Fillable APPLICATION FOR SEDIMENT AND STORMWATER MANAGEMENT PLAN APPROVAL (City of Newark)

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APPLICATION FOR SEDIMENT AND STORMWATER MANAGEMENT PLAN APPROVAL (City of Newark)

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The APPLICATION FOR SEDIMENT AND STORMWATER MANAGEMENT PLAN APPROVAL (City of Newark) form is 2 pages long and contains:

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File type: PDF

U.S.A. forms for City of Newark

BROWSE CITY OF NEWARK (DE) FORMS

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APPLICATION FOR
SEDIMENT AND STORMWATER MANAGEMENT PLAN APPROVAL
PROJECT NAME:
PROJECT DESCRIPTION:
PROJECT ADDRESS:
PROJECT LOCATION:
PROJECT LIMIT OF DISTURBANCE (LOD) AREA IN ACRES:
OWNER/DEVELOPER NAME:
OWNER/DEVELOPER ADDRESS:
OWNER/DEVELOPER CONTACT INFO:
CONSULTANT/ENGINEER NAME:
CONTACT PERSON/PROJECT ENGINEER:
CONSULTANT/ENGINEER ADDRESS:
CONSULTANT/ENGINEER CONTACT INFO:
FEES
The review fee is $825 for any detailed plan approvals disturbing less than 1.0 acre. Disturbances greater than 1.0
acre will be assessed an additional fee of $275 per acre. Make checks payable to City of Newark.
Submittal/ Approval Information (For Office Use Only)
Step 1: Stormwater Assessment Study (SAS)/ Stormwater Assessment Report (SAR) (reviewer’s initials)
Step 2: Preliminary Sediment & Stormwater Management Plan Review Checklist (reviewer’s initials)
Step 3: Sediment & Stormwater Management Plan Review Checklist (reviewer’s initials)
Step 2/3: Combined Sediment & Stormwater Management Plan Review Checklist (reviewer’s initials)
Sediment and Stormwater Management Plans (Approval Set) (reviewer’s initials)
NPDES Notice of Intent (NOI) Application (# )
Tracking #: Fee Paid: $
Amount Check #
Approved By: Approval Date:
Title: Expiration Date:
E-MAIL
PHONE
ZIP
CITY
STREET
E-MAIL
PHONE
ZIP
CITY
STREET
TAX PARCEL ID
COUNTY
ZIP
CITY
STREET
PWWR S&SWM Plan Approval App [May 2020].pdf
1 of 2
Last Revised: May 2020
OWNER/DEVELOPER CERTIFICATION
“I/We certify that the information on this form and the attached plans is true and accurate to the best of my/our
knowledge.”
“I/We understand that DNREC or City of Newark may request information in addition to that set forth herein as may
be deemed appropriate in considering this application.”
“I/We will abide by the condition of this approval as issued.”
“I/We certify that all land clearing, construction and development shall be done pursuant to the approved attached
plans and that responsible personnel (i.e. Blue Card Holder) involved in the land disturbance will have a Certification
of Training prior to initiation of the project, at a DNREC sponsored or approved training course for the control of
erosion and sediment during construction. In addition, I/We grant the DNREC Sediment and Stormwater Program
and City of Newark the right to conduct on-site reviews, and I/We understand my/our responsibilities under the
NPDES Construction General Permit, associated with this site.”
Owner/Developer Signature Date
Owner/Developer Name and Title (Printed or Typed)
DESIGNER CERTIFICATION
“I hereby certify that this plan has been prepared under my supervision and to the best of my knowledge complies
with the applicable state and local regulations and ordinances.”
Designer Signature Date Delaware Reg. No. (if Applicable)
Designer Name and Title (Printed or Typed) Type (P.E., P.L.S., or R.L.A.)
AGENT AUTHORIZATION*
*If this authorization form is completed with the application, all future correspondence may be signed by the duly authorized agent.
I, hereby designate and authorize the following identified agent
to act on my behalf in the processing of this application and to furnish any information that is requested.
AGENT NAME:
AGENT ADDRESS:
AGENT CONTACT INFO:
Owner/Developer Signature Date Agent Signature Date
E-MAIL
PHONE
ZIP
CITY
STREET
PWWR S&SWM Plan Approval App [May 2020].pdf
2 of 2
Last Revised: May 2020
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APPLICATION FOR SEDIMENT AND STORMWATER MANAGEMENT PLAN APPROVAL (City of Newark)

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Completed 14 July 2020

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