Laserfiche WebLink
Alk <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: S.F. (Box 1) <br /> The amount of existin hard surfaces on my project site that will be removed or replaced is: —50 S.F. (Box2YPIVE <br /> The amount of net new hard surfaces on my site(proposed minus existing to be removed/replaced) is: -..- � S.F. (Box 3) <br /> Step 2: Evaluate the three statements below by selecting TRUE or FALSE: <br /> 1. The value of Box2+Box = Box 1, above. (circle one) Reserved for City of Everett Public works Approval Stamp <br /> ANSWER: 69i) or FALSE <br /> *lf False,re-evaluate your areas and try again. <br /> 2. The value in APPROVED above is 2,000 square feet or more. (circle one) PUBL� ORKS DEP TM T <br /> ANSWER: TR E or FALSE <br /> *If False,only comp ete General Information&Construction Stormwater Plan. BY <br /> DATE U <br /> 3. The value in 8 3 above is less than 5,000 square feet. (circle one) C17YOFEVERETT EVIEWEDFORPERMIT <br /> ANSWER: TRU or FALSE r�/ 1'//) 61� <br /> *If False,submit a ngmeered Drainage Report addressing MR#1-9. r t� U< tf <br /> Step 3: Proceed with this entire Questionnaire if all 3 answers above are TRUE. <br /> General Information: <br /> Project Site Address: <br /> Prepared By: M o �cx v-k-� <br /> Date Prepared: Q b1W 10 ,-9 Q I`Q <br /> Existing Site Information: <br /> 1. Please describe the existing structures, hard surfa es,slopes, drainage patterns, drainage <br /> pipes,vegetation, etc. 6VCdU <br /> 2. Please provide the following quantities of existing hard surfaces in square feet: <br /> Existing Roof Area: M/R <br /> Existing Other Hard Surfaces (pavement,gravel,etc.): 3000 13-F Y�� <br /> 56 to r`�� , � <br /> Page I of 7 <br /> - i:lTJ V 01=EVL-r,L t f 1 32i10 Cedar Sts.'C:,z I Eve ret i, X111,- ';U203_ 1 475-25I-S8 10 1everett.ww.goi <br />