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EVERETT <br />WASHINGTON <br />CITY OF EVERETT <br />Public Works <br />L City of Everett Permit Review <br />EVERETT Status: Reviewed for Permit <br />....,.,.o. 04/30/2024 2:40:43 PM <br />Small Project Stormwater Site Plan/Report <br />(Template for MR #1-5 Projects in the separated stormwater area) <br />This Small Project Stormwater Site Plan/Report provides a simplified template to assist small projects in <br />meeting the City of Everett's stormwater requirements in accordance with the current version of the <br />Stormwater Management Manual for Western Washington (SWMMWW). If eligible based on criteria, <br />this completed template serves as your Stormwater Site Plan and Construction Stormwater Pollution <br />Prevention Plan (SWPPP) and will identify the applicable Minimum Requirements (MR), and propose <br />stormwater Best Management Practices (BMPs) for construction and long-term stormwater <br />management. <br />By completing this template or hiring a professional (designer, contractor, or licensed civil engineer) to <br />complete this template as your Stormwater Site Plan/Report, you are agreeing to construct, operate and <br />maintain the BMPs selected for your small project as required to meet MR #1-5. <br />This template includes the following sections: <br />■ Section 1. Provide Basic Project Information Glossary <br />■ Section 2. Determine Applicability ■ Worksheet 1— BMP Sizing Worksheets <br />■ Section 3. Complete Minimum Requirements #1-5 ■ Instructions — Map Everett Viewer <br />Project name:1903 Jackson Ave. Duplex <br />Project address: 1903 Jackson Ave. <br />Public Works permit number (if assigned): <br />Fontact <br />Information <br />Primary contact: ❑ Owner ❑ Applicant <br />NAPA HOMES LLC <br />❑ Other (architect, engineer, etc.): <br />Primary contact name: Adis Zizak <br />Primary contact phone: <br />425-268-2515 <br />Primary contact email: <br />NAPAHDESIGN@GMAIL.COM <br />Report prepared by: Maher Welaye, PE <br />Date:10/25/2023 <br />City of Everett Public Works <br />Small Project Stormwater Site Plan/Report — Sept. 2023 Page 1 of 40 <br />