Fillable Plan Submittal Checklist for Land Disturbance Permits (City of Salina)

Fill Online, Printable, Fillable, Blank Plan Submittal Checklist for Land Disturbance Permits (City of Salina) Form

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

Plan Submittal Checklist for Land Disturbance Permits (City of Salina)

On average this form takes 3 minutes to complete

The Plan Submittal Checklist for Land Disturbance Permits (City of Salina) form is 2 pages long and contains:

  • 0 signatures
  • 21 check-boxes
  • 1 other field

Country of origin: US
File type: PDF

U.S.A. forms for City of Salina

BROWSE CITY OF SALINA (KS) 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
 
Plan Submittal Checklist for Land Disturbance Permits
Public Works Department / Engineering Division 785-309-5725
The following checklist has been designed as a tool to assist the applicant with the land disturbance
permitting process. The checklist identifies the items needed for City staff to do a complete review.
This checklist must be filled out and included as part of the initial submittal for a Land Disturbance Permit.
All items shown in this checklist must be provided as indicated. If an item is deemed not applicable, please
indicate by placing “N/A” in the space provided. Incomplete submittals will be returned for completion
prior to review.
GENERAL REQUIREMENTS:
Plans sealed by Kansas registered Professional Engineer, landscape architect, or certified professional in
erosion and sediment control.
Copy of Kansas Department of Health and Environment (KDHE) Notice of Intent (NOI)
CHECKLIST FOR LAND DISTURBANCE PERMITS:
1. Proposed site map.
2. Proposed name of the development.
3. Location by legal description.
4. Names, addresses and telephone numbers of applicant and designer of plans.
5. Date, North Arrow, Scale of Plan (one inch to fifty (50) feet or one inch to one hundred
(100) feet.
6. Existing and proposed topography of the entire site with contour lines sufficient to demonstrate
runoff from the site. In lieu of contours, the plan preparer may provide arrows indicating direction
of flow provided that said plans note that the flow information is based upon an on-site assessment
by the plan preparer; specify on-going monitoring of site conditions and provide for performance
review and plan modification in response to the observed conditions.
7. Any area subject to one-hundred-year flooding shall be indicated.
8. The boundary lines of the area included in the site plan, including angles, dimensions and
reference to a section corner, quarter corner or point on a recorded plat.
1
Applicant Name: ____________________________________
Plan Submittal Checklist for Land Disturbance Permits
Public Works Department / Engineering Division 785-309-5725
9. If the SWPP proposes subgrade work in excess of 30” deep, existing sewers, storm sewers,
water mains, culverts and other underground facilities within the tract, indicating locations of
storm inlets, manholes and other pertinent features.
10. Areas to be disturbed.
11. A natural resources map identifying soils, forest cover, and resources protected under other
articles of this code;
12. Proposed Erosion and Sediment Control BMPs to be employed;
13. A sequence of construction of the development site, including stripping and clearing; rough
grading; construction of utilities, infrastructure, and buildings; and final grading and landscaping.
Sequencing shall identify the expected date on which clearing will begin, the estimated duration of
exposure of cleared areas, areas of clearing, installation of temporary erosion and sediment control
measures, and establishment of permanent vegetation.
14. All erosion and sediment control measures necessary to meet the objectives of this local
regulation throughout all phases of construction and after completion of development of the site.
Depending upon the complexity of the project, the drafting of intermediate plans may be required
at the close of each season.
15. Sufficient information regarding installation and maintenance of temporary and permanent
vegetative control measures such that the SWPP clearly communicates the intended performance
of the control measures and the manner in which said measures shall be installed and
implemented.
16. Details and specifications for any sections of the final storm sewer system that must be
constructed after the removal of BMPs such as temporary sediment basins.
17. Final stabilization plan for each phase.
18. Provisions for maintenance of control facilities, including easements and estimates of the cost
of maintenance.
19. Work schedule.
2
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

Plan Submittal Checklist for Land Disturbance Permits (City of Salina)

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 16 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document