Erosion Prevention and Sediment ControlPermit Notice of Termination Form

NO FEE
Erosion Prevention and Sediment Control Permit Notice of Termination Form
General Information:
Erosion Prevention and Sediment Control (EPSC) Permit Number
Project Address*
Permittee Name*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Mailing Address
The site has reached final stabilization. All exposed soil has been permanently stabilized to at least 70% cover, all temporary BMPs have been removed, and all stormwater discharges associated with construction activities have been eliminated.All portions of the site, which have undergone final stabilization have been sold and/or transferred, and the Permittee no longer has operational control of construction activities on the site. If termination is being sought because the site, or a portion thereof, has been sold or transferred, a copy of the Notice of Termination or Transfer sent to the MPCA must accompany this form.
NOTICE OF TERMINATION (NOT) REQUEST INFORMATION
What You Need to Do:
- Remove debris from impervious surfaces, catch basins, BMPs, etc.
- Provide City with as-built drawings for all permanent BMPs.
- If any of the permitted area is changing ownership, an Erosion Prevention and Sediment Control Permit Transfer Form is required to be submitted to the City. *NOTE* each parcel of record (building site) must have its own permit.
What You Need To Know:
- Your site will be inspected by the City to ensure compliance.
- You will receive a confirmation of the NOT being accepted; unless notified otherwise, the NOT automatically becomes effective 15 days after the received/postmarked date.
- A completed NOT does not qualify for termination of any permits other than the City’s EPSCP.
- A completed NOT does not exempt any long-term BMP maintenance plans.
Acknowledgments and Agreements:
By signing below, the applicant certifies under penalty of law that all stormwater discharges associated with construction activities previously authorized at the identified site have been eliminated or that the applicant is no longer the permittee for this site. Final stabilization means that all soil-disturbing activities at the site have been completed, no rills or gullies are present on site, all temporary BMPs (e.g., silt fence, silt basin) have been removed, and a uniform perennial vegetative cover with a density of at least 70% covers all of the disturbed site, or equivalent stabilization measures have been placed.
It is understood that by submitting this Notice of Termination, the permittee is no longer authorized to discharge stormwater associated with construction activities under the Erosion Prevention and Sediment Control Permit. Discharging pollutants in stormwater to waters of the United States without authorization from a National Pollutant Discharge Elimination System (NPDES) permit is unlawful under the Clean Water Act.
Furthermore, submission of this Notice of Termination does not release the permittee from liability for any violations of the previously issued permit, Chapter 54: Stormwater and its subsections of the City of North Mankato, or the Clean Water Act.
Applicant Name*
Applicant Signature*

Clear
Date*

MonthDayYear
Date
Internal Use Only
NOT Request Date Received

MonthDayYear
Date
City of North Mankato Reviewer Approval Signature

Clear
Approval Date

MonthDayYear
Date
Should be Empty:

NO FEE

Erosion Prevention and Sediment Control Permit Notice of Termination Form

General Information:

NOTICE OF TERMINATION (NOT) REQUEST INFORMATION

What You Need to Do:

What You Need To Know:

Acknowledgments and Agreements:

Internal Use Only