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APPROVED BY
JEFFERSON COUNTY
_ 3199gr
JEFFERSON COUNTY AUTH.
STORMWATER MANAGEMENT ORDINANCE
SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN
EROSION AND SEDIMENT CONTROL WORKSHEET
Property Owner:ces pi 4rtet- elephone: 3� 0 —1 8 l-4 ' /3
Address: aZ- 37 6-Y
Assessor's Parcel Number:
Building Permit or Septic Permit Application Number(if applicable):
�Q�IC.���k/C� �
Brief Project Description: / Y �� Y$1 '
Site Location: ' o T ?34/1-eytt,..e...1-
Person Responsible for BMP Installation and Maintenance: .7TarL
Address: /1 To 4- R1-÷ ►J,'t ► r l UGC ?;x'-`.5 7
Telephone: 36 ' 73
1. Describe/check the Best Management Practices (BMPs) that you will implement during land
disturbing activities or construction to control erosion and prevent sediment from entering water
bodies (marine waters, streams, rivers, lakes, or wetlands) or impacting adjacent property or
roads. Please check the measures you plan to implement and show their approximate location on
the site plan. You may also propose measures other than those listed. Attach additional sheets, if
more space is required.
Stabilize construction access route. Limit construction vehicles to one route, if feasible.
Provide a stabilized construction access by applying quarry spalls, ballast, or crushed rock
to minimize tracking sediment onto roads. (See attached illustration from Stormwater
Management Manual.) If sediment is transported onto roads, they will be cleaned
thoroughly.
Minimize the extent of land disturbing activity and preserve existing vegetation.
Preserve buffers of well-established vegetation between disturbed areas and property
boundaries, roads, water bodies, and designated critical areas (wetlands, fish and wildlife
habitat areas, landslide or erosion hazard area, etc.).
SPESC Instructions—Short Form
Revised June 3, 1999
3
t 4
fy.._.... .. t
� S
F i
- - EROSION AND SEDIMENT CONTROL WORKSHEET
Phase clearing so that only areas that are actively being worked are uncovered.
e
e
and
Start and complete land disturbing that disturbed areasactivities and �willhhaveewell stablishediplant
September 30. Stabilization m
cover or be landscaped to minimize erosion.
1K Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between
October 1 and March 31 and within 7 days between April 1 and September 30.
[ ] Cover exposed soil with a minimum of 2 inches of straw or hay or other material
approved for this purpose.
w Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads,
and property lines. areas after clearing and subgrade
Place gravel base on roads, driveways, and parking
preparation.
Protect adjacent properties and water bodies from sediment deposition: ( F VIEr -..1
[] Place straw or hay bales in ditches and drainage ways down slope from areas
of land disturbing activity to filter runoff before it leaves the project site or enters
water bodies. (See attached illustrations from Stormwater Management Manual.)
[ ] Install a filter fence down slope from areas of land disturbing activity to filter runoff
before it leaves the project site or enters water bodies. (See attached illustration from
Stormwater Management Manual.)
Regularly inspect and maintain all BMPs especially after storms events.
Describe other erosion and sediment control Best Management Practices. Be specific
as to design and specifications. y�
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crer‘t� 1,4tn A-Pf :2�►-��
Gor-
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SPESC Instructions—Short Form
Revised June 3, 1999 4
EROSION AND SEDIMENT CONTROL WORKSHEET
x 2. Describe how disturbed areas will be pernianently stabilized (seeded, landscaped, apply gravel base
to roadways, etc.)
k-e_42 4
3. Describe how runoff from impervious surfaces will be controlled (disperse to vegetated areas to
infiltrate, dry well, infiltration trench,route runoff to existing drainage facilities, etc.).
- ./ 2 _t_Ac IL.- 4
SPESC Instructions—Short Form
Revised June 3, 1999
5
EROSION AND SEDIMENT CONTROL WORT SHEET
your construction sequence. Describe the timing of all land disturbing activities (clearing
4. Specify landscaping, etc.) and Best
and grading, construction, installation of drainage facilities, landsca in ,
Management Practices.Describe proposed maintenance of BMPs.
c fi „
60
The Best Management Practices proposed above will b implemented
pl as required.nt control erosion, sediment, and
stormwater runoff.I will notify the Permit Center for inspections +` 4
� ram _ t
Date
Signatur f Owner/Agent
SPESC Instructions—Short Form
Revised June 3, 1999 6