HomeMy WebLinkAbout05- StormwaterWorksh:eet S
Small Project Certification
,T
f
"d 1
?3;
JEFFERSON COUNTY DCD
This certification may only be used if you answer yes to all of the questions below (circle yes or no) . Otherwise, a submittal
prepared by a licensed engineer may be required.
0
Permanent and temporary drainage on site is designed to divert Stormwater away from my onsite septic
system or any neighboring onsite septic system.
If located in a Seawater Intrusion Protection Zone (SIPZ), I am able to infiltrate stormwater onsite using a dry -
well or other method (full dispersion, downspout dispersion).
My project will not discharge stormwater runoff into a critical area (including but not limited to: geohazard
area or its 30-foot buffer, wetland or Fish and Wildlife Habitat Conservation Area)
My proposal is a small project, which means it will create less than 2,000 square feet of new, replaced, or new
plus replaced impervious surface area, and has less than 7,000 square feet of land disturbing activities as
defined on the Stormwater Calculation Worksheet.
I understand that my project must comply with Minimum Requirement #2 in the Department of Ecology Stormwater Management
Manual as amended. I have read the Construction Stormwater Pollution Prevention Fact Sheet and will implement Best Manage-
ment Practices (BMP's) as applicable to my project.
Applicant Signature
By signing the small project certification, I as the applicant/owner attest that the information provided herein is true and correct to the best
of my knowledge. 0
411';11 "1
(LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) I (DA