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Home My WebLink About2287 GALENA AVE; ; CB141127; Permit05-29-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Pool Permit Permit No: CB141127 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 2287 GALENA AV CBAD POOL 2132400300 Lot#: 0 $3,502.00 Construction Type: NEW WHEATLY RES- 86 SF GUNITE SPA GAS TO BBQ & FOR FUTURE FIREPLACE, ELECTRIC TO Status Applied Entered By Plan Approved Issued Inspect Area: ISSUED 05/22/2014 RMA 05/22/2014 05/29/2014 Applicant: DREAMSCAPES BY M G R INC STE 350 1901 NEWPORT BLVD COSTA MESACA 92627 949 999-2041 Owner: WHEATLEY WILLIAM&CHERIE <LE> WHEATLEY FAMILY TRU 14661 FRANKLIN AVE TUSTIN CA 92780 Building Permit $68 07 Add'l Building Permit Fee $0 00 Plan Check $47 65 Add'l Plan Check Fee $0 00 Electrical Fee $33 00 Plumbing Fee $33 00 Strong Motion Fee $1 00 Green BIdg Standards (SB1473) Fee $1 00 Renewal Fee $0 00 Add'l Renewal Fee $0 00 Other Building Fee $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $183 72 Total Fees: $183.72 Total Payments To Date: $183.72 Balance Due: $0.00 r Inspector: MAPPROVAL FINAL APP Date Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3,32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. 05-29-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW140172 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: 2287 GALENA AV CBAD SWPPP 2132400300 CB141127 WHEATON GUNITE SPA Lot #: Applicant: DREAMSCAPES BY M G R INC STE 350 1901 NEWPORT BLVD COSTA MESACA 92627 949 999-2041 Status: Applied: Entered By: Issued: Inspect Area: Tier: Priority: ISSUED 05/22/2014 RMA 05/29/2014 1 L Owner: WHEATLEY WILLIAM&CHERIE <LE> WHEATLEY FAMILY TRU 14661 FRANKLIN AVE TUSTIN CA 92780 Emergency Contact: KIRK MALODY 949 222-5236 SWPPP Plan Check SWPPP Inspections Additional Fees $48.00 $57.00 $0.00 TOTAL PERMIT FEES $105.00 Total Fees: $105.00 Total Payments To Date: $105.00 Balance Due: $0.00 INAL APPROVAL iJATE ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; OPLANNING •ENGINEERING DBUILDING DFIRE nHEALTH • HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov / Plan Check No. Est. Value Plan Ck. Deposit . Date J5L SWPPP JOBADDRESS , A \ ri SUITE#/SPACE#/UNIT# A >1 o / Jll ^9n- oZ-/^o CT/PR0JECT# LOT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME " ^ ^ ' ' CONSTR. oca GROUP DESCRIPTION OF WORK:/ncfude Squane Feet Of Affected Areafs; i^ / ttj EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRESPRINKLERS YEsr> No| 1 YES QNO Q YES| |NO| | PROPERTY OWNER NAME , /I „ ^ r- . ^ ADDRESS _ , ADDRESS ^ ^ , _ 1 _ CITY STATE ZIP liU 3oL, 1 EMAIL EMAIL CONTRACTOR BUS. NAME ^^^Z;g^e(t^pe S BY ^ ^ .DDRESS ij ~n(£T!Al PHONE _ ,-FAX EMAIL EMAIL " STATE UC. # CLASS 1 / CITYBUS. UC.# J i / Civil penalty of not more than five Iiundred dollars ($500)), WOU KERS' COMPENSATION ter 9, commendingwlth Section 7000 of Division 3 ofthe 5 by any applicantfor a permit subjects the applicant to a 9 Workers' Coinpensation Declaration: / hereby affinn under penalty of perjury one ofthe following declaratbns: • ave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued. I OTI have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the wofk for which this, pemiit is ijfsued. My workers' compensation Jisuraice carrier and policy number are: Insurance Co. _ Policy No. Expiration Date ~| ^ | > This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfomiance of the work for which this pemiitis issued, I shall notemploy any person in any manner so asto become subject to the Workers' Compensation Laws of Califomia. WARNiNG: Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil flnes upto one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. JS^ CONTRACTOR SIGNATURE QAGENT DATE I hereby affinn that I am exempt from Contractor's Ucense Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensalion, will do the woik and the stnicture is not intendejLoMjffSFeS'for sale (Sec. 7044, Business and Professions Code; The Contractor's Ucense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself^^litBogirliisown employees, provided that such imptovements ate not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will haysJiertJtirSen of proving that he did not build or improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting with licensed contractors to constradJhgjwejetTiSec. 