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! ✓V t(007-656 <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: 2650 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: 2650 S.F. (Box 3) <br /> Step 2: Evaluate the three statements below by selecting TRUE or FALSE: <br /> 1. The value of Box 2+Box 3= Box 1, above. <br /> ANSWER: TRUE Reserved for City of Everett Public Works Approval Stamp <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. APPROVED <br /> ANSWER: TRUE PUBLI WORKS RKS DEP•:-TM T <br /> *If False,only complete General Information&Construction Stormwater Plan. BY -4E 4 IA, , J..- <br /> 3. The value in Box 3 above is less than 5,000 square feet. DATE 8- - no <br /> ANSWER: TRUE CITY OF EVERETT REVIEWED FOR PERMIT <br /> *If False,submit an Engineered Drainage Report addressing MR#1-9. n0407-050 <br /> Step 3: Proceed with this entire Questionnaire if all 3 answers above are TRUE. <br /> General Information: <br /> Project Site Address: 25 104th St SE <br /> Prepared By: RD Heide PE <br /> Date Prepared:5-4-16 <br /> Existing Site Information: <br /> 1. Please describe the existing structures,hard surfaces,slopes,drainage patterns, drainage <br /> pipes,vegetation, etc. <br /> There are no existing structures or hard surfaces on the Site.The site is a new lot covred <br /> with grass and a small vegtable garden.The lot slopes south and east.The street <br /> improvements have the curb cut installed for the house. <br /> 2. Please provide the following quantities of existing hard surfaces in square feet: <br /> Existing Roof Area:0 <br /> Existing Other Hard Surfaces (pavement,gravel,etc.):0 <br /> 3. Which direction does the site currently slope? (Towards a street,towards an alley, <br /> towards a neighboring property,etc.) It slopes south owqard 104th and to the east to the <br /> neighboring property. <br /> Page 1 of 7; <br /> CITY OF EVERETT 13200 Cedar Street I Everett, WA 98201 1425-257-8810 I everettw <br />