SW3220601_App Completeness Review Checklist_20220613

I ' f r; �P.(i Application Completeness Review Checklist
Project Name: W i1�oU..Q� 4 h7 '-Cj JC/6$'¢�v O` Date Delivered to CO:
Street Address: 3Ko $ 0,W:^_5 ?,aaj BIMS Received/Accepted Date:
City&County: /Xonro2 (itt"on Co, *BIMS Acknowledged Date:
Rule(s):
©Phase
II
F_1ORW/HQW
❑WSWS
Goose
ONSW
Other
Permit Action New / Major Mod / Minor Mod / Renewal / Transfer
**New Permit #: ( C
Existing Permit #:
Permit Type: HD /fL_D�Y LD Overall / HD & LD Combo
General Permit / O site / Exempt / Rescission
FTE Cert on File?
SCM Type(s):
Offsite to SW:
Master PE Cert on File?
Development Type: mmerci Residential / Other
Subdivided?: Subdivision o Sin le L
For New or Transferred Permits Permittee is:
Special Stream Classification:
PropertyOwner(s) DDeveloper Lessee Purchaser ❑HOA
Tr+/@/*/# Other
Paperwork Emailed Engineer on: S /1 _� / ZZ (Accepte Add In
Supplement-EZ Form (all pages provided & original signature & sealed) `Z/H IrL Wc_cepte)/Returne )
—10&M Agreement (all pages provided & correct/original signatures & notarized) `
[SApplication Form (all pages provided & corre original natures & 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): 7-3 4 ff No Fee Deed
"Soils Report (SHWT, General Report) 121
Email Address: Lessee
Calculations (signed & sealed) Lease Agreement
Deed Restrictions, if subdivided: Email Address: Purchaser
®**Signed & Notarized Template Purchase Agreement
Correct Template (Comm/Res) (HD/LD) or Dec. Covenants & Rest. Email Address: Developer
12]Recorded Covenants HEmail Address: HOA Representative
©Recorded Plats 050% or more Lots Sold List Recorded 0&M Agreement
®Project Narrative Recorded Deed Restrictions
©USGS Map (project location) ©Recorded Draiange Easements
Plans
2 Sets (signed, sealed, folded)
R
V Map & Project Name
Legend, North Arrow, & Scale
Existing Conditions
Drainage Area (each SCM/swale)
®Wetlands (delineated/n wetlan
Surface Waters & Vegetated Setbacks
Boundaries (bearing & distance)
(BUA dimensions)
ElMaintinance Access & Easement
(roads, cul-de-sacs, curbs, sidewalks, SCMs, buildings, etc)
Plan
REVIEWER NAME: NOTES TO REVIEWER: *Enter BIMS Acknowledged Date on this Sheet
�p _Fold p1r AS G,+d **FOR NEW Projects -Enter New Permit # on
Cgl )Q4-9 SjVZ� Supplements & Deed Restriction Templates.
T �!�%rur `t Y�t��l S6tP2 O r Q,) ✓uTr_( Se P&t