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, <br /> . <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.J for my project site is: 1023 S.F. (Box 1J <br /> The amount of existin hard surfaces on my project site that will be removed or replaced is: � " S.F. (Box 2) <br /> The amount of net new hard surfaces on my site (proposed minus existing to be removed/replacedJ is: �1023 S.F. (Box 3J <br /> Step 2: Evaluate the three statements below by selecting TRUE or FALSE: <br /> 1. The value of Box 2+ Box 3= Box 1, BbOVE'. Reserved for City of Everett Public Works Approval5tamp <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 /> Fy���iLi�; W RKS D�PA ;w��� `� <br /> ANSWER: FALSE <br /> *If False, only complete General Information&Construction Stormwater P/an. '�°�� �- <br /> W,,es,T� r-�-.�.G—�D" ��'�O <br /> 3. The value in Box 3 above is less than 5,000 square feet. , ;�;•�;��-�,���-�����������FQ�n���11• <br /> ANSWER: TRUE <br /> *If False,subrnit an�n�ineered Drninngc Report�ddressing Mli#1-9. <br /> Step 3: Proceed with this entire Questionnaire if a113 answers above are TRUE. <br /> General I nformation: <br /> Project Site Address: 2010 23�d St Everett WA 98201 <br /> Prepared By: Christian Anderson, HFHSC construction manager <br /> Date Prepared: 4/19/16 <br /> Existing Si�e Information: <br /> 1. Please describe the existing structures, hard surfaces, slopes, drainage patterns, drainage <br /> pipes,vegetation, etc. <br /> Click er�,to enter text. • <br /> ; <br /> 2. Please provide the following quantities of existing hard surfaces in square feet: <br /> Existing Roof Area: Clicl< here to enter text. <br /> Existing Other Hard Surfaces (pavement, gravel, etc.): Click here to enter text. <br /> 3. Which direction does the site currently slope? (Towards a street,towards an alley, <br /> towards a neighboring property,etc.) Clicl< liere to enter text. <br /> 4. What currently happens to rainwater that falls on the site? Clicic here to enter text. <br /> 5. Please describe any critical areas on the site (wetlands, buffers, steep slopes, etc.)This <br /> information can be obtained from the City's GIS data, and is available at the permit <br /> `, <br /> Page 1 of 6 <br /> CITY OF EVERETT � 320U Cedar Street � Everett, WA 98201 � 425-257-8810 �everetl, �t;,;c�v <br />