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• • toiu r t <br /> Stormwater Management Questionn i r <br /> Single Family Residential / Duplex / Small Projects <br /> __J <br /> Step 1: Fill in the Quantities below: ( �l <br /> The total amount of proposed hard surfaces(rooftop,pavement, etc.)for my project site is.. Z� / S.F. (Box 1) <br /> The amount of existing 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/replaced)is: �Z'. ---. S.F. (Box 3) <br /> Step 2: Evaluate the three statements below by selecting TRUE or FALSE: <br /> 1. The VBIUe of B '111 Reserved 3= BOX 1, above. (circle One) Reserved for City of Everett Public Works Approval Stamp <br /> ANSWER: /TRU or FALSE <br /> *If False,re-eva ua e your areas and try again. <br /> 2. The value in Box 1 above is, square feet or more. (circle one) APPROVED <br /> ANSWER: TRUE or. FALSE! PUELti RKS DEPA�ME <br /> *If False, only complete General ation&Construction Stormwater Plan. BY C <br /> DATE <br /> 3. The value in Bo bove is less than 5,000 square feet. (circle one) CITY OFEVERETTREVIEWEDFORPERMIT <br /> ANSWER: RUE or FALSE <br /> *If False,submit gineered Drainage Report addressing MR#1-9. <br /> Step 3: Proceed with this entire Questionnaire if all 3 answers above are TRUE. <br /> General Information: <br /> Project Site Address: 732 g l/"G'�j4 f�� <br /> Prepared By: F-e fc g L 2titi <br /> Date Prepared: 3—(0, 16 <br /> Existing Site Information: <br /> 1. Please describe the existing structures, hard surfaces, slopes, drainage patterns, drainage <br /> pipes,vegetation, etc. <br /> 2. Please provide the following quantities of existing hard surfaces in square feet: <br /> Existing Roof Area: <br /> Existing Other Hard Surfaces (pavement,gravel, etc.): <br /> Page 1 of 7 <br /> CITY OF EVERETT 13200 Cedar Street I Everett,WA 982011425-257-8810 1 everettwa.gov <br />