HomeMy WebLinkAboutBLD2010-00271 O
BUILDING PERMIT APPLIC Review ON ML Ty 293
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00271 Received Date: 7/28/2010
SITE ADDRESS: 372 MOEN RD
NORDLAND, 98358
OWNER: GREGORY T KISSLER TRSTEE PHONE: (206) 852-7407
STANA R KISSLER TRUSTEE
11310 SE 77TH PL
NEWCASTLE WA 980561662
SUBDIVISION: Block: Lot: T 16
PARCEL NUMBER: 921094014 Section: 9 Township: 29 N Range: 01 E
CONTRACTOR: LITTLE & LITTLE CONSTRUCTION PHONE: (360)385-5606
2009 4TH STREET
PORT TOWNSEND WA 98368
Contractor's License LITTLLC157C5 Expires 3/6/2011
REPRESENTATIVE: LITTLE & LITTLE CONSTRUCTION PHONE: 360-385-5606
ALEX LITTLE (360) 385-9733
2009 4TH ST
PROJECT DESCRIPTIOI NEW DETACHED HEATED GARAGE W/ HEATED 2ND FLOOR
STORAGE - NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 65,000.00 ADD'L: 360 HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 720 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $748.75 LYK 07/28/10 119854 APPROVED
Plan Check $486.69 LYK 07/28/10 119854
State Building Code $4.50 LYK 07/28/10 119854 SEP 2010
Total: $1,239.94
Jefferson County Planninc
& Building Department
•
Jefferson County Building Division Permit Nur r: BLD10-00271
Applicant: KISSLER TRSTEE
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 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 L(/Z /,) 9i
Erosion Control
Foundation Footing II 2 �/
iv
Footing Drains
Foundation Stem Wall 6// '- Sup
Straps(hold downs) 1
Ext. Shear Wall Nailing
Framing
Blocking
Wallboard Nailing ; ` `"I�
Drywell/Alt Drainage
Address Posted
FINAL INSPECTION Ccc_v‘
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD10-00271
1.) This building permit proposes the minimum setbacks to the septic system reserve
drainfield area. Use care to ensure adequate setbacks are maintained so when the septic
system fails, adequate area is available for repair.
2.) PRIOR TO SCHEDULING THE FIRST BUILDING INSPECTION A SIGNED AND c _t5-0
\i NOTARIZED HOLD HARMLESS INDEMNIFICATION COVENANT WITH
LPPROPRIATE
RECORDING FEE (CURRENTLY$64.00) SHALL BE SUBMITTED TO PiVL
JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT.
3.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
4.) A Geotechnical Report was submitted in conjunction with a SPAAD application in 2004.
The report addressed the stability of the geologic hazard area. A setback of 76.5-feet
shall be measured perpendicularly from the top or toe of the geologic hazard to the
proposed development.
5.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
6.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
7.) All construction activities shall not encroach upon the landslide hazard buffer. This
includes the storage or preparation of materials.
8.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
9.) 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.
10.) 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.
11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
12.) 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.
•
13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amour of
impervious surface which includes roof tops, driveways, concrete, etc.
14.) The building height is not to exceed 35 feet.
15.) Minimum setback from the parcel boundaries adjacent to Lip Lip Ln and Moen Rd is 20
feet. Minimum setback from the southern parcel boundary is 5 feet. Minimum setback
from the top of the shoreline bank is 76.5 feet. Setback from Garage to the House must
be 12.5 feet.
X:_ „esoff e • •
i: # O JEFFERSON COUNTY
ktii`
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368
ma, 360/379-4450 • 360/379-4451 Fax
.1 NG,SQ www.co.Jefferson.wa.us/commdel/elj pOletit;
Master Permit Application MLA: 10 -aq 3
Project Description(include separate sheets as necessary):
New Detached Two Car Garage
Tax Parcel Number. 9 21 0 94 014 Property Size: .6 4 acres (acres/square feet)
Site Address and/or Directions to Property: 3 72 Moen Rd, Nordland, WA
Property Owner(s)of Record: G&S Kissler Trust - Greg & Stana Kissler
Telephone:425-228-8521 Fax: email: stanagreg@yahoo.com
Mailing Address: 11310 SE 77th Place, Newcastle, WA 98056
Applicant/Agent(if different from owner): Little & Little Construction - Alex Little
Telephone: 360-385-5606 Fax: 360-385-9733 email: alex@little-little.c om
Mailing Address: 2009 4th Street, Port Townsend, WA 9836$
What kind of Permit?(Check each box that applies
®Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use)
❑Single Family ®Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C)"*
❑ Manufactured Home 0 Modular ❑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**
LI Home Business 0 Cottage Industry ❑Binding Site Plan**
❑Propane 0 Long Plat**
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed`Yes'Use Consistency Analysis 0 Plat Vacation/Alteration**
D Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use ❑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
I hereby designate Little &e2___)"
Little /Cons t. to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE 4--;2 iR_ Date: La/4"%By signing this application form, 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 attomey'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. Stairs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application that he or she wants prior notice.
