HomeMy WebLinkAboutBLD2010-00290 •UILDING PERMIT APPLICA•N MRAI O-0 7
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00290 Received Date: 8/10/2010
SITE ADDRESS: 83 CLEVELAND ST
PORT HADLOCK, 98339
OWNER: H GR HANSEN PHONE: 425-357-8704
LINDA HANSEN
13402 49TH AVE SE
SNOHOMISH WA 98296-5219 IRONDALE AC TRACTS
SUBDIVISION: Block: Lot: 7
PARCEL NUMBER: 962700078 Section: 12 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,784
VALUATION 261,730.00 ADD'L: 800 HEAT TYPE: PRO
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: 232 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 3
Total: 3 Total:---- 3 —
Routing Date:
1
10
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,900.95 LYK 08/10/10 119924 APPRJVE[)
Plan Check $1,235.62 LYK 08/10/10 119924
State Building Code $4.50 LYK 08/10/10 119924 NOV 1111U
Potable Water Application $98.00 LYK 08/10/10 119924
Total: $3,239.07 Jefferson County Planninc
& Building Department
Jefferson County Building L, ision Permit N. .—er: BLD10-00290
Applicant: HANSEN
BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 Minimum setbacks from Cleveland Street and Oak Bay Road
rights of ways shall be 20 feet. Minimum side yard setbacks shall be 5
feet.
Erosion Control SEE CONDITION 2
Foundation Footing tU
Footing Drains A tti'10
Foundation Stem Wall 4 )-
Underground Plumbing r} l (`
Under Floor Framing
Straps(hold downs) 41_%.13`) :/ pre
Ext. Shear Wall Nailing [
Rough-in Plumbing ' , kC
A pp I 0 k_
Framing /
Blocking )7 it
Airseal
Insulation: Walls ( -7�((( ( `J- ' "'
Insulation: Floors 6° Z3 / l v'
Insulation: Ceiling ! 0)- l 1
67413
Int. Shear Wall Nailing !q ` s'G
Wallboard Nailing
Gas Line: Interior /����-/ / ;
Gas Line: Exterior / [l/ r ,
Propane Tank --3 - 1 � G' } sp,
Heat/Chimney Clearance / .// 'I v1►�
Drywell/Alt Drainage Sy?7/I r/Te SEE CONDITION I FOR DRYWELL
Address Posted 6 2t
FINAL INSPECTION / I
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD10-00290
1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA
ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY
STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA.
FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE
DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY
PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD.
DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH
GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS.
TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM) AND HAVE A
DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER
MATERIAL).
FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK
AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING.
SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET.
2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL
BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR
OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE.
THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE.
QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN
ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER
MANUAL).
ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY
SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING
SHALL BE REMOVED OR STABILIZED ON STIE.
ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON
THE ROADWAY SHALL BE REMOVED IMMEDIATELY.
UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION
ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE
PERMANENTLY STABILIZED.
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.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
5.) 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.
•
6.) Outdoor residential storage shall be maintained in an orderly manner and shafI create no
fire, safety, health or sanitary hazard.
7.) 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.
8.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
10.) The building height is not to exceed 35 feet.
11.) Minimum setbacks from Cleveland Street and Oak Bay Road rights-of-ways shall be 20
feet. Minimum side yard setbacks shall be 5 feet.
12.) 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.
13.) 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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• •
' o�oN
vo� JEFFERSON COUNTY
'A DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368
, 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
BINS
Master Permit Application MLA: 10`� 7
Project Description(include separate sheets as necessary):
�-I a N - cc ti 5 T C.T r IJ
Tax Parcel Number: 3' ; . 7O0 070 Property Size: L.57 pcj,,-es (acres/square feet)
Site Address and/or Directions to Property:
S 3 eI-L-•U L LIB Ivy) , (o1ZT _f FFP10c- LJI 511 t\N C a fv
Property Owners)of Record:
Telephone: -475-1-3 7-g` 7() -- Fax: email: O/V-
Mailing Address:-I3 4O_02 'Tf 1 ADP. S, E .j 4,61 101 I I- ) IL)fi, 1 gc29e-
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
[Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit El Variance(Minor,Major or Reasonable Economic Use)
Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),CO),or C]**
❑ Manufactured Home ❑ Modular - 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)"
❑ Change of Use 0 Boundary Line Adjustment
❑ Address ❑ Road Approach__ _ 0 Short Plat**
❑Home Business 0 Cottage Industry 0 BindLig Site Plan*'
ti(Propane 0 Long Plat**
ign - 0 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 ❑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 -, AlJT /wS E to act as my agent in matters relating to this application forpermit(s).
OWNER SIGNATURE _. Date:
By signing this application form,the owner/agent attests that the information provided herein,and in any a chme s,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/age' 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 i spections. Staffs access and rig t of entry will be assumed unless the applicant informs the County in writing at the
time of the applicati o h ants prio notice. .
G
Signature: Date:
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact u one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as those terms are detin i the federal law known as the
"Endangered Species Acr or"ESA,'Jefferson County makes no assurances to the applicant that the action at 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 mpliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferabl respo s 'I' for ad ring to and plying with the ESA. The Applicant has read this disc imer and si�jns an sit low.
