storm water requirements . 05 560 applicability checklist

FORM

Storm Water Requirements . 05 _560 THE Crrv O F S A N DtEGO

City of San Diego Development Services 1222 First Ave., MS-302 San Diego, CA 92101 (619) 446-5000 Applicability Checklist FEBRUARv201s

Project Address: 1792 W. Washington St.

I Project Number (for City Use Only):

SECTION 1. Construction Storm Water BMP Requirements: All construction sites are required to implement construct ion BMPs in accordance with the performance standards in the Storm Wat er Sta nda rds Manual. Some sites are additionally requir ed to obtain coverage under the State Construction General Permit (CGP) 1 , which is administered by the State Water Resources Control Board.

For all project complete PART A: If project is required to submit a SWPPP or WPCP, continue to PART B.

PART A: Determine Construction Phase Storm Water Requirements.

1. Is the project subject to California's st atewide General NPDES permit for Storm Water Discharges Associated with Construction Activities, also known as the State Construction General Permit (CGP)? (Typically projects with land dist ur bance greater than or equal to 1 acre.)

0 Yes; SWPPP required, skip questions 2-4 IX} No; next question

2. Does the project propose construction or demolition activity, including but not limited to, clearing, grading, grubbing, excavation, or any other activit y that results in ground disturbance and contact with storm water runoff?

0 Yes; WPCP required, skip 3-4 ~ No; next question

3. Does the 2roject propose routine maintenance to maintain original line and grade, hydrau lic capacity, or original purpose of the facility? (Project s suc h as pipeline/utility replacement)

Q! Yes; WPCP required, skip 4 :J No; next quest ion

4. Does the project only include the following Permit types listed below? • Electrica l Permit, Fire Alarm Permit , F ir e Sprinkle r Permit, Plumbing Permit , Sign Permit, Mecha nical Per

mit , Spa Permi t.

• Individual Right of Way Permit s that exclusively includ e only ONE of the following activities: water service, sewe r lateral, or utility service.

• Right of Way Permits with a project footprint less than 150 linea r feet that exclusively includ e only ONE of the following activities: curb ramp, sidewalk and driveway apron replacement, pot holin g, cui-b and gutter replacement, and retaining wall encroachments.

0 Yes; no document required

Check one of the boxes to the right, and continue to PART B:

0

0

If you checked "Yes" for gue st ion 11 a SWPPP is REQUIRED. Contmue to PART B

If _.y9u checked "No" for question 1, and checked "Yes" for question 2 or 3, a WPCP is REQUIRED. If the project proposes less than 5 000 square feet of ground disturoance AND has less than a 5-foot elevation cha nge over the entire project area, a Minor WPCP may be required instead. Continue to PART B.

If .}'OU checked "No" for all questions 1-3, an d checked "Yes" for question 4 PART B does not apply and no document is 1·equired. Continue to Section 2.

1. More information on the City's construction BMP requirements as well as CGP requirements can be lound at: www.sandieoo.oov/stormwat"r/r1>nulations/ind1>x.<html

Printed on recycled paper . Visit our web site at www sandjego gov/development-services .

Upon request, this information is available in alternative formats for persons with disabilities.

DS-560 (02· 16)

of 4 City of San Diego • Development Services Department • Storm Water Requirements Applicability Checklist

PART B: Determine Construction Site Priorit This prioritization must be completed wit hin this form , noted on the plans, and included in the SWPPP or WPCP. The city reserves the right to adjust the priority of projects both before and after construction. Constr uction proj-ects are assigned an inspection frequency based on if the project has a "high threat to water quality." The City has aligned the local definition of"high threat to water quality" to the risk determination approach of the State Construction General Permit (CGP). The CGP determines risk leve l based on project specific sediment risk and receiving water risk. Addit ional inspection is required for prnjects within the Areas of Special Biological Signifi-cance (ASBS) watershed. NOTE: The construction priority does NOT change construction BMP requirements that apply to projects; rather, it determine s the frequency of inspections that will be conducted by city staff.

