HomeMy WebLinkAboutCSR subs schedBuilding Division, 410 E. Washington St. Iowa City, IA 52240 319/356-5120 www.icgov.org
Construction Site Runoff Permit (CSR) Required Information
Project Address or Lot and Subdivision
Subcontractors Company Name Contact Name and Telephone
Excavation
Geothermal
Foundation
Flatwork
Framing
Plumbing
Electric
Mechanical
Siding
Painting
Landscaping
Drywall
Mason
Pollution Prevention
Miscellaneous
Construction Schedule Dates (estimated) Pollution Prevention Schedule Dates (estimated)
Excavation Perimeter Controls
Geothermal Silt fence Rolled Other
Foundation Topsoil Stockpiled
Groundwork Site Entry & Exit (2” clean rock)
Backfilling Inlet Protection
Flatwork Concrete Wash-Out
Framing Pit Above-ground enclosure
Plumbing Solid Waste Removal
Electrical Portable Toilet
Mechanical Temporary Stabilization
Insulation & Sheetrock After 14 days of inactivity on the site
Roofing Other
Siding & Masonry Other
Drives & Walks Ongoing Maintenance
Paint & Interior Finish Topsoil Distributed
Landscaping Stabilization of all Disturbed Areas
The CSR permit will not be issued until an initial inspection of the site is conducted & required controls are
properly installed.
I certify, under penalty of law, that I will satisfy the requirements of NPDES General Permit #2 to minimize compaction and preserve
pre-development topsoil on the lot(s) listed above. I understand that the City of Iowa City, Iowa Department of Natural Resources or
the Environmental Protection Agency may do additional verification of compliance with General Permit #2 on the lot(s) listed above.
Any violation of the General Permit #2 requirements may result in fines or penalties as allowed by law.
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Owner’s Signature
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Owner’s Name (printed)
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Title
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Date