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Home My WebLink AboutCDP 10-12; SMERUD RESIDENCE; SWPP ASSESSMENT; 2011-02-10c'r ;o-- 0* lip Tier 2 Construction SWPPP Site Assessment Form Project ID: Project Information: Project Name: R\ctO 5'MER'J 13 ELSMESCG Project Address/Location, I uE.NPi \/ t 'i-i; IA) A"/ Responsible Parties/Contact Information: Name of Preparer: RG merr S U K J4) Qualification of Preparer (Registration/Certification): RC. a830 7. .' Address: l't R\GWT ?(SI City/State/Zip Code: C.Ag(.,.S A 0, CA )Z p PhoneNumber: 110O - ODo) O705B(V) Name of Owner/Owner's Agent: 1ç(CAR.t) SMR D Address: C8 3 frôe. 5 VLAc City/State/ZipCode: cot4OitO1 CA 2OZS Phone Number: '7 0-47A - JJOL Name of Emergency Contact: Ri 5w. U D (during construction) Address: Z83 P(oRs5 ]7L.-Ac City/State/ZipCode: S0N(t)O CA )1OZ.'? Phone Number: 77 (Q -_11 r 17b ( Pagel of 10 Tier 2 Site Assessment Form 3/24/08 Site and Construction Activity Description: Construction Start Date: 'ii End Date: 5(15 J 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: ' lMTt}O 76H4V r)4€ UMtERR604O UTILITIES COMPL'r'cJ EOR 'T FARY 'SEASOM IIEGNS Grading Quantities: Cut: .C) CY; Fill: 34 C) CY; Import: 30 CY; Export: e__CY Any Stockpile Proposed? No If yes, then estimate quantity: CY Estimated duration of stockpile: .i. A. Months Soils types: 1Lrf t) Does site contain apreponderance of soils with USDA-NRC S erosion factor kf greater than or equal to 0.4? 140 Is a staging area proposed (yes/no)? () If yes, then where is it located? Is concrete washout required (yes/no)? VETS Where is it located? IN FRCt Q Any existing site contamination (yes/no)? Na Where is it located? Any vehicle storage, maintenance or fueling area proposed (yes/no)? Where is it located? Any de-watering operation proposed (yes/no)? t4 Where is it located? Any other special operations proposed that may impair water quality (yes/no)? What and where? Page2 of 10 Tier 2 Site Assessment Form 3/24/08 .0 Watershed Basin project drains to: I'uena Vista Lagoon 0 Agua Hedionda Lagoon [1 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 Hedionda Lagoons) (yes/no): '1E.3 If yes, describe additional controls that will be used on project site to mitigate for sediment impairments (if any): zluv rEACS5i S1P.Av) WATTLE-5 k EKTRAKCe ARt ALL ?OD, ITS IS 'LL 13A31 CALL/ FLA'r SO a1ôs0 rtL i ETL' KEDOCSTD . Is project inside or within 200 feet of an Environmentally Sensitive Area (yes/no): If yes, describe additional controls that will be used on project site to mitigate for potential storm water impacts (if any): .00 Are any agency permits required (yes/no)? N 0 Check off permit types required: 0 Army Corps 404 permit O Regional Board Water Quality 401 Certification 0 Coastal Commission Certification o U.S. Fish and Wildlife Section 7 0 Fish and Game Stream Alteration Agreement 0 Other list: Page3 of 10 Tier 2 Site Assessment Form 3/24108 List materials that will be used on construction site and their handling and storage requirements Material Characteristics/Toxicity Handling requirements CEt13 s1ucco PLAdE QN PA UelS T44 1E. VLS\c. c(N€P.. tuj co g ccQ.T LAJ44OUT AR\ ?AtZ TO iiii ce.ou cOj1ACT __ EA PRoVtD M coci1OJ D€8i If any toxic or hazardous materials are proppsed, then a spill prevention plan is required. Is a spill prevention plan required (yes/no)? t\ If yes, attach spill prevention plan. Perceived Threat to Storm Water Quality rating: Using the Construction Threat Assessment Worksheet (attached as Appendix C to Section 3 (Construction SWPPP Standards and Requirements) of the City Storm Water Standards Manual, determine the projects Perceived Threat to Storm Water Quality rating. The Construction Threat to Storm Water Quality rating for this project is: U High 1/Medium Signature of Plan Preparer: Signature: Print Nam Date: zjio) 11 Title: C;'q)L Ik)EU. Q T?C Z8OZ Attachments: U Storm Water Compliance Form - Tier 2 U Spill Prevention Plan U Hydrology and/or hydraulic study U Solis and/or geotechnical report(s) U Other. List: Page4 of 10 Tier 2 Site Assessment Form 3/24108 0 BMP Selection: The following tables are provided to help identify and select appropriate site specific BMPs for the proposed project. Review the list of potential site construction activities and site conditions described along the left hand column of each sheet. Then, for each activity or site condition that is included in the proposed project, pick one or more of the BMPs described at the top of the form and place an X(s) in the box(es) that form(s) an intersection between the activity/site condition row and BMP column(s). All structural (physical facility) BMP's should be shown on the site plan in the Construction SWPPP drawing set. Any proposed no-structural BMP should be noted in the Special Notes on the Construction SWPPP drawing set. S Page5 of 10 Tier 2 Site Assessment Form 3/24/08 I R = 0 :3 0) 0 = Cu cu Ca - ca — C -.