Complete PART Band continued to Section 2

1. 0 ASBS a. Project s located in the ASBS waters hed.

2. 0 High Priority

a. Projects 1 acre or more determined to be Risk Level 2 or Risk Level 3 per the Construction General Perm it and not located in the ASBS watershed.

b. Projects 1 acre or more determined to be LUP Type 2 or LUP Type 3 per the Construction General Permit and not located in the ASBS water shed.

3. 0 Medium Priority a. Projects 1 acre or more but not subject to an ASBS or high priority designation.

b. Projects determined to be Risk Level 1 or LUP Type 1 per the Construction General Permit and not located in the ASBS watershed .

4. 00 Low Prior ity a . Projects requiring a Water Pollution Control Plan but not subject to ASBS, high, or medium

priorit y designation.

SECTION 2. Permanent Storm Water BMP Requirements.

Additional information for determining the requireme nt s is found in the Storm Water Standards Manual.

PART C: Determine if Not Subject to Permanent Storm Water Requirements. Projects that are considered maintena nce, or otherwise not catego rized as "new development projects" or "rede-velopment' projects" according to the Storm Water Standards Manual are not subject to Permanent Storm Water BMPs.

If "yes" is checked for ani number in Part C, ,Proceed to Part F and check "Not Sub ject to Permanent Storm Water MP Requirements'.

If "no" is checked for all of the numbers in Part C continue to Part D.

1. Does the project only include interior remodels and/or is the project entirely with in an existi ng enclosed st ruc t ur e an d does not have the potential to contact storm water? 0Yes □ No

2. Does the project only include the constructio n of overhead or underground utilities without 0Yes UNo creating new impervio us surfaces?

3. Does the project fall und er routine maintenance? Examples include, but are not limite d to: roof or exterior struc tur e surfac e replacement, resurfacing or reconfi guri ng surface park.ing lots or existing roadways without expan din g the impervious footpri n t, and rout ine

UYes JNo replacement of dam aged pavem ent (grinding, overlay, and pothole repair) .

City of San Diego • Development Services Department• Storm Water Requirements Applicability Checklist of 4

PART D: PDP Exempt Requirements.

PDP Exempt projects are required to implement site design and source conb·ol BMPs.

If "yes" was checked for any questions in Part D, continue to Part F and check the box la -beled "PDP Exempt."

If "no" was checked for all qu est ions in Part D, contin u e to Part E.

1. Docs the project ONLY include new or retr ofit sidewalks, bicycle lanes, or tra ils that:

• Are designed and constru cted to direct storm wate r runoff to adj acent vegetate d areas, or other non-erod ible perm eab le areas? Or;

• Are designed and const ruc te d to be hyd raulic a lly disconnected from paved streets and roa ds? Or; • Are designe d and constructed with per me able pave ments or surfaces in accordan ce with the

Green Streets guida nce in the City's Storm Water Standards manu al?

0 Yes; PDP exempt r equir ement s app ly 0 No; next que st ion

2. Does the project ONLY inclu de retr ofitt ing or redeveloping existin g paved alleys, stre ets or roads designed and constructed in accordance with the Green St r eets guidance in th e Citv's Storm Water Standar ds Manual ?

0 Yes; PDP exempt requirements apply 0 No; project not exempt . PDP requirements apply

PART E: Determine if Project is a Priority Development Project (PDP). Projects that match one of the definitions below are subject to additional requirements including prepara tion of a

Storm Water Quality Management Plan (SWQMP ).

If "yes" is checked for any number in PART E, continue to PART F.

If "no" is checked for every number in PART E, continue to PART F and check the box la-beled "Standard Development Project".

1. New Development that creates 10,000 square feet or more of impervious surfaces collectively over th e proj ect site. This include s commerc ial, indus trial , re side ntial,

OYes □ No mixed- use, and public development project s on public or priva te land.

