SW6220702_Application Completeness Review Checklist_20220705

Application Completeness Review Checklist
Project Name: 6211 �P Gore RSW- ). S 2D Date Delivered to CO:
Street Address: t /, Rezyes 8r,otK R94d BIMS Received/Accepted Date:
City & County: Lr*n Co. *BIMS Acknowledged Date:
Rule(s):
Phase II
E]ORW/HQW
EIWSWS
Goose
NSW
Other
Permit Action:(I q/ Major Mod / Minor Mod / Renewal / Transfer
**New Permit #: QLO-7� 0 3-
Existing Permit #:
Permit Type: HD A�o LD Overall / HD & LD Combo
General Permit / Offsite / Exempt / Rescission
MPE Cart on File?
SCM Type(s):
:]Offsite to SW:
Master PE Cert on File?
Development Type: Commercial / R identia Other
Subdivided?: ubdivisio or Single Lot
For New or Transferred Permits Permittee is:
Special Stream Classification:
Property Owner(s) ®Developer Lessee Purchaser ❑HOA
Tr+/@/*/# Other
Paperwork Emailed Engineer on:
9/7/77 (Accepted/dd Info
Supplement-EZ Form (all pages provided & original signature & sealed)
7����ZZ Accepte. 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): -:7 ) 34 �No Fee
®Deed
Report (SHWT, General Report)
Email Address: Lessee
rnSoils
Calculations (signed & sealed)
0Lease Agreement
Deed Restrictions, if subdivided:
Email Address: Purchaser
13**Signed & Notarized Template
Purchase Agreement
®Correct Template (Comm/des) (HDM or Dec. Covenants & Rest.
Email Address: Developer
Recorded Covenants
Email Address: HOA Representative
Recorded Plats E150% or more Lots Sold List Recorded 0&M Agreement
®Project
Narrative Recorded Deed Restrictions
®USGS
Map (project location)
Recorded Draiange Easements
Plans
02 Sets (signed, sealed, folded) ®Wetlands ( mea no wetlands) ElMaintinance Access & Easement
Vicinity Map & Project Name Surface Waters & Vegetated Setbacks
Legend, North Arrow, & Scale FXJProject Boundaries (bearing & distance)
Existing Conditions ®Layout (BUA dimensions)
Grading ®Details (roads, cul-de-sacs, curbs, sidewalks, SCMs, buildings, etc)
Drainage Area (each SCM/swale) ®Landscape Plan
REVIEWER NAME: NOTES TO REVIEWER: *Enter BIMS Acknowledged Date on this Sheet
**FOR NEW Projects -Enter New Permit # on
Supplements & Deed Restriction Templates.