SW3220402_Application Completeness Review Checklist_20220420

Application Completeness Review Checklist I IaDI 2 0
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Project Name: V ��c K ([� �t e cvr� `��SQ Z Date Delivered to CO:
Street Address: 3ogo FwAh Q04a BIMS Received/Accepted Date:
City & County: �, *BIMS Acknowledged Date:
Rule(s):
®Phase
II
E]ORW/HQW
E1WSWS
Goose
NSW
Other
Permit Action: ew / Major Mod / Minor Mod / Renewal / Transfer
Z**New Permit #: Svc a.'D, 04 0 a —
Existing Permit #:
Permit Type: ®/ LD / LD Overall / HD & LD Combo
General Permit / Offsiite /Exempt / Rescission
r
"J
0PE Cert on File?
Offsite to SW:
SCM Type(s): V4 Ponca a ,F'1�
Master PE Cert on File?
Development Type: Commercial esi entia Other
Subdivided?: u ivisi _ or Sin le Lot
For New or Transferred Permits Permittee is:
Special Stream Classification:
Property Owner(s) ODeveloper Lessee ❑Purchaser ❑HOA
Tr+/@/*/# Other
Paperwork Emailed Engineer on:
3/2-9127(f%�dclIn A
®Supplement-EZ
Form (all pages provided & original signature & sealed)
(Accepted/Returned)
©O&M
Agreement (all pages provided & correct/original signatures & notarized)
®Application
Form (all pages provided & correct/original signatures & notarized)
®Email Address: Design Engineer
®For Corp/LLC: Sig. Auth. per (SoS, Signature Authorization letter/report)
©Email Address: Property Owner
®$505
(within 6mo) Check#(s): 3 S Q[ f DNo Fee
Deed
®Soils
Report HWT n epo )
E]Email Address: Lessee
®Calculations
(signed & sealed)
©Lease Agreement
®Deed
Restrictions, if subdivided:
EfErnail Address: Purchaser
f7i**Signed
& Notarized Template
Purchase Agreement
Correct Template (Cc m m4q)Jn/LD) or Dec. Covenants & Rest.
Email Address: Developer
Recorded Covenants Email Address: HOA Representative
Recorded Plats E150% or more Lots Sold List O&M Agreement
©Project
Narrative
���------���Recorded
Recorded Deed Restrictions
RUSGS
Map (project location)
Recorded Draiange Easements
Plans
El2 Sets (signed, sealed, folded)
©Vicinity Map & Project Name
®Legend, North Arrow, & Scale
r;QExistlng Conditions
nage Area (each SCM/swale)
®Wetlands (d meate no wetlands)
nSurface Waters & Vegetated Setbacks
UProject Boundaries (bearing & distance)
Layout (BUA dimensions)
ElMaintinance Access & Easement
Details (roads, cul-de-sacs, curbs, sidewalks, SCMs, buildings, etc)
Landscape Plan
REVIEWER NAME: NOTES TO REVIEWER: *Enter BIMS Acknowledged Date on this Sheet
/ **FOR NEW Projects -Enter New Permit # on
— Forw� J J Supplements & Deed Restriction Templates.
1 3200�10 )
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