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IV. Stormwater Pollution Prevention Plan (SWPPP) <br />Do not submit your SWPPP with your application. You must develop a SWPPP prior to starting construction. <br />V. Discharge/Receiving Water Information <br />Indicate whether your site's stormwater and/or dewatering water could enter surface waters, directly and/or <br />Indirectly: <br />® Water will discharge directly or indirectly (through a storm drain system or roadside ditch) into one or more <br />surface waterbodies (wetlands, creeks, lakes, and all other surface waters and water courses). <br />If the discharge is to a storm sewer system, the name of the operator of the storm sewer system <br />(e.g., City of Tacoma): My of Everett <br />(NOTE: If your stormwater discharges to a storm sewer system operated by the City of Seattle, King County, <br />Snohomish County, City of Tacoma, Pierce County, or Clark County, you must also submit a copy of this NOI to <br />the appropriate jurisdiction.) <br />❑ To ground with 100% infiltration, with no potential to reach surface waters under any conditions. <br />If your project includes dewatering, you must include dewatering plans and discharge locations in your site <br />Stormwater Pollution Prevention Plan. _ <br />Location of Discharge Into Surface Waterbody <br />Enter the waterbody name and latitude/longitude" of the point(s) where the site has the potential to discharge <br />into a waterbody (enter all locations). <br />Include the names and locations of both direct and indirect discharges to surface waterbodies, even if <br />the risk of discharge is low or limited to periods of extreme weather. <br />Some large construction projects (for example, subdivisions, roads, or pipelines) may discharge Into <br />several waterbodies. <br />If the creek or tributary is unnamed, use a format such as "unnamed tributary to Deschutes River." <br />Attach a separate list if necessary. <br />- -- - <br />- Surface 1aterbody Name-- -- <br />Latitude <br />Longitude <br />degrees, minutes, seconds <br />degrees, minutes, seconds <br />Unnamed Tributary to Silver Lake <br />470 54' 25N <br />1220 13' 88W <br />a N <br />e W <br />N <br />W <br />U N <br />o • W <br />O N <br />o W <br />If your site discharges to a waterbody that is on file impaired waterbodies fist (i.e., sus(o) usq for iumlalry, Fine seoimenr, <br />high pH, or phosphorus, you must sample for more parameters. Ecology will notify you if any additional sampling <br />requirements apply. Information on impaired waterbodies is available online at: <br />1 tttp.lAvww.ecy.wa.govlprogranislwglstormwaterlconstructionlimpaired.hfmL <br />ECY 020-85 (Rev. 06100) <br />