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lormwater Management Qu - tionnaire 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: 1605 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: 1605 `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. Reserved for City of Everett Public Works Approval Stamp <br /> ANSWER: TRUE <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 /> PUBLt <br /> ANSWER: FALSE DEP RT NT <br /> *11 False,only complete General Information&Construction Stormwater Plan. BY <br /> 3. The value in Box 3 above is less than 5,000 square feet. DATE 3 -20/6 <br /> ANSWER: TRUE CITY OF EVERETT REVIEWED FOR PERMIT <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 /> E.t;63 S . `�sr <br /> Project Site Address: 2433 West Mukilteo Drive DRAWINGS NGS SHALL <br /> Prepared By: Doug Lybeck BE ON JOB SITE <br /> AT ALL TI S. <br /> Date Prepared: March 8,2016 <br /> Existing Site Information: <br /> 1. Please describe the existing structures,hard surfaces,slopes,drainage patterns,drainage <br /> pipes,vegetation,etc. <br /> Click here to enter text. <br /> 2. Please provide the following quantities of existing hard surfaces in square feet: <br /> Existing Roof Area:Click here to enter text. <br /> Existing Other Hard Surfaces(pavement,gravel,etc.):Click here to enter text. <br /> 3. Which direction does the site currently slope?(Towards a street,towards an alley, <br /> towards a neighboring property,etc.)Click here to enter text. <br /> 4. What currently happens to rainwater that falls on the site?Click here to enter text. <br /> 5. Please describe any critical areas on the site(wetlands, buffers,steep slopes,etc.)This <br /> information can be obtained from the City's GIS data,and is available at the permit <br /> Page 1of6 <br /> CITY OF E\IEPETT ( 3200 Cedar Street I Everett,WA 98201 425-257-8810 I everettU+.: :ov <br />