7044, Business and Professions Code: The Contrxtor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contraciatWlSer^ed pursuant to the Contractor's License Law). I I I am exempt under Section Business and Professior^^pdertSrtiiis reason: 1.1 personally plan to provide the major labor and matenjIs^Transtruction of the proposed property improvemenL QYes I iNo 2.1 (have / have not) signed an application forj^illfling pemiit for the proposed work. 3.1 have contracted with the followinjij>elSon(finn) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portionjjiWIlSwork, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide sora»l!nhe work, but I have contrxted (hired) the following persons to provide the work indicated (include name / address / phone / type ofwork): PROPERTY OWNER SIGNATURE QAGENT DATE iAL BUILD Is the applicant or future building occupant required to submit a business plan, xutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Accouni Act? Yes No Is the applicani or future building occupant required to obtain a permil from the air pollution conlrol district or air quality managemenl dislricl? Yes No Is the facility to be constmcted wllhin 1,000 feet of the outer boundary of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS HET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ONSTRUCTION LENDING AGEN I hereby affirm that there is a construction lending agency for the performance of tfie work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certiV that I have read the application and state thatthe above Infbnnation is correct and thatthe infonnation on the plans is accuiate. I agree to complywith all City oidinances and State laws lelating to building constnictkin. I hereby aulhorize representative ofthe City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL LIABILITES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSH A: An OSHA permit is requiied for excavations over 5'0' deep and demolition or constructbn of stmctures over 3 stories in height. EXPIRATION: Every permit issued by the Building Ofiicial under the provisions ofthis Code shall expire by limitation and become null and void if the building or wxk authorized by such petmit is not commenoed within 180 days from the date of such pemit or if the builjling or vwrk authorized by sum remit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ) APPLICANT'S SIGNATURE DATE / STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildinq@carlsbadca.QOV or Mall the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACrr (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) ASSOCIATED CB#- MAIL/FAX TO OTHER: NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION JgiAPPLICANT'S SIGNATURE DATE Inspection List Permit*: CB141127 Type: POOL Date Inspection item 12/16/2014 55 Fence/Pre-Plaster 12/16/2014 59 Final Pool 12/16/2014 59 Final Pool 12/12/2014 55 Fence/Pre-Plaster 12/12/2014 55 Fence/Pre-Plaster 11/17/2014 22 Sewer/Water Service 10/06/2014 55 Fence/Pre-Plaster 07/09/2014 23 Gas/Test/Repairs 07/09/2014 31 Underground/Conduit-Wirin 07/09/2014 51 Excav/Steel/Bonding/Fence Inspector PD PB PD SP PD PD PD Act Rl Rl AP Rl NR AP AP AP AP AP WHEATLY RES- 86 SF GUNITE SPA GAS TO BBQ & FOR FUTURE FIREPLACE Comments Monday, December 22, 2014 Page 1 of 1 PLAN CHECK Community & Economic ^ CITY OF REVIEW Development Department 1635 Faraday Avenue CARLSBAD TRANSMITTAL Carlsbad CA 92008 w/ww.carlsbadca.gov DATE: 05/27/14 PROJECT NAME: WHEATLEY RESIDENCE PLANCHECKNO: 1 SET#: ADDRESS: 2287 GALENA AVE VALUATION/SCOPE OF WORK: SPA PROJECT ID: CB 14 1127 APN: 213-240-03 / This plan check review is complete and has been APPROVED by the Division. By: K LAWRENCE 05/27/14 A Final Inspection bythe Division is required Yes / No This plan check review is NOT COIVIPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. NC3TFE: ONLY ITEMS THAT NEED CORRECTION/CLARIFICATION ARE MARKED X, Plan Check Comments have been sent to: You may also have corrections from one or more ofthe divisions listed below. Approval from these divisions may be required prior to the issuance of a buiiding permit. Resubmitted pians should Include corrections from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as markeci: PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 Chris.Sexton@carlsbadca.gov / Kathleen Lawrence 760-602-2741 Kathleen.Lawrence@carlsbadca.gov C5reg Ryan / O 