Steven P. Sample. 204B Jeep Trail Drive. 23 Excavation Lane. Trout Creek Township. Arrow Head Development
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1 Clinton County Conservation District LOW HAZARD EROSION AND SEDIMENT POLLUTION CONTROL PLAN (NOT FOR USE WITH PROJECTS OVER 1 ACRE OF DISTURBANCE OR FOR COMMERCIAL/INDUSTRIAL PROJECTS) PLEASE PRINT. Only use black or blue pen or typewrite information. Please do not leave blank spaces. Incomplete information will cause a delay in processing and approval of paperwork. If you are unsure of specific information, please inquire before turning in this form to our office. It is not our responsibility to fill in information. Landowner Name: Steven P. Sample Mailing Address (Street) 204B Jeep Trail Drive City/State/Zip Lock Haven, PA Area Code/Phone Number (570) Excavator Name: John Rambo Excavating & Dynamite Services es Full Mailing Address (Street) 23 Excavation Lane City/State/Zip Lock Haven, PA Area Code/Phone Number (570) Project Location (Municipality) Trout Creek Township Have you contacted the municipality to discuss this project? Yes Township/Boro/City Is this parcel a portion of a larger development? If yes, please give name and phase of the development. If not, write N/A. Yes Arrow Head Development Give specific directions for locating the project site. Include distances, landmarks, or special features. Also, attach a map if possible. Please make sure that property corners and proposed driveway entrance are staked/flagged out. Take Route 244 north. Turn right onto Little Dog Road. Follow Little Dog Road for 2.4 miles. Turn left onto Jeep Trail Drive (dirt road). Follow Jeep Trail Drive to the end. Briefly describe your project and the extent of earthmoving. Building 24 x22 garage and placing excavated material in lawn area behind the house. Is the earth disturbance in a known floodway or within 50 feet of a stream or waterway? Please make and keep a copy of this plan for yourself and your contractor! Yes X No Return plan to: CLINTON COUNTY CONSERVATION DISTRICT 45 COOPERATION LANE MILL HALL, PA (570)
2 Estimated dates for project start and completion. START October 21 END November 3 Give the name of the watershed (nearest receiving stream) in which the project is proposed. Trout Creek Total Lot Size/Parcel Size Where Project is Located (200 yards from project) 4.4 acres Total Amount of DISTURBED Area: Total Length x Average Width = Area (Square Ft) Access Roads/Driveways x = Foundation/Building # x 24 = 528 Foundation/Building #2 x = Lawn/Landscape Area x = Water/Sewer/Septic x = Other (fill area) 100 x 110 = 11,000 TOTAL AREA 11,528 11,528 SQ.FT = 0.26 TOTAL AREA = 11,528 SQ.FT. 11, Acres Disturbed Are steep slopes in excess of 10% within your project boundaries, or in the immediate surrounding areas? Yes No X Does off-site drainage exist? Yes No X What is the total square footage of new impervious area which will be present on your site following your new construction? 528 Are you aware of a point source discharge to surface waters of the Commonwealth which may occur from this construction site? Yes No X Point Source Discharge any discernable, confined and discrete conveyance, including but not limited to, any pipe, ditch, channel, tunnel, conduit, well, discrete fissure from which pollutants are or may be discharged. Surface Waters of the Commonwealth any and all rivers, streams, creeks, rivulets, impoundments, ditches, watercourse, storm sewers, lakes, dammed water, ponds, springs, wetlands and all other bodies or channels of conveyance of surface water whether natural or artificial, within or on the boundaries of this Commonwealth. FOR OFFICE USE ONLY: Chapter 93 Designation Wild Trout Stream? Is there a point source discharge to surface waters of the Commonwealth? Under 1 Acre of Disturbance 1 to 4.99 Acres of Disturbance 5 Acres or more of Disturbance Is an NPDES permit needed? Individual? General? 2
3 PLAN NUMBER PLAN REVIEWER FOR OFFICE USE ONLY Date Received INFORMATION COVER SHEET INCLUDED? YES NO LANDOWNER NAME Steven Sample LOW HAZARD EROSION AND SEDIMENT POLLUTION CONTROL PLAN Earth Disturbance activities shall be planned and conducted to minimize the extent and duration of the disturbance. Please take this into account when planning and designing your earthmoving project. PROJECT LOCATION Trout Creek Township PROJECT DESCRIPTION (ex: new home, in-ground pool, addition, etc.) New garage and fill area The implementation and maintenance of erosion and sediment control BMP s (best management practices) are required to minimize the potential for accelerated erosion and sedimentation, including those activities which disturb less than 5000 