1131 RAINIER AVE 2018-02-22 - Laserfiche WebLink

• • "�.'d te"�'E'S^z.FrsX '�r"-'•kt '. ,, Stormwater Management Questionnaire'f or j Single Family Residential / Duplex /Small Projects Step 1:Fill in the Quantities below: The total amount of proposed hard surfaces(rooftop,pavement, etc.)for my project site is: .. . -.7.-..._ S.F. (Box 1) The amount of existing hard surfaces on my project site that will be removed or replaced is: ©.. . 'S.F. (Box 2) The amount of net new hard surfaces on my site(proposed minus existing to be removed/replaced)is: _�9 3�__,....,. S.F. (Box 3) Step 2:Evaluate the three statements below by selecting TRUE or FALSE: 1. The value of Box BOX 3=Box 1,above. (circle one) Reserved for City of Everett Public Works Approval Stamp ANSWER: 40 or FALSE *if False,re-evalua e your areas and try again. APPROVED 2. The value in Box1 above is $00 square feet or more. (circle one) PUBL11 W RKS DEP,RT .',FNT ANSWER: TRUE or FA SB% Y *If False,only complete General In ormation&Construction Storm water Plan. 2_ �, DATE 3. The value in Box above is less than 5,000 square feet. (circle one) CITY OF EVERETT REVIEWED FOR PERMIT ANSWER: TRUE or FALSE PAS/R-009 *if False,submit gineered Drainage Report addressing MR#1-9. Step 3:Proceed with this entire Questionnaire if all 3 answers above are TRUE. General Information: Project Site Address: /13/ Rc 1rn ? At45-, E Qi 7/. 96e( p By: � r iJ4 �-ccQ 4- s i7.0, 5 �7E - /Lkc . ,E Prepared 04 Date Prepared: /(JoZl /i 6, Existing Site.Information: 1. Please describe the existing structures,hard surfaces,slopes, drainage patterns,drainage pipes,vegetation,etc. 2. Please provide the following quantities of existing hard surfaces in square feet: Existing Roof Area: Existing Other Hard Surfaces (pavement,gravel,etc.): CITY OF EVERETT I 3200 Cedar Street ! Everett,WA 98201 1425-257-8810 I everettwa.gov