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Erosion Control For Office Use Only <br /> Application Checklist Permit Number: <br /> Associated Permits: <br /> Project Name:Koshkonong Road North Quarry <br /> Erosion Control Plan Requirements—Plan Materials X Location of Information: <br /> Page Number or Attachment <br /> 1. Narrative describing the proposed project / See Reclamation Plan Report <br /> 2. Site plan(of known scale that includes:property lines,disturbed area limits,impervious area v See Reclamation Plan Map #2 <br /> limits(existing and proposed),natural and artificial water features,100-yr flood plain,delineated <br /> wetland boundaries,location of all proposed erosion control practices) 1� <br /> NOTE:Grading within 5'of the property line requires department approval <br /> 3. Contours(existing and proposed) ✓ See Reclamation Plan Map #2 <br /> 4. Watershed size for each drainage area(include area draining to the site and within ( Approx. 20 acres <br /> project boundaries) V <br /> 5. Culvert sizes(existing and proposed) None <br /> 6. Cross sections and profiles of ditches, channels,swales and structural None <br /> measures(existing and proposed) <br /> 7. Design calculations for ditches,channels,swales and structural measures None <br /> (velocity&capacity calculations) <br /> 8. Direction of runoff flow from impervious surfaces(roof downspouts,driveways,etc.) None <br /> g. Universal Soil Loss Equation(USLE)worksheet(s)(for each element of the erosion N/A Site internally drained <br /> control plan.Dates must correspond to construction schedule and be appropriate for each <br /> erosion control practice) <br /> 10. Tracking control (provisions to prevent mud-tracking onto public streets and roads during 10( See Reclamation Plan Map #2 <br /> construction,e.g.tracking pad or existing gravel drive) <br /> 11. Sediment control practices to protect stormwater facilities or storm sewer N/A Site internally drained <br /> inlets,existing and proposed, on or adjacent to the site(e.g.inlet protection or <br /> stone weeper) <br /> 12. Site stabilization details&methods(type&rate of fertilizer,seed,mulch,sod,etc.) ✓ See Reclamation Plan Map #2 <br /> 13. Any other necessary information pertaining to the physical or environmental / See Reclamation Plan Map #2 <br /> features of the site V <br /> Erosion Control Plan Requirements- Performance Standards X Location of Information: <br /> Page Number or Attachment <br /> 14. Prevent gully and bank erosion N/A Site internally drained <br /> 15. Practices must reduce erosion to minimum sheet and rill erosion standards: N/A Site internally drained <br /> (7.5 tons/acres/year) <br /> 16. Proof of stable outlet capable of carrying site runoff at a non-erosive velocity N/A Site internally drained <br /> (outlet design must account for flow capacity and duration) <br /> Permit Application Requirements X Location of Information: <br /> Page Number or Attachment <br /> 17. Timetable and construction schedule ✓ See Reclamation Plan Map #2 <br /> 18. Preliminary review letter N/A <br /> 19. Copies of permits or approval from other agencies(WDNR,US Army Corps of N/A <br /> Engineers,County Zoning,Town,etc.) <br /> 20. Itemized estimated cost of erosion control plan implementation(including ✓ See Cost Estimate <br /> installation and labor) <br /> 21. Financial responsibility(financial security instrument required if cost estimate exceeds N/A Does not exceed $5000 <br /> $5000) <br /> Revised 01.08.2014 <br />