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(---- __._„,‘ <br /> i-'. gtormwater Management Questionnaire For <br /> iy <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: _2619 ___ S.F. (Box 1) <br /> The amount of existing hard surfaces on my project site that will be removed or replaced is: _ 2100—-_ S.F. (Box 2) <br /> The amount of net new hard surfaces on my site (proposed minus existing to be removed/replaced) is: ._.519 '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 PUBU r ORKS DEAR i ENT <br /> *If False,only complete General Information&Construction Storm water Plan. BY ted`; Alit: �V i <br /> 3. The value in Box 3 above is less than 5,000 square feet. DATE zei' <br /> ANSWER: TRUE CIVOF EVERETT REVIEWEDIEFOR PERMIT <br /> *If False,submit an Engineered Drainage Report addressing MR#1-9. 1't/ O�--422 <br /> Step 3: Proceed with this entire Questionnaire if all 3 answers above are TRUE. <br /> General Information: g@&%Lq) <br /> Project Site Address: 1609 5th St, Everett, WA 98201 iii JUL <br /> 2 0 2018 <br /> Prepared By: Keith D Bjella CITy OF <br /> Date Prepared: April 21St, 2018 Permit Seri EVER <br /> TT <br /> Existing Site Information: <br /> 1. Please describe the existing structures, hard surfaces, slopes, drainage patterns, drainage IF— <br /> pipes,vegetation, etc. 2 <br /> Flat lot with existing 2100sf concrete parking pad. QTY 5 x 3" caliper trees on site. W W <br /> ce CL <br /> 2. Please provide the following quantities of existing hard surfaces in square feet: W Ie <br /> Existing Roof Area: Osf L> 0 <br /> Existing Other Hard Surfaces (pavement,gravel, etc.): 2100sf concrete. LL Q <br /> OW <br /> 3. Which direction does the site currently slope? (Towards a street,towards an alley, ›— <br /> towards <br /> .towards a neighboring property, etc.)Towards 5th street. 1%slope F— W <br /> 0 > <br /> 4. What currently happens to rainwater that falls on the site? Drain on site/sheets off to UJ <br /> f-, street. <br /> r-z9 <br /> � f <br /> i I <br /> a A 3R 2 5 '� .' ,1 i. Page 1 of 9 <br /> ..._„ ,_ ,CITY OF EVERETT 13200 Cedar Street I Everett, WA 98201 1425-257-8810 I everettwa.gov <br /> Perm i.1 ;)x,Y.( i2 <br />