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Stormwater Management Questionnaire For <br /> Si• <br /> ngle Family Residential / Duplex /Small Projects <br /> J <br /> Step 1: Fill in the Quantities below: <br /> The total amount of proposed hard surfaces(rooftop,pavement, etc.)for my project site is: 2600 S.F. (Box 1) <br /> The amount of existinghard surfaces on my project site that will be removed or replaced is: 0 S.F. (Box 2) <br /> The amount of net new hard surfaces on my site(proposed minus existing to be removed/replaced)is: 260 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 /> APPROVED <br /> 2. The value in Box 1 above is 2,000 square feet or more. PUBLI W RKS DEP R_TMENT <br /> ANSWER: TRUE BY ��,�•'M' �-�11/►U1.�,�C/t <br /> *If False,only complete General Information&Construction Stormwater Plan. T�/I K� <br /> DATE t�_R— 201 G <br /> 3. The value in Box3 above is less than 5,000 square feet. CITY OF EVERETT REVIEWED FOR PERMIT <br /> ANSWER: TRUE 120 611 ^©l+ <br /> *If False,submit an Engineered Drainage Report addressing MR#1-9. W 1 <br /> Step 3: Proceed with this entire Questionnaire if all 3 answers above are TRUE. <br /> General Information: <br /> Project Site Address: 900 Pacific Ave. Everett WA.98201 <br /> Prepared By: Devin Saylor <br /> Date Prepared: 10-24-16 <br /> Existing Site Information: <br /> 1. Please describe the existing structures, hard surfaces,slopes,drainage patterns, drainage <br /> pipes,vegetation,etc. <br /> Adjacent to where the new proposed play area canopy is to be constructed an existing 5 <br /> story building exists. The existing play area is flat and covered by wood play chips. An <br /> existing sidewalk exists around the perimeter of the play area. There is an existing drain <br /> pipe that handles a portion of the existing building roof rainwater and it drains into the <br /> existing rain garden area located at the play area perimeter. <br /> 2. Please provide the following quantities of existing hard surfaces in square feet: <br /> Existing Roof Area: N/A <br /> Existing Other Hard Surfaces (pavement,gravel,etc.): 1885 square feet of existing sidewalk <br /> that surrounds the existing play area covered by play chips. <br /> Page 1 of 7 <br /> CITY OF EVERETT 13200 Cedar Street I Everett, WA 98201 1425-257-8810 I everettwa.g. <br />