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Erosion Control For Office Use Only <br /> Application Checklist Permit Number: <br /> Associated Permits: <br /> Project Name: Zilm Residence <br /> Erosion Control Plan Requirements— Plan Materials X Location of Information: <br /> Page Number or Attachment <br /> 1 Narrative describing the proposed project ,// New residence <br /> 2. Site plan(of known scale that includes: property lines,disturbed area limits, impervious area C100 <br /> limits(existing and proposed), natural and artificial water features, 100-yr flood plain,delineated <br /> wetland boundaries, location of all proposed erosion control practices) <br /> NOTE:Grading within 5'of the property line requires department approval <br /> 3. Contours(existing and proposed) ,/ clo0 <br /> 4. Watershed size for each drainage area(include area draining to the site and within ✓ n/a <br /> project boundaries) <br /> 5. Culvert sizes(existing and proposed) / n/a <br /> 6. Cross sections and profiles of ditches,channels,swales and structural ✓ n/a <br /> measures(existing and proposed) <br /> 7, Design calculations for ditches, channels,swales and structural measures ✓ n/a <br /> (velocity&capacity calculations) <br /> 8. Direction of runoff flow from impervious surfaces (roof downspouts,driveways,etc.) I moo <br /> 9. Universal Soil Loss Equation(USLE)worksheet(s) (for each element of the erosion ✓ USLE <br /> control plan. Dates must correspond to construction schedule and be appropriate for each <br /> erosion control practice) <br /> 10. Tracking control(provisions to prevent mud-tracking onto public streets and roads during clo0 <br /> construction,e.g.tracking pad or existing gravel drive) <br /> 11. Sediment control practices to protect stormwater facilities or storm sewer clop <br /> inlets,existing and proposed, on or adjacent to the site(e.g. inlet protection or <br /> stone weeper) <br /> 12. Site stabilization details&methods(type&rate of fertilizer,seed,mulch,sod,etc.) ,/ C100/USLE <br /> 13. Any other necessary information pertaining to the physical or environmental ✓ moo <br /> features of the site <br /> Erosion Control Plan Requirements- Performance Standards X Location of Information: <br /> Page Number or Attachment <br /> 14. Prevent gully and bank erosion '/ cloo <br /> 15. Practices must reduce erosion to minimum sheet and rill erosion standards: ✓ USLE <br /> (7.5 tons/acres/year) <br /> 16. Proof of stable outlet capable of carrying site runoff at a non-erosive velocity ✓ n/a <br /> (outlet design must account for flow capacity and duration) <br /> Permit Application Requirements X Location of Information: <br /> Page Number or Attachment <br /> 17. Timetable and construction schedule ,/ C100/USLE <br /> 18. Preliminary review letter �/ n/a <br /> 19. Copies of permits or approval from other agencies(WDNR, US Army Corps of ✓ n//a <br /> Engineers,County Zoning,Town,etc.) <br /> 20. Itemized estimated cost of erosion control plan implementation (including ✓ See attached <br /> installation and labor) <br /> 21• Financial responsibility(financial security instrument required if cost estimate exceeds / n/a <br /> $5000) <br /> Revised 01.03.2017 <br />