SW4220501_Application Completeness Review Checklist_20220505

Application Completeness Review Checklist c
Project Name: udGr,l c ; S SGItoo i Date Delivered to CO: 5/JIZZ
Street Address: Broad Slam R,L BIMS Received/Accepted Date:
City& County:F1j( VA+'k!W, Ca� *BIMS Acknowledged Date:
Rule(s):
Phase II 90RW/HQW
F_1WSWS
Goose
NSW
Other
Permit Action Major Mod / Minor Mod / Renewal / Transfer
**New Permit #: S VV y O
Existing Permit #:
FiPE Cert on File?
Permit Type: (tV LD / LD Overall / HD & LD Combo
General Permit / Offsite / Exempt / Rescission
SCM Type(s): Boy f : if 4,/
Offsite to SW:
Master PE Cert on File?
Development Type: Commercial esidential
Subdivided?: Subdivision or i le
For New or Transferred Permits Permittee is:
Special Stream Classification:
Property Owner(s) ©Developer Lessee ❑Purchaser �HOA
Tr+/@/*/# Other
Paperwork Emailed Engineer on:
4f44A (AcceptedkA'd"d7hi2
®Supplement-EZ
Form (all pages provided & original signature & sealed)
v
epte,/Returned)
®0&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): )oz739 E]No Fee
®Deed
®Soils
Report (SHWT, General
Email Address: Lessee
©Calculations
(signed & sealed)
Lease Agreement
/❑Deed
Restrictions, if subdivided:
Email Address: Purchaser
M**Signed & Notarized Template
©Purchase Agreement
Correct Template (Comm/Res) (HD/LD) or Dec. Covenants & Rest.
®Email Address: Developer
Recorded Covenants
12]Email Address: HOA Representative
Recorded Plats 050% or more Lots Sold List Recorded O&M Agreement
®Project
Narrative Recorded Deed Restrictions
®USGS
Map (project location) Recorded Draiange Easements
Plans
2 Sets (signed, sealed, folded)
Vicinity Map & Project Name
Legend, North Arrow, & Scale
Existing Conditions
Grading
Drainage Area (each SCM/swale)
REVIEWER NAME:
®Wetlands elinea no wetlands)
®Surface Waters kzetated Setbac
Boundaries (bearing & distance)
(BUA dimensions)
EqMaintinance Access & Easement
(roads, cul-de-sacs, curbs, sidewalks, SCMs, buildings, etc)
ndscape Plan
NOTES TO REVIEWER: *Enter BIMS Acknowledged Date on this Sheet
**FOR NEW Projects -Enter New Permit # on
Supplements & Deed Restriction Templates.