CLINTON COUNTY COMMUNITY DEVELOPMENT
Commercial Soil Erosion Permit Application
Soil Erosion, Sedimentation Control and Drainage Enforcement Division
Under the Provisions of Part 91 of Act 451, 1994 as Amended
100 E. State St., Suite 1300
St. Johns, MI 48879
Phone: (989) 224-5181
Fax: (989) 227-6492
(Fill out all sections of this permit application or it will not be considered valid.)
In accordance with Part 91 of Act 451, 1994, as amended and its
corresponding General Rules, the undersigned herewith makes
application for a grading permit for the following required fields:
1. GENERAL INFORMATION (Type or Print Clearly in Ink)
Required: All Commercial Soil Erosion & Sedimentation Control
Applications must be accompanied by two signed & sealed copies of
Soil Erosion & Sedimentation Control Plan prepared under the
direction of a professional engineer certified in the State of Michigan
that meets or exceeds SESC plan requirements, unless waived in
writing by the County Enforcing Agency.
Development Name :_______________________________________________________________________________________
Work to be performed:
Commercial
Industrial
Other__________________________________________________
Street Name ____________________________________Township :_____________________, Section (s):___________________
Parcel Number:______________________________________________________________________________________________
Street Address (if applicable):__________________________________________________________________________________
Nearest Major Crossroads:____________________________________________________________________________________
2. APPLICANT INFORMATION
Applicant Name______________________________________________________________________________________________
Firm Name if Applicable______________________________________________________________________________________
Address :__________________________________________ City :_____________________________________ State :_________
Zip :_________________ Fax # :_____________________________ E-Mail : ___________________________________________
Daytime Phone ___________________________________ Pager/Cell ________________________________________________
3. LAND OWNER INFORMATION
Landowner Name__________________________________________________________________________________
Address :__________________________________________ City :_____________________________________ State :_________
Zip :_________________ Fax # :_____________________________ E-Mail : ___________________________________________
Daytime Phone _________________________________ Pager/Cell ___________________________________________________
4. ON-SITE RESPONSIBLE INDIVIDUAL INFORMATION (NOT THE COMPANY)
Name_______________________________________________________________________________________________________
Firm Name if Applicable______________________________________________________________________________________
Address :__________________________________________ City :_____________________________________ State :_________
Zip :_________________ Fax # :_____________________________ E-Mail : ___________________________________________
Daytime Phone ________________________________ Pager/Cell ____________________________________________________
REVISED 03/16
5. EROSION AND SEDIMENTATION CONTROL PLAN BY INFORMATION
Contact Name :______________________________________________________________________________________________
Firm Name:________________________________________________________________________________________________
Address :__________________________________________ City :_____________________________________ State :_________
Zip :_________________ Fax # :_____________________________ E-Mail : ___________________________________________
Daytime Phone _________________________________ Pager/Cell ___________________________________________________
6. PROJECT INFORMATION
a. Type of earth change:_______________________________________________________________________________________
b. Total area of parcel (in acres) :______________ Total area of proposed earth change (in acres):________________________
c. Anticipated earthwork starting date:_____________________ Anticipated final inspection date :_______________________
d. Type of soil(s) :____________________________________________________________________________________________
e. Check type of drawings submitted with application:
Location Map
Final Grading & Drainage Plan
Topographic Map
Erosion & Sediment Control Plan (Mandatory)
Site Development Plan
Other: _________________________________________
7. PERFORMANCE DEPOSIT (If Required)
Amount Required $ ____________________________
Cash
Check
Name of Company:___________________________________________________________________________________________
Address:________________________________________ City:____________________ State:_________ Zip: ________________
Phone:________________________ Fax:______________________________ E-mail:____________________________________
Local Agent:________________________________________________________________________________________________
Address:________________________________________ City:____________________ State:_________ Zip: ________________
Phone:________________________ Fax:______________________________ E-mail:____________________________________
