Gogebic
and
Sediment Control Permit Application
For more information or questions please call the
Please send application to:
500 N. Moore St.
Bessemer, MI 49911
OFFICE USE ONLY
Permit #:
Date Issued:
Expiration Date:
File #:
Fee Paid:
1. APPLICANT (Please check if applicant is the landowner or designated
agent*)
|
Name
Landowner
Designated Agent |
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|
Address |
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|
City |
State |
Zip Code |
Area Code / Telephone Number |
2. LOCATION
|
Section |
Town |
Range |
Township |
City / Village |
County |
||
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Subdivision |
Lot No. |
Tax ID Number |
Street Address |
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3. PROPOSED
EARTH CHANGE
|
Describe Project |
Size of Earth Change (acres or square feet) |
|
|
Name of and Distance to Nearest |
Date project to start |
Date project to be completed |
4. SOIL
EROSION AND SEDIMENTATION CONTROL PLAN (Refer
to Rule 323.1703)
|
Note: One (1) complete set of plans must be
attached. |
Estimated Cost of Erosion
and Sediment Control |
|
Plan Preparer’s Name and
Telephone Number Area Code
( ) |
5. PARTIES RESPONSIBLE
FOR EARTH CHANGE
|
Name of Landowner (if not
provided in Box No. 1 above) |
Address |
||
|
City |
State |
Zip Code |
Area Code / Telephone Number ( ) |
|
Name of Individual “On Site”
Responsible for Earth Change |
Company Name |
||
|
City |
State |
Zip Code |
Area Code / Telephone Number ( ) |
6. FEES
|
____ Residential: $125.00 per acre |
|
____ Commercial, Sand Pits, or Gravel Pits: $125.00 per acre |
|
____ After the Fact Permits $250.00 |
|
I (we) affirm that the above
information is accurate and that I (we) will conduct the above described
earth change in accordance with Part 91, Soil Erosion and Sedimentation
Control, of the natural Resources and Environmental Protection Act, 1994 PA
451, as amended, applicable local ordinances, and the documents accompanying
this application and permit. |
||
|
Landowner’s Signature |
Print Name |
Date |
|
Designated Agents Signature* |
Print Name |
Date |
*Designated agent must have a
written statement from landowner authorizing him / her to secure a permit in
the landowner’s name.
Erosion Control Plan Checklist
R323.1704 Permit requirements:
Rule 1704. (1) A landowner or designated agent who contracts for, allows, or engages in, and earth change in this state shall obtain a permit from the appropriate enforcing agency before commencing an earth change which disturbs 1 or more acres of land or which is within 500 feet of the waters edge of a lake, or stream, unless exempted in R 323.1705 which are farming (crop production), oil and gas exploration and logging or mining activities.
(2) An earth change activity that does not require a permit under sub rule (1) of this rule is not exempt from enforcement procedures under part 91 or these rules, if the activity exempted be sub rule (1) of this rule causes or results in a violation of part 91 or these rules.
Check (ü) appropriate boxes
below, and complete the site diagram
with necessary information.
Site Characteristics
□
North
arrow, scale, and site boundary.
Indicate and name adjacent streets or roadways.
□
Location
of existing drainage ways, streams, rivers, lakes, wetlands or wells.
□
Location
of storm sewer inlets.
□
Location
of existing and proposed building and paved areas.
□
The
disturbed area on the lot.
□
Approximate
gradient and direction of slopes before grading operations.
□
Approximate
gradient and direction of slopes after grading operations.
□
Timing
and sequence of each proposed earth change.
□
Overland
runoff (sheet flow) coming onto the site from adjacent areas.
Erosion Control Practices
□
Location
of temporary soil storage piles.
Note: Soil
storage piles should be placed behind a sediment fence, a 10 foot wide
vegetation strip, or should be covered with a tarp or more than 25 feet from
any down slope road or drainage way.
□
Location
of access drive(s).
Note: Access
drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6
inches thick. Drives should extend from
the roadway 50 feet or to the house foundation (whichever less).
