$750.00 Escrow Fee (Due upon Submission of Application) Date Received Quarryville Borough-S Stormwater Small Project APPENDIXA SMALL PROJECT APPLICATION Filel Number Submitted Fees $ Project Street Address: Project Name: Owner's Name & Address: Phonel/Faxt/Emal: Date Received Approval of Application Date Please list the date of any previous Small Project Applications for the subject property: [1 Removal of ground cover, grading, filing or excavation of an areal less than 5,000 square feet Proposed Activity: Total area ofl land disturbance: Type of Regulated. Activity (check allt that apply): sq. ft. I Removal of ground cover I Grading Filling Excavation Other earth disturbance activity (please describe) (1 Addition of Impervious Surface (more than 250 SF buti less than 2,000S SF) Type of newi impervious surface: [driveway, [)shed,IIgarage, IJdeck, [l walkway, (Jother (describe) Total newi impervious surface proposed for construction: Are your removing existing impervious as part of this project? sq. ft. [INo IYes-Total area of existing Impervious to be removed, sq.ft. Check all items below that will bei impacted by the project: Mature trees Sinkholes Water wells Septic drainfields Alternate septic drainfields Creeks, streams, wetlands, or ponds Easements Existing stormwater management facility (basin, swale, etc.) Quarryville Borough Stormwater Management Ordinance Small Project Application page 1 Small Project Application Pg.2 Total runoff volume to be permanently removed/managed. on site from attached calculation Proposed Stormwater Management Controls (Best Management Practice): worksheet: gallons or cubic feet Rain Garden Infiltration Trench Cistern Rain Barrel Other (describe). Sketch the sketch: Provide a sketch oft the proposed additional impervious area or land disturbance. Include the following on Location and approximate footprint of existing structures (buildings, patios, driveways, etc.) Approximate location of any of the following features which willl be impacted by the project: Property boundary Mature trees Sinkholes Water wells Septic drainfields Alternate septic drainfields Creeks, streams, wetlands, ponds Existing stormwater management facilities (basins, swales, etc.) Location and approximate footprint of proposed impervious area or land disturbance. Approximate footprint and location of all structures on adjacent properties ifl located within fifty feet Location and description of proposed stormwater management facilities (e.g. rain gardens, (50') of the proposed impervious area or land disturbance Direction of proposed stormwater discharge (e.g. with arrows) swales, rain barrels, etc.) Scale and north arrow Person/Firm to be completing work: Phone/Faxt/Emal: Name of Person Submitting this Application: Signature: Date: Quarryville Borough Stormwater Management Ordinance Small Project Application page 2 Small Project Application Calculation Worksheet The applicant may use the following to calculate the amount ofr runoff which must be managed in accordance with Section 302.B oft this Ordinance. Project Name: Owner Name: Proposed Additional Impervious Area: Impervious Area Calculations square feet Calculate the amount of runoff to be permanently removed (managed on site through reuse, evaporation, transpiration ori infiltration): Additional impervious area + 12=F Permanently Removed Runoff Volume (PRV) square feet of additional impervious- + 12= cubic feetx7.48 gallons per cubici feet =. cubic feet PRV gallons PRV Quarryville Borough Sotrmwater Management Ordinance Small Project Application page 3 EXAMPLE Small Project Application Calculation Worksheet Landowner Name: Owner Name: Jane Doe Jane Doe (20x45' garage) Proposed Additional Impervious Area: Impervious Area Calculations 900 square feet Calculate the amount of runoff to be permanently removed (managed on site through reuse, evaporation, transpiration or infiltration) using the following formula: Additional impervious area + 12: = Permanently Removed. Runoff Volume (PRV) 900 square feet of additional impervious + 12=. 75 cubic feet PRV 75 feetx per cubic 7.48 gallons cubic feet= 561 gallons PRV EXAMPLE SKETCH Proposed Rainspout Discharget tos Swale Proposed Garage 900sq.f. Existing House Neighboring House Existing Driveway. a fommnet Scale 1"=5 50' Quarryville Borough Stormwater Management Ordinance Small Project Application page 4