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HomeMy WebLinkAboutBLD2010-00419 • • 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 #: BLD10-00419 SITE ADDRESS: 170 2ND ST Issue Date: 03/17/2011 PORT HADLOCK, 98339 Final Date: 10/11/2011 APPLICANT: REBECCA TURNER PHONE: BRUCE TURNER 170 2ND ST PORT HADLOCK WA 98339-9502 SUBDIVISION: PHILLIPS ADDN TO IRONDALE Block: 4 Lot: 5-6 PARCEL NUMBER: 986400402 Section: 2 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE 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 ON10/11/2011 I:\F_BLD_Occu pancy.rpt 10/29/19 Jefferson County Building Divon Permit Numb. BLD10-00419 Applicant: TURNER 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 Minimum setback from 2nd Street right-of-way shall be 20 feet. Minimum setback from Cedar Street right of way shall be 20 feet. Minimum south and east side yard setbacks shall be 5 feet. Erosion Control SEE CONDITION 2 Foundation Footing Footing Drains -, _7--‘( /4-- Foundation Stem Wall Underground Plumbing Under Floor Framing Straps(hold downs) 7` 7 !( Ext. Shear Wall Nailing -7 C t I7� Rough-in Plumbing Framing 1-1e(" L r(5 Airseal -1 `cl Insulation: Walls „I Insulation: Floors t Insulation: Ceiling —� / / 7- 711 Int. Shear Wall Nailing G ( s-;t r y�f q f 6n�� 4 (—it ( I Wallboard Nailing l , s ine: n en r na Tank Drywell/Alt Drainage SEE CONDITION I Address Posted CO l „ FINAL INSPECTION f4f COI-fez c-I() FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR elUILDING PERMIT APPLICAiION ML 404 Revviewiew Ty I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00419 Received Date: 12/28/2010 SITE ADDRESS: 170 2ND ST PORT HADLOCK, 98339 OWNER: REBECCA TURNER PHONE: BRUCE TURNER 170 2ND ST PORT HADLOCK WA 98339-9502 PHILLIPS ADDN TO IRONDALE SUBDIVISION: Block: 4 Lot: 5-6 PARCEL NUMBER: 986400402 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: HILINE HOMES PHONE: (360) 379-8600 94 KALA SQUARE PLACE PORT TOWNSEND WA 98368 Contractor's License HILINH*981 BT Expires 2/10/2012 REPRESENTATIVE: TIM GIBBS PHONE:253-606-5210 94 KALA SQ PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOI NSFR W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 225,139.00 MAIN: 2,111 CODE EDITION: 2009 ADD'L: HEAT TYPE: EEE OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: 528 SHORELINE: CONST TYPE: SETBACK: DECK: 96 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date; -s6 —io Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,699.35 LYK 12/28/10 120368 APPR , Plan Check $1,104.58 LYK 12/28/10 120368 VEP State Building Code $4.50 LYK 12/28/10 120368 MAR i7 2ul1 Potable Water Application $98.00 LYK 12/28/10 120368 Total: $2,906.43 Jefferson County Planning & Building Department • • CONDITIONS for Building Permit# :BLD10-00419 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.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 3.) 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. 4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 5.) Not more than 2 unlicensed vehiclehall be stored on any lot unless totally sc d from view of neighboring dwellings and rights-of-way. Such screening shall mee 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. 6.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) Minimum setback from 2nd Street right-of-way shall be 20 feet. Minimum setback from Cedar Street right-of-way shall be 20 feet. Minimum south and east side yard setbacks shall be 5 feet. 10.) 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. 11.) 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. • • XioNcodJEFFERSON COUNTY pi DEPARTMENT OF COMMUNITY DEVELOPMENT h ` «C 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax $TNtwww.co.jefferson.wa.us/commdevelopment C� Master Permit Application MLA: lo -z-to4 . Project Description(include se arate sheets as necessary): s : � 1E _ Tax Parcel Number: . re-//,, W1,� Property Size: �QG (acres/square feet) Site Address and/or Directions to Property: /.7 ? Z4- 6/ /7 9,4A- Property Owner(s)of Record: 'Tu,0q/L6� /3 //6-6. �‘,51/i•j:2- Telephone er0rJ. Al� ^ Fax: email: Mailing Ad ress: 42, , ' '7 /7 '42A - Applicant/Agent(if different from owner): iM 1�� .