Preliminary Short Plat Application Page 1 of 2 (Revised 9/24/2014)
www.ci.dupont.wa.us
City of DuPont
Preliminary Short Plat
Application
Phone 253-912-5393 1700 Civic Drive
DuPont, WA 98327
www.dupontwa.gov
Fax 253-964-1455
City File Number: ___________________________
All information listed in this application, or by applicable ordinance, must be submitted in order for a
preliminary plat application to be determined complete. Only a complete application will be processed for
conformance with adopted policies and requirements.
General Information:
Project name: ________________________________________________________________________
Owner name: ________________________________________________________________________
Address: ____________________________________________________________________________
Phone number: (_____)___________________________ Fax number: (_____)____________________
Authorized representative:
Address: ____________________________________________________________________________
Phone number: (_____)___________________________ Fax number: (_____)____________________
Location and Description of proposal. Be specific.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Site Information:
Site acreage:_________________________________________________________________________
Number of lots:_______________________________________________________________________
Average lot size:______________________________________________________________________
Acreage of lots:_______________________________________________________________________
Acreage of public streets:_______________________________________________________________
Acreage of storm drainage improvements:__________________________________________________
Acreage of critical areas and buffers:______________________________________________________
Preliminary Plat Application Page 2 of 2 Revised (9/24/2014)
Required Plans, Information and Fee:
(Quantity and minimum scale of each item or drawing is indicated in parenthesis. Engineering related
plans shall be no larger than 24 by 36 inch sheet size) Short Plat Site Plat shall be on 18inch by 24
inch sheets.
Vicinity Map (include as part of site plan),
Short Plat Site Plan drawn at one inch equals 20 feet (1:20 scale, 7 each),
Topographic information at two foot elevation (1:20 scale, 7 each)
Existing Tree Plan identifying location, size and species of all landmark, historic and specimen
trees and trees to be retained (1:20 scale, 7 each),
Grading Plan with estimated dimensions and quantities of work involved (1:20 scale horizontal
and two foot contour interval vertical, 7 each),
A Temporary Erosion and Sediment Control (TESC) Plan shall be provided, including details
and City Standard TESC notes.
Storm Drainage and Utility Plan (1:20 scale, 7 each), Existing utilities and easements shall be
shown.
Preliminary Stormwater Management Report and calculations (3 each),
Roadway cross sections, (single line dimension, 7 each),
One each 8 by 11 inch reduction of all drawings,
Average daily trips generated by the proposal based on the International Transportation
Engineers Trip Generation Manual (2 each),
Title report of subject site that is less than 30 days old,
Draft of proposed covenants, conditions and restrictions related to the maintenance of open
space or commonly owned improvements, if applicable (2 each),
Letter of Sewer Availability from Pierce County (2 each),
Letter of Water Availability from City of DuPont (2 each),
Completed environmental checklist (2 each),
Pre-stamped envelopes addressed to all property owners within 300 feet of the subject site and
list of addresses (1 each). Be sure to include envelopes for the applicant and applicant’s
representative.
Completed Preliminary Short Plat Application (1 each),
Completed Agent Affidavit (1 each),
Filing fee(s).
Note:
Fill out and return this application with all material listed in the Required Plans, Information and Fee
section. All plans must be folded to by 11 inch size. Submittal of all required plans, information and
fees constitutes a complete application. You will be contacted by the City within 28 days of formal
application submittal regarding whether the application is complete. Site work may not start until all
necessary permits have been obtained. Paper or electronic drawings of the proposal may be requested
for presentation purposes.
________________________________________ _______________________________________
(Applicant Signature) (Date) (Print name)