HomeMy WebLinkAboutPD 15-04; SEA OTTER RETAINING WALL; CONSTRUCTION BMP CERTIFICATION; 2019-05-10Date Prepared:
5/10/2019
Project Applicant:
Jason Gordon
Project Address:
City of San Diego
Development Services
1222 First Ave., MS-501
San Diego, CA 92101
(619) 236-5500
5919 Sea Otter Place, Carlsbad, CA 92010
Project Engineer:
Nick Psyhogios
Permanent BMP
Construction
Self Certification Form
Project No.:
PD15-04
Phone:
(858) 875-1755
Phone:
(858) 875-17 43
FORM
DS-563
FEBRUARY 2013
The purpose of thi$ form is to verify that the site improvenwnts for the project, identified above, have been con-
structed in conformance with the approved Standard Urban Storm Water Mitigation Plan (SUSNIP) documents and
drawin15s.
This form must be completed by the engineer and submitted prior to final inspection of the construction permit.
Completion mid submittal of this form is required for all new development and redevelopment projects in order to
comply with the City's Storu1 Water ordinances and NDPES Permit Order No. R9-2007-0001. Final inspection for
occupancy and/or release of grading or public improvement bonds may be delayed if this form is not submitted and
approved by the City of San Diego ..
CERTIFICATION:
As the professional in responsible charge for the design of the above project, I certify that I have inspected all
constructed Low Impact Development (LID) site design, source control and treatment control BMP's required per
the approved SUSMP and Construction Permit No. GR2017·0058 ; and that said BMP's have been
constructed in compliance with the approved plans and all applicable. specifications, permits, ordinances and Order
No. R9-2007-0001 of the San Diego Regional Water Quality Control Board.
I understand that this BMP certification statement does not constitute an operation and maintenance verifica-
tion.
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Signature: /v ~ / _Z
Date of Signature: _5_11_0_l_20_1_9 __________ _
Printed Name; Nick Psyhogios
Title: Professional Engineer
Phone No. 858-875-1743
Engineer's Stamp
Printed on recycled paper. Visit our web site at www.sandlego.gov/<levelopment-services.
Upon request, this information is available In alternative formats for persons with disabilities.
DS-563 (02-13)