- � Telephone: -2,---3—07 5 2/p Fax: ' email: Mailing Address: Pr-r at kind of Permit?(Check each box that applies ❑Lot or Road Segregation , •:uilding 0 Critical Areas Stewardship Plan if Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) Single Family r•+`, ara•- ch-• Detached 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home : . In 'odular_, - - 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** ❑ Propane 0 Long Plat** ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** - ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions'"* ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference • Please identify any other local,state or federal permits required for this proposal, if known: "TiM Gts I Es DESIGNATION OF AGENT ' I hereby designate ,� � �^ / Date: I to L-2 f;- 2 y agent in matters relating to this application for permit(s). OWNER SIGNATURE - k,�L� �'1 lilk t\/9� ..0"............- 0 i ° y signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its empl yees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of ent assumed unless the applicant informs the County in writing at the time of the poiication that he or she wants prior notice. tv Signature: * �!]� 1Ynt uV Date: (2. Z 5 — Z-Ct 6 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 developm e.The Applicant acknowledges that he,she or it holds individual and non-tra r ble responsibility for adhering to and co yi wit e ESA. The Applicant has read this disclaimer and igns and dates it below. Signature: �(Cgj`r , I w Y N Date: 14 fig_2 °I° • 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 assum a responsibility of the General Contractor for the proposed project.Signatur • z- k--/'./ /c �� �Date: i" � /U ' GENERAL CONTRACTOR ORf MANUFACTURED HOME INSTALLER: PHONE: FAX: / / ' //,.� , C5iA 3;- ., ( . ) MAILING ADDRESS: X/!� ], EMAIL: CONTRACTOR'S LICENSE / /l WAINS NUMBER: f�j//y/- /d/ NUMBER ARCH ITECT/ENGINEER: l/j �,�� /�/ �' PHONE (ZG,�-�k F ) MAILING ADDRESS: ` EMAIL Ppject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ,E1 New V-Wood Existing: ❑ Sewer ❑ Addition CI Steel Proposed: Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: HeightY" ,p5-Individual System O Repair 0 Masonry SEP Permit# I O- l .v ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party �IPC �C Proposed: )-Public Type of eat: Total: c � Name of System:9at° If this is a Commercial Project you must answer the following: . Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have 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: I Heat Stove 1 Cook Stove 1 Woodstove i Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 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. ¢ V t, $r S•uare Foota•e Current Pro.osed �;.� Main Floor Heated // 46 EH Bld App Review: 2nd Floor Heated . Consistency Review: ,� - 51 Other Heated Base fee: 35 �sW 1(o t- Mezzanine Additional Section: r ,` Plan Check fee: p �g Heated Basement 4 � "t X Unheated Basement ,' State Surcharge fee: 5;: �_ . Other Unheated x Pot Water Review fee: 1..a.0 - Garage/Carport SUBTOTAL Decks F 911/Rd Approach fee:6:-4•4! tk OSD ;3 Other , �� TOTAL: $ -1 Receipt Number: 1 apaai Cash/Check Number: E ESTIMATED COST(REQUIRED) Date: ���1 0 .Fair market value of all labor and materials foundation to finish Initials l ���%V" 4. • • ° as PERT; # QLi gi 4, JEFFERSON COUNTY 1 0 . ,, K1 DEPARTMENT OF COMMUNITY DEVELOPMENT 4 I 1MOON hh eiTT �r++ __,,, , 621 Sheridan Street • Port Townsend •Washington 98368 "" �U��1 �4� �� O� 360/379-4450 • 360/379-4451 Fax �TNG http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE 1 .# V PROJECT/APPLICANT NAME: 1 jj.