Erosion Control Affidavit
This affidavit must be submitted at time of zoning permit application for new houses, modular homes, attached and detached
garages, and residential and commercial additions to existing buildings.
State: Zip:
Parcel Identification Number (PIN):
Applicant/Owner:
Applicant Address:
City:
Applicant Phone:
Other Phone:
The signature hereon signifies that I am the person responsible for compliance with the Soil Erosion and Sedimentation Control
Ordinance. I acknowledge that County inspection staff may issue Stop Work Orders and/or a summons to appear in Court for deliberate
violations of erosion control requirements. I acknowledge that Best Management Practices (BMP's) must be used to control soil erosion on
my job site, which includes, at a minimum, all of the following:
* Installation and daily maintenance of silt barriers (i.e. silt fences, etc.) in those areas where water exits the job site;
* Installation and daily maintenance of a stone (1 1/2" - 3 1/2" diameter stone) driveway construction entrance to minimize the
tracking of mud into the street;
* Removal of mud from the street or adjacent property immediately following any such occurrence without washing the mud
into the storm drainage system;
* Maintenance and removal of mud from detention ponds and sediment basins;
* Conduct no land disturbing activities within 30 feet of the banks of streams, lakes, wetlands, etc. (i.e. "state waters");
Printed Name: Date:
Date:
Signature:
Print FormSubmit by Email
ErosionControl05132020
click to sign
signature
click to edit
![]()
