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V. Site Lavatiun <br />VI. Site Information <br />She/Project Name <br />Everett Station Phase 2 <br />Total size of site: 5 auras <br />Street Address or Location Description (If the <br />project or site lacks a street address, indicate the <br />Total area of soil disturbance: §& acres (Enter the <br />general location of the site (e.g. Intersection of <br />estimated total area to be disturbed during the life of the <br />Highways 61 and 34)) <br />project, including grubbing, excavation, gradino, util9les <br />3201 Smith Ave, Everett, WA 98201 <br />and infrastructure Installation. Note: 1 acre = 43,560 /f <br />Type of project (Road, utilities, subdivision, private <br />home, commercial etc.) <br />Will the project Involve poured concrete? ® Yen ❑ No <br />Transit Center, Commuter Rail Station and Park <br />If YES, how many cubic yards wit be poured: 500 vd' <br />and Ride Lot <br />Attach a map showing location of new permittee's <br />will the project involve recycled concrete? ❑ Yes ® No <br />construction Slte(s). <br />It YES, how many cubic yards VAN be used: _ <br />Will the project involve er4neared soils (CTB, CKD, etc)? <br />Z Yes ❑ No <br />City (or nearest city) Everett <br />Estimated project start-up date: January 2007 <br />County Snohomish <br />Estimated project completion date: January 2000 <br />Record the latitude and longitude of the site. ' Record the latitude and longitude of main entrance to the site. <br />For projects without a main entrance (pipelines, roads, etc), record approximate center of site. <br />degrees, minutes, seconds degrees, minutes, seconds <br />Latitude 470 58' 26" N Longitude -1220 11' 41 W <br />For assistance with latitude and longitude refer to: http://cfpubi.eoa.aov/nodes/stormwaterMflong.clm <br />or www.topozone.com or http://www.epa.aovRrilreport/sitina tooYlrxlex.htm. <br />VII. Discharge/Receiving Water Information <br />your construction site's storm <br />❑ A stormwater infiltration structure with discharge to groundwater? (e.g., infiltration pond, dry well, regional <br />detention basin, etc) <br />® Directly or indirectly to a surface water body/water bodies (e.g. via stomp drain system, ioadside ditch, <br />pipe, etc)? <br />Provide locations below or attach separate sheet, if necessary. <br />Does your project include dewatering? ❑ Yes ®No <br />Dewatering plans and discharge locations must be included in the Stormwater Pollution Prevention Plan. <br />Some large construction projects (subdivisions, roads, pipelines, etc.) may discharge to several water bodies. <br />if the map does not provide a name of a creek or tributary, use a format such as "unnamed tributary to Bull Run <br />Creek. Please indicate the name of the receiving water body. (Attach a separate list for multiple water bodies.) <br />Are any of the water bodies designated as water quality impaired?* (i.e. is the water body 303(d) listed or <br />have a TMDL for turbidi , fine sediment, phosphorus or pH)?. Yes ® No <br />' For information on impaired water bodies, <br />ECY 020-87a (Rev 12/05) <br />