(To be attached to the “land subdivision plan or development plan review application" or “minor land subdivision plan review application.”)
Application is hereby made for review of the Stormwater Management and Erosion and Sedimentation Control Plan and related data as submitted herewith in accordance with the City of Reading Stormwater Management and Earth Disturbance Ordinance.
______ Final Plan ______ Preliminary Plan ______ Sketch Plan
Date of Submission _______________________________________
Submission No. _______________________________________
1. Name of subdivision or development _______________________________________
2. Name of Applicant _______________________________________
Telephone No. _______________________________________
(if corporation, list the corporation’s name and the names of two officers of the corporation)
_______________________________________ Officer 1
_______________________________________ Officer 2
Address ______________________________________________________________________________
Zip _______________________________________
Applicant’s interest in subdivision or development
(if other than property owner, give owner’s name and address)
3. Name of property owner _______________________________________
Telephone No. _______________________________________
Address ______________________________________________________________________________
Zip _______________________________________
4. Name of Engineer or Surveyor
Telephone No. _______________________________________
Address ______________________________________________________________________________
Zip _______________________________________
5. Type of subdivision or development proposed:
___ Single-family lots
___ Two-family lots
___ Multifamily lots
___ Cluster-type lots
___ Planned residential development
___ Townhouses
___ Garden apartments
___ Mobile home park
___ Campground
___ Other ( _____________________________)
___ Commercial (multi-lot)
___ Commercial (one-lot)
___ Industrial (multi-lot)
___ Industrial (one-lot)
6. Lineal feet of new road proposed __________________________________ L.F.
7. Area of proposed and existing impervious area on entire tract.
A. Existing (to remain) ___________ S.F. _______________% of Property
B. Proposed ___________ S.F. _______________% of Property
8. Stormwater
A. Does the peak rate of runoff from proposed conditions exceed that flow which occurred for existing conditions for the designated design storm? _____________________
B. Design storm utilized (on-site conveyance systems) (24-hour)
No. of Subarea ______________________________________
Watershed Name ______________________________________
Explain:
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
C. Does the submission and/or district meet the release rate criteria for the applicable subarea? _____________________________________________
D. Number of subarea(s) from Appendix D of the Watershed Stormwater Management Plan. _____________________________________________
E. Type of proposed runoff control _____________________________________________
F. Does the proposed stormwater control criteria meet the requirements/guidelines of the Stormwater Ordinance? _____________________________________________
If not, what variances/waivers are requested? _____________________________________________
Reasons __________________________________________________________________________________________
G. Does the plan meet the requirements of Subpart C of the Stormwater Ordinances? ___________________________
If not, what variances/waivers are requested? _____________________________________________
Reasons Why __________________________________________________________________________________________
H. Was TR-55, June 1986, utilized in determining the time of concentration? _____________________________________________
I. What hydrologic method was used in the stormwater computations? _____________________________________________
J. Is a hydraulic routing through the stormwater control structure submitted? _____________________________________________
K. Is a construction schedule or staging attached? _____________________________________________
L. Is a recommended maintenance program attached? _____________________________________________
9. Erosion and Sediment Pollution Control (E&S):
A. Has the stormwater management and E&S plan, supporting documentation and narrative been submitted to the Berks County Conservation District? __________________________
B. Total area of earth disturbance _____________________________________________ S.F.
10. Wetlands.
A. Have the wetlands been delineated by someone trained in wetland delineation? _____________________________________________
B. Have the wetland lines been verified by a state or federal permitting authority? _____________________________________________
C. Have the wetland lines been surveyed? _____________________________________________
D. Total acreage of wetland within the property _____________________________________________
E. Total acreage of wetland disturbed _____________________________________________
F. Supporting documentation _____________________________________________
11. Filing
A. Has the required fee been submitted? _____________________________________________
Amount _____________________________________________
B. Has the proposed schedule of construction inspection to be performed by the applicant’s engineer been submitted? _____________________________________________
C. Name of individual who will be making the inspections _____________________________________________
D. General comments about stormwater management at the development __________________________________________________________________________________________
CERTIFICATE OF OWNERSHIP AND ACKNOWLEDGMENT OF APPLICATION: COMMONWEALTH OF PENNSYLVANIA
COUNTY OF [County Name] .
On this the ________ day of ___, 20___, before me, the undersigned officer, personally appeared ______________________ who being duly sworn, according to law, deposes and says that __________________ owners of the property described in this application and that the application was made with _________________________ knowledge and/or direction and does hereby agree with the said application and to the submission of the same.
_____________________________________________ Property Owner
My Commission Expires ___________________________________20 ______
Notary Public _____________________________________________
I hereby certify that to the best of my knowledge and belief the information and statements given above are true and correct. I make this verification subject to the penalties of 18 Pa.C.S.A. § 4904 relating to unsworn falsification to authorities.
SIGNATURE OF APPLICANT _____________________________________________
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(Information below this line to be completed by the municipality)
_____________________________________________ (Name of Municipality) official submission receipt:
Date complete application received _____________________________________________
Plan Number _____________________________________________
Fees _____________________________________________
date fees paid _____________________________________________
received by _____________________________________________
Official submission receipt date _____________________________________________
Received by _____________________________________________
Municipality