Agenda Packets - 2021/07/06 - Laserfiche WebLink

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Rule C (Stormwater Management Plan) Rule E (Floodplain Alteration): Single Lot, Single Family Residential Development ❑ No mitigation required ❑ Home, accessory structure, driveway $150 ❑ Mitigation required All other Development ❑ <1 acre impervious surface ❑ 1 to 2.5 acre impervious surface ❑ >2.5 to 5 acres impervious surface ❑ >5 acres impervious surface * capped at $10,000, round to the nearest whole acre Rule D (Erosion Control Plans): ❑ <2.5 acres of land disturbance ❑ 2.5 to 5 acres land disturbance ❑ >10 acres land disturbance $1,000 Rule F (Wetland Alteration) $2,000 ❑ Exemption $3,500 ❑ < 1 acre of mitigation required $5000 + $1,000/ac* ❑ 1 to 5 acres of mitigation required $100 $250 $500 ❑ > 5 to 10 acres of mitigation required ❑ > 10 acres of mitigation required ❑ Banking Plan Note: Permit fee is the cumulative total of all individual aspects of a project Total Permit Fee: checked above. Government entities are exempt from permit fees. Applicant Signature $0 $100 $250 $875 $1,750 $3,500 $5,250 $1,750 "I understand that, as the permittee, I am legally accountable to ensure compliance with terms and conditions of the permit. I understand that I am not authorized to begin the project until I receive the permit and the sign is posted on site. If the project is modified, I will obtain approval by the City before I continue with the project. I authorize the City, and its agents, employees, officers and contractors, to enter the worksite at all reasonable times until permit closure to inspect the work authorized hereunder, and to take any reasonable action to address existing or threatened discharge of sediments or other pollutants into waters or offsite." "I recognize that, as the permittee, I will be responsible for site conditions and permit compliance until the permit is closed or transferred by written City approval to a subsequent property owner. I confirm that the Applicant address stated on the front of this form is the official address to which all notices and correspondence relating to this application are to be addressed, unless the address of an authorized agent appears below. I certify that I have thoroughly read and understand the above information." Signature of landowner Date Print signer's name Company (if applicable) Title City of Mounds View Stormwater Permit Application