forked from nm3clol/nm3clol-public
150 lines
6.8 KiB
Markdown
150 lines
6.8 KiB
Markdown
---
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type: document
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title: RC Agreement In Lieu Plan 202211020802540500e311
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file: ../RC Agreement In Lieu Plan_202211020802540500e311.pdf
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tags:
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- Russell_County
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- Building_Department
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docDate: null
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contentType: application/pdf
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contentLength: 239340
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sha256sum: 090da4f66b66b5f20df5c41d96ecea7f2a6e4fc380fb377bc486c5d3a1211ad3
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sha1sum: a4057a2ae8a48b3eb17e7a43ba641e14ca48add4
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---
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OWNER / SITE / AND RESPONSIBLE LAND DISTURBER (RLD) INFORMATION
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Owner Name: Owner Address:
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Tax Map / Parcel No.: Site Address:
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Total Acreage to be Disturbed: Contact No. (s):
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Building Permit No.: Email:
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RLD Name: RLD Certificate No.:
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RLD Address: RLD Contact No. (s):
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RUSSELL COUNTY BUILDING DEPARTMENT
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137 HIGHLAND DR. Ste D.
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LEBANON, VA 24266
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AGREEMENT IN LIEU OF PLAN
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FOR CONSTRUCTION OF A SINGLE-FAMILY RESIDENCE
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In lieu of submission of an erosion and sediment control plan for the construction or location of a single-family dwelling
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and/or appurtenant structure in the location referenced above, I the undersigned party(s) agree to comply with all
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requirements of the Russell County Erosion and Sediment Control Ordinance. I further agree to comply with additional
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erosion and sediment control requirements determined necessary by the County Erosion and Sediment Control Program
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Administrator or his/her authorized agents to protect down gradient properties and waterways from sedimentation from the
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said land disturbance. Such requirements shall be based on the conservation standards contained in the Russell County
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Erosion and Sediment Control Ordinance and shall represent the minimum practices necessary to provide adequate control
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of erosion and sedimentation on or resulting from this project.
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As a minimum I agree to install the following erosion and sediment control measures prior to beginning any land
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disturbing activity:
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1. Silt fence or other sediment trapping measures shall be installed on all down slope perimeters of disturbed
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areas and maintained in good operating condition during course of construction;
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2. A temporary stone construction entrance (or stable driveway) shall be provided wherever traffic will be entering
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onto a paved surface or public road from the construction site sufficient to prevent tracking; and
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3. All denuded areas on the site shall be stabilized within (7) days of final grading with permanent vegetation or a
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protective ground cover suitable for the time of year. Temporary soil stabilization shall be applied within (7) days
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to denuded areas that may not be at final grade but which will remain dormant (undisturbed) for longer than (14)
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days.
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I understand that failure to comply with the conditions of this Agreement in lieu of Plan or any corrective action(s) noted as
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a result of a site inspection by County Inspectors or his/her authorized agents, within 3 days following notice of required
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corrective action(s), could result in citation for violation of the Russell County Erosion and Sediment Control Ordinance.
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By signature below, the applicant certifies, agrees and accepts liability for the requirements of this agreement.
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Signature of Property Owner or Contractor: Date:
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This Agreement in Lieu of Plan issued and effective:
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For Russell County Building Department
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Bridgett McGlothlin, ESC Program Administrator Josh Stinson, Russell County Building Official,
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ESC Inspector
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RUSSELL COUNTY BUILDING DEPARTMENT
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137 HIGHLAND DR. Ste D.
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LEBANON, VA 24266
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AGREEMENT IN LIEU OF PLAN
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FOR CONSTRUCTION OF A SINGLE-FAMILY RESIDENCE
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OWNER/SITE/ AND RESPONSIBLE LAND DISTURBER (RLD) INFORMATION
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Owner Name: Owner Address:
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‘Tax Map / Parcel No, Site Address:
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Total Acreage to be Disturbed: Contact No. (8):
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Building Permit No.: Email:
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RLD Name: RLD Certificate No.:
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RLD Address: RLD Contact No. (s):
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In lieu of submission of an erosion and sediment control plan for the construetion or location of a single-family dwelling
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and/or appurtenant structure in the location referenced above, | the undersigned party(s) agree to comply with all
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requirements of the Russell County Erosion and Sediment Control Ordinance. I further agree to comply with additional
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erosion and sediment control requirements determined necessary by the County Erosion and Sediment Control Program
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Administrator or his/her authorized agents to protect down gradient properties and waterways from sedimentation from the
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said land disturbance. Such requirements shall be based on the conservation standards contained in the Russell County
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Erosion and Sediment Control Ordinance and shall represent the minimum practices necessary to provide adequate control
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of erosion and sedimentation on or resulting from this project.
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Asa minimum I agree to install the following erosion and sediment control measures prior to beginning any land
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disturbing activity:
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1. Silt fence or other sediment trapping measures shall be installed on all down slope perimeters of disturbed
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areas and maintained in good operating condition during course of construction;
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2. A temporary stone construction entrance (or stable driveway) shall be provided wherever traffic will be entering
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onto a paved surface or public road from the construction site sufficient to prevent tracking; and
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3. All denuded areas on the site shall be stabilized within (7) days of final grading with permanent vegetation or a
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protective ground cover suitable for the time of year. Temporary soil stabilization shall be applied within (7) days
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to denuded areas that may not be at final grade but which will remain dormant (undisturbed) for longer than (14)
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days.
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T understand that failure to comply with the conditions of this Agreement in lieu of Plan or any corrective action(s) noted as
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a result of a site inspection by County Inspectors or his/her authorized agents, within 3 days following notice of required
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corrective action(s), could result in citation for violation of the Russell County Erosion and Sediment Control Ordinance.
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By signature below, the applicant certifies, agrees and accepts liability for the requirements of this agreement.
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Signature of Property Owner or Contractor:, Date:
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This Agreement in Lieu of Plan issued and effective:
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For Russell County Bulldh
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Bridgett MeGlothlin, ESC Program Administrator Josh Stinson, Russell County Building Off
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ESC Inspector
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FOR CONSTRUCTION OF A SINGLE-FAMILY RESIDENCE
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1. Silt fence or other sediment trapping measures shall be installed on all down slope perimeters of disturbed areas and maintained in good operating condition during course of construction;
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Signature of Property Owner or Contractor: Date:
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Owner Name:
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Owner Address:
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Tax Map Parcel No:
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Site Address:
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Total Acreage to be Disturbed:
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Contact No s:
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Building Permit No:
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Email:
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RLD Name:
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RLD Certificate No:
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RLD Address:
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RLD Contact No s:
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Date:
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This Agreement in Lieu of Plan issued and effective:
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Bridgett McGlothlin ESC Program Administrator:
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undefined:
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