Transfer Of Responsibility Soil Erosion And Sedimentation Control

Transfer of Responsibility

Soil Erosion and Sedimentation Control

City of Troy

Permit No:_______________________________ Date Of Original Permit:_____________________

Original Permit Holder Information:

Name:

______________________________________________________________________

Address:

______________________________________________________________________

City St Zip

______________________________________________________________________

Phone:

______________________________________________________________________

New Responsible Party Information: (please PRINT)

Name:

______________________________________________________________________

Address:

______________________________________________________________________

City St Zip

______________________________________________________________________

Phone:

______________________________________________________________________

Legal Acknowledgement - Enforcement:

**** IMPORTANT PLEASE READ ****

NOTICE OF VIOLATIONS:

The City of Troy or its representatives shall perform routine inspections on the site periodically. If the site is

found non-compliant with this permit or the soil erosion control ordinance, the Permit Holder/Signer shall be

issued a Notice of Violation by hand, mail or fax. Notice shall include a description of all violations. All

violations shall be corrected within 5 days of the date of the Notice of Violation.

MUNICIPAL CIVIL INFRACTION

A Municipal Civil Infraction shall be issued unless all items described in the Notice of Violation have

been addressed within 5 days. The Municipal Civil Infraction must be paid within the prescribed time or

a Municipal Civil Citation may be issued requiring a court appearance. In addition to the Municipal Civil

Infraction the City of Troy or its representatives may enter upon the site to bring the site into compliance

and the landowner shall be charged for all work performed

I (we) affirm that the above information is accurate and that I (we) will conduct the above described earth change in accordance

with Part 91 Soil Erosion and Sedimentation Control, of the Natural Resource and Environmental Protection Act, ACT 451 of

the Public Acts of 1994 of the State of Michigan, its corresponding rules, applicable local ordinances and the agreements

accompanying this application.

This permit will remain open and active until the project site has been permanently stabilized with vegetation.

Signature of New Responsible Party: _________________________________________

Date:

___________________________________________________________

Part 91 Agent Approval:

___________________________ Date:

________________

THIS FORM MUST BE FILED WITH THE CITY OF TROY ENGINEERING DEPARTMENT

G:\Environmental Issues\Soil Erosion\ordinance\SESC Transfer_of_Responsibility 2006 Rev 8-2007.doc

Transfer Of Responsibility Soil Erosion And Sedimentation Control - City Of Troy

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