Fillable Permit Center Utilities & Engineering 25 Government Drive (Catawba County NC)

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Permit Center Utilities & Engineering 25 Government Drive (Catawba County NC)

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Permit Center Utilities & Engineering
25 Government Drive 25 Government Drive
Newton, NC 28658 Newton, NC 28658
P: 828-465-8399 P: 828-465-8161
E: permitapps@catawbacountync.gov
RESIDENTIAL EROSION CONTROL COMBINED APPLICATION
Financial Responsibility/Ownership Form
&
Small Site Erosion Application
A Notary Public is required to witness the signature on the second page of the Financial
Responsibility/Ownership Form. Once all sections are completed, please email, mail, or bring the
application to the Catawba County Permit Center.
PLAN REVIEW/FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
CATAWBA COUNTY CODE OF ORDINANCES, CHAPTER 16 ARTICLE V
SOIL EROSION AND SEDIMENTATION CONTROL
No person may initiate any land-disturbing activity on one or more acres as covered by the Ordinance before this form and an
acceptable erosion and sedimentation control plan have been completed and approved by the Catawba County Utilities and
Engineering Department. (Please type or print, and if question is not applicable, place N/A in the blank)
PART A
1. Job Name
2. PIN or 911 address
3. Purpose of development (residential, commercial, industrial, institutional, etc.)
4. Approximate soil disturbance date
5. Total acreage disturbed or uncovered (including off-site borrow and waste areas)
6. Has an erosion and sedimentation control plan been filed? Yes No - Attached
7. If you have an Erosion Control billing account, would you like this to be billed? Yes___ No ___
Account number _____________
PEOPLE
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity
Name E-mail address
Telephone Cell # Fax #
9. Landowner(s) of Record (attach accompanied page to list additional owners)
Name Telephone Fax Number
Current Mailing Address Current Street Address
City State Zip City State Zip
10. Deed Book No. Page No.
PART B
1. Person(s) or firm(s) who are financially responsible for the land-disturbing activity (Provide a comprehensive
list of all responsible parties on an attached sheet):
Name
E-mail Address (REQUIRED)
Current Mailing Address
Current Street Address
City State Zip
City State Zip
Telephone
Fax Number
page 1
2.(a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address of the
designated North Carolina Agent:
Name
E-mail Address
Current Mailing Address
Current Street Address
City State Zip
City State Zip
Telephone
Fax Number
2. (b) If the Financially Responsible Party is a Partnership or other person engaging in business under an assumed
name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible Party is a Corporation,
give name and street address of the Registered Agent:
Name of Registered Agent
E-mail Address
Current Mailing Address
Current Street Address
City State Zip
City State Zip
Telephone
Fax Number
The above information is true and correct to the best of my knowledge and belief and was provided by me under oath
(This form must be signed by the Financially Responsible Person if an individual or his attorney-in-fact, or if not an
individual, by an officer, director, partner or registered agent with the authority to execute instruments for the Financially
Responsible Person). I agree to provide corrected information should there be any change in the information provided
herein.
Type or print name
Title or Authority
Signature
Date
I, , a Notary Public of the County of
State of North Carolina, hereby certify that appeared personally
before me this day and being duly sworn acknowledge that the above form was executed by him.
Witness my hand and notary seal, this day of , 20 .
Seal
Notary
My commission expires
page 2
SMALL SITE EROSION AND SEDIMENT
CONTROL
FOR SINGLE LOT DISTURBANCE OF LESS THAN ONE ACRE
L
O
C
A
T
I
O
N
Date: _____________
Zoning Permit #: ______________________
Parcel # or Street Address: ______________________________________________________________________________
Subdivision: _________________________ Lot #: _____
E
R
O
S
I
O
N
C
O
N
T
R
O
L
Size of lot: (sq ft or acres)
Amount of lot to be disturbed:_ (sq ft or acres)
Anticipated
starting
date
of
construction:
Is there a stream, lake or watercourse on or near the lot? YES NO

(If
yes
show
on
sketch)
Name of stream, lake, or watercourse _________________
Structure Type: (select one)
__ Single Family Dwelling __Modular Home __ Two Family Dwelling
__ Manufactured Singlewide __ Manufactured Doublewide __ Manufactured Triplewide
A
P
P
R
O
A
C
H
Please choose one of the following:
The most appropriate option from page 4 is option ___or a combination of options ____& ____.
A sediment basin
located on
lot _ ___is handling soil erosion and sedimentation control. A construction
entrance will be installed on this lot.
The sediment control plan is attached. Please attach.
page 3
hous
hous
hous
HOUSE
hous
hous
Flow to the Rear
Flow to the Front
Flow to the Left
Flow to the Right
OPTION A
OPTION B
OPTION C
OPTION D
EROSION CONTROL OPTIONS FOR LOT CONSTRUCTION
The Soil Erosion and Sedimentation Control Ordinance requires that anyone conducting a land-disturbing activity
prevent sediment from leaving the disturbed site. Furthermore, conducting any land-disturbing activity
consisting of
one
acre or more requires a permit before beginning the disturbance. This includes disturbance of multiple lots totaling one
acre or more, regardless of proximity to each other within a subdivision; in cases where fill material is stockpiled, needed,
or wasted, the area where this material is stored, coming from, or going to, must be
included in
the total area of
disturbance. Erosion Control measures must be installed prior to any grading or construction on site and maintained
correctly to function properly. Please refer to the NC Erosion and Sediment Control Planning and Design Manual for
specific guidance as it relates to installation and maintenance. The site shall be inspected for maintenance needs weekly
and after each storm event, whichever is sooner.
SEDIMENTATION AND EROSION CONTROL OPTIONS
L
INSTRUCTIONS: IDENTIFY ONE OR ANY COMBINATION OF LETTERS FROM THE SEDIMENT CONTROL
E
SKETCHES BELOW THAT BEST DESCRIBES THE EROSION CONTROL MEASURES THAT WILL BE USED
G
DURING CONSTRUCTION.
E
Construction Sequence:
N
Silt Fence:
D
Construction Entrance:
Direction of Flow:
1. Install construction entrance
2. Install silt fence
3. Rough grade site, construct building(s)
4. Final grade and stabilize site
5. Remove erosion control measures after site has
been inspected for compliance by the Department of
Utilities & Engineering.
E
R
O
S
I
O
HOUSE HOUSE
N
HOUSE HOUSE
C
O
N
T
R
Flow to the Front & Rear Flow to the Left & Right
OPTION E OPTION F EXAMPLE
O
L
O
P
T
HOUSE
I
O
N
S
Construction Examples
HOUSE
HOUSE
Combination
C &
E
Spacing of metal tee post with fabric shall be max. of 6’ without wire fence
Spacing of metal tee post with fabric and wire fence shall be max. 8’
50’
minimum
6” minimum
Crusher Run
Gravel
Revised: 07/15/19 page 4
If wetness is a problem geotextile fabric will
be required
36” fabric buried 12 inches in a 4” wide x 8” deep trench
and backfilled with compacted soil
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Permit Center Utilities & Engineering 25 Government Drive (Catawba County NC)

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Completed 17 July 2020

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