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1y0p El@ <br /> .r � ._ <br /> I Storm Water Drainage Report <br /> JAN 2 1 2020 inimum Requirements 1 through 5 <br /> ENGINEERING DEPARTMENT <br /> � ITV(OF IWOORi'ES 904 6th Street Anacortes, WA 98221 <br /> O g / www.anacorteswa.gov <br /> Official Use Only: (Information to Inspectors) <br /> Required Storm Water Facility and other related requirements: <br /> - 114mPTS.1% -Al6T Gct...stZvcr11 otLS t.t 2fa7 <br /> BmP 'M•I oG— nTo12rc' SW(3 Cot.11.12'lav <br /> Project Address: _1211 10th Street Submittal Date: CI.21.2437. <br /> Parcel Number: _P55411 Revision Number: Z <br /> Permit Number: _BLD-2019-0833 Reviewer: n[-L.+t. L.atiGi <br /> Acceptance Date (COA : .22.20 <br /> FRONT OF REPORT: L , <br /> Submittal Checklist: (All items listed below are required for a complete submitta <br /> o Cover Sheet (Preparer to Provide): Project title, Location, Revision dates, Engineer's Stamp <br /> o TAB 1: Minimum Requirement#1 — Preparation of Stormwater Site Plans <br /> o TAB 2: Minimum Requirement#2— Construction Stormwater Pollution Prevention (SWPP) <br /> o TAB 3: Minimum Requirement#3—Source Control of Pollution <br /> o TAB 4: Minimum Requirement#4— Preservation of Natural Drainage Systems and Outfalls <br /> o TAB 5: Minimum Requirement#5—On-site Stormwater Managements <br /> o APPENDIX 1 - Survey performed by a Professional Land Surveyor <br /> o APPENDIX 2 - Soils Analysis (Volume 1, Chapter 3.1.1) FLOW CONTROL EXEMPT <br /> o APPENDIX 3 - Model Soil Management Plan for BMP T5.13 <br /> o APPENDIX 4 - Determining Construction Site Sediment Damage Potential (Appendix 7) <br /> o APPENDIX 5 - Site Plan with all applicable information (Minimum Size 11x17—30 scale) <br /> o APPENDIX 6 - Documented Site Photos (North, South, East and West) <br /> o APPENDIX 7 - Drainage BMP Facility Maintenance Covenant, if applicable. To be recorded prior to the <br /> Temporary Certificate of Occupancy, Certificate of Occupancy or Final Acceptance. FLOW CONTROL <br /> EXEMPT <br /> Stormwater Management Requirements: <br /> o Refer to the 2012\14 Department of Ecology Manual, as amended in 2014 for further required <br /> information. <br /> o See also, City of Anacortes Municipal Code 19.76 for additional information <br /> o See also, current Engineering Development Standards, Chapter 2- Storm Drainage for additional <br /> information. <br /> Version Date: October 7, 2019 Previous Version Date: February 20, 2019 <br />