SW3211203_Application Completeness Review Checklist_20211220

Application Completeness Review Checklist
Project Name: Ra 2elA9� �4�m r (-L Date Delivered to CO: 11/1f 12,1
BIMS Received/Accepted Date: f2!12_p22_1
Project County/Location: 15IC old 14"Y 7K Msrshv]lfe (/ti,oh CO, *BIMS Acknowledged Date: ) Z_ Z 12i_
Rule(s): ®Phase II �OWR/HQW �WSWS
Goose NSW Other
Permit Action Ne / Major Mad / Minor Mod / Renewal / Transfer
**New Permit #:V�ZIIZ 03
Existing Permit #:
Permit Type: HD LD LD Overall / HD &LD Combo
General Permit / Offsite / Exempt / Rescission
FIPE Cert on File?
SCM Type(s): &1 c-r F&TJAk
Offsite to SW:
Master PE Cert on File?
Development Type: omme sidential / Other
Subdivided?: Subdivision or e Lo
For New or Transferred Permits Permittee is:
Stream Class:
Property Owner(s) ®Developer Lessee Purchaser DHOA
1:15A Map DORW Map
Paperwork Emailed Engineer on:
Supplement(s) (1 original per BMP)
0&M with correct/original signatures (1 original per BMP except LS/VFS and swales)
©Application with correct/original signatures
®Corp or LLC: Sig. Auth. per SoS or Signature Authorization letter or report
M$505 (within 6mo) Check#w: 3330 E]No Fee
Soils Report: w/SHWT or General Report
®Calculations (signed/seaded)
Deed Restrictions, if subdivided:
"Signed & Notarized Template
Comm/Res & HD/LD1 or Dec.
Recorded Covenants
Email Address: Design Engineer
Email Address: Property Owner
®Deed
Email Address: Lessee
Lease Agreement
®Email Address: Purchaser
Purchase Agreement
®Email Address: Developer
Email Address: HOA Representative
Recorded Plats F-150% or more Lots Sold List
Project Narrative
®USGS Map
Plans
ElSets ©Wetlands: pelineated or No Wetlands
®Vicinity Map ®Project Boundaries
®Legend Layout (proposed BUA dimensions)
®DA Maps ®Details (roads, cul-de-sacs, curbs, sidewalks, BMPs, Buildings, etc)
®Existing Conditions ©Landscape Plan
®Grading ©PE Seal
REVIEWER NAME: NOTES TO REVIEWER: *Enter BIMS Acknowledged Date on this Sheet
_ q P0gel�.t/ **FOR NEW Projects -Enter New Permit # on
1 ��'�Tj7l Supplements & Deed Restiction Templates.
G:WQ\\\Reference Libra ry\Procedures\Checklists\Completeness Review Checklist_2018 03 13