Nitrogen Form - Commercial
Project Title: ______________________________________________
Type of Project [ ] New [ ] Expansion [ ]Exempt
Basis for exemption_________________________________________
Part I. Riparian Buffers
Area includes riparian buffers? [ ] No [ ] Yes [ ]Exempt
If yes, [ ] 50 foot [ ] 100 foot
River Basin? [ ]
Basis for exemption_________________________________________
Show buffers on site plan.
Part II. Nitrogen Calculations (Method 2, Appendix C):
a. Site Information
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Total area of property incl. R/W |
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Denuded Area |
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Impervious Area incl. R/W |
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Managed open space |
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Protected open space |
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b. Pre-development loading: |
Area |
TN export coeff. |
TN export from use | ||
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Type of Land Cover |
(acres) |
(lbs/ac/yr) |
(lbs/yr) | ||
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Permanently protected undisturbed open space (forest, unmown meadow) |
|
0.60 |
| ||
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Permanently protected managed open space (grass, landscaping, etc.) |
|
1.20 |
| ||
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Impervious Area |
|
21.20 |
| ||
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TOTAL |
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Nitrogen Loading Rate (lbs/ac/yr) = __________
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c. Post-development loading: |
Area |
TN export coeff. |
TN export from use |
|
Type of Land Cover |
(acres) |
(lbs/ac/yr) |
(lbs/yr) |
|
Permanently protected undisturbed open space (forest, unmown meadow) |
|
0.60 |
|
|
Permanently protected managed open space (grass, landscaping, etc.) |
|
1.20 |
|
|
Impervious Area |
|
21.20 |
|
|
TOTAL |
|
|
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Nitrogen Loading Rate (lbs/ac/yr) = __________
Proposed BMP(s) ________________________
Nitrogen Load after BMPs = ________________
Nitrogen Load Offset by Payments = _________
Net change in on-site N Load = _____________
Part III. Control of Peak Stormwater Flow (for 1 year, design storm)
Calculated
Calculated
Proposed BMP(s)____________________________
Post BMP Peak Flow _________________________
I, the undersigned, certify to the best of my knowledge that the above information is correct (affix seal).

