CITY OF SNELLVILLE
COMMERCIAL BUILDING
PERMIT PACKET
¾ COMMERCIAL BUILDING PERMIT INFORMATION SHEET
¾ BUILDING PLAN REVIEW SUBMITTAL FORM
¾ BUILDING PERMIT APPLICATION
¾ SUBCONTRACTOR AFFIDAVIT
¾ CONTRACTOR REGISTRATION FORM
¾ SOLID WASTE AFFIDAVIT & DISCLOSURE FORM
¾ BUILDING INSPECTION INFORMATION
¾ BUILDING RE-INSPECTION FEES/INFO
¾ SUPPLEMENT TO THE BUILDING PERMIT
¾ INDEMNITY AGREEMENT
¾ EROSION CONTROL & SOLID WASTE MANAGEMENT
AFFIDAVIT
DEPARTMENT OF PLANNING & DEVELOPMENT
2342 Oak Road
770.985.3514 (ph) ~ 770.985.3551 (fax)
www.snellville.org
CITY OF SNELLVILLE
Department of Planning & Development
[RECEIVED STAMP IMPRINT HERE] 2342 Oak Road, 2
nd
Floor
Snellville, GA 30078
Phone (770) 985-3514 Fax (770) 985-3551
www.snellville.org
BUILDING PLAN SUBMITTAL FORM
APPLICANT & CONTACT INFORMATION
PLANS SUBMITTED BY
Firm Name: __________________________________________________________
Contact Name: _______________________________________________________
Mailing Address: _______________________________________________________
City: __________________________________ State: _____ Zip: _______________
Ph: ___________________ Fax: __________________ Cell: __________________
E-Mail Address: _______________________________________________________
General Contractor
Professional Architect/Engineer
Resident Homeowner
Other ___________________
PLAN REVIEW FEES COLLECTED
$400 $250 $100 $75 $50
By: Cash Check
Credit Card
Rcvd By: ____________________
PROJECT INFORMATION
PROJECT TYPE
Project Name: ________________________________________ Unit/Phase: _____
__
Project Street Address: _________________________________________________
Building Designation: ______ Floor Designation:______ Suite Designation: ________
Shopping Center Name: _________________________________________________
Office/Commercial Center Name: _________________________________________
District(s): ________ Land Lot(s): ______________ Parcel(s): ___________________
Zoning District: ______ Was this location previously rezoned? No Yes Unknown
Commercial Industrial
Residential Mixed Use
Other ____________________
New Construction (Complete)
Shell Only White Box
Interior Finish Addition
Interior Alteration/Remodel
Accessory Structure
Monument Sign / Wall Sign
Total Square Footage: _________ SF
Construction Contract Price:
$ __________________ (Required)
BUILDING PLAN SUBMITTAL REQUIREMENTS
Building Plans must FIRST be reviewed and approved by the State and County agencies indicated below, BEFORE submission to
the City of Snellville for review. Please contact these agencies to determine the required number of plan sets. The City of Snellville
requires three (3) complete sets of stamped and approved plans at time of plan submittal.
Project Type
GA
Dept. of
Agriculture
Fire
County
Fire
Marshal
County
Environmental
Health
County
Water
Resources
Residential Building Plans (Residence connected to Septic System)
No
No
YES
No
Commercial (Office / Retail / Other Use)
No
YES
No
YES
Commercial (Food Service Business Establishment or Restaurant)
No
YES
YES
YES
Commercial (Grocery, Convenience Store or Market)
YES
YES
No
YES
PLAN REVIEW ACKNOWLEDGEMENT
In accordance with Part 2 of Article 1 of Chapter 2 of Title 8 of the Official Code of Georgia Annotated, and upon receipt and acceptance of the submitted Building
Plans, the City of Snellville hereby notifies permit Applicant that the City of Snellville intends to complete the required plan review within 30 business days of
receiving the plans. If applicable, a written notice of plan deficiencies will be provided to the permit Applicant and the 30-day period will then be tolled pending
resolution of the matter. Upon receipt of any plan revisions which addresses the plan deficiencies, the local building official shall have the remainder of the tolled 30-
day period plus an additional five (5) business days to issue the requested permit or to provide a second written notice to the permit Applicant stating which of the
previously identified plan features remain in non-compliance with the applicable codes. In the event that the revisions required to address the plan deficiencies or any
additional revisions submitted by the permit Applicant require that new governmental approvals be obtained, the permit Applic
ant shall be required to obtain such
approvals before a new plan report can be submitted.
