Pueblo San Diego 908 908.10 Point Loma 908.20 San Diego Mesa 908.21 Lindbergh 908.22 Chollas 908.30 National City 908.31 El Toyon 908.32 Paradise Sweetwater 909 909.10 Lower Sweetwater 909.11 Telegraph 909.12 La Nacion Otay 910 910.10 Coronado 910.20 Otay Valley Port Parcel Area (total area of Parcel(s) associated with the project) ________ Acres (____________ Square Feet) Area to be Disturbed by the Project (Project Area) ________ Acres (____________ Square Feet) Project Proposed Impervious Area (subset of Project Area) ________ Acres (____________ Square Feet) Project Proposed Pervious Area (subset of Project Area) ________ Acres (____________ Square Feet) Note: Proposed Impervious Area + Proposed Pervious Area = Area to be Disturbed by the Project. This may be less than the Parcel Area. Form I-3B Page 2 of 10 Description of Existing Site Condition Current Status of the Site (select all that apply): Existing development Previously graded but not built out Demolition completed without new construction Agricultural or other non-impervious use Vacant, undeveloped/natural Description / Additional Information:
Identify whether any of the following features, activities, and/or pollutant source areas will be present (select all that apply): On-site storm drain inlets Interior floor drains and elevator shaft sump pumps Interior parking garages Need for future indoor & structural pest control Landscape/Outdoor Pesticide Use Pools, spas, ponds, decorative fountains, and other water features Food service Refuse areas Industrial processes Outdoor storage of equipment or materials Vehicle and Equipment Cleaning Vehicle/Equipment Repair and Maintenance Fuel Dispensing Areas Loading Docks Fire Sprinkler Test Water Miscellaneous Drain or Wash Water Plazas, sidewalks, and parking lots Description / Additional Information: Form I-3B Page 7 of 10 Identification and Narrative of Receiving Water and Pollutants of Concern Describe flow path of storm water from the project site discharge location(s), through urban storm conveyance systems as applicable, to receiving creeks, rivers, and lagoons as applicable, and ultimate discharge to the Pacific Ocean (or bay, lagoon, lake or reservoir, as applicable): List any 303(d) impaired water bodies within the path of storm water from the project site to the Pacific Ocean (or bay, lagoon, lake or reservoir, as applicable), identify the pollutant(s)/stressor(s) causing impairment, and identify any TMDLs and/or Highest Priority Pollutants from the WQIP for the impaired water bodies: 303(d) Impaired Water Body Pollutant(s)/Stressor(s) TMDLs / WQIP Highest Priority Pollutant
SC-6 Additional BMPs Based on Potential Sources of Runoff Pollutants (must answer for each source listed below) On-site storm drain inlets Interior floor drains and elevator shaft sump pumps Interior parking garages Need for future indoor & structural pest control Landscape/Outdoor Pesticide Use Pools, spas, ponds, decorative fountains, and other water features Food service Refuse areas Industrial processes Outdoor storage of equipment or materials Vehicle and Equipment Cleaning Vehicle/Equipment Repair and Maintenance Fuel Dispensing Areas Loading Docks Fire Sprinkler Test Water Miscellaneous Drain or Wash Water Plazas, sidewalks, and parking lots Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No No No No No No No N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Discussion / justification if SC-6 not implemented. Clearly identify which sources of runoff pollutants are discussed. Justification must be provided for all "No" answers shown above. Site Design BMP Checklist for All Development Projects (Standard Projects and Priority Development Projects) Form I-5 Project Identification Project Name Permit Application Number Site Design BMPs