8. HYDROLOGIC CHARACTERISTICS OF SITE INFORMATION
Type of “Ultimate” drainage outlet(s) (Check if applicable and complete the right column)
____ Existing
Proposed : ____ Distance to Existing :_____________________________________________________
____ Open County Drain
Name of Open County Drain:_____________________________________________________
____ Lake / Pond
Name of Lake / Pond:____________________________________________________________
____ River / Stream
Name of River / Stream:__________________________________________________________
____ Enclosed Drain
Name of Drain:_________________________________________________________________
____ Detention Basin (with outlet)
____ Wetland
____ Open Ditch
____ Retention Basin (no outlet)
____ Overland Flow
____ Private Storm System
REVISED 03/16
9. MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY (MDEQ)
a. Will the project include any work or disruption within a 100 year flood plain? - Yes No
b. Does project include any work within the cross-section of a lake / stream / drain / wetland? Yes No
c. Will the earth disturbance be one or more acres and discharge a lake / stream / drain / wetland? Yes No
d. Is a M.D.E.Q. Permit required? Yes No
e. If - Yes - Provide MDEQ PERMIT # _______________________________________
10. Part 31, STORM WATER PERMITS
All proposed earth disturbance sites of five acres or larger are required to obtain an N. P. D. E. S. (National Pollution
Discharge Elimination Systems) permit/notice of coverage from the M.D.E.Q. prior to the commencement of earth
disturbance. Permit application forms are available from the Office of the Clinton County Community Development Office and the
address below:
Donna Cervelli
Michigan Department of Environmental Quality
Storm Water Permits - S W Q D
Construction Fees
P.O. Box #30439
Lansing, MI 48909-7939
517-335-6266
11. STORM WATER OPERATOR INFORMATION
If 5 acres or more disturbed, indicate Storm water manager.
Name :_________________________________________ Firm Name : _______________________________________________
Certification : #__________________________________ Expiration Date :___________________________________________
Address :_______________________________________ City :______________________________________ State __________
Zip :_____________________ Fax : # ________________________________ Pager : #__________________________________
Daytime Phone :#_______________________________ E- Mail : ___________________________________________________
“General Conditions and Responsibilities”
•
•
•
•
•
Issuance of the Soil Erosion and Sedimentation Control Permit does not waive the
necessity of obtaining other federal, state, and local permits that may be required.
All disturbed areas must be seeded/sodded no more than 5 days after final grade is
established.
Temporary soil erosion and sedimentation control measures must remain until permanent
stabilization measures are in place.
If a change in ownership of the property occurs prior to the closure of the permit, a Permit
Transfer (will be provided with permit) to the new owner is required. If the permit is not
transferred, the original permittee will remain the responsible party for any fines, fees, or
enforcement action.
This application serves as written consent for the Clinton County Community Development
office to enter onto the site for the purpose of inspection.
REVISED 03/16
Soil Erosion and its resulting sedimentation to water systems is identified as the #1 threat to the
surface waters of the State of Michigan. Millions of tons of soil are lost across the country each year
and millions of dollars are spent in correcting the problems brought on by this form of environmental
degradation.”
1.
2.
3.
4.
The landowner (permittee) or legal representative of the permittee on an approved permit is responsible for installation and
maintenance of soil erosion and sedimentation control measures and the ultimate stabilization of the site. If the property is
sold and legal transfer of the permit has not transpired, i.e., new owners signature on the existing original permit, the original
Permittee is held responsible for all fines and stabilization measures for compliance with Part 91.
If th e Coun ty En forcing Ag ent (CEA) fo r Part 91 , th e Clin ton County Community Development Office, finds it necessary to
issue a violation to a permit holder, violations shall be addressed immediately. A person shall not maintain or undertake an
earth change governed by Part 91 rules or the County’s SESC ordinance, except in accordance with Part 91, the rules or
ordinance and pursuant to the plan and permit approved by the County Enforcing Agency. A person who violates this is
guilty of a misdemeanor.
The permit holder is responsible for the attainment of site stabilization. A site that is defined as being stabilized is one that has
achieved its prescribed final grading and vegetative establishment or other covering resistant to erosion as per the approved
SESC plan (i.e. a good stand of grass is present as defined by the inspector).
In order to prevent soil erosion and subsequent sedimentation of streams, lakes, and wetlands and to keep sediment on the
site, the undersigned applicant agrees to faithfully implement the following practices during and after the construction process:
a.
b.
