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Erosion Control I . 7- <br /> Application Checklist xsMM 3 ;7 <br /> Date. 4-.i h <br /> 3 Project Name: 358 Lake Shore Drive House Reconstruction <br /> Please check the appropriate box: I=Included; NA=Not Applicable(if'NA'is checked,an explanation must be provided) <br /> 3 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 ,,4,7:,:T See Checklist Comments <br /> 3 (narrative including scope of land disturbing activities and sequence of <br /> construction events) <br /> r4 ti. <br /> 2. Plan drawing of site(of known scale and including:property lines,lot 'ytSee Exhibit#3 <br /> ILL dimensions,limits of disturbed area,limits of impervious area,land cover <br /> NI type,natural and artificial water features, 100-yr flood plain,delineated 1( <br /> wetland boundaries,location of all proposed erosion control practices) <br /> 3. Direction of runoff flow(elevation contour lines or runoff arrows) ✓ =;;t.,See Checklist Comments <br /> 4, Watershed size for each drainage area(include all off site run-on and . <br /> 'See Checklist Comments <br /> area within the project boundaries) <br /> If 5. Provisions to prevent mud-tracking onto public thoroughfares See Checklist Comments <br /> i 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) t? <br /> 7. Prevent gully and bank erosion and apply minimum standards -See Exhibit#4 <br /> iiii . <br /> for sheet and rill erosion:7.5 tons/acres/year(Universal Soil Loss <br /> Equation-USLE worksheets must be completed and attached) <br /> if 8. Provisions for sequential steps mitigating the erosive effect of i r See Checklist Comments <br /> di land disturbing activities(list of erosion control practices) <br /> 9. Proposed schedule for installation and completion of all ��, <br /> 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 _v.4.1 See Checklist Comments <br /> 11. Itemized estimated cost of all elements of the erosion control See Page 3. <br /> iii plan including installation and labor(a letter of credit[LOC]is / -r: <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 /> il <br /> 13. Cross sections and profiles of road ditches and channels(existing / See Checklist Comments <br /> and proposed) V <br /> 14. Runoff velocities in channels(to ensure channel stability) / See Checklist Comments <br /> di <br /> 15. Culvert sizes(existing and proposed) ✓ See Checklist Comments <br /> I 16. Proof of stable outlet,capable of carrying the design flow at a w See Checklist Comments <br /> i-4 non-erosive velocity(having no ditches,swales,culverts,downspouts,or / <br /> other features that concentrate runoff present and having all runoff leave the 1/ <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 /> ela 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 /> features of the site <br /> ii <br /> *Any proposed changes to the erosion control plan must be submitted and approved prior to implementation. <br /> Indicates information must always be included <br /> all 1 <br /> Revised January 2,2007 <br /> di <br />