- - = -. a. Q. C) . ç) CD CD CD o >5ö-u LAJ 5 rr >C)ca) (0> (J) x CD — ~ CD R. CD Cu a -'Q > 4' EC-1 Scheduling EC-2 Preservation of - - Existing Vegetation - -- EC-3 Hydraulic Mulch EC-4 Hydroseeding m EC-5 Soil Binders Is EC-6 Straw Mulch 0 0' EC-7 Geotextiles & Mats EC-8 Wood Mulching 2. EC-9 Earth Dikes and ic Drainage Swales 0 ------------- Cl) EC-lO Velocity Dissipation EC-1 I Slope Drains EC-12 Streambank Stabilization EC-I3 Polyacrylamide m ic WE-1 Wind Erosion Control cn. CD 0 0 0000mCnQDCn-G)O C) 0 o CD - o - CD .> (D(D M - 0 . 0) 4' 4, SE-1 Silt Fence SE-2 Sediment Basin SE-3 Sediment Trap (D SE-4 Check Dam CL 3 ---- ------- * SE-5 Fiber Rolls C) SE-6 Gravel Bag Berm o Street Sweeping and SE -7 Vacuuming IMI ---- SE-8 Sandbag Barrier ---- ------- ______ SE-9 Straw Bale Barrier Cl) r Storm Drain Inlet T SE-1 0 Protection SE-il Chemical Treatment CD 00 0 a; C) () 0 1> CI) U) ' — -' -' ww-<0LA. a ' CD - i. CL C) 0 . 0 4, w-. - - C,) - - - TR.1 Stabilized Construction ....( Ingress/Egress C) TR- 2 Stabilized Construcion Roadway o TR-3 Ingress/Egress Tire Wash 9 omoom o.Qono.Q) U - ' - 1 omoQ0g NS-1 Water Conservation Practices NS-2 Dewatering Operations NS-3 Paving and Grinding Operations NS-4 Temporary Stream Crossing Z NS-5 Clear Water Diversion NS-6 Illicit Connection/Discharge NS-7 Potable Water/Irrigation NS-8 Vehicle and Equipment Cleaning NS-9 Vehicle and Equipment Fueling ___ ------------- ________ NS-10 Vehicle and Equipment Maintenance CD ___ ------------- 3 NS-1 I Pile Driving Operations NS-I2 Concrete Curing 1 NS-I3 Concrete Finishing NS-14 Material and Equipment Use NS-I5 Demolition Adjacent to Water NS-16 Temporary Batch Plants S S OHC)Q) -' (D r øO.CD ) -•r- 50O5 -, (I) _D) CDOOOD >C) C) g)o)CD o 3 rL Cn 5 wcnoimcncn -uOOor- 0 cfl_ co CD 0 CD g (0 CD W g 0) 5 CL a U3 0 o (0 U3 (D -n WM-1 Material Delivery and Storage WM-2 Material Use co WM-3 Stockpile Management - - fu WM-4 Spill Prevention and Control 03 WM-5 Solid Waste Management Om -- WM-6 Hazardous Waste Management W CL WM-7 Contaminated Soil Management go j ) WM-8 Concrete Waste Management WM-9 Sanitary! Septic Waste Management 0 --- WM-1O Liquid Waste Management Tier 2 Construction SWPPP Required Elements Checklist Required Elements Required Project Preparer for Verification Construction SWPPP Drawing Set 1. Standard Storm Water Pollution Prevention Notes General Site Management Requirements Notes Rainy Season Site Management Requirements Notes Erosion Control Hydroseeding, Planting and Irrigation Notes Special site specific notes 2. City SWMP identification number affixed for high priority projects 3. Construction Threat to Storm Water Quality rating (high or medium inspection frequency required?) 4. Regional Water Board WDID Number shall be affixed for small linear utility projects as appropriate 5. Project Location 6. Legend 7. Description of work Quantities (cut, fill, import, export) Area of disturbance Site conditions description 1) Soils type 8. Benchmark Information 9. Preparer's signature and seal as appropriate 10. City title block 11. Emergency contact name, company and phone number 12. Water shed project drains to listed 13. Site Plan Existing topographic and cultural features of site and immediate vicinity as appropriate Scale and north arrow Project boundary and property lines Proposed grading contours and slopes clearly shown quired Elements Checklist 3/24/08 C E. Staging areas, equipment storage, refueling, stockpiling and maintenance areas identified F. Storm drain inlets, open channels and natural drainages and watercourses that flow onto or drain off of the project site clearly delineated G. Potential source points of pollutants (fueling locations, waste container areas, wash racks, hazardous materials storage, etc) H. Site access locations I. Proposed BMPs - location and description Perimeter controls Erosion controls Sediment controls Tracking controls Non-storm water management controls Waste management and materials pollution controls Additional controls (as needed) Advanced treatment methods (as needed) J. Toxic or hazardous material contamination