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trto <br /> Ili <br /> Erosion Control iii office use only <br /> Ili <br /> t Application Checklist Permit Number: <br /> -t4 . <br /> Project Name:390 Lake Shore Drive House Reconstruction <br /> II <br /> Please check the appropriate box: I=Included; NA=Not Applicable(if'NA'is checked,an explanation must be provided) <br /> Applicant LCD <br /> as <br /> Plan Requirement I NA Location in Plan-page number I NA <br /> 141 1. Detailed written description of how the site will be developed See Checklist Comments <br /> is (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 /> tilt type,natural and artificial water features, 100-yr flood plain,delineated <br /> wetland boundaries,location of all proposed erosion control practices) <br /> 3. Direction of runoff flow(elevation contour lines or runoff arrows) 1 See Checklist Comments <br /> 4. Watershed size for each drainage area(include all off site run-on and / See Checklist Comments <br /> area within the project boundaries) v <br /> 5. Provisions to prevent mud-tracking onto public thoroughfares i f, See Checklist Comments <br /> go during construction(i.e.tracking pad or existing gravel drive) F; w; <br /> 6 Provisions to prevent the delivery of sediment to stormwater ti' ; > See Checklist Comments <br /> conveyance system(i.e.inlet protection or stone weeper) .. <br /> rlilr 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 i <br /> 8. Provisions for sequential steps mitigating the erosive effect of '' See Checklist Comments <br /> IS land disturbing activities(list of erosion control practices) ' <br /> g. Proposed schedule for installation and completion of all `°M_t See Checklist Comments <br /> I# <br /> elements of the erosion control plan(date(s)must be consistent with <br /> iti USLE and be appropriate for each practice) <br /> 10. Fertilizer and seeding rates(seed,mulch,polymer,fertilizer,etc.) if A`See Checklist Comments <br /> 11. Itemized estimated cost of all elements of the erosion control See Page 3. <br /> iiiil plan including installation and labor(a letter of credit[LOC]is / . , <br /> required if estimated cost is greater than$5000) 04:- <br /> zip 12. Design discharge for ditches and structural measures(flow t' See Checklist Comments <br /> calculations) <br /> illi <br /> 13. Cross sections and profiles of road ditches and channels(existing / See Checklist Comments <br /> and proposed) v <br /> MI 14. Runoff velocities in channels(to ensure channel stability) ✓ See Checklist Comments <br /> 15. Culvert sizes(existing and proposed) / See Checklist Comments <br /> T <br /> 16. Proof of stable outlet,capable of carrying the design flow at a See Checklist Comments <br /> is non-erosive velocity(having no ditches,swales,culverts,downspouts,or / ? <br /> other features that concentrate runoff present and having all runoff leave the v ' <br /> site as sheet flow,may be sufficient to satisfy this requirement) <br /> 17. Copy of Preliminary Review Letter,permits or approvals by other i See Checklist Comments <br /> ti agencies(e.g.WDNR,Army Corps of Engineers,driveway permit,etc) <br /> 18. Any other information necessary to reasonably determine the See Checklist Comments <br /> location,nature and condition of any physical or environmental ✓ <br /> 111 features of the site <br /> IA *Any proposed changes to the erosion control plan must be submitted and approved prior to implementation. <br /> tali I Indicates information must always be included <br /> Revised January 2,2007 <br /> 0* <br /> ft <br />