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Home My WebLink AboutCT 13-06; LA COSTA VILLAS; SWPPP; 2014-10-22CITY OF CARLSBAD STORM WATER COMPLIANCE FORM - TIER 2 CONSTRUCTION SWPPP E-30 Development Services Lnw' iprnent Engineering 3j arady Avenue V-o-275o fl,'.,' - www.carlsca.gov AIi I am applying to the City of Carlsbad for one or more of the following type of Grading Permit • Building Permit 11 Right-of-Way Permit My project does not meet any of the following criteria for a project that poses a significant threat to storm water quality: I My project does not include clearing, grading or other ground disturbances resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas; and, I My project is not part of a phased development plan that will. cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas; and, My project is not located inside or within 200 feet of an environmentally sensitive area and will not have a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). My project requires preparation and approval of a Tier 2 Construction Storm Water Pollution Prevention Plan (SWPPP) because my project meets one or more of the following criteria demonstrating that the project potentially poses a moderate threat to storm water quality: My project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); and/or, 13 My Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and, my project meets one or more of the following additional criteria: Project is located within 200 feet of an environmentally sensitive area or the Pacific Ocean; Project's disturbed area is located on a slope with a grade at or exceeding 5 horizontal to I vertical; Project's disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse; and/or . Project will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). I CERTIFY TO THE BEST OF MY KNOWLEDGE THATTHE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING FOR CITY APPROVAL A TIER.•2 CONSTRUCTION SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST ADHERE TO, AND AT ALL TIMES, COMPLY WITH THE CITY APPROVED TIER 2 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. Applicant Information and Sionatum Bo Address: (C'Z> t4kE Assessor's Parcel Numbers: c29, .$ —c-D4-O) Applicant Name: Applicant Title: MA)t I Appli nt Sign ature: Date: This Riw fnr Clfv Use Univ City Concurrence: Yes No Lect ID; , E-30 Page 1of 1 REV 4130110 r CITY OF CARLSD/-%D PROJECT THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF CONSTRUCTION SWPPP TIER LEVEL E-32 Development Services Land Development Engineering 1635 Faraday Avenue 760602-2750 www.carlsbadca.gov Construction Project Storm Water Threat Assessment Criteria* SWPPP Tier Level Significant Threat Assessment Criteria U My project includes clearing, grading or other disturbances to the ground resulting in sod disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas; or, U My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, Tier 3 refueling and maintenance areas; or, U My project is located inside or within 200 feet of an environmentally sensitive area (see city ESA proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). Moderate Threat Assessment Criteria My project does not meet any of the significant threat assessment criteria described above and meets one or more of the following criteria: 01 Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, U Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: Tier 2 located within 200 feet of an environmentally sensitive area or the Pacific Ocean; and/or, disturbed area is located on a slope with a grade at or exceeding 5 horizontal to I vertical; andlor disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse; and/or construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Low Threat Assessment Criteria U My project does not meet any of the significant or moderate threat criteria, is not an exempt permit type (see city's list of permit types exempt from construction SWPPP requirements) and project meets one or more of the following criteria: Tier 1 results in some soil disturbance; and/or includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) No Threat Project Assessment Criteria U My project is in a category of permit types exempt from city construction SWPPP requirements (see city's list of permit types exempt from construction SWPPP requirements) and/or does not Exempt meet any of the high, moderate or low threat criteria described above. The city engineer may authorize minor variances trom the storm water tnreat assessment criteria in speciai circumstances where it can be shown that a lesser or higher construction SWPPP tier level is warranted in the opinion of the city engineer E-32 Page 1 of 1 REV 4130110 <<A CITY OF CARLSRAD CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Perceived Construction Threat to SWPPP Tier Construction Threat Assessment Criteria* Storm Water Level Quality Tier 3— High Construction Threat Assessment Cnteria U Project site is 50 acres or more and grading will occur during the rainy season U Project site is 1 acre or more in size and is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High U Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier 3 USDA-NRCS Erosion factors kq greater than or equal to 0.4) U Site slope is 5 to 1 or steeper U Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). U Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3— Medium Construction Threat Assessment Criteria Medium e turn U -All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 High Construction Threat Assessment Criteria U Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA U Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-N RCS Erosion factors kf greater than or equal to 04) High Site slope is 5 to I or steeper Tier 2 Construction is initiated during the rainy season