modular /Detacht� ❑Conditional Use[C(a),C(d),or C]*-
❑ Commercial* ❑Discretionary D'or UnnamedU ifica
I./se Classtiorm
❑ barge of Use 0 Special Use(Essential Public Fac'�itiee)" -..,
e"Address Oh 0 Boundary Line Adjustment
❑Home Business 00 Road
industry 0 Short Plat'*
ID Propane 0 Binding Site Plan«.
❑Sign 0 Long Plat'*
0 Planned Rural Residential Development(PRRD)/Amendments*'�
❑911owed"Yes"Use Consistency Analysis
0Plat Vacation/Alteration
Stormwater Management
❑Site Plan 0 Shoreline Master Program Exemption/Permit Revisions**
Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development'"-
❑Temporary Use 0 Shoreline Management
CI Wireless Telecommunication* Variance
❑Wrests Telecommunication
municaase of Six-Year Moratorium ❑Comprehensive PlarVUDCILand Use District Map Amendment
*llfayrequire a Pre-AppUcatton Conference ❑Tree VegetationJeffersen Count Shoreline Master Program Amendment
0 Tree Request
**R-'ui^e a Pro- •,cation Conference
Please identify any other local,state or federal
permits required for this proposal,if known:
I hereby designate �' i/J ti Q a DESIGNATION OF AGENT
►`' 2 .: .a to act as my agent in matters relating to i ap. ication for pennit(s).
OWNER SIGNATUREPoLliffir `'
'�_•�■�.w�. Date:
By signing this application •nn,the owner/a• provided �""'s
ests that the information herein,and in any attachments,is true and correct to the best of
his,her or its knowledge. Any material false - 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
review and any requi :• .,ter inspections. Staffs access and right of entry will be assumed unless the time of the applicattii. l••, •r she wants prior . . , applicant informs the County in writing at the
Signature: // 4`..r ler / /
411 1....... Date:S 1 ! / /a
The action or actions Applicant will undertake as a result of the ante 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
permit has been issued will not violate the ESA AnyIndividual,groupor agency can file a lawsuit theplicant that behalf of an end actions that will angered undertaken
species en because this
action(s)even if you are in � �'
compliance with the Jefferson County development code.The Applicant acknowledgeshe regarding yourl
and non transfers• - • sibdity for adhering t•;and •• ying with the ESA. The that he,she or it holds individual
Signature: / I, ` ./ Applicant has read this discta' Arid signs and dates it below.
Date: 5/ /r // '0
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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 responsibility of the General Contractor f he proposed project.
jea
�'/�'/�
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME I ALLER: PHONE: Fes'( ) • ( )
EMAIL:
MAILING ADDRESS: WAINS
CONTRACTORS LICENSE NUMBER
NUMBER: PHONE ( ) FAX:( )
ARCHITECT/ENGINEER: EMAIL
MAILING ADDRESS: Shoreline: Type of Sewage Disposal:
ect Type: F me Type: Bathrooms: ❑ Sewer
❑ i
l Wood Existing:
New ❑ Steel Proposed: Bank ❑ Community System
titi Total: Height: ❑ Individual System
❑ Alteration/Remodel O Concrete SE Permit#
❑ Repair 0 Masonry. Bedrooms: Water Supply:
❑ Demolition ❑ Other Setback: ❑ Private well ❑ Two Party
�� pm i. Existing:
Proposed: ❑ Public
Ty f He t: Total: Name of System:
•
If this is a Commercial Project you must answer the following: Number of ADA Parking Spaces:
Spaces: Current: Proposed:
Number of Parking P 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 Propane Tank and/or Appliance Installation_permit,mark all items below that apply:
1 Underground Tank 1 Above ground Tank Size of Propane Tank:
1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other
Is this anoliance bein installed in a Manufactured l Mobile Home? Yes / No
When applying for a pennit to install a propane tank you must also submit a site plan showing all of the buildings,all
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
1 including the reserve area. '°#� �}
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74
,", � ro�'� ,r�'_`v..�:�kt���' '>�r �. ,'err .y� f� , ;�� �.`
_3guare Footage_ Current Pro sec EH Bld App e �} Review: ev,Li
Main Floor H (�j,
2nd Floor Heated Consistency Review:
�,4 ) mil
l� , Base fee:
Other Heated * , 23.25
Additional Section:
Mezzanine �x .,
- Plan Check fee: 1
Heated Basement ', l y3• I
Unheated Basement
State Surcharge fee:.
,' : Pot Water Review fee: ,�—
Other Unheated {
SUBTOTAL
Garage/Carport ��'�, 12
yii i...A,s,,
Decks Qt � ,a 911/Rd Approach fee: _
Other ..,:, ,. TOTAL: $ '-2.ate
C �. 1 1 C
Receipt Number:
r < • Cash/Check Number:.
Date:
ESTIMATED COST(REQUIRED) Da s
lu
•Fair market
tvvaluee f
of al/laborand materials foundation to finish Initials:
mmININIIIIIIIII
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1.