□
Location of
sediment controls (filter fabric fence, straw bale fence or 10-foot-wide
vegetation strip) that will prevent eroded soil from leaving the site.
□
Location
of sediment barriers around on-site storm sewer inlets
□
Location
of diversions.
Note: Although
not specifically required by code, it is recommended that concentrated flow
(drainage ways) be diverted (re-directed) around disturbed areas. Overland
runoff (sheet flow) from adjacent areas greater than 10,000 sq. ft. should also
be diverted around disturbed areas.
□
Location of
practices that will be applied to control erosion on steep slopes (greater than
12% grade).
Note: Such
practices include maintaining existing vegetation, placement of additional
sediment fences, diversions, and re-vegetation by sodding
or seeding with use of erosion control mats.
□
Location of
practices that will control erosion on areas of concentrated runoff flow.
Note: Unstabilized drainage ways, ditches, diversions, and inlets
should be protected from erosion through use of such practices as in-channel
fabric or straw bale barriers, erosion control mats, staked sod, and rock
rip-rap. When used, a given in-channel
barrier should not receive drainage from more than two acres of unpaved area,
or one acre of paved area. In-channel
practices should not be installed in perennial streams (streams with year round
flow).
□
Location of other
planned practices not already noted.
Management Strategies
Indicate management strategy by checking (ü)
appropriate box.
□
Temporary
stabilization of disturbed areas.
Note: It is
recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding
(between April 1 and September 15), or by other cover, such as tarping or mulching.
˙
Permanent
stabilization of site by re-vegetation or other means as soon as possible (lawn
establishment).
o
Indicate
re-vegetation method: Seed Sod Other________________________
o
Expected date of
permanent re-vegetation:______________________________________
o
Re-vegetation
responsibility of: Builder Owner/Buyer
o
Is temporary
seeding or mulching planned if site is not seeded by Sept. 15 or sodded by Nov. 15?
YES NO
□
Use of downspout
and / or sump pump outlet extensions.
Note: It is
recommended that flow from downspouts and sump pump outlets are routed through
plastic drainage pipe to stable areas such as established sod or pavement.
˙
Trapping sediment
during de-watering operations.
Note: Sediment-laden
discharge water from pumping operations should be ponded
behind a sediment barrier until most of the sediment settles out.
˙
Proper disposal
of building material waste so that pollutants and debris are not carried
off-site by wind or water.
˙
Maintenance
of erosion control practices.
o
Sediment will be
removed from behind sediment fences and barriers before it reaches a depth that
is equal to half the height of the barrier.
o
Breaks and gaps
in sediment fences and barriers will be repaired immediately. Decomposing straw
bales will be replaced (typical bale life is three months).
o
All sediment that
moves off-site due to storm events will be cleaned up before the end of the
next workday.
o
Access drives
will be maintained throughout construction.
o
All installed
erosion control practices will be maintained until the disturbed areas they
protect are stabilized.
Erosion Control Regulations
Erosion control and storm water regulations can be complex. Local, state and, in some cases, federal regulations may apply. Before construction, make sure you have the appropriate permits.
Local Ordinance
Check with your county, city,
village, or town for any local erosion control ordinance including shoreline
zoning requirements. Except for new 1-
& 2-family dwellings, local ordinances may be stricter than state
regulations. They may also require
erosion control on construction projects not affected by state or federal
regulations.
Uniform Dwelling Code
(Dept. of Commerce)
Controls Required
o
Silt fences, straw
bales, or other approved perimeter measures along down slope sides and side
slopes.
o
Access drives.
o
Straw bales, filter fabric fences, or other barriers to protect
on-site sewer inlets.
o
Additional
controls if needed for steep slopes or other special conditions.
Storm Water Permit
Controls Required
o
Erosion control
measures specified in Part 91of the Soil Erosion and Sediment Control.
o
Measures to
control storm water after construction.
FOR MORE INFORMATION,
CONTACT:
Soil Erosion and Sediment Control Program
500 N. Moore St.
Bessemer, MI 49911
906-364-3662