5.
6.
7.
Avoid unnecessary removal of existing vegetative soil cover.
Divert any runoff water into areas where the sediment will settle out of the runoff water before it leaves
the site.
c. Sod, seed and mulch, or use other approved erosion control measures on all disturbed areas as soon as
possible after final grade is established (not more than 5 days).
d. Apply fertilizer and lime in amount adequate for the soil type.
e. During the construction process and until final grade can be established, seed all bare areas with
temporary vegetative cover such as rye grass and oats.
f. Provide and maintain any structures, rip-rap, or other permanent means to control possible future erosion
of soil from the site.
The permit holder is also responsible for maintaining the validity of the permit bond throughout the duration of construction
and ultimate stabilization of a site. If the Bond expires and the site lacks proper stabilization, the permit holder will be notified
by certified mail. If thirty days passes, the permit will expire. At that time the permit holder shall be required to apply to the
Clinton County Community Development Office for a new permit and be responsible for all fees.
The SESC inspector m ay req uire add itional control measures if a site inspection ind icates th at original measures are not
sufficient to prevent erosion.
The permit holder acknowledges and gives permission to the CEA or agents of the CEA to enter the property for inspection
purposes.
12. OWNER & APPLICANT SIGNATURE’S (TWO SIGNATURES ARE REQUIRED)
I (we) affirm that the information provided on this application is accurate and that I (we) will comply with the requirements
of Part 91 and i ts corresponding rules, the Clinton County Soil Erosion and Sedimentation Control Ordinance, and applicable
local ordinances. I (we) acknowledge that I (we) have read and will comply with the general conditions and responsibilities as
outlined in this application.
I have read the application instructions and completed the permit applicati on. I understand that applications not
fully completed will be delayed.
I hereby acknowledge that I have read the above statement of responsib ility under Part 91 and understand my
responsibilities.
Owner’s Signature :_______________________________________________________ Date :_____________________________
Applicant’s Signature :____________________________________________________ Date : _____________________________
2 SIGNED& SEALED EROSION & SEDIMENT CONTROL PLANS
MUST BE SUBMITTED WITH THIS APPLICATION
REVISED 03/16
CLINTON COUNTY
SOIL EROSION AND SEDIMENTATION CONTROL
FEE SCHEDULE
RESIDENTIAL
Permit
Fee
Permit
Duration
Extension Fee*
(2 months only)
New Home
$125
6 months
$50
Addition
$75
6 months
$50
Assessory Building not exceeding 1000 sq. ft.
$75
6 months
$50
In-ground Pool
$50
6 months
$50
Pond
$75
6 months
$50
Project Type
*Must re-apply for new permit after 8 months
COMMERCIAL
Plan
Review
Project Type
Permit
Base Fee
Incremental
Adjustment
Surety
Required
(first acre/mile)
(Each Add'l acre/mile)
(Per Acre/mile)
Permit
Duration
Extension
Fee
Commercial & Residential Site Development Projects
(Includes development of new roads)
$250
$250 ac.
$125 ac.
$750 ac.
12 months
No Extensions
Cut and Fill Operations
(Includes mass grading projects)
$100
$250 ac.
$125 ac.
$750 ac.
4 months
$50 ac. (2 mo.)
Surface Mining Operations
(Total acreage from SUP application)
$250
$500 ac.
n/a
$750 ac.
24 months
$250 (12 mo.)
Utilities
(Permit fee may be waived for plowed in utilities)
$100
$150 mi.
$50 mi.
$1000 mi.
6 months
No Extensions
ADDITIONAL INFORMATION
All fees will be required prior to the issuance of permit.
Fee will be doubled for starting work without a permit.
A waiver is issued for projects that do not require a SESC permit. There is no charge for a permit waiver.
Surety may be in the form of a surety bond, certified check, or irrevocable bank letter of credit.
A Permit Transfer is required if the property changes ownership prior to the closure of the permit. There is no charge for the transfer.
Issuance of a Notice of Violation will result in an additional $100 charge to the permit holder.
Adopted by Clinton County Board of Commissioners 12/15/06
Effective Date January 1, 2007