ContractAgreement in Lieu of Erosion and Sediment Control Plan • December 7th, 2022
Contract Type FiledDecember 7th, 2022AGREEMENT IN LIEU OF EROSION AND SEDIMENT CONTROL PLAN FOR A NEW SINGLE FAMILY DWELLING OFFICE USE ONLY BP APPLICATION #: BUILDING PERMIT #: PROPERTY JOB ADDRESS (STREET #/STREET NAME OR SUBDIVISION): PARCEL ID #: PROPERTY OWNER(S) NAME: OWNER EMAIL: OWNER PHONE #: TOTAL PARCEL ACERAGE: ACRES TO BE DISTURBED: ESTIMATED START DATE: PLEASE NOTE: IF THE PROPERTY OWNERSHIP HAS RECENTLY CHANGED, YOU MAY BE ASKED TO PROVIDE A COPY OF THE DEED PROPERTY OWNER(S) MAILING ADDRESS (IF DIFFERENT FROM JOB ADDRESS): WHAT IS THE ESTIMATED COST OF THE LAND DISTURBING ACTIVITIES (INCLUDING ESC MEASURES)? DO NOT INCLUDE THE COST OF OTHER WORK IN THIS ESTIMATE: ESTIMATED COST:$ CONTACTS PLEASE NOTE: ALL CORRESPONDENCE WILL BE MADE BY EMAIL UNLESS OTHERWISE SPECIFIED BUILDING CONTRACTOR NAME: PHONE #: CERTIFIED RESPONSIBLE LAND DISTURBER (CRLD) NAME: CRLD CERT. #: CRLD PHONE #: ATTACH A DRAWING THAT INCLUDES THE FOLLOWING ☐ BOUNDARY MEASUREMENTS ☐ LOCATION OF HOUSE (AND ANY EXISTING STRUCTURES)☐ LOCATIO