Signature: 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 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: Date:
G:\PemtitCcnter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
r • 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 HOME INSTALLER: PHONE: FAX:
Little & Little Construction (360) 385-5606 (360) 385-9733
MAILING ADDRESS: 2009 4th Street PT, WA 98368 EMAIL: alex@little-little.com
CONTRACTOR'S LICENSE WAINS
NUMBER: LITTLLC157C5 NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAx:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
kC New x Wood Existing: ❑ Sewer
n Addition ❑ Steel Proposed: _0 Bank 0 Community System
n Alteration/Remodel ❑ Concrete Total: Li 8e19h f t tt Individual System
n Repair ❑ Masonry 8 SEP Permit# 0 8-0 019 0
L_I Demolition 0 Other. Bedrooms: Water Supply:
Existing: Ci Setback: ❑ Private well 0 Two Party
Type of Heat Proposed: 0— 7 6.5 f t RI Public
Elzt}v`i �r }��� Total: Name of System:Quimper
If this is a Commercial Protect 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 Propane Tank and/or Appliance Installation permit mark all items below that apply:
i Underground Tank I Above ground Tank Size of Propane Tank: JUL 2 8 a ill
i Heat Stove i Cook Stove i Woodstove i Fireplace Insert I Hot Water Tank i Pellet Stove i Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes IC)
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. j
?^, - ''4 ,{ _.ky xaae :t ._°'1 Y''2 t" rz i 'e. s...... -w "n. ..0 , 4,,..c^'J.
S•uare Foote•e Current • •• '. ' "... # ',.
Main Floor Heated t EH Bld App Review.
2 °Floor Heated Consistency Review:
Other Heated Base fee: u I Ip, rb
Mezzanine Additional Section: `i D Uu'
.A1 Xi 1, . (
Heated Basement Plan Check fee: ,(.15
Unheated Basement State Surcharge fee:
t'i 5, Pot Water Review fee:
Other Unheated mil U t...> ��J
a, ,i,
Garage/Carport 720 : SUBTOTAL c CO3A3 go
Decks '11911/Rd Approach fee:
Other TOTAL: $ f ` ,q
4
i Receipt Number: I I 9,./P4
, �, Cash/Check Number:
ESTIMATED COST(REQUIRED) Date: 7
.Fair market value of all labor and materials foundation to finish
$6 5,0 0 0 Initials: ' _ Th__--
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• APPRO " tD _ .
STORMWATER PLAN
��.SON c SEP - 9 2010
4`')
� G(,,I, JEFFERSON CO TY • -
ti ) DEPARTMENT OF COMMU ITY DEV ��++ WOW
�j
FCT(�UNTY a �N t,�� 1 �CV
V FLON;�t
621 Sheridan Street • Port Town enclo, ;gngtan'=9 368
\•eq., ecO 360/379-4450 • 360/379-4451 Fa
http://www.co.jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# PROJECT/APPLICANT NAME: GREG & STANA KISSLER
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.
NEW CONSTRUCTION OF A 720 SQFT DETATCHED TWO CAR GARAGE
Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
THE EXISTING SITE HAS A GENTLE SLOPE TOWARDS AN 88FT BLUFF
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
EXISTING VEGETATION IS COMPRISED OF MOSTLY CONIFER AND NATIVE GRASSES
4. Describe the existing soils. Indicate soil type on the site map.
EXISTING SOILS ARE INDIANOLA LOAMY SAND AT THE WEST END OF THE SITE
AND CASSOLARY SANDY LOAM AT THE EAST END OF THE SITE
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.
THE EXISTING SITE PERCULATES NATURALLY DUE TO A SAND AND TILL LAYER
AS INDICATED BY NUMEROUS SITE VISITS
6. Describe any excess levels of noise generated by the proposed use or activity:
NO EXCESS LEVELS OF NOISE WILL BE GENERATED BY THE PROPOSED USE.