or spill areas K. Existing site BMP installations 14. BMP detail drawings as needed Construction SWPPP Supplemental Documentation Storm Water Compliance Form for a Tier 2 Construction SWPPP completed and signed Tier 2 Site Assessment Form completed and signed Hydrology and hydraulic calculations (as needed for sediment basins and sizing of drainage swales to handle drainage during construction Soils report (as needed when proposed BMP installation may affect ground water, slope stability or other geotechnical site condition) Page 2 of 2 Tier 2 Required Elements Checklist 3/24/08 C 0 Tier 2 Construction SWPPP Review Checklist PROJECT ID NO.PROJECT NAME________________________________ PLANCHECKER DRAWING NO. DATE_____ 1st Chk 2nd Chk 3rd Chk Mylar Comments SS SS.SS tONSTRUCTION SWPPPDRAWING 1. ALL SHEETS A. Medium (to be reviewed at time of submission of final plan check) 24"x36 mylar film with title block (Alternative medium may be approved by Deputy City Engineer or designee) No sticky-back, glued or taped on or together sections Drawing with waterproof ink or photographically reproduced B. Drafting Signed by the Qualified SWPPP Preparer Marked with the name, address & telephone number of the Qualified SWPPP Preparer preparing the plan & date of preparation Consecutively numbered & the total number of sheets shown Lettered in a neat & legible style no lettering smaller than 1I8 Title with the name & discretionary permit number of the City approval Prepared to appropriate Scale(s) Drawn as separate plans from Grading Plans, Building Plans or Improvement Plans S Use standard plans & details to maximum extent Clearly designate between existing conditions & work proposed Scale noted, north arrow & bar scale provided No duplication of any section or detail letter designation. 2. TITLE SHEET A. Erosion Control Notes Provided Standard Notes Supplemental special notes B. Project Location Legal description Assessor's parcel number Vicinity map (may be waived by Deputy City Engineer or designee) C. Legend 1) Symbols per County Standards '1= Acceptable 7 = Unclear, Provide More Data NIA Not Applicable X Not Acceptable (provide reason for unacceptability In comment section) her 2 Construction SWPPP checklist 3t24108 Page lof5 17J S TIER 2 CONSTRUCTION SWPPP - CHECKLIST DRAWING NO. PAGE: 2 OF5 1st Chk 2nd Chk 3rd Chk Mylar Comments Every symbol used on the plans is shown in the legend Every symbol description clear & unequivocal D. Description & Quantities of Work Quantities for each item constructed or installed per these plans Erosion control Structural BMPs Standard references fisted E. Site Plan - (certain site plan requirements may be waived for projects not requiring a grading plan per the approval of the Deputy City Engineer or designee) Full project site area shown (on one sheet if possible) Adequate adjacent site area shown to clearly indicate drainage courses that flow onto or off of the site Topography extends minimum 15 beyond limits of work & over entire property Existing contours and cultural features (screened back - 60% matte) Proposed contours and cultural features Existing & proposed contours clearly differentiated Slope symbols used only on slopes 2:1 or steeper Degree of slope shown for all slopes Fill slopes shaded Proposed lot lines shown Existing lot lines shown & dimensioned Street name or designations F. Drainage Facilities and Water Courses Storm drains and inlets existing and proposed Water courses and natural drainages shown with arrows indicating direction of flow Down drains Paved swales & terrace drains shown with arrows indicating direction of flow Existing and proposed basins G. Detail Drawings (Only when necessary. Generally refer to CASQA reference drawings) 1) Modifications to standard drawings (CASQA or others) should be detailed H. Proposed Storm Water BMPs BMPs shown in bold ink and clearly visible BMP notes and identifiers bolded and clearly shown Acceptable ? = unclear, Provide More Data NIA Not Applicable X Not Acceptable (provide reason for unacceptablifty In comment section) her 2 Construction SWPPP Checklist 3t2410 Page 2 of 5 TIER 2 CONSTRUCTION SWPPP - CHECKLIST DRAWING NO. PAGE: 3 0F5 1st 2nd 3rd M)lar Comments Chk Chk Chk 3) Proper CASQA (or other standard) designations used 4) Perimeter control shown Flows onto site contained or diverted around construction area Flows off-site mitigated through retention, dissipation or other means Perimeter sift fencing, fiber rolls or other sediment control BMP for sloped