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A <br />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: <br />The amount of existin hard surfaces on my project site that will be removed or replaced is: <br />The amount of net new hard surfaces on my site (proposed minus existing to be removed/replaced) is <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. <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. <br />ANSWER: TRUE <br />*If False, only complete General Information & Construction Stormwater Plan. <br />3. The value in Box 3 above is less than 5,000 square feet. <br />ANSWER: TRUE <br />*If False, submit an Engineered Drainage Report addressing MR# 1-9. <br />410-5 S.F. (Box 1) <br />4105 S.F. (Box 2) <br />0 S.F. (Box 3) <br />IReserved for City of Everett Public Works Approval Stamp I <br />APPROVED <br />PUBLIC WOR1 ` DEPARTM - T. <br />BY - -�-- <br />DATE <br />CITY OF EVERETT REVIEWED FOR PERMIT <br />009-oel <br />Step 3: Proceed with this entire Questionnaire if all 3 answers above are TRUE. <br />General Informations <br />Project Site Address: 3522 Federal Ave <br />Prepared By: Kurt Phillips <br />Date Prepared: 09/25/2019 <br />Existing Site Information: <br />1. Please describe the existing structures, hard surfaces, slopes, drainage patterns, drainage <br />pipes, vegetation, etc. <br />Existing driveway asphalt/concrete <br />2. Please provide the following quantities of existing hard surfaces in square feet: <br />Existing Roof Area: 0 <br />Existing Other Hard Surfaces (pavement, gravel, etc.): 4105 SF <br />3. Which direction does the site currently slope? (Towards a street, towards an alley, <br />towards a neighboring property, etc.) Towards Federal Avenue <br />4. What currently happens to rainwater that falls on the site? Flows toward street with <br />planter beds along driveway to filter water. <br />Pag:el of 6 <br />CITY OF EVERETT [ 3200 Cedar Street j Everett, WA 98201 1 425-257-8810 1 everettwa.gov <br />