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HomeMy WebLinkAboutBLD2010-00356 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 #: BLD10-00356 SITE ADDRESS: 181 QUINAULT LOOP Issue Date: 12/16/2010 PORT TOWNSEND, 98368 Final Date: 8/19/2011 APPLICANT: FRANK W KIEFER TRUSTEE PHONE: 909-478-0997 MICHELLE A KIEFER TRUSTEE 11816 CARDINAL CT LOMA LINDA CA 923546748 SUBDIVISION: CAPE GEORGE COLONY DIV 4 Block: 10 Lot: 21 PARCEL NUMBER: 938701020 Section: 12 Township: 30 N Range: 02 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 120 GAL PROP TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON8/19/2011 I:\F_BLD_Occupancy.rpt 10/29/19 ' Jefferson County Building Division Permit Num,: BLD10-00356 Applicant: KIEFER TRUSTEE 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 'i�E i l /l, Minimum setback from Quinault Loop Road right-of-way shall be 20 feet. Minimum setack from Cape George Road right of way shall be 10 feet. Minimum side yard setback shall be 5 feet. Erosion Control 1 -t g .CCI SEE CONDITION 3 Foundation Footing Gc-, C ce2`(C Footing Drains Foundation Stem Wall I.,C o„ Underground Plumbing �' '� Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing 3- t 1413 Framing 7/2, l� (7- (4 Bloekktng `V/�l`� �'3 Airseal �.31v tC Insulation:Walls 6?—14 ; rb Insulation: Floors Insulation: Ceiling e7 Int.Shear Wall Nailing t_sl _lc ?V Wallboard Nailing +II I Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage CUSTOM DRYWELL. SEE SPEC SHEET PROVIDED BY CONTRACTOR. Address Posted FINAL INSPECTION u 111 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR IP MLA10-00368 UILDING PERMIT APPLICAlIN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00356 Received Date: 10/6/2010 SITE ADDRESS: 181 QUINAULT LOOP PORT TOWNSEND, 98368 OWNER: FRANK W KIEFER TRUSTEE PHONE: 909-478-0997 MICHELLE A KIEFER TRUSTEE 11816 CARDINAL CT LOMA LINDA CA 923546748 CAPE GEORGE COLONY DIV 4 SUBDIVISION: Block: 10 Lot: 21 PARCEL NUMBER: 938701020 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License KELLES1150LF Expires 6/6/2011 REPRESENTATIVE: KELLEY SHIELDS INC PHONE: (360) 385-7156 DENNIS KELLEY (360) 385-3115 260 KALA POINT DR PROJECT DESCRIPTIOP NSFR W/ATT GARAGE & A/G 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,905 VALUATION 318,353.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 600 SETBACK: DECK: 225 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 11050 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Promo 3 Total: 2 'Total: 3 Routing Date: 1 � - 7-(0 Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,220.15 LYK 10/06/10 120165 APPROVED Plan Check $1,443.10 LYK 10/06/10 120165 State Building Code $4.50 LYK 10/06/10 120165 DEC I 6) 2010 Potable Water Application $98.00 LYK 10/06/10 120165 Jefferson County Planning Total: $3,765.75 &Building Department • • CONDITIONS for Building Permit# :BLD10-00356 1.) Applicant should be aware that the public right-of-way is reserved for transportation facilities and appurtenances including, but not limited to, the road surface, shoulders, drainage ditches or pipes, walking paths or sidewalks, cut and fill slopes, and franchised utilities (power, water, phone, sewer, etc.). UNDER NO CIRCUMSTANCES SHALL ANY DEVELOPMENT BE ALLOWED ON THE PUBLIC RIGHT-OF-WAY OR INTERFERE WITH MAINTENANCE OF TRANSPORTATION FACILITIES, DRAINAGE FACILITIES, OR UTILITIES. THIS IS SUPPORTED BY THE JEFFERSON COUNTY CODE. 2.) THE COUNTY IS NOT RESPONSIBLE FOR PREVENTING RUNOFF FROM THE RIGHT-OF-WAY FROM ENTERING ADJOINING PROPERTY. DEVELOPMENT OF ADJOININ PROPERTIES SHALL NOT BE CAUSE OF THE COUNTY TO UNDERTAKE ROADWAY IMPROVEMENTS TO ALTER DRAINAGE PATTERNS. THE PROPERTY OWNER SHALL ACCOMMODATE DRAINAGE AND RUNOFF AS PART OF THE DEVELOPMENT. 3.) 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. 4.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 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 shall create no fire, safety, health or sanitary hazard. 7.) Not more than 2 unlicensed vehiOshall be stored on any lot unless totally sOned 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 setback from Quinault Loop Road right-of-way shall be 20 feet. Minimum setack from Cape George Road right-of-way shall be 10 feet per an approved administrative road setback reduction. Minimum side yard setback 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. • I f ,- ,9bO/Q-0/6 — I .1•-• -----I 4J.b I 799A' 5 506'l , LOU AJOIA 1 a"0/PO/b I 1 / — 1..,6,, .0/90/4396 ♦ �r r7 _. 