Applicant E-mail: Property Owner Name: Property Address: Property Owner Phone Number: Property Owner E-mail: Identify agency permits required or associated with the subject parcel (e.g., hydraulic permits, Army Corps 404 permits). Provide Permit numbers if available: Project Location Watershed: First Waterbody Encountered in Entire Downstream Flowpath: Final (Ultimate) Discharge Waterbody: In the table below, list all site improvements that have occurred on this site since January 1, 2003. Include all new hard surfaces and land disturbances. Provide short description of improvement including approximate square footage and related City of Tacoma Permit Number: Year of Description Hard Surface Amount of Related City of Improvement Created (ft2) Land Disturbed Tacoma Permit (ft2) Number Complete the following table as applicable to the proposed project (include onsite and offsite improvements): Descriptiona Onsite Offsite Total Existing Conditions Project Areab (ft²) Existing hard surface (ft²) Existing vegetation area (ft²) Proposed Conditions Project Areab (ft²) Amount of new hard surface (ft²) Amount of new pollution generating hard surface (PGHS)c (ft²) Amount of replaced hard surface (ft²) Amount of replaced PGHSd (ft²)
Applicant E-mail: Property Owner Name: Property Address: Property Owner Phone Number: Property Owner E-mail: Identify agency permits required or associated with the subject parcel (e.g., hydraulic permits, Army Corps 404 permits). Provide Permit numbers if available: Project Location Watershed: First Waterbody Encountered in Entire Downstream Flowpath: Final (Ultimate) Discharge Waterbody: In the table below, list all site improvements that have occurred on this site since January 1, 2003. Include all new hard surfaces and land disturbances. Provide short description of improvement including approximate square footage and related City of Tacoma Permit Number: Year of Improvement Description Hard Surface Created (ft2) Amount of Land Disturbed (ft2) Related City of Tacoma Permit Number Complete the following table as applicable to the proposed project (include onsite and offsite improvements): Descriptiona Onsite Offsite Total Existing Conditions Project Areab (ft²) Existing hard surface (ft²) Existing vegetation area (ft²) Proposed Conditions Project Areab (ft²) Amount of new hard surface (ft²) Amount of new pollution generating hard surface (PGHS)c (ft²) Amount of replaced hard surface (ft²) Amount of replaced PGHSd (ft²)
Combined-SWMM-SSP-2017-Revisions-Freshwaters-Final.docx