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ttERRic - <br /> vv oV:wAsi/ ,, d Alf <br /> G1 y o yP� , f,` # Storm Water Drainage Report <br /> i ► g 6# f nimum Requirements 1 through 9 <br /> NO <br /> 27807 ENGINEERING DEPARTMENT <br /> °A, 4jtcISTBSic ,,ZA' 904 6th Street Anacortes, WA 98221 <br /> '''ONAL04 s� 5 www.anacorteswa.gov <br /> C ." <br /> Official Use Only: (Information to Inspectors) <br /> Required Storm Water Facility and other related requirements: ) ,,8 r7 <br /> Project Address: _4201 0 Avenue Submittal Date: Os)•'•Ol-ZZ <br /> Parcel Number: _P33032 Revision Number: <br /> Permit Number: _ Reviewer: S OSQoR <br /> Accept ce Date (COA): 03-bl-7-022- <br /> FRONT OF REPORT: <br /> Submittal Checklist: (All items listed below are required for a complete submit I) <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 TAB 6: Minimum Requirement#6-Runoff Treatment <br /> o TAB 7: Minimum Requirement#7 - Flow Control <br /> o TAB 8: Minimum Requirement#8 -Wetland Protection <br /> o TAB 9: Minimum Requirement#9-Operation and Maintenance <br /> o APPENDIX 1 - Survey performed by a Professional Land Surveyor <br /> o APPENDIX 2- 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 Temporary <br /> Certificate of Occupancy, Certificate of Occupancy or Final Acceptance. <br /> CITY OF ANACORTES <br /> Planning,Community,& <br /> Economic Development <br /> Date Received: <br /> 02/28/2022 <br /> Version Dote. October 7, 2010 Provious Voreion Date: February 2-0, 20 i 9 <br /> BLD-2021-0946 <br />