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REVIEWED UIC REGISTRATION-02.02.2023 PLN17-0059Site Number: Authorization Status: Facility Name: Address: PO Box/Suite/Building: City: State:Zip: Phone: County: Well Owner Name: Organization: Address: PO Box/Suite/Building: City: State:Zip: Email: Phone: Property Owner Name: Organization: Address: PO Box/Suite/Building: City: State:Zip: Email: Phone: Technical Contact Name: Organization: Address: PO Box/Suite/Building: City: State:Zip: Email: Phone: Comments: Underground Injection Control Non-Municipal Stormwater For UIC stormwater wells used along roads and in parking lots not owned by a county or city. Registration Status 37330 Pending Facility/Site Information Clear Vision 2Lot Edmonds Short Plat 18227 80th Avenue W Edmonds WA98026 425-247-9751 Snohomish Contact Information Phong Le Clear Vision Homes, Inc 1123 Maple Ave SW, Suite 110 Renton WA98057 lep95@yahoo.com 425-247-9751 Phong Le Clear Vision Homes, Inc 1123 Maple Ave SW, Suite 110 Renton WA98057 lep95@yahoo.com 425-247-9751 William Taylor Cannon Engineering 1400 112th Ave SE, Suite 100, 19 Bellevue WA98004 billt@cannoncorp.us 425-677-2322 Main Well Information Well Name Right- of-way Location Construction Date EPA Well Type Status UIC Construction Type Depth of UIC Well (ft.) Latitude Longitude Google Map Link Clear Vision 2- Lot Edmonds Short Plat 6/1/2023 Stormwater (residential, paved streets, roofs, parking lots) Proposed Drywell with perforated pipe 6 47.500000 -122.202500 https://google.com/maps/place/47.500000,-122.202500/@47.50000 RESUB Feb 02 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Main Well Information (cont.) Well Name IT constructed in accordance with approved stormwater manual? Within 1000 feet of surface water? Within 100 feet of a drinking water well or spring? Is High Susceptible Aquifer? Is Confining Layer Present? Zoning Within a Ground Water Protection Area? Clear Vision 2-Lot Edmonds Short Plat N N N N Medium Density Residential None Wells Constructed on or after 2/3/2006 (Excluding Infiltration Trenches) Well Name Type of Drainage Area Is at least 5 ft present between the base of the UIC well and the top of the groundwater table? Treatment capacity of the vadose zone from Table 5.2 Pollutant loading classification from Table 5.3 Treatment from Table 5.4 Treatment selected from stormwater manual Clear Vision 2- Lot Edmonds Short Plat Non-pollutant Generating Roof Y Low Insignificant None Catch Basin with a down-turned elbow (None) Documents Document Type Document Uploaded By Stormwater Management Plans Civil drawing set_2019-02-11.pdf CannonCorp on 1/6/2023 3:32:14 PM Miscellaneous Support Documents Drainage Report Edmonds Plat 2019-02-07.pdf CannonCorp on 1/6/2023 3:31:39 PM Signed Registration Signature Page UIC Registration signature page.pdf CannonCorp on 1/6/2023 3:40:15 PM Deep UIC Well Hydrogeologic Study No file chosenChoose File