TOWN OF CLAYTON
Public Services Engineering Division
111 E. Second St., P.O. Box 879
Clayton, NC 27528
Phone: 919-553-5002
Fax: 919-553-1720
December 2020
EROSION CONTROL PLAN REVIEW APPLICATION
Prior to beginning land disturbing activities that disturb an acre or more of land as defined by Chapter
156 of the Town’s Land Usage Ordinance within the Town of Clayton, an erosion control plan must
be submitted for review and approval.
REQUIRED INFORMATION FOR EROSION CONTROL PLAN SUBMITTAL
Approved Site/Subdivision
Erosion Control Plan
Property Deed
Financial Responsibility Form
Landowner-builder agreement, if landowner is not financially responsible party
State/Federal permits or approvals
Plan Review Fee - $225/acre (Total Denuded Area: acres)
TYPE OF PROJECT: Single Family Residence Commercial Site
Residential subdivision Other:
Off-site Borrow: Y o
r N Off-site Waste: Y or N Public Funding**: Y or __N
**
If public funding is involved, plans must be submitted to DEQ-DEMLR Raleigh Regional Office for review and approval
TOWN OF CLAYTON PROJECT#
NAME OF PROJECT
PROJECT LOCATION
GRADING CONTRACTOR
MAILING
ADDRESS
PHONE
I HEREBY CERTIFY that the above information is correct to the best of my knowledge and the grading will conform to
applicable ordinances. I further agree to indemnify and hold harmless the Town of Clayton from any liability damages or
losses resulting directly or indirectly from the land disturbing activities described hereon. I acknowledge that violation of
erosion control regulations will result in civil penalties of up to $5,000 per day.
Applicant’s Name (print) Signature Date Phone#
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signature
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