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REVIEWED RESUB3-BLD2023-0692+UIC Stormwater Info+9.22.2024_6.17.16_PM+4515870Non -Municipal Stormwater For UIC stormwater wells used along roads and in parking lots not owned by a county or city. Registration Status Site Number: 38529 Authorization Status: Rule -Authorized Facility/Site Information Facility Name: Downspout Infiltration trench Address: 7103 210th St SW PO Box/Suite/Building: City: Edmonds State: WA Zip: 98026 Phone: 206-331-5725 County: Snohomish Contact Information Well Owner Name: Harr Chen Organization: Harr Chen Properties, LLC Address: 91101 178th PI SW PO Box/Suite/Building: City: Edmonds State: WA Zip: 98026 Well Right- Construction EPA Well Status Name of -way Date Type Location Main Well Information UIC Depth Latitude Longitude Construction of Type UIC Well (ft.) Stormwater (residential, Infiltration Downspout paved trench with infiltration 10/31/2024 streets, Active perforated trench roofs, parking pipe lots) Google Map Link 4 47.808788-122.328930 https:Hgoogle.com/maps/place/47.808788,-122.32893( Main Well Information (continued) Well Name IT constructed in Within 1000 Within 100 feet of a High Confining Zoning Within a Ground accordance with approved feet of surface drinking water well Susceptable Layer Water Protection stormwater manual? water? or spring? Aquifer? Present? Area? Downspout infiltration Y N N N N Residential None trench Infiltration Trenches in Eastern or Western WA Without Soils Considered as Treatment BMP Well Name At least 5 ft. between the trench base and the water table High use site? If in Eastern WA, high average Basic or impermeable layer? daily traffic road? treatment? Downspout infiltration Y N trench