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. • <br /> V. Site Locatian Vi. Site Information <br /> SitelE'roject Name � � � <br /> 75th Street SW Pro ert Total size of site: 9.02 acres <br /> Sfreet Adtfress or Loca#ion Descriptian (If the profect or <br /> site Jacks a street address, indicate the genera!location �otal area of soil disturbance: 7�9 acres (Enter the <br /> of fhe site(e.g., lnfersection of Highways 61 and 34J) estimated tota/area to be disturbed during the life of the <br /> 7'Sth Streef SW between 16fh Ave. W. and Hardson project, including grubbing, excavation,grading, utilifies and <br /> Road infrastructure insfa!lation. Note: 1 acre =43,580 ftZ <br /> Type of project(Road, utilities,subdivision, private <br /> home, commercial, etc.) How rr►any cubic yards of concrete will be poured?0 yd3 <br /> Commercial site deve(opment <br /> How many cubic yards af recycled concrete wiil be used? 0 <br /> yd <br /> How many cubic yards of engineered soils{CTB, CKD,etc.) <br /> will be used? 0 yd3 <br /> City(or nearest cify) Everett Z'tp Estimated project start-up date:June 1,2006 <br /> County Snohomish Estimated project completion date:Oc#ober 1, 2006 <br /> Record the latitude and longitude of the sife.* Recard the lafitude and longitude af main entrance to the site. �or <br /> projects wifhout a main entrance(pipelines, roads, efc.),record approximate center of site. <br /> degrees, rnin�tes, seconds degrees, minutes, seconds <br /> Latitude 47° 55' 48" N Longitude -122° 15' OS" W <br /> "For assistance wifh latifude and longrtude refer to: http://cfpub?.epa.gov/npdes/stormtvater/fatlong.cfrtt or <br /> www.topozone.com orhifp://wvww.epa.gov/fri/report/siting,�too!/index.hfm. <br /> VIt. DischargelReceiving Wafer Information <br /> Discharge: Does your cons#ruction site's storm water discharge to: <br /> ❑ A stormwater infiltration structure with discharge ta ground water?(e.g., infiltration pond, dry well, regionai detention <br /> basin, etc.) <br /> � Directly or indirecf(y to a surface water body/water bodies(e.g., via storm drain system,roadside ditch, pipe,efc,}? <br /> Provide locafions belaw or attach separate sheet, if necessary. <br /> Does your project include dewatering? ❑ Yes � No <br /> Dewatering plans and discharge locations must be included in the Stormwater Pollution Prevention Plan. <br /> Some large construction projecfs{subdivisions,roads, pipelines, etc.)may discharge ta severa!water bodies. !f the map <br /> does nof provide a name of a creek or tributary, use a format such as "unnamed fributary fo Bu1J Run Creek. Please <br /> indicate fhe name of the receiving water body. (Affach a separate list for multiple wafer bodies.} <br /> Are any of the water bodies designated as water quali#y impair�d?"(i.e., is fhe wa#er body 303(d)listed or have a TMDL <br /> for turbidi#y,fine sediment,phosqhorus ar p�?. ❑Yes �No <br /> *For informafion on impaired water bodies, <br /> hff ://www.ec .wa. ov/ ro ramslw lsformwater/consiruction/cansf ma s.htm! <br /> ECY 020-85 rev 12l05 x/'����Page 2 � <br /> ( } � <br /> i <br /> �..,_,_�.,�................:.. <br />