APPROVED
STORMWATER PLAN
iii:sON co�� JUL 2 9 2010
ia JEFFERSON COUNTY
.--
al \ DEPARTMENT OF COMMUNITY DEVELOPMENT JEFFERSON COUNTY
�' 621 Sheridan Street • Port Townsend • Washington 98368 SIGN R DEPT.OF COMMUNITY DEVELOPMENT
S, NG�O 360/379-4450 • 360/379-4451 Fax
http://www.co.Jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
I MLA/} 1 0 t V2 t
PROJECT/APPLICANT NAME: �/tte3 r- r� c 71 6 �/ht 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 positipn and relative size of proposed improve ents on the
site map. i�� w; II b�
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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. t'/e-'-
tamer rn- t2L r 1s in ri_-c-f--. MI a t�e«s etAre, nati v� - - ; �l 1
i�ezr-k- hisFi.u- tics_✓e-wct-y
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4. Describe the existing soils. Ind(cate soil type on the site map.
�ct.is a-re. it le eru1oe) Sri ve1/L. __ a Vtef lc=�'rr-) a '— Si.�1
ill-Yet L el l/Lf _.0 4 rillI /�,6` 11 / I /mac r`�''
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:
stormwater site plan template.doc-rev.10/12/2003
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7. Describe significant geo aphic fe tures and critical areas (i.e., environmentally sensitive areas such as wetlands. streams,
steep slopes, etc.)on the ite. lndi ate location on the site map.
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Q NaiosiarlWip:u +i4 4 f , �[p,rrr-L .G,C 0 re'e: k- a 6. itZ
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8. Descri�e g neral vi91the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas
(streams,t-' wetlands, lakes, steepslopes, 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.
(fl PXVI o4J5 r ,.621 1.42, - wL II .e. - I l7 AisiZ_ck 1�'4t'`
I riti I.. -i -� c' Cc,rck '')e i�L� i.0 i t l �� > e,,.. 4--D✓etc(
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10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment acilities 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. (�D/escribe the performance goals and standards applicable to lthhe project. L� � � r
ll'ic t�L a 'u Z (�15 � 1�� �� ,�t�L 7 +v`� �/c2. iL -CI, ._-\ t C% -1 :(�l ( r)
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12. Describe the flow control syst-ppm. �
(:r2 IJ �j W cS�E'1't L Z�v' t 1�C1tl;�.Cc t'deX.,6.5y0,2-4'C'e c� Ttt fl U r'1
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stormwater site plan template.doc—rev.10/12/2003
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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 charactef istics of fill material, and deposition of excess material.
no A/( to,' iI be i,^r)pehzt-(%q
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
17. Describe the proposed surfacing material.
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18. Des/ nbee methods for restoration of the,site. 1
rtnCC4, ( hJ( LEc( cL ;J1rt_. CC ` -)_; [ 'c t, Cc
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.yet.#I'E1 C'T, �r ni 0 1 G 1 a ' '`
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.
1 )(C_.
stormwater site plan template.doc—rev.10/12/2003
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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 Clearing Limits. ) /
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2. Establish Construction Access.
W�v, 1 3-( hi Il'�.r1 C.6Y1YVc.�-i ) c_‹_.
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3. Control Flow Rates.
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Cam..-�•- ..r CCc- "_ ez. .e---' - ----
4. Install Sediment Controls. • L L)7_.) l/t)i'I( be. . lqi--, ayld
-1er c,/c'f S
5. Stabilize.Soils.
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6. Protect Slopes. ,
fl-� s lc, _._ c 0L,i it C (t cO •CPC
7. Protect Dr in Inlets. '
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8
stormwater site plan template.doc—rev.10/12/2003
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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-Waterin (the act of pumping groundwa er or stormwater away from an active construction site).
I/ 011�
1 1. Maintain .st Management Practices(BMPs). _�1
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r1 Ct F,(. Lan,C�
12. Manage the Project. _ r
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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
yards).
(ci. L 66z,cle, Cam. yV � 1--c
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.doc—rev.10/12/2003
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b. Description of special requirements for working in or near environmentally sensitive areas.
4e'Yt-Si, t� C�N�..C� Q/Y�� Ct L S ��CC S clej �
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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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Pt rknl-u.-GG Le . ��o„� - - Seca ►-r ec $ c.,,r�s `.c,��.e�
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5. Construction Phasing. ��^ l {�`(�r'J EC, ra4S
a. Construction sequence
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b. Construction phasing (if proposed) � 5
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.
b. Proposed wet season construction activities for environmentally sensitive areas.
7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
t/L._
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
10
stormwater site plan template.doc—rev.10/12/2003
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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 BM Ps.
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.doc—rev.10/12/2003
11
0 •
Stormwater Site Plan Changes
It 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 Const uction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and
correct to t best of y knowledge. I also certify that this application is being made with the full knowledge and consent of all
owne soft affe ed roperty.
(LAN OWNE OR THORI EPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED
12
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