CONSTRUCTION WILL GENERATE TYPICAL NOISE DURING WORKING HOURS ONLY.
stormwater site plan template.doc—rev.10/12/2003 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.
THERE IS AN 88FT BLUFF AT THE EAST END OF THE SITE.
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.).
THE SITE IS ADJACENT TO RESIDENCES TO THE SOUTH AND WEST, A ROAD
EASEMENT TO THE NORTH AND AN 88 FOOT BLUFF AND ADMIRALTY INLET
TO THE EAST
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.
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.
STORMWATER WILL BE FULLY DISPERSED THROUGH TWO ON-SITE DRYWELLS
10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed
for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is
normally for"large" projects or projects that involve the potential for dispersion of contaminants.]
11. Describe the performance goals and standards applicable to the project.
BEST MANAGEMENT PRACTICES ARE TO FOLLOWED THROUGHOUT THE PROJECT
12. Describe the flow control system.
SILT FENCING WILL BE INSTALLED AT PERIMETER OF THE MINIMIZED WORK AREA
stormwater site plan template.doc—rev.10/12/2003 6
•
13. Describe the water quality system.
N/A
14. Describe the conveyance system analysis and design.
N/A
15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material.
N/A - NO FILL NECESSARY
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
N/A - NO FILL NECESSARY
17. Describe the proposed surfacing material.
DISTURBANCE WILL BE MINIMAL AND WILL BE REPLACED WITH NATIVE VEGETATION
18. Describe methods for restoration of the site.
DISTURBANCE WILL BE MINIMAL AND WILL BE REPLACED WITH NATIVE VEGETATION
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.
N/A
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
N/A
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.
N/A
stormwater site plan template.doc—rev.10/12/2003 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
1. Mark Clearing Limits.
CLEARING LIMITS WILL BE MARKED PRIOR TO EQUIPMENT MOVING ON-SITE
2. Establish Construction Access.
CONSTRUCTION ACCESS WILL BE INSTALLED AT THE BEGINING OF THE
PROJECT
3. Control Flow Rates.
STORMWATER WILL BE MAINTAINED ON-SITE BY HAY BALES AS NECESSARY
4. Install Sediment Controls.
SILT FENCING WILL BE INSTALLED
5. Stabilize Soils.
SPOILS WILL BE COVERED IN A TIMELY FASHION TO MINIMIZE RUNOFF
6. Protect Slopes.
SLOPES WILL BE PROTECTED BY SILT FENCING
7. Protect Drain Inlets.
N/A
stormwater site plan template.doc—rev.10/12/2003 8
• i
b. Description of special requirements for working in or near environmentally sensitive areas.
A NATURAL VEGETATIVE BUFFER WILL BE MAINTAINED, CLEARING LIMITS WILL
BE SET AND SILT FENCING WILL BE INSTALLED
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).
THE SITE IS FAIRLY PERMEABLE, AND WITH PROPER BMP' S IN PLACE
EROSION PROBLEMS ARE NOT EXPECTED
5. Construction Phasing.
a. Construction sequence
INITIAL SITE WORK WILL TAKE PLACE IN MARCH WITH THE BALANCE
OF SOIL DISTURBANCE OCCURING DURING THE DRY SEASON
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.
ALL ASSOCIATED WORK WILL TAKE PLACE IN THE DRY SEASON
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.
GREG & STANA KISSLER
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. N/A
b. Diversions. N/A
c. Waterways. N/A
d. Runoff/Stormwater Detention Calculations N/A
stormwater site plan template doc—rev.10/12/2003 t0
• •
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.
11
stormwater site plan template doc—rev.10/12/2003
• •
Stormwater Site Plan Changes
If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be
submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised
drawings showing any structural changes, and any other supporting information that explains and supports the reason for the change.
Final Corrected Plan Submittal
If the project included construction of conveyance systems, treatment facilities, flow control facilities, or structural source control BMPs
(not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is
completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as
constructed.
APPLICANT SIGNATURE
By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and
correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all
owners of the affected property.
71S4-K. U-k? 07 27C7
(�ANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE)
(DATE
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
stormwater site plan template.doc—rev.10/12/2003
12
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, Nordland, WA CI
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2009 4th Street, Port Townsend, WA 98368 y
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