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GAT Y <br />4co <br />QFpR UL)0E CQ <br />c4 rn <br />�r0 FIELD INSe� <br />Storm Water Minimum Requirements #2 <br />ENGINEERING DEPARTMENT <br />904 6"' Street Anacortes, WA 98221 <br />Official Use Only: (Information to Inspectors) <br />Required Storm Water Facility and other related requirements: <br />Project Address: 2kO2 f t A `Jt <br />Parcel Number: P 5-7,3Ll y <br />Permit Number: <br />FRONT OF REPORT <br />Submittal Checklist: <br />www.a nacorteswa.gov <br />Submittal Date: (c�, -2- <br />Revision Number: <br />Acceptance Date (COA): 6 21 21 <br />Reviewer: Rob F <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 pnd Replaced Hard Surface) , , I , ; . t <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 />- Ito 1) del; 1)s a r () n a �7 erm c <br />Version Date: December 19, 2018 <br />