Fillable Land Disturbance Permit Application (City of Greenville)

Fill Online, Printable, Fillable, Blank Land Disturbance Permit Application (City of Greenville) Form

Use Fill to complete blank online CITY OF GREENVILLE (SC) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Land Disturbance Permit Application (City of Greenville)

On average this form takes 7 minutes to complete

The Land Disturbance Permit Application (City of Greenville) form is 3 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 26 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Greenville

BROWSE CITY OF GREENVILLE (SC) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
CITY OF GREENVILLE APPLICATION FOR LAND DISTURBANCE PERMIT
Page 1 of 3
Land Disturbance Permit Application
Construction Inspection Office (864) 467-8890
***A Land Disturbance Permit may not be purchased until after
a Site Plan Permit and if applicable, a Stormwater Permit, have been approved..***
*Project Name:
*Site Plan Permit Number:
CONTRACTOR INFORMATION
*Business name
(as it appears on the City Business License):
*Address:
*City State ZIP:
*Phone:
*Email:
PROPERTY INFORMATION
*Street Address:
*Tax Parcel #:
*Total Acreage of Project Site:
(acres)
PROJECT INFORMATION
*Disturbed Area:
(square feet)
(acres)
*Volume of Stormwater System:
(cubic feet)
*Contract Amount of Grading:
*Brief Description of Proposed Work:
Office Use Only:
Application# _________________Fees Paid __________
Date Received _________________Accepted By ____
Clear Form
CITY OF GREENVILLE APPLICATION FOR LAND DISTURBANCE PERMIT
Page 2 of 3
PERMIT TYPE
Select One Based On Disturbed Area:
Type I, 20 acres or more of plan coverage ........................................................................ $1,000.00
Type I, 10 acres or more but less than 20 acres of plan coverage....................................... $750.00
Type I, 5 acres or more but less than 10 acres of plan coverage......................................... $500.00
Type I, 0.5 acres or more but less than 5 acres of plan coverage........................................ $350.00
Type II, Less than 0.5 acres of plan coverage ...................................................................... $200.00
Select One Based On Volume of the Stormwater System:
Volume of System, No System ................................................................................................. $0.00
Volume of System, 5,000 cubic feet and less ......................................................................... $50.00
Volume of System, Greater than 5,000 to 50,000 cubic feet .................................................. $75.00
Volume of System, Greater than 50,000 cubic feet .............................................................. $100.00
Total Fee = Disturbed Area Fee + Volume of Stormwater System Fee
ACKNOWLEDGEMENTS AND CERTIFICATIONS
1. No land disturbing activity may begin until after a Site Plan Permit and if applicable, a Stormwater Permit,
have been approved for the site.
2.
The City of Greenville Construction Inspection Bureau shall be notified by the permit holder at (864) 467-8890 a
minimum of 72 hours prior to beginning construction. A Pre-Construction Conference must be held for each
construction site prior to the implementation of land disturbing activities.
3.
A stamped and approved set of site plans must remain on-site at all times.
4.
Any review / acceptance by the City of Greenville does not relieve the contractor or subcontractors from meeting all
code / ordinance requirements (South Carolina Code of Laws Sections 40-11-110 and 40-59-90).
5.
All erosion prevention and sediment control plans and inspection documentation (e.g., SWPPP Book, certification
statements, inspection records, maintenance records, and rainfall data) shall be retained at the construction site or,
if approved by the City, at a nearby location easily accessible during normal business hours, from the date of
commencement of construction activities to the date that final stabilization is reached. All plans and documents shall
be updated as required per SC NPDES General Permit SCR100000.
6.
Properly signed and sealed as-built drawings of the stormwater plan showing all stormwater features including
detention basin and water quality devices shall be submitted to the City within 30 days of permanent stabilization and
prior to issuance of project acceptance by the City.
7.
The applicant shall be responsible for obtaining an Encroachment Permit from the City of Greenville prior to
performing any work or construction activity within the City Right-of-Way. City Encroachment Permits may be
obtained through the City Construction Inspection Bureau: (864) 467-8890.
8.
All retaining walls four (4) feet and greater in height when measured from the bottom of the footing to the top of the
wall must be designed by a Professional Engineer registered in South Carolina. All engineered retaining walls require