'U'' i"/ %J ^:t - # t> Ij ..;> Grefiorv.Rvan@carlsbadca.gov Gina.Ruiz@carlsbadca.gov Linda Ontiveros 760''-6(}2-277i Linda.Ontiveros@carlsbadca.fiov Cvnthia.Wong@carlsbadca.fiov DorniriiC ¥\et\ Dominic.Fieri@carlsbadca.gov Remarks: Any outstunding is.',7it.'s will tw marked tuitli an I X I Make tite necessarif corrections for compliance tvilii applicable codes and slandards. Submit corrected plans and/or specifications to lire liiiildiitg division jor re-suhmittal io the I.ngineering divisions. Items thai confonn to jiermit reijinrcments are marked tvith | ^ | 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: / North arrow / Existing & proposed structures / Property line dimensions / Easements Show on site plan: / Drainage patterns / Existing & proposed slopes / Existing topography Retaining Walls (location and height) Indicate what will happen with soil excavated from pool area. Include on title sheet: / Site address / Assessor's parcel number / Legal description/lot number Grading: Quantities of Cut Fill Import Export Project does not comply with the following engineering conditions of approval for project no: Conditions were complies with by: Date: LOT NO. MAP NO. REF. NO. 3 14807 GT 02-24 E-37 Page 2 of 4 REV 6/2012 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 11.06.030 of the IVIunicipal Code. Inadequate information available on site plan to mal<e a determination on grading requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and remedial). This information must be included on the plans. If no grading is proposed write: "NO GRADING" Grading Permit required. NOTE: The qradinq permit must be issued and rouqh grading approval obtained priorto issuance ofa building permit. A separate grading plan prepared a registered civil engineer must be submitted together with the completed application form attached. / No grading permit required. MISCELLANEOUS PERMITS ALL EQUIP OUT OF ROW PER APPLICANT / RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work adjacent to the public right-of-way. A separate right-of-way issued by the engineering division is required for the following: Please complete attached right-of-way application form and return to the engineering department together with the requirements on the attached right-of-way checklist, at the time of resubmittal. Right-of-way permit and pool permit will be issued simultaneously. E-37 Page 3 of 4 REV 6/2012 4. STORM WATER Construction Compliance / Project Threat Assessment Form complete / incomplete / Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW "-172 ) Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Development (SUSIVIP) Compliance ^ Storm Water Standards Questionnaire complete / incomplete Project is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water IVIanagement Plan (SUSMP) for reference. http://www.carlsbadca,qov/business/buildinq/Documents/EnqStandsw-stds-vol4-ch2.pdf Project needs to incorporate low impact development strategies throughout in one or more of the following ways: Rainwater harvesting (rain barrels or cistern) Vegetated Roof Bio-retentions cell/rain garden Pervious pavement/pavers Flow-through planter/vegetated or rock drip line Vegetated swales or rock infiltration swales Downspouts disconnect and discharge over landscape Other: 5. ADDITIONAL COMMENTS E-37 Page 4 of 4 REV 6/2012 PLANNING DIVISION Development Services Planning Division BUILDING PLAN CHECK Development Services Planning Division CITY OF APPROVAL 1635 FaradayAvenue CARLSBAD P-29 (760) 602-4610 www.carlsbadca.eov DATE: 5-23-14 PROJECTNAME: PROJECTID: PLAN CHECK NO: CB 14-1127 SET#: 1 ADDRESS: 2287 Galena Av APN: 213-240-03-00 ^ This plan check review is complete and has been APPROVED by the Planning Division. By: Chris Sexton A Final Inspection by the Planning Division is required • Yes ^ No you may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance ofa building permit. Resubmitted plans should include corrections from all divisions. [Jl This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: For questions or clarifications on the attached checklist please contact the following reviewer as marked: PUNNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 X Chris Sexton 760-602-4624 Chris.Sexton@carlsbadca.gov 1 1 Kathleen Lawrence 760-602-2741 Kathieen.Lawrence@carlsbadca.gov 1 Greg Ryan 760-602-4663 Gregorv.Rvan@carlsbadca.gov 