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,� y SITE COPY APPROVED <br /> Storm Water Minimum Requirements #2 <br /> H - ENGINEERING DEPARTMENT <br /> ,� �J 904 6th Street Anacortes,WA 98221 <br /> 1\rG jog l _w JtK. .15 1 <br /> 019 Li FILE COPY Rww.anacortes«%a.go\ <br /> ` CITY OF ANACORTES <br /> Official Use Only: (Information to Inspectors) <br /> Rpquired Storm Water Facility and other related requirements: /_ , <br /> e <br /> t <br /> Project Address: 4a2?:- le:- JP/' • Submittal Date: ', /5 , )- <br /> Parcel Number: ,ice, =a Revision Number: <br /> Permit Number: LP __2 I <br /> A t 7)-1 J5 Acceptance Date (COA): <br /> Reviewer: <br /> FRONT OF REPORT <br /> Submittal Checklist: <br /> o TAB 1 - Drainage Analysis — Minimum Requirement#2 <br /> o APPENDIX 1 - Survey performed by a Professional Land Surveyor <br /> o APPENDIX 2 - Model Soil Management Plan for BMP T5.13 <br /> o APPENDIX 3 - Determining Construction Site Sediment Damage Potential (Appendix 7) <br /> o APPENDIX 4 - Site Plan with all applicable information (Minimum Size 11x17 —30 scale) <br /> o APPENDIX 5 - Documented Site Photos (North, South, East and West) <br /> Project Description: (What is it you are looking to do? Provide details regarding, but not limited to, Lot SF, <br /> Home SF, New and Replaced Hard Surface) <br /> de - l- - / ' .=. -` 1,-+ia ge rlk,' `c - V - A i'-'-ti' <br /> i ` Yam}, <br /> Di, ,JP .2. v 41.-e - ',rtc.-e:-, 3-..�/.t- 4—, s^'���,— l c.�— r,.Ci/ , J <br /> P7 r <br /> Existing Site Conditions Summary: <br /> (Additionally, provide information on previous permits, if any, like Grade and Fill, Clear and Grade, topography, <br /> vegetation, drainage, Critical Areas adjacent to the site and how it may affect this project if soils are disturbed, <br /> Soils Type (Included in Soils Analysis Report), Erosion Problem Areas, Construction PhasinglSequence) <br /> /Yk. 3cJ ,z,i— I c�' �z �;,�- r—Lt__� —t>l - ,`�S d�J r—�1 v s r—lrf' <br /> c/ a J <br /> 5 <br /> Version Date: December 19, 2018 <br />