a retaining wall permit and must be submitted to the Building Codes Department for review and approval.
9.
Engineered retaining walls must be inspected by an independent, third party inspector and certified by a third party,
qualified geotechnical and/or structural engineer licensed in South Carolina. The subgrade, foundation,
reinforcement, materials and the overall construction shall be certified for compliance with the plans and
specifications. The certification shall be supported with all necessary inspection records and submitted to the City of
Greenville Construction Inspector prior to requesting a Certificate of Occupancy.
10.
A proposed new structure shall have an individual, separate and direct service connection to the City wastewater
main. The service connection shall adhere to the following:
a.
A new connection to an existing wastewater main shall conform to City of Greenville specifications and
details. All service connections shall be inspected by the City of Greenville Building Codes Division. Hammer
taps are prohibited. All connections shall be with a tapping saddle, Romac Industries CB Sewer Saddle or
approved equal. See details 25:00-25:02 on the City's Design and Specifications Website:
CITY OF GREENVILLE APPLICATION FOR LAND DISTURBANCE PERMIT
Page 3 of 3
http://www.greenvillesc.gov/PublicWorks/EngineeringDSM.aspx.
b.
Service connections shall not be made at an existing manhole without prior written approval and under the
direction of the City Engineer.
c.
Prior to utilizing an existing service connection, the existing service connection must be tested to ensure that it
conforms to City of Greenville performance requirements. The owner/contractor may be required to produce
supporting documentation that City of Greenville standards are being met prior to reuse of the existing service
connection.
d.
Install a cleanout at the connection of the new building sewer to the existing service connection. This
connection must be made approximately 1 foot outside of the right-of-way in conformance with City of
Greenville standard drawings.
e.
The cleanout shall be watertight and shall conform to the City of Greenville standard drawings.
f.
When the building sewer is extended from the building drain to the existing service connection, the building
sewer and its appurtenances must be permitted through and inspected by the City of Greenville Building
Codes Division.
g.
Excavation for service connection shall not expose the existing service connection for more than 24 hours,
and upon completion, the disturbed area shall immediately be stabilized.
h.
Connection shall not be made during periods where rain is expected.
i.
Roof drains and other stormwater drainage shall not be connected to the sanitary sewer.
j.
The applicant shall be responsible to properly terminate any abandoned wastewater service connections
according to current City of Greenville Standards and Specifications.
k.
The applicant shall be responsible for relocation and repair of unapproved taps at no cost to the City of
Greenville.
11.
All grading permits expire twelve (12) months after the date of issuance, except that grading permits for approved
planned developments to be constructed in phases shall automatically expire sixty (60) months after the date of
issuance. After the expiration date, you will be required to submit another application with another fee.
I certify that I have read and understand the terms and conditions of this permit, the Stormwater and Site Plan permit,
the SCDHEC Construction General Permit (CGP), the approved plans and specifications, and the Stormwater
Pollution Prevention Plan (SWPPP) for this site for which I have been contracted to perform construction related
professional services..
I hereby further state that the land disturbing activity will be accomplished pursuant to the approved plans and
SCR100000 and that competent and responsible personnel will be assigned to the project.
I understand that failure to implement control practices according to the approved plans will result in penalties as
prescribed in the ordinance and/or in a stop-work order. I understand that I, and my company, as the case may be,
may be legally accountable to the City of Greenville and/or SCDHEC, under the authorities of the CWA and the SC
Pollution Control Act, to ensure compliance with the terms and conditions of the approved plans and specifications.
Authorization is hereby granted to the City of Greenville and its agents to access all portions of the site at all times for
the purpose of onsite inspections during the course of construction and to perform maintenance inspections following
the completion of construction.
*Signatures
Applicant (Print name)
Applicant Signature
Date
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Land Disturbance Permit Application (City of Greenville)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 18 November 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document