Site Work Permit Application Form - City Of Bowling Green Page 2
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2Permit # _______________________
Soil Disturbance Information
Disturbed Soil Area: Length ___________
Width __________
Total Disturbed Area ______________
Total Disturbed Area less than 750 sq/ft?
Yes
No
If yes, Sketch Plan is sufficient for application
Total Disturbed Area between 750 sq/ft to 43,560 sq/ft (1 acre)? Yes
No
If yes, the following documents are required:
Professional Plot Plan
Standard SWPPP Form
Name and ID of EPSC Certified Contractor
Total Disturbed Area greater than 43,560 sq/ft (1 acre)?
Yes
No
If yes, the following documents are required:
Grading/Drainage Plan
Name and ID of EPSC Certified Contractor
Kentucky General Permit for Construction Discharges (NOC)
Stormwater Pollution Prevention Plan (SWPPP)
For additional information please refer to the Public Works Stormwater Quality Application Guide.
Impervious Area
Impervious Area: Length ___________ Width __________
Total Area ______________
Impervious Area should include building footprint, driveway and parking areas.
Is the new Impervious Area greater than 10,000 sq/ft & disturbs greater than 43,560 sq/ft (1 acre)?
Yes
No
If yes, the following documents are required in addition to those above:
Stormwater Quality Management Plan (SWQMP) is required. The SWQMP includes the following:
Post Construction BMPs Design and Specifications
Operation & Maintenance Plan
Maintenance Agreement & Filing Fee
For additional information refer to the Public Works Stormwater Quality Application Guide.
I the Applicant of this Permit do hereby understand the following:
1. This Permit will be approved when ALL Reviews have been approved.
2. Site Work Permit can be used through Footing and Foundation with approval of City of Bowling Green.
3. The Building Division may issue the Permit or Phases of the Permit with Conditions.
4. It will be the Applicant’s responsibility to meet ALL conditions required for Plan Review Approval.
5. Work cannot commence until the Permit is issued by the Building Division and ALL fees have been paid.
6. Kentucky Building Code, Current Edition with referenced Codes and City Ordinances will govern this Permit.
7. Phase 2 Erosion Prevention & Sediment Control Practices will be implemented during ALL phases of construction as defined
in City Ordinance 21-2.03.
8. A list of Sub-Contractors is to be submitted to Occupational License Division prior to the issuance of this Permit.
9. It is the contractor’s responsibility to call for inspections.
10. To the best of my knowledge ALL information given herein is true.
Signature ____________________________________________________________
Date ______________________________
December 7, 2015
Doc #566311
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