Signature: Date:
f1•
r i
BUILDER STATEMENT
The signer of this statement d hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will he s in a res ib'" of the General Contractor for the proposed project.
l i
Signature_ Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: HONE: �� ��� FAX: )
MAILING ADDRESS: /3�a 49 E. 5.F.- GHQ E/MAIL:Ala/9�� vigr,?s'�• n/.�`T
CONTRACTORS LICENSE ‹Ale He Al/ /4 641' /0� � WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
O New Wood Existing: 0 Sewer
Addition ❑ Steel Proposed: c9- --- Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: Individual Sy s err
❑ Repair ❑❑ Masonry g SEP Permit# f -c 77 7
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: 0 Private well 0 Two Party
T f at: • Proposed: 3 Nat
Public � ��
Total: me of System:;
If this is a Commercial Project you must answer the following: .
Number of Parking Spaces: Current: Proposed: Number of AAA 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 Installationpermit,mark all items below that apply:
1 Underground Tank dove ground Tank Size of Propane Tank: C5-
1 Heat Stove 1 Cook Stove I Woodstove 1 Firep"ace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other
is this appliance being installed in a Manufactured I 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. y
Square Footage Current Proposed -� is f1. <. . i4- arl,.-',
r, c ,°t �Q, ' -
K'"� EH Bld App Review:
Main Floor Heated J�g/i
`t _ ��
m O D J � , t Consistency Review: i
2 Floor Heated � ,,�
_ rr 95
Other Heated ,,,r , Base fee: I q0o
•Mezzanine Additional Section:
,
- `' ; Plan Check fee:
Heated Basement 1 a 35.(OZ
Unheated Basement , State Surcharge fee: L 4,53
`"f#A -; - -,- Pot Water Review fee:
Other Unheated-
Garage/Carport t` SUBTOTAL
35c4)3.°-
n � 911/Rd Approach fee: �I
Decks g � —I s,
,: TOTAL: $`! 543 09
Other
tot. '1'3b Receipt Number: 1 i Qa
- Cash/Check Number: t `! g
•
ESTIMATED COST(REQUIRED) Date: I lb
market value of all labor and materials foundation to finish
I J 63 Initials:
,
• •
(.'"?:$0N—c--,V
JEFFERSON COUNTY
4 , '� DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend • Washington 98368
4„ `S0 360/379-4450 . 360/379-4451 Fax
ITING http://www.co.jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# l v r 30-1 PROJECT/APPLICANT NAME: g ('Q Nal ( 4/4/1/4.—) 1 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. dciiii_____,c2 C ' 1 i" -7/- —
L— ■ . 5
Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
/'" — /771-20/retle"7 --- '4/ -
4. Describe the existin_g soils. Indicate soil type on the site map.
7-?', \—c)// elleW .1}1/470/ Q4- Orwr-/
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.
STORMWATER PLAN -ri/'S rlo t i>,/
E. Des cribe,,��pR ex�e s Ifxs of noise generated by the proposed use or activity:
0L L Ld1d /OW/n-1 ,', iild/47 C')A 0 /it'r*/
Cff
JEFFERS• O NT
S1GNATU sN Stormw• P
r:i � ►�� ..►'..%
Requl ll 1
IIIstormwater 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.).
APJet /1:d
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.]
11. Describe the performance goals and standards applicable to t e project.
/10
12. Describe the flow control system. ..
1 i _
stormwater site plan template—rev 10/21/2008 6
• •
13. Describe the water quality system.
6/140
14. Describe the conveyance system analysis and design.
://1/7///'
15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material.
NO NE
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
//////i
17. Describe the proposed surfacing material. G46/6
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18. Describe methods for restoration of the site. (f
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.
20. List here and include any special reports or studies conducted t 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.
4////-
stormwater site plan template—rev.10/21/2008
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. ,01/ C 1)-
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2. Establish Construction Access.
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3. Control Flow Rates.
4. Install Sediment Controls.
4/0
5. Stabilize Soils.
/4///4
6. Protect Slopes.
4i/4
7. Protect Drain Inlets.
A /4
stormwater site plan template—rev.10/21/2008 8
• •
12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
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9. Control Pollutants.
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10. Control De-Watering (the act of pumping groundwater or stormwater away from an active construction site).
11. Maintain Best Management Practices (BMPs).
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12. Manage the Project.
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2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas, roads).
A/ntZ---
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
/11 /6
stormwater site plan template—rev.10/21/2008
9
• •
b. Description of special requirements for working in o near environmentally sensitive areas.
,(
4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site
soils(e.g., erodibility, settleability, permeability,depth, texture, soil structure).
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5. Construction Phasing.
a. Construction sequence
[2.011A‘-- g Pam, 7/ J 35-11 6
b. Construction phasing(if proposed)
NC j` Pr ope_ss6
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a proposed construction schedule. r /j` 040, m ;
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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 b nd and/or other financial securities.
A! " ,
b. Describe bonds and/or other evidence of financial res onsibility for liability associated with erosion and sedimentation
impacts.
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8. Engineering Calculations. Provide Design Calculations on a separate shee for the following, if applicable.
a. Sediment Ponds/Traps.
b. Diversions. I
c. Waterways. A 4
d. Runoff/Stormwater Detention Calculations
stormwater site plan template—rev.10/21/2008 10
• •
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
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.
•( /0 loin
(LAND WNER 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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