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�ERRlCsr <br /> 4tr roc wnsir14, yO i <br /> ‘ ) .. Storm Water Drainage Report <br /> ►t ,J inimum Requirements 1 through 5 <br /> ENGINEERING DEPARTMENT <br /> �� �O� R�cisrevr. 904 6 Street Anacortes, WA 98221 <br /> l$91 SS1pNALG ! ' www.anacorteswa.gov <br /> Official Use Only: (Information to Inspectors) <br /> Required Storm Water Facility and other related requirements: <br /> Project Address: _2001 12th Street Submittal Date: 0 2- t°t • 2c5Z <br /> Parcel Number: P121906 Revision Number: 05 <br /> Permit Number: _BLD-2020- Reviewer: STe l..1a4-16E. <br /> Acceptance Date (COA): <br /> FRONT OF REPORT: g,�/tt-4-1 Com 11e5> 2c21 <br /> Submittal Checklist: (All items listed below are required for a complete submittal) , <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 4L. wp 4.j F3,66.10 <br /> o APPENDIX 1 - Survey performed by a Professional Land Surveyor <br /> o APPENDIX 2 - Soils Analysis (Volume 1, Chapter 3.1.1) ds I van P 5 cDt-'h.'z LS / DSc <br /> o APPENDIX 3 - Model Soil Management Plan for BMP T5.13 Mk:: b" -r <br /> o APPENDIX 4 - Determining Construction Site Sediment Damage Potential (Appendix 7) V Qtu r&z5 <br /> o APPENDIX 5 - Site Plan with all applicable information (Minimum Size 11 x17- 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. <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 />