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Stormwater Management Questionnaire For <br /> Single Family Residential / Duplex / Small Projects <br /> Step 1: Fill in the Quantities below: <br /> The total amount of proposed hard surfaces(rooftop,pavement, etc.)for my project site is: 4060 S.F. (Box 1) <br /> The amount of existing hard surfaces on my project site that will be removed or replaced is: 1637 S.F. (Box 2) <br /> The amount of net new hard surfaces on my site(proposed minus existing to be removed/replaced) is: 12423 S.F. (Box 3) <br /> Step 2: Evaluate the three statements below by selecting TRUE or FALSE: <br /> 1. The value of Box 2+Box 3= Box 1, above. Reserved for City of Everett Public Works Approval Stamp <br /> ANSWER: TRUE <br /> *If False,re-evaluate your areas and try again. <br /> 2. The value in Box 1 above is 2,000 square feet or more. APPROVED <br /> ANSWER: TRUE <br /> PUBLI WeRKS DEP,RTM NT <br /> *If False,only complete General Information&Construction Storm water Plan. BY j_ 44 <br /> MAA. <br /> • ill a <br /> 3. The value in Box 3 above is less than 5,000 square feet. DATE <br /> ANSWER: TRUE CITY OF EVERETT REVIEWED/ FOR PERMIT <br /> *If False,submit an Engineered Drainage Report addressing MR#1-9. Rio s-- ®3 1 <br /> Step 3: Proceed with this entire Questionnaire if all 3 answers above are TRUE. <br /> General Information: <br /> Project Site Address: 3317 Wetmore Ave Everett WA 98201 <br /> Prepared By: Nate(Nosrat) Majlesy <br /> Date Prepared: 9-03-2017 <br /> Existing Site Information: <br /> 1. Please describe the existing structures, hard surfaces,slopes,drainage patterns,drainage <br /> pipes,vegetation,etc. <br /> A 2 story single family house of about 1500 sq.ft. with concrete walkway and car port with <br /> gravel drive way from alley on the East. Site has a very gentle slope from East to West with <br /> less than 4' drop in 120' length (about3percent). Roof drains with splash blocks sheet flow <br /> through the yard and landscaped area. Major part of landscape is grass with a gravel drive <br /> way and concrete walkwasy+ patio. <br /> 2. Please provide the following quantities of existing hard surfaces in square feet: <br /> Existing Roof Area: 1160 square feet. <br /> Existing Other Hard Surfaces(pavement,gravel,etc.):477 sqare feet. <br /> 3. Which direction does the site currently slope? (Towards a street,towards an alley, <br /> towards a neighboring property,etc.)Towards the street. <br /> •.:e1of8 <br /> CAP' O EVERETT ! 3200 Cedar Street I Evere :, \NA 98201. ; 425 257-3810 I everet.tvva.goy <br />