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Home My WebLink About4/10/15 csrapp Construction Site Runoff (CSR) Permit Application Permit Fee $150.00 Site Address or Lot and Subdivision 1044 Manitou Trail, Lot 58 Mackinaw Village Applicant -Mail shelley@acbiowa.com Advantage Custom Builders, Inc. Address City, State, ZIP North Liberty, IA 52317 740 Liberty Way, Suite 1 Telephone (office) (cell) 319-430-7867 319-665-2997 Applicantgent E-Mail Shelley or Nickshelley@acbiowa.com 740 Liberty Way, Suite 1 Address City, State, ZIP North Liberty, IA 52317 Telephone (office) (cell) 319-665-2997319-430-7867 Project Description Construction of single family dwelling Is the Applicant responsible for Iowa Department of Natural Resources (IDNR) National Pollutant Discharge Elimination System (NPDES) General Permit #2 (GP2)? Yes No X REQUIRED CERTIFICATION I certify under penalty of law that I understand the terms and conditions of the NPDES GP2 that authorizes the stormwater discharges associated with industrial activity from the construction site as part of this certification. Further, by my signature, I understand that I am becoming the permittee or a co-permittee, along with the owner(s) and other contractors and subcontractors signing such certifications, to the IDNR NPDES GP As a permittee or co-permittee, I understand that I, and my company, am legally required under the Clean Water Act and the Code of Iowa, to ensure compliance with the terms and conditions of the stormwater pollution prevention plan (SWPPP) developed under this CSR/NPDES permit and the terms of this CSR/NPDES permit. Signature Title Date: Project Manager 04/07/2015 The CSR permit will not be issued until an initial inspection of the site is conducted & required controls are properly installed. City Staff Use Only NPDES Permit Authorization from IDNR Yes No Notice of Intent to IDNR Yes No Proof of Publication to IDNR Yes No Permittee SWPPP Yes No Co-Permittee/Transferee SWPPP Yes No CSR Permit # City Approval by Date Building Division, 410 E. Washington St. Iowa City, IA 52240 319/356-5120 www.icgov.org Construction Site Runoff Permit (CSR) Required Information 1044 Manitou Trail, Lot 58 Mackinaw Village Project Address or Lot and Subdivision SubcontractorsCompany NameContact Name and Telephone Excavation Chad Freeman (319) 631-0361 Freeman Construction Geothermal NoneNone Foundation Blake Hershberger (319) 330-3466 Blake Hershberger Enterprises, LLC Flatwork Blake Hershberger Enterprises, LLC Blake Hershberger (319) 330-3466 Framing AW Builders Tony Williams (319) 631-0684 Plumbing Mulford PlumbingJim Mulford (319) 338-8366 Electric Bob Grulkey (319) 533-2165 Universal Electric Mechanical Ilten's Inc Tim Ilten (319) 363-8277 Siding Arctic InsulationJustin Bielefeld (319) 521-7421 Painting Mike Elijah (319) 631-4973 E&B Pro Painting Landscaping Turf N LandscapeMatt Mcgaffee (319) 533-2571 Drywall Luis Perez (319) 533-6873 Miguels Construction Mason Brandon Dewitt (319) 213-4556 Iowa Stone Supply Pollution Prevention Advantage Custom Builders, IncNick Berg (319) 430-7867 Miscellaneous Construction ScheduleDates (estimated)Pollution Prevention ScheduleDates (estimated) ExcavationPerimeter Controls 04/13/2015 04/13/2015 Silt fence RolledOther Geothermal None Foundationclean rock) 04/15/2015 GroundworkInlet Protection 04/16/201504/13/2015 BackfillingConcrete Wash-Out 04/17/2015 04/13/2015 Flatwork PitAbove-ground enclosure 04/20/2015 FramingSolid Waste Removal 04/13/2015 05/04/2015 PlumbingPortable Toilet 04/13/2015 05/19/2015 ElectricalTemporary Stabilization 05/26/2015 Mechanical After 14 days of inactivity on the site 05/18/2015 Insulation & SheetrockOther 06/01/2015 MAINTAIN RoofingOther 05/22/2015 Siding &MasonryOngoing Maintenance 06/15/2015 Drives &Walks 07/20/2015 Paint &Interior Finish 06/22/2015 LandscapingStabilization of all Disturbed Areas 08/01/2015 08/01/2015 The CSR permit will not be issued until an initial inspection of the site is conducted & required controls are properly installed. Building Division, 410 E. Washington St. Iowa City, IA 52240 319/356-5120 www.icgov.org 1044 Manitou Trail, Lot 58 Mackinaw Village 5 Construction of single family dwelling Advantage Custom Builders, Inc. Project Manager 04/07/2015 Address Reviewed by Date orage (hazardous material kept under cover) The CSR permit will not be issued until an initial inspection of the site is conducted & required controls are properly installed. Building Division, 410 E. Washington St. Iowa City, Iowa 52240 319/356-5120 www.icgov.org Soil stockpile(s) with perimeter controls or temporary stabilization Stormwater Pollution Prevention Plan (SWPPP) Information Notice Of Intent Estimated sequence of pollution prevention measures Location of SWPPP documents & inspection reports ruction Local waterway potentially impacted by pollutants hour contact) Slope stabilization methods or limits of const & f publication, Estimated sequence of construction activity Concrete washout (note if on another lot) Site drainage patterns, shown by arrows contact information - contact information (24 IDNR NPDES permit, proof o Construction Site Runoff Permit Review Checklist Construction waste disposal Area of site to be disturbed Application Information - material st post Signed certification & Perimeter controls Form for weekly Stormwater inlets & contractors Portable toilet Equipment & Size of lot & Name - Sub Action Required Comments Received