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General Information
Name of Developer
Date Submitted
Development Name
Developer Contact Name
Site Location / Address
Contact Telephone
City
Name of Engineer(s)
Zip
License No.
Development Type
Maintenance Responsibility
EPSC Professional
Permit Number
Site Rv
Area in Stream and Floodway Buffers
Total Acres
Parcel
Site Impervious Area Acres
Parcel Area
Review Date
Land Use
Conditions of Approval
Maintenance Agreement
Y / N / R
Reviewer
Date Approved
Subareas
Treatment Structure Types and Volumes
Subarea
Description
Type
Acres
Intrinsic Type
1
2
TRM
Treatment Structure Types and Volumes
Subarea
Description
Type
Acres
TRM
Treatment Structure Types and Volumes
Subarea
Description
Type
Acres
Intrinsic Type
1
2
Name of Developer
Date Submitted
Development Name
Developer Contact Name
Site Location / Address
Contact Telephone
City
Name of Engineer(s)
Zip
License No.
Development Type
Agricultural
Rural Residential
Low Density Residential - <= 2 du/acre
Medium Density Residential - > 2 du/acre and < 3 du/acre
High Density Residential - >= 3 du/acre
Office/Professional
Commercial/Retail
Office/Distribution/Technology
Light(Industry)
Heavy(Industry)
Transportation/Communications/Utilities
Institutional, Public & Semi Public
Parks, Recreation & Conservation Areas
Mixed(Use)
Maintenance Responsibility
Permit Number
EPSC Professional
Area in Stream and Floodway Buffers
Method:
Runoff Reduction Method (RRM) w/ optional TRM
TSS Reduction Method (TRM) Only
Step 1 Layout proposed site and divide into sub-areas each of a specific land use type.
Step 2: Treat impervious areas through the use of sheet flow.
Step 3: Treat primarily impervious areas with structural GIPs, use 3a alone or in combination with 3b for structural GIPs in Series.
TRM
TRM
Subareas
Step 1 Proposed Land Use
Step 2 Intrinsic GIPs
Step 3a Structural GIPs
Step 3b Structural GIPs in Series
TRM 1
TRM 2
Tv Captured & Remaining
TRM 1
TRM 2
%TSS
Subarea
Description
Code
Acres
Rv
Code
Trtmt VR1
Eff Rv
Code
Trtmt VR2
Treat Vol
Tv Multiplier
Eff Rv
Code
Trtmt VR2
Treat Vol
Tv Multiplier
Eff Rv
TRM Code
TSS Credit %
TRM Code
TSS Credit %
Tv Required
Total TSS Credit %
Tv Required
Tv Captured 3a
Tv Captured 3b
P Captured
P Remaining
Tv Remaining
TRM Code
TSS Credit %
TRM Code
TSS Credit %
Total TSS Credit %
1
0.00
% Removal (Goal is 82%):
% Removal:
% Removal:
% Removal:
% Removal:
% Removal:
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