2012, 08-22 Permit App: EGR-2012-0027 Grading i
mmunity Development Department (Staff Use Only)
( - Permit Center
CITY OF 11703 East Sprague Avenue,Suite B-3 PERMIT No.:
pokane Spokane Valley, WA 99206
\TalleyTel (509)720-5240
Fax: (509)688-0037 CHECKLIST?: ❑Y ON NIT:
permitcenter(a spokanevallev.ortz
LAND DISTURBANCE PERMIT APPLICATION
STAFF USE:
❑ ENGINEERED GRADING ❑ REGULAR GRADING ❑ GRUBBING&CLEARING
APPLICANT USE:
SITE ADDRESS:I9019 E.2ND AVE.,SPOKANE VALLEY,WA
ASSESSORS PARCEL NO.:55202.0188
APPLICANT NAME:LNL HOMES
PHONE:924-1211 EMAIL:KTUPPER@LNLHOMES.COM CELL:217-1052
CONTACT NAME(®SAME AS APPLICANT):
PHONE: EMAIL: CELL:
PROPERTY OWNER NAME:KEVIN MADDEN HOMES,LLC ['CHECK IF APPLICANT
MAILING ADDRESS:210 N.UNIVERSITY AVE.,SUITE 300
CITY:SPOKANE VALLEY STATE:WA ZIP:99206
PHONE:924-1211 EMAIL:NONE CELL:217-6700
CONTRACTOR NAME:(®TBD): ❑ CHECK IF APPLICANT
MAILING ADDRESS:
CITY: STATE: ZIP:
PHONE: EMAIL: CELL:
STATE LIC.NO.: EXPIRES: UBI:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
DIVIDE 1 SINGLE FAMILY LOT INTO 2 SINGLE FAMILY LOTS AND CONSTRUCT FULL HALF STREET IMPROVEMENTS TO 2ND AVENUE FRONTING THE PROPERTY.
ESTIMATED QUANTITIES(CUBIC YD):CUT:140 FILL:75
Project i
IF CUT,PROVIDE DESTINATION OF SOIL:DISTRIBUTED ON THE LOTS RECEIVED '
START DATE:8/2012 ESTIMATED COMPLETION DATh:11/2012 ``7i
8/21/2012
Date u'- v I'L. i1'i,i: i L(\\ + 4: l
Signature: /
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DE-02/V-3/6-22-12 _J - Page 2 of 2
LAND DISTURBANCE (LD) PERMIT CHECKLIST
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poane For Grading, Clearing and Grubbing work outside the Right-of-Way(ROW)
Valley (Work within the ROW needs a ROW permit)
4400100 Permit Center a 11703 E Sprague Ave Suite B-3 a Spokane Valley WA 99206
509.688.0197 ♦ Fax: 509.688.0037 ♦ permitcenter®spokanevalley.org
Project Address: 19019 E. 2"`'Ave. Today's Date: 8/21/2012
Project Description: 2-lot subdivision with half street improvements
Signature: Print Name: Aaron Simpson
The purpose of this checklist is to gather information about the proposed project so to determine what land disturbance
permit, if any, is required by the Spokane Valley Municipal Code.
Starting with Part 1 and working from top to bottom,please answer the following questions.
The first "Yes"identifies the type of land disturbance(LD)permit required.
PART 1 —Is LD work exempted or already covered? (SVMC 24.50.020)If so then LD permit not needed.
I I Yes No Does your project only have to do with emergency utility work; cemetery graves; eliminating septic
tanks; digging out a basement;building a wall less than 4 feet high; disposal of refuse that is covered
under other regulations; already permitted mining, quarrying, stockpiling of aggregate material (rock,
sand, gravel, aggregate, or clay) or exploratory excavations done under the direction of a licensed
engineer or engineering geologists? If yes, then project exempted from a LD permit.
PART 2—Engineered Grading Permit needed? (SVMC 24.50.030; 2 sets plans, calcs etc. from Engineer)
® Yes n No Will this grading be for a short plat, subdivision or binding site plan?
n Yes ® No Will any grading occur in a FEMA floodplain,wetland,wetland buffer, Fish and Wildlife habitat
conservation area or geologically hazardous area?
n Yes ®No Will the volume of excavation or fill for the project be over 500 cubic yards? (If checked Yes then a
SEPA environmental checklist will need to be submitted for review)
® Yes n No Will the grading create a base or support for a permanent structure?
n Yes ®No Will the grading be for a driveway that is longer than 150 feet?
n Yes ®No Will any grading occur in a drainage channel or be for a water feature(like a perennial or intermittent
pond)with a surface area greater than 500 square feet?
n Yes ®No Will this grading result in the addition or replacement(excluding pavement maintenance) of 5,000
square feet or more of impervious surfaces or the disturbance of 1 acre or more land or the
construction of new drywells or other underground injection control (UIC)facilities?
n Yes ®No Will any excavations or fills have slopes at 2:1 (H:V)or steeper and heights greater than 2 '/2 feet?
® Yes n No Will any excavations or fills have slopes at 10:1 (H:V)or steeper and heights greater than 4 feet?
PART 3—Regular Grading Permit needed? (SVMC 24.50.040; 1 set of plans showing grading and temporary
erosion and sediment control; does not require engineering)
® Yes n No Will the volume of excavation or fill be over 50 cubic yards on any one lot?
n Yes ®No Will any excavations have slopes at 2:1 (H:V)or steeper or heights greater than 3 feet?
n Yes ®No Will any fills have slopes at 2:1 (H:V) or steeper or heights greater than 2 feet?
PART 4—Grubbing and Clearing(G&C) Permit needed? (SVMC 24.50.050-1 set of plans showing G&C and
temporary erosion and sediment control; does not require engineeriin—.....
® Yes n No Will the G&C work disturb 5,000 or more squaRfdejalftaika or retnfv ofofe g ote that
forest practices overseen by DNR or commercial agriculturRr
n Yes ®No Will there be any clearing on slopes or near/in FEMA floodplains wetlaannoir,Wetland buffers,Fish
and Wildlife habitat conservation areas, geologically hazardo . .leas gr prAible soils?
Akio L GUit_
If the answers to all of the questions above are "No"then a permit!is not required for the proposed work.
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DE-02/V-3/6-22-12 I SUB
Page 1 of 2
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stiroFk;arle RECETf: ..
De elopment Engineering
�1 SEP 24 2012
Spokane Valley Permit Center
. .-. - :. ♦ Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhall®spokanevalley.org
Letter of Transmittal
Date: September 24th, 2012
To: CSV—Permit Center
From: Gloria Mantz
CSV - Development Engineering
RE: Project: M&W Subdivision
Permit Number: EGR-2012-0027
We are sending to you—
® Attached ❑ Under separate cover via: the following:
ITEM# COPIES DESCRIPTION
1 2 Set of approved Civil plans for the subject project.
2
3
4
These are sent for the purpose(s) checked below:
❑ For approval ❑ Approved as submitted
® For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
n For review and comment ❑ Confidential
❑ Other
Comments:
Civil Plans to be issued with Grading Permit.
cc: Spokane Valley Development Engineering—Project File
Document1