1 1 Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov I 1 Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov Cindy Wong 760-602-4662 Cvnthia.Wong@carlsbadca.gov • • 1 Dominic Fieri 760-602-4664 Domlnic.Fieri@carlsbadca.gov Remarks: CITY OF STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carisbadca.gov STORM WATER COMPLIANCE CERTIFICATE ^ My project is not in a category of permit types exempt from the Construction SWPPP requirements ^ My project is not located inside or within 200 feet of an environmentally sensitive area with a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water dlscharge(s). My project does not require a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 ofthe Carlsbad Municipal Code) ^ My project will not 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 that meets one or more ofthe additional follow/Ing criteria: • 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 1 vertical; and/or • 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). I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND, (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DUF?ATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. OWNEBfS)/pWNER'S AGENT NAME (PRINT) ,OVyNBFr(S)/OWNER'S AGENT NAME (SIGNATURE) DATE STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPS WHEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES PROJECT INFORMATION . Si.eAddress^:^^7 ^101^0. Assessor's Parcel Number-^^^'^^^"^ Project ID:. Construction Permit No.: Estimated Construction Start Date ^ -T\-l4 Project Duration. Months Emergency Contact: mm }M/^^ Phone: Name: _ 24 hour Perceived Threat to Storm Water Quality n Medium ^(C^Low If medium box is checked, must attach a site plan sheet shovwng proposed work area and location of proposed structural BMPs For City Use Only CITY OF CARLSBAD STANDARD T^RysWPPP Approved By: Date: E-29 Page 1 of 3 REV 4/30/10 Erosion Control BMPs Sediment Control BMPs Best Management Practice (BMP) Description Geotextiles & Mats Wood Mulching Earth Dikes and Drainage Swales Slope Drains Silt Fence Sediment Trap Check Dam Fiber Rolls Gravel Bag Berm Street Sweeping and Vacuuming Sandbag Bamer Storm Drain Inlet Protection Stabilized Construction Ingress/Egress Stabilized Construction Roadway Water Consen/ation Practices Paving and Grinding Ooerations Potable Water/Irrigation Vehicle and Equipment Cleanina Material Delivety and Storaoft Material Use Stockpile Management Spill Prevention and Control Solid Waste Manaaement Hazardous Waste Manaaement Concrete Waste Manaaement CASQA Designation -> Construction Activity EC-7 EC-8 EC-9 EC-11 SE-1 SE-3 'SE-4 SE-5 SE-6 SE-7 SE-8 SE-10 TR-1 TR-2 NS-1 NS-3 NS-7 NS-8 WM-1 WM-2 WM-3 WM-4 WM-5 WM-6 WM-8 Grading/Soil Disturbance Trenching/Excavation r X -V-4-Stockpiling y<s Drilling/Boring Concrete/Asphalt Saw cutting y Concrete flatwork Paving Conduit/Pipe Installation X Stucco/Mortar Work Waste Disposal .X X Staging/Lay Down Area Equipment Maintenance and Fueling Hazardous Substance Use/Storage Dewratering Site Access Across Dirt Other (list): Tracking Controi BMPs Non-Storm Water Management BMPs Waste Management and Materiais Pollution Control BMPs Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activily descriptions in the blank activity description boxes provided for that purpose and place a check In the box immediately to the left ofthe added activity description. For each activity descrribed, pick one or more best management practices (BMPs) from the list located along the top of the form. Then place an X in the box at the place where the activity row Intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example - If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt". Then review the list for something that applies such as "Stabilized Constmction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction Ingress/Egress" column and place an X in the box where the two meet. As another example say the project included a stockpile that you Intend to cover with a plastic sheet. Since plastic sheeting is not on the list of BMPs, then write in "Cover vwth Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling" row intersects the new "Cover with Plastic" column. To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures. The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. . , E-29 Page 2 of 3 REV 4/30/10