SITE GRADING/EROSION CONTROL PERMIT
SITE GRADING/EROSION CONTROL PERMIT
(Per Town Ordinance – Title 15)
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|Applicant: | |
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|Address: | |
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|Site Where Work Is Being Performed: | |
| |(Address or Description) |
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|Daytime Phone #: | |Date Work Performed: | |
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|Contractor Performing Work: | |
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|Phone #: | |Contact: | |
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|Requirements/Permit Submittal Items |
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|Attach a site map depicting the limits, depth, and/or final elevation of fill/grading and the subject property lines. Base map can|
|be supplied by the engineering department. Scale is to be not less than 1”=200’. |
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|Contact Racine County Planning regarding any necessary county permits. |
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|3.) Estimated quantity of material being graded/filled cubic yards or |
|square yards. |
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|4.) Source and type of fill material. |
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|Haul routes need to be mapped. |
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|Restoration and erosion control measures. |
|Town Approval | |
|Notes/Permit Conditions: | |
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|Approved: | | | |
| |(Town Engineer) | |(Date) |
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|Notes: 1.) Permit expires 180 days after the date of issuance. |
|2.) This permit does not absolve the applicant of any other required state and local permits. |
|3.) Fill may not be placed in any wetland and floodplain areas unless otherwise permitted through WDNR and US Army Corp. of |
|Engineers. |
|4.) Fill may not restrict or alter existing drainage patterns. |
|5.) Free and unlimited access to the property being filled/graded must be provided to Town staff during the life of the permit. |
|6.) Any costs associated with construction operations with damage to Town right-of-way or property, shall be reimbursed by the |
|applicant. |
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