or will extend into the. rainy season (Oct. 1 through April 30), U Owner/contractor received a Storm Water Notice of Violation within past two years U Site results in one half acre or more of soil disturbance Tier 2— Medium Construction Threat Assessment Criteria Medium e U All projects not meeting Tier 2 High Construction Threat Assessment Criteria Tier I - Medium Inspection Threat Assessment Criteria U Project is located within the Buena Vista or Agua Hedionda Lagoon watershed within or directly adjacent to an environmentally sensitive area (ESA) or discharges directly to an ESA U Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors k1 greater than or equal to 0.4) Medium U Site slope is5toiorsteeper Tier 1 U Construction is initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30). U Owner/contractor received a Storm Water Notice of Violation within past two years U Site results in one half acre or more of soil disturbance Tier 1 - Low Insoection Threat Assessment Criteria Lo W U All projects not meeting Tier I Medium Construction Threat Assessment Criteria Exempt Not Applicable - - Exempt -the city engineer may authortze minor variances tram itie construction trireat assessment criteria in speciai circumstances where it can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 . . : REV 4130110 0 Tier 2 Construction SW•P Site Assessment Form. Project ID: Project Information: Project Name: i— v( "v5 Project Address/Location; i-t 4o &,tA Responsible Parties/Contact Information: Name of Preparer C4+ €'(*' Inc, Qualification of Preparer (Registration/Certification): c4 Address: a. City/State/Zip Code: LN 1 CIA Phone Number: c1) 44 Name of Owner/Owner's Agent: MA)DO_N*ZA"I Address: I'Oc! _44 ytz City/State/Zip Code: Phone Number: ____- flc Name of Emergency Contact: t104 Jt10 N1Ot&#Z4' (during construction) Address: (? City/State/Zip Code: C~21 C4A Phone Number: Page 1 of 10 Tier 2 Site Assessment Form 3/24/08 Site and Construction Activity Description: Construction Start Date: yich End Date: C 't If work begins in rainy season or extends into rainy season, explain how project work can be scheduled can be altered to avoid rainy season impacts or to lessen exposure of site during rainy season: Grading Quantities: Cut: CY; Fill: 146 CY; Import: 0 CY; Export: CY Any Stockpile Proposed? tkD If yes, then estimate quantity: l4/A CY Estimated duration of stockpile: Months Soils types: Does site contain a preponderance of soils with USDA-NRCS erosion factor kf greater than or equal to 04? $C) Is a staging area proposed (yes/no)? $C) If yes, then where is it located? Is concrete washout required (yes/no)? Where is it located? tt Any existing site contamination (yes/no)? t\C Where is it located? Any vehicle storage, maintenance or fueling area proposed (yes/no)? 140 Where is it located? Any de-watering operation proposed (yes/no)? 14Q Where is it located? Any other special operations proposed that may impair water quality (yes/no)? KO_ What and where? Page 2 of 10 Tier 2 Site Assessment Form 3124/08 w Watershed Basin project drains to: 0 Buena Vista Lagoon 0 Agua Hedionda Lagoon 0 Encinas Creek 0 Batiquitos Lagoon 0 Pacific Ocean Is project drainage tributary to a CWA section 303(d) listed water body impaired for sediment (includes Buena Vista and Agua J-ledionda Lagoons) (yes/no): 4$D If yes, describe additional, controls that will be used on project site to mitigate for sediment impairments (if any): Is project inside or within 200 feet of an Environmentally Sensitive Area (yes/no): _fJQ If yes, describe additional controls that will be used on project site to mitigate for potential storm water impacts (if any): Are any agency permits required (yes/no)? t4c Check off permit types required: 0 Army Corps 404 permit Regional Board Water Quality 401 Certification 0 Coastal Commission Certification U.S. Fish and Wildlife Section 7 0 Fish and Game Stream Alteration Agreement 0 Other list: Page 3 of 10 Tier 2 Site Assessment Form 3124108 List materials that will be used on construction site and their handling and storage requirements Material Characteristics/Toxicity Handling requirements If any toxic or hazardous materials are proposed, then a spill prevention plan is required. Is a spill prevention plan required (yes/no)? If yes, attach spill prevention plan. Perceived Threat to Storm Water Quality rating: Using the Construction Threat Assessment Worksheet for determination of the projects Perceived Threat to Storm Water Quality rating (E-33): The Construction Threat to Storm Water Quality rating for this project is: D High. 0 Medium Signature of Plan Preparer: Signature: Date: 'ij9jt1 Print Name; Title: Attachments: I Storm Water Compliance Form - Tier 2 Spill Prevention Plan I Hydrology and/or hydraulic study Solis and/or geotechnical report(s) U Other. List: Page 4 of 10 Tier 2 She Asssment Form 3/24108 I S..... sss.$ii.................ss. .iiii. S...... oD.oc.o<mcn5cn5oocn-4ørno 3 5 go cDcJ) ,. a Ct U) CU c CD m o>0 0> Ct) CL 0> 2. CLI iu' iO 'V EC-1 Scheduling EC-2 Preservation of Existing Vegetation EC-3 Hydraulic Mulch EC4 Hydroseeding - - - - - - EC-5 Soil Binders EC-6 Straw Mulch EC-7 Geotextiles & Mats C) EC-8 Wood Mulching 2. - - EC-9 Earth Dikes and Drainage Swales EC-lO Velocity Dissipation EC-1 1 Slope Drains EC-12 Streambank Stabilization EC-1 3 Polyacrylamide rn WE-1 Wind Erosion Control EE Is.s.sisii.ssssss.ss.s.s..sss.s.s.. •...se.ss.s•• oaom o-ønc, a) Cr —.0 C) C) CD CD CD CD CQ C = -- a. 0. -i 00u 10 - ci) 0 (D CO Cd 0 Oa Q) a. C) 00 ' a Q' fl a ci) 4. SE-1 Silt Fence SE-2 Sediment Basin SE-3 Sediment Trap -------0 SE-4 Check Dam CL ------9 SE-5 Fiber Rolls SE-6 Gravel Bag Berm C) SE-7 Street Sweeping and 9. Vacuuming SE-8 Sandbag Barrier SE-9 Straw Bale Barrier SE-10 Storm Drain inlet Protection SE-1 1 Chemical Treatment