1 C.BLI , ...' L _4 ma ri —�_ // �t///i f--1"7,7197,,r- - 1 Dao ©4 El el • ©A �6 C - c — Ia.7., ,_, b b ,,,_ _,.4 ,......., 1 1 .. . . Ur____1._ 1 _ _ r b� I �.I 10 o �.: ter-�� 6r L......A.Hel+4 1110 d 0 h AI b.b OdG.rvI Q All :W dt .P 81 OAO/L-O/4 150/40/4 4.4 3d0/49/L 'd0/99/L ;10/9•• a10....O/Z-0/4/•'WO/-O/4n4 / 4.4G } 4.s 1 4b1 / ,� N JEFFERSONQUNTY :611' DEPARTMENT OF COMMUNITY DEVELOPMENT • 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-.4451 Fax �'• , fip www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: I 0 - .3'(f Project Description(include separate sheets as necessary): / .-• Ivy 45( tJ4L ��i c ti 1�i>D r sc Gu A 11A c�e e 9A'ii i ()_.. Tax Parcel Number. 9 ?j g 10 I Q SD Property Size: /4 pop 'SF (acres/square feet) Site Address and/or Directions to Property: I ) I GAL IL 1160a +- Loop to-r °I.Z I ri?L•4 /0, 4#PC &we& Coco Avy )r v 4- Property Owner(s)of Record: Telephone: Fax: email: Mailing Address: 1181 L C1A 2()f NM-- Cfi . LD wA Q4, C4 9255 t�. Applicant/Agent(if different from own =): K 07 S f+1{G'1,QS INC- , Telephone: p0 - if/ 5 1 t S LO Fax: email: Mailing Address: 0 VOIntotekf", W• f—-4 luIVpl*ISt�__Leea c What kind of Permit?(Check each box that applies QJBuilding ❑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 ❑ Modular 0 Discrettionary'D'or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address ❑Road Approach 0 Short Plat** ❑Home Business 0 Cottage Industry 0 Binding Site Plan** Pr-Propane ❑Long Plat** ❑Sign 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 ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium Cl Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference 0 Tree Vegetation Request **Requires a Pro-Application Conference . Please identify any other local,state or federal permits required for this proposal,if known: (�,,{I ��, DESIGNATION OF AGENT ���I hereby designateL= C' IA C. to act as my agent in matters relatingto this �/ C-� application for permit(s). OWNER SIGNATURE -+---C., - Date: 1 O, (o , t.O By signing this application form,the owner/agent attests th 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 labifities,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 an required spections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the a ication e or she wants prior Date: Lt) 1 ta \ k b The action or actions Applicant will undertake as a resuk'Issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take'• 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' compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trap rable srbility for adhering to, con lying with the ESA. The Applicant has read this disda' and ns and dates it below. Signature: -..-E�(,-c,.J't Date: (4 6 l 0 G:\PermitCenter\###FORMS###\DRD FORMS\Mtiuer Permit Application 5-29-08-doe • 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: _ 14c L- . t1 Stif S !NL (3E24 385--iISb ( ) MAILING ADDRESS: 2(00 P,4 e}-. Pit . f-T. EMAIL: CONTRACTOR'S LICENSE r WAINS NUMBER: (.(iC r ' s t./cam' NUMBER g'Q ARCHITECT/ENGINEER: �( ero fit: ,., 4 o Bt� PHONE ( ) FAX:( ) MAILING ADDRESS: Si /ITS' EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New loi Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: L Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: 11 Height: ❑ Individual System 2d ❑ Repair ❑ Masonry SEP Permit#O IO 3 41 ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: 6 Setback: ❑ Private well ❑ Two Party Type of Heat Proposed: Z iilk Public ;,�p� Total: 'L Name of System:CAlet `` 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(indudes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes I No If this is a Propane Tank andlor Appliance Installation permit,mark all items below that apply: I Un nd Tank gr9und Size of Propane Tank: `2a to C . I eat Stove I Cook stove rpoodstove Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. T 1 4 -.. # k' M' ,-1. n .. .: a r' ,,_ 0 �y - i 'W es 'e Square Footage Current Proposed -'; 9 , `` ` y x, ,'y Sj '4 ..4". ''''" t : _ .. .1 ; j. , ..'l Main Floor Heated ca ,¢ { b EH BId App Review: 2 2n0 Floor Heated r. c. � a Consistency Review: 1,3 , Other Heated w s k , Base fee: 22.21) 5 Mezzanine _ Additional Section: Heated Basement 4X Plan Check fee: Unheated Basement F 1- State Surcharge fee: 0 Other Unheated Pot Water Review fee: '�-� �E . Garage/Carport ' s SUBTOTAL • Decks 4'* 911/Rd Approach fee: btI � .1 TOTAL: $ 24 _�5 Other : l , Receipt Number I 0 I(C'S - x x� Cash/Check Number �D,,` (1 Li ESTIMATED OST(REQUIRED) Date: l b to d .Fair val of all labor and materials foundation to finish -4‘tit, '17S3i Initials: G:\PermitCcnter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc , r , JEFFERSON COUNTY C1'i .` DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 , O� 360/379-4450 . 360/379-4451 Fax $?NG http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 10 -3 VJ U PROJECT/APPLICANT NAME: ' ..1 F- 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. N ram,LA; Prim.t k-", v Oc ( ) CNA( 6 4%•4c Gocz),JLc tv' --ca ?OA,OJT Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 1v-t•► ve T t t�ui3S 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. 4. Describe the existing soils. Indicate soil type on the site map. 2°- 3' = Q. Ytav 1 1Al— wI Cc p y/Au( 6-0 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. 6. Descr be any elArPeR iVE ted by the proposed use or activity: STORMWATF. U 10/I'1 IJc-{: DEC 1 6 2010 StormW ;7 j`I P iAt ��4s Required Iw,a 111. stormwater site plat template — vEtAt jib CO i N D 5 F �! ��1, Y D',VF 1' SIGNATU•E ii itb.- �iih& v t ' • • 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. u 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.). ""'..)IA?`k- lvl (1).) LOT �` t��c 1, '13 /- -sty 4 C21N 1�- �44)u 4 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. y a east 10. If the project requires the use of stormwater treatment facilities, de i the'types 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 9nd standards applicable to the project. •e.,AC;; ,. \,141# '([ d 1.4 1 [ r 12. Describe the flow control system. uTTL-12 S t et Q6 tiPt W UU-, stormwater site plan template.doc—rev.10/12/2003 6 • • 13. Describe the water quality system. 14. Describe the conveyance system analysis and design. 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. —E1 kjJ ,L 13e C.1=5 •JL---(Lf4'RzIL, ego O N s i T C�JT r.M,iPr"rt 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. — Cdt'u£ 1.11::IWYCt( 4c> S. 1:1) -! n► C.A. -rfw c2t'7 o14d . ? Rv►a u c ea p lc tiescu xe` eb4S A-114 T 18. Describe methods for restoration of the site. t>2 k.1 4 & .- . Ll�j.�c�SC i w (RL C M( gAu. CT'I-A.-01 f r 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 to prepare the Stormwater Site Plan. 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. stormwater site plan template.doc—rev.10/122003 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. 2. Establish Construction Access. 3. Control Flow Rates. 4. Install Sediment Controls. 3 5. Stabilize Soils. (1 v l`P-- Use ".h-1\-- 4 \)1 U uesa C Q T' IC/L L Pri eeff°17-- 6. Protect Slopes. 7. Protect Drain Inlets. stormwater site plan template.dos—rev.10/122003 8 • • 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.doc—rev.10/12/2003 11 • • Stormwater Site Plan Changes If the dclgner 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 indude substitute pages that indude all proposed changes, revised drawings showing any structural changes, and any other supporting information that explains and supports the reason for the change. Final C, ted 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 completad. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as 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 prope <6 (LANDOWNER 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 �1 CO O v \ ocoQvw (��\ (� S.3. '�roa- '\)- C7 /Y� C7 F��.�I�.yyl C7 I'F..µ�-..y31I 11.y.��.y1I it O O U z _� o n,��-,c \r, p Z n lrr„�� C� c0 � y0 O V� O 0 --C. Z rprZ r Y Z _ �� N 7' N m �czn� i �o d ...1 4 ,--\\ v>oa N 71- z Z Cri L' R d ,—0 12:13A7(10 «Z1 MJN 77N1SN .d tli k--il. _________________--- . ___—___-_--------- ___'_''__—___ ,t-•w,,_,,_,.,,,. Ap.„,0l.. _____ `,'-i.g2C(4) 0,m-c Fd 'V ___ A. l4-7;0:,.Ji door ,�1.� _..,,�' ,...,= 1- ndNinb ,� y ° r4ozip ;70 (j. , ._., di x ,-i rii rii • -c; i. 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