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3 Erosion Control - -4 <br /> Application Checklist PermftNtimbeir <br /> Date. <br /> Project Name: 362 Lake Shore Drive House Reconstruction <br /> Please check the appropriate box: 1=Included; NA=Not Applicable (if'NA'is checked,an explanation must be provided) <br /> Applicant LCD <br /> Plan Requirement I NA Location in Plan -page number I NA <br /> 1. Detailed written description of how the site will be developed See Checklist Comments <br /> (narrative including scope of land disturbing activities and sequence of <br /> construction events) <br /> 2. Plan drawing of site(of known scale and including:property lines,lot See Exhibit#3 <br /> dimensions,limits of disturbed area,limits of impervious area,land cover / <br /> type,natural and artificial water features. 100-yr flood plain,delineated b (5 ,'! <br /> wetland boundaries,location of all proposed erosion control practices) ®°, <br /> 3. Direction of runoff flow(elevation contour lines or runoff arrows) i ;4:."--"t1 See Checklist Comments <br /> iii 4. Watershed size for each drainage area(include all off site run-on and / See Checklist Comments <br /> area within the project boundaries) 1/ I." <br /> 5. Provisions to prevent mud-tracking onto public thoroughfares ,,,Vtzi See Checklist Comments <br /> during construction(i.e.tracking pad or existing gravel drive) <br /> 6 Provisions to prevent the delivery of sediment to stormwater See Checklist Comments <br /> conveyance system (i.e.inlet protection or stone weeper) <br /> 7, Prevent gully and bank erosion and apply minimum standards See Exhibit#4 <br /> for sheet and rill erosion: 7.5 tons/acres/year(Universal Soil Loss <br /> Equation—USLE worksheets must be completed and attached) <br /> I8. Provisions for sequential steps mitigating the erosive effect of ✓ See Checklist Comments <br /> land disturbing activities(list of erosion control practices) ` =' <br /> 9. Proposed schedule for installation and completion of all See Checklist Comments <br /> elements of the erosion control plan(date(s)must be consistent with ✓ <br /> USLE and be appropriate for each practice) <br /> 10. Fertilizer and seeding rates(seed,mulch,polymer,fertilizer,etc.) 1 'FF` '`See Checklist Comments <br /> 11. Itemized estimated cost of all elements of the erosion control I See Page 3. <br /> plan including installation and labor(a letter of credit[LOC] is II 2 <br /> required if estimated cost is greater than$5000) <br /> 12. Design discharge for ditches and structural measures(flow i See Checklist Comments <br /> illi calculations) <br /> 13. Cross sections and profiles of road ditches and channels(existing / See Checklist Comments <br /> and proposed) v <br /> ii 14. Runoff velocities in channels(to ensure channel stability) I See Checklist Comments <br /> IP 15. Culvert sizes(existing and proposed) if See Checklist Comments <br /> iiii 16. Proof of stable outlet,capable of carrying the design flow at a F_: See Checklist Comments <br /> non-erosive velocity(having no ditches,swales,culverts,downspouts,or <br /> other features that concentrate runoff present and having all runoff leave the <br /> fi4? <br /> site as sheet flow,may be sufficient to satisfy this requirement) <br /> lib <br /> 17. Copy of Preliminary Review Letter, permits or approvals by other i See Checklist Comments <br /> agencies(e.g.WDNR,Army Corps of Engineers,driveway permit,etc) <br /> . _ <br /> 18. Any other information necessary to reasonably determine the See Checklist Comments <br /> Iiii location,nature and condition of any physical or environmental if <br /> features of the site <br /> 1 <br /> *Any proposed changes to the erosion control plan must be submitted and approved prior to implementation. <br /> to <br /> ElIndicates information must always be included <br /> If <br /> Revised January 2,2007 <br /> di <br />