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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 existing hard surfaces on my project site that will be removed or replaced is: F-C) S.F. (Box 2) <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 va I ue of Box 2+Box 3= Box 1, above. (circle one) Reserved for City of Everett Public Works Approval Stamp <br /> ANSWER: TRU or FALSE <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. (circle one) APPROVED <br /> ANSWER: TRUE' or FALSE PUBLI VV RKS DEP T NT <br /> *If False,only comp ete General Information&Construction Stormwater Plan. BY <br /> 3. The value in Box 3 above is less than 5,000 square feet. (circle one) DATE <br /> ANSWER: RUE or FALSE CITY OF EVERE T RE IEWED FOR PERMIT <br /> 49p)' —O <br /> *If False,submit an Engineered 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: 2 <br /> Prepared By: rn fzV,t Up t/11 4tti°� <br /> Date Prepared: <br /> Existing Site Information: <br /> 1. Please describe the existing structures, hard surfaces,slopes, drainage patterns, drainage <br /> pipes,vegetation, etc. ✓ <br /> 5S V� t. Di-V, 11f1 V-Lk,1&-GsCqat�C� <br /> 2. Please provide the following quantities of existing hard surfaces in square feet: :3'24—7 <br /> r� <br /> Existing Roof Area: /Js�— <br /> Existing Other Hard Surfaces(pavement,gravel, etc.): <br /> 2 1 of 7 <br /> CITY OF EVERETT 13200 Cedar Street I Everett, WA 98201 425-257-8810 1 everettwa.gov <br />