Application Flowsheet
Project:
Project No.
Applicant:
Attn:
Phone _________________ Fax __________________
Owner:
(if different)
NOI received __ Complete ___ Returned for ___________________ date
Type of work _____________________________________________________________________
Fee received amt _________ Checked by ____ Date __________ __ OK __Discrepancy Date of notification ______
Plans (see separate checklist; list revisions separately)
| Title | Date | Ckd. by | Date |
| Date | |
| Plans returned for rework | |
| Application returned for rework | |
| Legal notice deadline | |
| Legal notice sent | |
| DEP file number ______________ |
Case officer ________________________________________________________
| Hearing date | Time | Action | Continued to (date & time) |
Order of conditions drafted by ___________________ date __________ checked by _________ date___________
Order of conditions sent: _______________ Copies to: _______________________________________________
Wetland resource areas present: __ BVW __ BLSF __ ILSF __ LUW __ BZ
Work in: __ BVW __ BLSF __ ILSF __ LUW __ BZ
Mitigating measures: __ Erosion Control __ Replication __ ___________________
| Additional documentation | Requested | Received |
| Drainage Calculations | ||
| Erosion and sedimentation control plan | ||
| Mitigation and Replication plan | ||
| Sequencing of Work | ||
| Long Term Maintenance Plan | ||
Pre-construction conference required ________________ Completed ________________________
Request for Certificate of Compliance received
Request for Certificate of Compliance __approved __ refused date __________________________
Conversations, Notes and Remarks (attach additional sheets as needed)
| Date | Time | Description |