2. Redevelopment project that create s and/or replaces 5,000 square fee t or more of imperv ious surfaces on an existing site of 10,000 square fee t or more of impervious surfaces. Th is includ es comme rcial, industrial , re sidenti al, mixed-use , and public

OYes □ No developm ent projects on pub lic or private lan d.

3. New development or redeve lopment of a res taurant. Facilities tha t sell prepared foods and drinks for consumption, including stat ionary lunch counters and refreshment stands sellin g prepar ed foods and drinks for imm edia te cons um ption (SIC 5812), an d where the land

O Yes ONo developmen t cre ates and/or replace 5,000 square feet or more of impervious surface.

4 . New development or redev elopment on a hill side. The proj ect creates and/or replaces 5,000 square feet or mor e of imp ervious surface (collectively over the project site) and where

U Yes LJ No the development will grade on any natural slope that is twenty- five perc ent or gr eate r.

5. New development or redevelopm ent of a parki ,ng lot that creates and/or replace s ..J Yes □ No 5,000 square feet or more of impervious surfa ce (collectiv ely over the project site).

6. New development or redevelopment of streets, roads, highways, freeways, and driveways. The project cre ates and/or replaces 5,000 square feet or more of imperviou s

JYes ONo surface (collecti vely over the project site).

of 4 City of San Diego • Development Services Department • Storm Water Requirements Applicability Checklist

7. New developm ent or redevelopment discharging directly to an Environmentally Sensitive Area. The project creates and/or replaces 2,500 squar e feet of impervious surface (collectively over project site), and discharges directly lo an Environmentally Sensitive Area (ESA ). "Discharg ing directly to" include s flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the project to the ESA (i.e. not commingled with flows from adjacent

0Yes □ No lands ).

8. New development or redevelopment projects of a retail gasoline outlet (RGO) that create and/or replaces 5,000 square feet of impervious surface. Th e development project meets the following criteria: (a) 5,000 square feet or more or (b) has a projected

0Yes ONo Average Daily Traffic (ADT) of 100 or more vehicles per day.

9. New development or redeve lopment projects of an automotive repair shops that creates and/or rep laces 5,000 square feet or more of impervio us surfaces. Development projects categorized in any one of Stan dard In dustrial Classification (SIC) codes 5013, 5014,

OYes □ No 5541, 7532- 7534, or 7536-7539 .

10. Other Po ll utant Genera ting Project. The project is not covered in the categories above, resu lt s in the disturbance of one or more acres ofla nd an d is expected to generate pollutants post construction, such as fertilizers and pesticides. This does not include projects creating less than 5,000 sf of impervious surface and where ad ded landscaping does not req uire regular use of pesticides and fertilizers, such as s lope stabilizat ion using native plants . Calculat ion of the squa re footage of impervious surfa ce need not include linear pathways that are for infrequent vehicle use, such as emergency maintenance access or bicycle pedestria n use, if they are built

OYes 0 No with pervious surfaces of if they sheet flow to surrounding pervious surfaces.

PART F: Select the appropriate category based on the outcomes of PART C throug·h PART E.

1. The project is NOT SUBJECT TO STORM WATER REQUIREMENTS. 2g

2. The project is a STANDARD DEVELOPMENT PROJECT. Site design and source control ,.J BMP requirements apply. See the Storm Waler Standards Manual for guidance.

3. The proj ect is PD P EXEMPT. Site design and sour ce control BMP requirements ap ply. See the Sto rm Water Standards Man ual for guida nce. ,.J

4. The project is a PRI ORITY DEVELOPMENT PR OJECT. Site design, sour ce control, an d struc tura l pollutant con trol BMP requireme nts ap ply. See the Storm Water Standards Manual

Q for gui dance on determ in ing if project req uires a hydro modification plan management

Name of Owner or Agent (Please Print ): Title:

Genene Lehotskv Senior Planner

Signatu O~ ¼M- O~ Date:

3/30/ 16

storm water requirements . 05 560 applicability checklist

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