HomeMy WebLinkAbout14a_COB Stormwater Management Permit FormAll multi-family, commercial, utility, demolition, and paving projects less than one acre are required to submit this
application and receive an approval letter before initiating construction activities. The City of Bozeman's agent will review,
determine adequacy, inspect, and enforce all provided information. Failure to meet City of Bozeman's requirements will
result in violations and enforcement action consistent with the City's Municipal Code and Enforcement Response Plan
(ERP). There is no fee associated with this permit. This plan is active upon approval and terminated upon the receipt of a
Certificate of Occupancy.
Section 1 – Applicant Information
1. Preparer:Company:
Phone: Email:
Address: City: State: Zip code:
2. Owner:Company:
Phone: Email:
Address: City: State: Zip code:
3. Contractor:Company:
Phone: Email:
Address: City: State: Zip code:
Section 2 – Project Information
Project Name: Total Land Disturbance:
Project Address: Project Type:
Section 3 – Project Schedule
Start Date: Final Stabilization Date:
Section 4 – Site Map
1. Applicant must provide a site map(s) that includes the following:
o Project boundary
o Direction(s) of stormwater run on and run off
o Public and private stormwater infrastructure on or adjacent to site
o Material storage area(s)
o Equipment staging area(s)
o BMPs selected in Section 5
Section 5 – Required Stormwater Controls
**Use the City of Bozeman’s Best Management Practice (BMP) Manual to select required controls.**
1.Protect inlets: Inlets receiving site runoff require BMPs that filter stormwater before flowing into underground
infrastructure. Check all that apply and show location(s) on map. Approved options include:
o Pre-Manufactured Drop Inlet Protection (pg. 13)
o Rock Sock Inlet Protection (pg. 13)
o Not Applicable (describe):_______________________________________________________________
____________________________________________________________________________________
o Other: ______________________________________________________________________________
____________________________________________________________________________________
**Continued on next page**
Stormwater Division
P.O. Box 1230
Bozeman, Montana 59771
(406)582-2270
Erosion and Sediment Control
Construction Permit
Projects Less than 1 Acre
2.Contain disturbed areas: Project boundaries require BMPs that contain stormwater flowing from disturbed areas.
Check all that apply and show location(s) on map. Approved options include:
o Silt Fence (pg. 9)
o Earthen Berm (pg. 11)
o Straw Wattle (pg. 7)
o Not Applicable (describe):_______________________________________________________________
____________________________________________________________________________________
o Other: ______________________________________________________________________________
____________________________________________________________________________________
3.Mitigate tracking: Exit points require BMPs that prevent the tracking of debris off-site onto the right-of-way. Check
all that apply and show location(s) on map. Approved options include:
o Cobble/Cattle Guard Hybrid Track Pad (pg. 15)
o Angular Rock Track Pad (pg. 15)
o Not Applicable (describe):_______________________________________________________________
____________________________________________________________________________________
o Other: ______________________________________________________________________________
____________________________________________________________________________________
4.Control concrete waste: Concrete activities require BMPs that allow for the capture and disposal of generated
pollutants to prevent environmental contamination. Check all that apply and show location(s) on map. Approved
options include:
o Reusable or Disposable Product (pg. 22)
o Prefabricated Roll-Off (pg. 22)
o Below Ground Containment (pg. 23)
o Above Ground Containment (pg. 23)
o Not Applicable (describe):_______________________________________________________________
____________________________________________________________________________________
o Other: ______________________________________________________________________________
____________________________________________________________________________________
5.Contain material stockpiles: Material stockpiles, not already contained within an existing perimeter control, require
perimeter BMPs that prevent erosion and displacement of loose material. Check all that apply and show location(s)
on map. Approved options include:
o Earthen Berm (pg. 11)
o Silt Fence (pg. 9)
o Straw Wattle (pg. 7)
o Cover/Tarp
o Existing Perimeter Control BMP (#1)
o Not Applicable (describe):_______________________________________________________________
____________________________________________________________________________________
o Other: ______________________________________________________________________________
____________________________________________________________________________________
**Continued on next page**
6.Manage dewatering flows: Pumping activities require BMPs that filter water before entering underground
infrastructure or waterways. Check all that apply and show location(s) on map Approved options include:
o Excavated Area Dewatering Plan (pg. 19)
o Well Dewatering Plan (pg. 20)
o Not Applicable (describe):_______________________________________________________________
____________________________________________________________________________________
o Other: ______________________________________________________________________________
____________________________________________________________________________________
7.Protect post-construction stormwater features: Post-construction stormwater features, such as retention and
detention ponds, require BMPs that protect and their silde slopes and bases during and after construction activities.
Check all that apply and show location(s) on map. Approved options include:
o Crimped Straw Mulch (pg. 24 )
o Rolled Erosion Control Products (pg. 24)
o Rip Rapped Inlet and Outlet
o Check Dams
o Reinforced Fore Bay
o Not Applicable (describe):_______________________________________________________________
____________________________________________________________________________________
o Other: ______________________________________________________________________________
____________________________________________________________________________________
8.Stabilize disturbed areas: Disturbed areas require BMPs that prevent erosion of barren ground. Check all that apply
and show location(s) on map. Approved options include:
o Surface Roughening (pg. 24)
o Crimped Straw Mulch (pg. 24 )
o Wood Mulch( pg. 24)
o Rolled Erosion Control Products (pg. 24)
o Sod (pg. 24)
o Not Applicable (describe):_______________________________________________________________
____________________________________________________________________________________
o Other: ______________________________________________________________________________
____________________________________________________________________________________
Section 6 – Administrative and Operational Controls
1. Check which of the following will be utilized and show on the map if applicable:
o Street Sweeping – Frequency:___________________
o On-Street Parking
o Pedestrian and Traffic Control Fencing
o Covered Pollutant Storage
o Staked Sanitary Facility out of Right-of-Way
**Continued on next page**
Section 7 - Certifications
1. Applicant agrees to:
o Install applicable BMPs before the start of land disturbing activities. Initial: ________
o Keep this permit posted on-site and updated to reflect current site conditions. Initial: _______
o Inspect and maintain all control measures at the end of each workday. Initial: _______
o Contain and dispose of all pollutants generated, such as form oil, oils/greases, fuel, masonry wash water,
concrete cutting slurry, asphalt sealant, paint, and all other pollutants hazardous to the environment, by local,
state and federal regulations. Initial: _______
o Maintain a spill kit on-site, which includes, at a minimum, absorbent material, cleanup tools, and covered waste
container. Initial: _______
Section 8 – Acknowledgment Certificate
I certify that I am the Owner or Owner’s Authorized Agent. If acting as an Authorized Agent, I further certify that I am
authorized to act as the Owner’s Agent regarding the property at the above-referenced address for the purpose of
filing applications for decisions, plans, or review under the City of Bozeman Ordinance #1763 and have full power and
authority to perform on behalf of the Owner all acts required to enable the City to process and review such
applications. I certify that the information on this application is true and correct and understand that I shall not start
this project until this application is approved. I shall comply with the laws of the State of Montana and the Ordinances
of the City of Bozeman.
___________________________________ ________________
Signature of Legally Responsible Person Date
___________________________________ ______________________________________
Printed Name Title