areas or areas of sheet flow 5) Erosion control shown Existing vegetation preserved where possible BMP specified for all sloped areas 3:1 or steeper Minimize area and duration of exposed soils 6) Sediment control shown Basin or other appropriate BMP shown for flat areas less than 3:1 Onsite and offsite inlets protected with storm drain inlet protection, gravel bags or other appropriate BMP Onsite earth swales and water courses protected with check dams, gravel bags, fiber rolls or other appropriate BMP Additional controls proposed for sites draining directly to receiving waters 7) Tracking control shown Umit vehicle and equipment access points onto site Stabilized construction entrance called out on plan 8) Non-Storm Water Management BMP indicated on plan Vehicle and equipment fueling and maintenance areas identified and protected Concrete Finishing and curing protections 9) Waste Management and Materials Control BMPs Material Delivery and Storage BMPs indicated Stockpile management BMPs indicated Concrete mixer wash out BMP indicated 1. General Site Management 1) All weather access provide to basins and other BMPs that require cleaning or maintenance during rainy season 4 Acceptable 7 unclear, Provide More Data NIA Not Applicable X Not Acceptable (provide reason for unacceptability In comment Section) 1'Ier 2 Construction SWPPP checklist 312410$ Page 3 of 5 TIER 2 CONSTRUCTION SWPPP - CHECKLIST DRAWING NO. PAGE: 4 0F5 1st 2nd 3rd M4ar Comments Chk Chk Chk 24 hour telephone number for emergency erosion control person and name of specific individual with authority and responsibility for erosion control Schedule for completion of installation of erosion control facilities Erosion control planting & method of starting & maintaining growth (irrigation) "Weather triggered" action plan for deploying BMPs with 48 hours of a predicted rain Description of standby BMP materials plan J. Project Conditions of Approval (list if applicable.) 2) 3. ADDITIONAL PLAN SHEETS (Additional plan sheets as required to adequately depict required BMP details or depict the site plan with an appropriate scale to clearly show all existing and proposed features) II SUPLEMENTAL 1304jUMENTA1lON STORM WATER COMPLIANCE FORM (properly filled out and signed by Owner or Owner's Agent including appropriate City approval initial) COMPLETED SITE ASSESSMENT FORM SPILL PREVENTION PLAN (as required) SOILS/GEOTECHNICAL INVESTIGATION REPORT (As needed for geotechnical safety. Follow format indicated on Grading Plan Checklist when require CALCULATIONS (As needed for projects with sedimentation basins or significant on-site/off-site drainage flows to determine sizing of swales and potential for erosive velocities) A. All All pages numbered Total number of pages on each page Each page labeled with the name address & telephone number of the preparing firm Neat & legible Indexed In logical order Cross-referenced to plans Bound Sturdy cover Signed, sealed & dates of preparation and expiration of registration applied on report cover or on bound-in cover letter Cover prominently labeled with subject, name & number of the discretionary permit for the project. '/ Pceptabte ?-Unclear, Provide More Data NIA Not Applicable X Not Acceptable (provide reason for unacceptability In comment section) Tier 2 construction SWPPP Checklist 3l248 Page 4 of 5 S TIER 2 CONSTRUCTION SWPPP - CHECKLIST DRAWING NO. PAGE: 5 OF5 1st Chk 2nd Chk 3rd Chk M'1ar Comments B. Hydrology Per San Diego County Standards 1) 1984 rainfall intensity curves 2) Appropriate value of C 3) Appropriate design method U.S. Army Corps of Engineers HEC series Soil Conservation Service Unit Hydrography Rational Method (Q=ClA) (0.5 sq. mile max) 4) TI correctly completed 5) If correctly completed 6) Tccorrect 7) Six hour/24 intensities correctly balanced 8) Documentation provided or "plain english" output for computer generated reports C. Hydraulic Documentation provided or "plain english" output for computer generated reports Clear copies provided or all charts, maps, nomogrpahs or other graphic used Cite general formula before inserting specific values (i.e. Q=AV; 0=2.5 x 18 = 4.75 cfs) 7. ENGINEERS ESTIMATE (Needed only for projects with grading plans. Follow grading plan checklist requirements) • Additional Comments: .AccepbIe ?=Unclear, Provide More Data NIA Not Applicable X • Not Acceptable (provide reason for unacceptablifty In comment section) her 2 Construction SWPPP Checklist 3I248 Page 5 of 5 EN G I N E E R I N G DEP A R T M E N T fl