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2. Application Date
   Application Date
4. Project Information
6. Project Name*
7. Address*
9. Project Location*
10. Total Area:*
12. Estimated Start Date*
    Estimated Start Date
13. CDPHE Permit No.*
15. Owner Information
17. Company Name*
18. Contact Name*
20. Address*
21. Email Address*
23. Business Phone*
24. Emergency Phone*
25. Contractors License No.*
27. SWMP Administrator Information
29. Company Name*
30. Contact Name:*
32. Address*
33. Email Address*
35. Business Phone*
36. Emergency Phone*
38. Conditions of the Permit
    1) THIS PERMIT SHALL REMAIN ACTIVE AND ENFORCEABLE UNTIL A NOTICE OF FINAL STABILIZATION IS ISSUED BY THE TOWN OF FIRESTONE.
    2) THE CONTRACTOR SHALL BE LICENSED TO WORK WITHIN FIRESTONE.
    3) THE PERMITTEE SHALL BE RESPONSIBLE FOR ALL CONTROL MEASURES (BMPs) USED TO KEEP POLLUTANTS ONSITE.
    4) THE SWMP DOCUMENT SHALL BE LOCATED ONSITE AT ALL TIMES (DIGITAL WILL SUFFICE) AND SHALL BE AVAILABLE TO THE TOWN UPON REQUEST. THE PERMITTEE SHALL CONTINOUSLY UPDATE THE SWMP AND EXECUTE ADDITIONAL CONTROL MEASURES, AS NEEDED.
    5) ALL TEMPORARY CONTROL MEASURES WILL BE ADEQUATELY MAINTAINED AT ALL TIMES. CONTROL MEASURES WILL BE REPLACED OR REMOVED WHEN THEY ARE BEYOND THEIR SERVICEABLE LIFE, NO LONGER NEEDED, OR WHEN THE PROJECT IS STABALIZED. CONTROL MEASURES INSTALLED FOR PERMANENT STABILIZATION WILL REMAIN IN PLACE AND BE MAINTAINED BY THE PERMITTEE UNTIL A NOTICE OF FINAL STABILIZATION IS ISSUED.
    6) INSPECTIONS OF THE SITE FOR CONFORMANCE WITH THE SWMP MUST BE CONDUCTED BY THE PERMITTEE AT ONE OF THE FREQUENCES AVAILABLE IN THE CDPHE-ISSUED PERMIT. INSPECTION REPORTS MUST BE MADE AVAILABLE TO THE TOWN UP REQUEST.
    7) THE WORK SHALL NOT BE MODIFIED FROM THE APPROVED PLANS WITHOUT PRIOR WRITTEN APPROVAL BY THE TOWN. SUBSTANTIAL MODIFICATIONS MAY REQUIRE ISSUANCE OF A NEW PERMIT.
    8) OTHER:
40. Stormwater Management Plan*
41. Control Measure Cost Opinion Worksheet
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43. 1. Receive an email copy of this form.
44. Email address

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