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1 LCD office use only <br /> .Erosion Control <br /> is <br /> Application Checklist Pemit"umber <br /> Date: <br /> ei <br /> Project Name: 79 Beach Avenue House Reconstruction . <br /> Please check the appropriate box: l=Included; NA=Not Applicable (y .AA is checked,an explanation must be provided) <br /> ' <br /> Applicant LCD <br /> IP <br /> pplicant <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 /> i <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 /> 4 type.natural and artificial water features. 100-yr flood plain.delineated b <br /> le wetland boundaries. location of all proposed erosion control practices) <br /> 3. Direction of runoff flow(elevation contour lines or runoff arrows) ✓ See Checklist Comments <br /> 4. Watershed size for each drainage area (include all off site run-on and i See Checklist Comments <br /> • area within the project boundaries) G _ <br /> 5 Provisions to prevent mud-tracking onto public thoroughfares See Checklist Comments <br /> during construction(i.e.tracking pad or existing gravel drive) E <br /> g gP €g ,..., <br /> al 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 r'` _ >`See Exhibit#4 <br /> di for sheet and rill erosion:7.5 tons/acres/year(Universal Soil Loss 1 i w <br /> Equation-U its <br /> SLE worksheets must be completed and attached) cg -, <br /> g. 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 CA.:, See Checklist Comments <br /> elements of the erosion control plan(dateisi must be consistent with i [7,i, <br /> USLE and be appropriate for each practice) <br /> 10. Fertilizer and seeding rates(seed,mulch,polymer,fertilizer.etc.) `,.. <br /> See Checklist Comments <br /> 11. Itemized estimated cost of all elements of the erosion control �.`See Page 3. <br /> * <br /> plan including installation and labor(a letter of credit[LOC] is ✓ t _ <br /> required if estimated cost is greater than$5000) <br /> 12. Design discharge for ditches and structural measures (flow / 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) ,/ <br /> i <br /> 14. Runoff velocities in channels(to ensure channel stability) ✓ See Checklist Comments <br /> 15. Culvert sizes (existing and proposed) ✓ See Checklist Comments <br /> :� 16. Proof of stable outlet,capable of carrying the design flow at a See Checklist Comments <br /> i t, non-erosive velocity(having no ditches.swales,culverts,downspouts,or 1 <br /> other features that concentrate runoff present and having all runoff leave the <br /> site as sheet flow,may be sufficient to satisfy this requirement) <br /> ili 17. Copy of Preliminary Review Letter, permits or approvals by other / See Checklist Comments <br /> 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 Iii <br /> tiii features of the site _ <br /> *Any proposed changes to the osio control plan must be submitted and approved prior to implementation. <br /> gnorelandErasion Controt Ke on <br /> ID EB-01-08 I` Indicates information must always be included <br /> 8/28/2008 L— 5 Revised Januan 2 200 <br /> a <br />