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Erosion Control I Application Checklist Perthim.utitie44,44- . ,, , Dais Project Name:83 Koshkonong Drive House Reconstruction Please check the appropriate box: l=Included; NA=Not Applicable(if'NA'is checked,an explanation must be provided) Applicant LCD Plan Requirement I NA Location in Plan-page number I NA 1. Detailed written description of how the site will be developed See Checklist Comments (narrative including scope of land disturbing activities and sequence of construction events) 2. Plan drawing of site(of known scale and including:property lines,lot See Exhibit#3 dimensions,limits of disturbed area,limits of impervious area,land cover type,natural and artificial water features, 100-yr flood plain,delineated v wetland boundaries,location of all proposed erosion control practices) 3. Direction of runoff flow(elevation contour lines or runoff arrows) / See Checklist Comments 4, Watershed size for each drainage area(include all off site run-on and / See Checklist Comments area within the project boundaries) v I 5. Provisions to prevent mud-tracking onto public thoroughfares See Checklist Comments during construction(i.e.tracking pad or existing gravel drive) , i, 6 Provisions to prevent the delivery of sediment to stormwater _i 1 See Checklist Comments conveyance system(i.e.inlet protection or stone weeper) 7. Prevent gully and bank erosion and apply minimum standards See Exhibit#4 for sheet and rill erosion:7.5 tons/acres/year(Universal Soil Loss ✓ Equation—USLE worksheets must be completed and attached) «r ,*4 8. Provisions for sequential steps mitigating the erosive effect of Checklist Comments land disturbing activities(list of erosion control practices) 'Ai See Checklist Comments g. Proposed schedule for installation and completion of all k l. elements of the erosion control plan(date(s)must be consistent with USLE and be appropriate for each practice) 10. Fertilizer and seeding rates(seed,mulch,polymer,fertilizer,etc.) If See Checklist Comments ir 11. Itemized estimated cost of all elements of the erosion control } See Page 3. plan including installation and labor(a letter of credit[LOCJ is required if estimated cost is greater than$5000) y 12. Design discharge for ditches and structural measures(flow See Checklist Comments I calculations) 13. Cross sections and profiles of road ditches and channels(existing See Checklist Comments and proposed) 14. Runoff velocities in channels(to ensure channel stability) See Checklist Comments 15. Culvert sizes(existing and proposed) See Checklist Comments 16. Proof of stable outlet,capable of carrying the design flow at a ;See Checklist Comments non-erosive velocity(having no ditches,swales,culverts,downspouts,or other features that concentrate runoff present and having all runoff leave the site as sheet flow,may be sufficient to satisfy this requirement) _ 1 17. Copy of Preliminary Review Letter,permits or approvals by other i See Checklist Comments agencies(e.g.WDNR,Army Corps of Engineers,driveway permit,etc) 18. Any other information necessary to reasonably determine the See Checklist Comments I location,nature and condition of any physical or environmental ✓ features of the site *Any proposed changes to the erosion control plan must be submitted and approved prior to implementation. 4 Indicates information must always be included Revised Januan 2,2007