- C' 1 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 propossd developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. .2/// ,c2. , S,:tip-/- i 2,,jC'J_ . I APPRO Ell ______L Existing Conditions Summary STORMWATER PLAN 2. Describe the existing topography. Indicate contours on the site map. / '— 1"'7 MAR 1 7/g061 3. Describe the existin ve etation. Indicate native ve etation areas on the site m 49 ; `-l— / r 5 SIGNATUR : Stcsrmwate;Bii 4. Describe the existingsoils. Indicate soil type on the site map. - , (7�- � �" - '� ."1-�. ,l- kequire• mop ap 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. -ibe any excess levels of noise generated by the proposed use or activity: �� ��� C'o�- / �' •;cam DEC 2 g LJO 6 ay.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. 4/ 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. . G�� �y/�"� L i 7 �✓%fir` e- o� rr�s�p _, 0-- �� ,40 eZ,-F--,— 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 thet Manual) or, if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas withi 'th'e site. Locate these facilities onthe_ ite plan and differentiate prop ed facilities from existing facilities. �eL Z s Pea, LSD /.' ✓t�,9 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`gar e"projects or projects that involve the potential for dispersion of contaminants.] /1 11. Describe the perfo ante goals and standards applicable to the project. '/� ���� .cam �OZ ,Si�G v 6' f! co O '4 /� 12. Describe the flow control system. r X y X 5 ,p/y �e..- / / / nodT^ ip 8 0 ofr7 -09,e,e, stormwater site plan template—rev.10/21/2008 i • 13. Describe the water quality system. l'idtPf 4 V Plf hefir/ fpf f)ell V, 9-,,,1 . ,14,19/,‘:‘ evx- ,-- r‘e 444, di" Of 14. Describe the conve ance system ana sis and design. Oti•,� p �`L 1 6 c��✓T ,Ord � /s p k /PI I/ I/040 i1ri - 15. Describe the source of fill m terial, ply sisal characteristics of fill m erial and deposition of_excess materi��� Oa , ck i"4 6WL-i A,v/ ! Ii k;17 p`✓ 9/L 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. Arg 18. Describe methods for restor ti9 n of the ite. Itv w)/ ! /�1 L 2 2 t a99%a /V ,o A-T 7,Z,44, Ofry //Le-, 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 includedany s ecial 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. ,74 7/ /044-/Ar' /1/a40 /94,,7 ' :' 2 stormwater site plan template—rev.10/21/2008 7 4' • • 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. '4/Mr."5 AA er'Y fie/. -//11./Art /VA Z/PW- 2. Establish Construction cess. 3. Control Flow Rates. I' /l 4. Install Sediment Controls. 0,, .- oA 5. Stabilize Soils. 6. Protect Slopes. 7. Protect Drain Inlets. R stormwater site plan template—rev.10/21/2008 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels�` and Outlets. /"/! 9. Control Poll tants. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). /v , 11. Maintain Best Management Practices (BMPs). ite 5Piti 7/0/Vsf 8/77,6_,___4p, a 12. Manage the Project. 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). Ar2ra 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. /+P" +� � L.1. stormwater site plan template—rev.10/21/2008 9 • • b. Description of special requirements for working in or 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). -- /Ya*,1„ //T / s /zli 5. Construction Phasing. a. Construction sequence 42/ 4/00;92 VG, /JOv�� /-,-G, 7 .Lrc' , s,1�/,(1 172-e-.9/ b. Construction phasin (if propos(edd) . -, Q 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedulg, �� n0 s II. Wet Season Construction Activities. a. Proposed �wet season construction activities. /' K` b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Ide the property owner responsible for the initiation of bondsand/or other financial securities. rAAy � , / 1 b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. _____1,14,4 /?,'V'40.4r S/A/Z/7"- 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—rev.10/21/2008 • • 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. �� �' DATE) (LA DOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 6 CD v1 d x 0 � (14 o � 0 0.4 XIS) r n 1 .1 jD lam` J • ,„.ti FC .••• •. '''.., Z1--' • • �, o ,.. 0...,-edgi 135 . •'t ti 1 2I � � * O ' tair::-..\ Tv (f) I a) tor rn u I o i �N i , 4, , , --1. 1 . 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