square feet. This means that regardless if a plan is reviewed by the conservation district, best management practices (E&S controls) must be in place, operating properly, and maintained throughout the life of the project. Temporary Controls This section details any and all temporary erosion control practices that will be implemented in your project. Check each temporary control that will be used: X X Rock Construction Entrance Filter Fabric Fence (Silt Fence) Straw Bale Barrier Rock Filters Sediment Trap Temporary Seeding/Mulching (non-growing season) Temporary Swale Other (List) Please check one: X All items checked above will be to state specifications. Alternative controls and/or specifications are proposed and are attached. 3
4 LANDOWNER NAME Steven Sample Also required is a maintenance program which provides for inspection of BMP s on a weekly basis and after each measurable rainfall event, including the repair of the BMP s to ensure effective and efficient operation. If you agree to this, initial the space below. SPS I agree to inspect the BMP s at a minimum on a weekly basis and after each measurable rainfall event, and ensure the immediate repair of any BMP which requires such. Permanent Controls I will provide an alternative plan for a BMP maintenance program which is Included with this E&S plan and must be approved by the county conservation district. Prior to the completion of the project, state law requires that completion of any stage or phase of the earth disturbance activity requires immediate seeding, mulching or other protection from accelerated erosion and sedimentation. Implementation and maintenance of BMP's (Best Management Practices) are required until the completion of permanent stabilization of the disturbed area. Types of permanent stabilization include: (1) uniform 70% perennial vegetative cover, with density capable of resisting erosion or (2) other acceptable BMPs that permanently minimize accelerated erosion and sedimentation. All disturbed areas must be protected to prevent accelerated erosion. In other words, soil cannot be left exposed. Revegetating an area should include the seeding mixture to be used, top soil applications, lime and fertilizer instructions. Check one: X Permanent vegetation will be established per the recommendations of this office or the Penn State Agronomy Guide. Alternative specifications have been developed for Revegetation and are attached. Please attach the completed Erosion and Sediment Pollution Control Plan Information Cover Sheet to this document before submission to the conservation district office. Signature Steven P.. Sample Date
5 LANDOWNER NAME Steven P.. Sample SEQUENCE OF CONSTRUCTION In order for an erosion and sediment control plan to be effective all phases of construction must take place in an orderly sequence. Every effort should be made to minimize the amount of earth to be disturbed, and limit the time disturbed earth is exposed to the forces of erosion. The first step in nearly all projects would be the installation of sediment barriers or trap below the project, and installation of any needed practices to handle run-off onto the project. The sequence should then describe the various construction steps necessary to complete the project, and end with removal of all temporary controls after final stabilization is complete. Please use the space below and label each step in numerical order. 1) Install filter fabric fence 2) Excavate foundation for new garage 3) Place excavated material in lawn area behind the house 4) Temporarily seed fill area with annual rye grass and straw mulch 5) Complete new garage construction 6) Stabilize disturbed areas around the new garage with final seeding and straw mulch 7) Regrade the fill area and prepare for final seeding (lime and fertilizer) 8) Seed and mulch fill area with permanent seed mixture 9) Remove filter fabric fence when all disturbed areas are stabilized 10) Seed and mulch minor disturbed areas where filter fence was removed Who will be responsible for the final seeding and mulching of the earth disturbance; the landowner or the contractor? Landowner 5
6 LANDOWNER NAME Steven P. Sample FINAL PLAN DRAWING PLAN DRAWING FOR EROSION & SEDIMENT CONTROL PLAN Trees Existing House Jeep Trail Drive 3% slope Fill Area 0.25 acres Proposed Garage 22 x 24 Existing Driveway 3% slope Trout Creek Landscape Features Stream Diversion Ditch PROJECT DESCRIPTION Swale or Waterway Sediment Trap Construct 22 x 24 garage Slope or Grade 8% Riprap/Rock-lined Ditch Place fill in lawn area behind house Project Boundary Strawbale Barrier Earthmoving Area Filter Fabric Fence 6
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