_____________________________________________ ___________
Applicant Printed Name Date
_________________________________________________________
Applicant Signature
_______________________________________________ ___________
Building Official Printed Name Date
____________________________________________________________
Building Official Signature
APPLICATION FOR BUILDING PERMIT
CITY OF SNELLVILLE, GEORGIA
DESCRIPTION OF WORK (Please mark all that apply) RESIDENTIALCOMMERCIAL
NEW CONSTRUCTION ADDITION REPAIR ACCESSORY STRUCTURE
INTERIOR FINISH ALTERATION SHELL ONLY MONUMENT / WALL SIGN
Description of Proposed Construction __________________________________________________________________
Project Name or Business Location Name ______________________________________________________________
Job Address ____________________________________________________________
Lot ________ Block ________
Project/Subdivision _________________________________
Tax Parcel # ____________-________ Zoning _________
BUILDING INFORMATION (
NEW OR AFFECTED AREA ONLY) Basement / Slab / Crawl Space (Circle One) __________________
Stories _____ Rooms _____ Baths _____ Bedrooms _____ Heated Sq.Ft. ___________ Total Sq.Ft.___________
Lot Size __________ Water Tap # ___________ Sewer Tap # ___________ Septic # ___________ On Septic: Yes
No
Sprinkler (Protected) Unprotected (Check One) Construction Contract Price $ ______________________
TYPE OF CONSTRUCTION (NEW CONSTRUCTION ONLY) -IA -IB -IIA -IIB -IIIA -IIIB -IV -VA -VB
OCCUPANCY TYPE (GROUP DESCRIPTIONS ON INTERNATIONAL BUILDING CODE LISTING)
-A-1 Assembly, theaters, with stage -E Educational -M Mercantile
-A-1 Assembly, theaters, w/o stage -F-1 factory and industrial, moderate hazard -R-1 Residential, hotels
-A-2 Assembly, nightclubs -F-2 Factory and industrial, low hazard -R-2 Residential, multiple family
-A-2 Assembly, restaurants, bars, -H-1 High Hazard, explosives -R-3 Residential, one- and two-family
banquet halls -H234 High Hazard -R-4 Residential, care/assisted
-A-3 Assembly, churches -H-5 HPM living facilities
-A-3 Assembly, general, community -I-1 Institutional, supervised environment -S-1 Storage, moderate hazard
halls, libraries, museums -I-2 Institutional, incapacitated -S-2 Storage, low hazard
-A-4 Assembly, arenas -I-3 Institutional, restrained -U Utility, Garages, miscellaneous
-B Business -I-4 Institutional, day care facilities
OWNER _________________________________________
Phone (_____)__________________________________
Address ________________________________________________
City/State/Zip _____________________________
Fax (____)___________________
Cell (____)_________________ E-Mail ____________________________________
CONTRACTOR ___________________________________
Phone (_____)__________________________________
Address ________________________________________________
City/State/Zip _____________________________
Fax (____)___________________
Cell (____)_________________ E-Mail ____________________________________
Business License # __________________
Issuing Authority ___________________________ Exp. Date __________
As the contractor, builder, owner or authorized agent, I hereby apply for a permit to erect/alter and use the structure as described herein and/or shown on accompanying plans and specifications. If a plot plan
is required, said structure will be located as shown on the plot plan. If the permit is granted, I shall construct same according to the development regulations, ordinances and code of the City of Snellville.
Further, I shall be responsible for complying with all subdivision protective covenants (where applicable) and required set backs. I also understand that the structure authorized by the permit shall not be
occupied or used until all inspections have been made, all re-inspection fees and fines paid and the Certificate of Occupancy/Completion has been issued by the Department of Planning & Development (and
by the Gwinnett County Department of Fire & Emergency Services, when applicable). Applicant must hold a valid Occupational Tax Certificate (AKA “business License”) for the type of construction covered by
the permit issued. A homeowner is not required to have an Occupational Tax Certificate if building one’s own personal home (not more than one home per year). I understand that before any inspections will be
made, erosion control measures must be installed and properly maintained daily and licensed subcontractor affidavits must be submitted and accepted. I hereby certify that I am the property owner or the
authorized agent of the property owner and that all information contained hereon is true and accurate.
Signature _____________________________________ Print Name ____________________________ Date _________
2342 OAK ROAD, SNELLVILLE, GA 30078 (770) 985-3513 FAX (770) 985-3551
www.snellville.org
FOR CITY USE ONLY
Date Rcvd: ______________________
ECC:
Permit No.
SUBCONTRACTOR AFFIDAVIT
CITY OF SNELLVILLE
DEPARTMENT OF PLANNING & DEVELOPMENT
2342 OAK ROAD, 2
ND
FLOOR, SNELLVILLE, GA 30078
(770) 985-3513 / (770) 985-3551-FAX
www.snellville.org
GENERAL CONTRACTOR SHALL CALL IN ALL INSPECTIONS
This form must be completed, signed and submitted to the Department
of Planning & Development before work may commence. Call (770)
985-3513 at least 24-hours prior to inspection request.
GENERAL CONTRACTOR: ____________________________________________
PERMIT #_________________
JOB SITE ADDRESS: _____________________________________________ _____
LOT / BLOCK: ___________
SUBDIVISION / PROJECT NAME: _________________________________________________________________
THIS IS TO CERTIFY THAT I WILL BE RESPONSIBLE FOR SUBCONTRACTORS PERFORMING:
ELECTRICAL LOW-VOLTAGE HEATING & AIR PLUMBING
PLEASE CHECK THE TYPE OF STATE LICENSE HELD AND BEING USED FOR THIS JOB:
Electrical Contractor Class I Electrical Contractor Class II (Unrestricted)
Master Plumber Class I Master Plumber Class II (Unrestricted)
Conditioned Air Contractor Class I Conditioned Air Contractor Class II (Unrestricted)
Low-Voltage Contractor Class I Low-Voltage Contractor Class II (Unrestricted
I certify that I am experienced in the classification above and I will comply with all codes and ordinances adopted by the
City of Snellville that pertain to the construction of this structure. In the event of any change in my status on this installation, I
understand that I will be held responsible for all indicated work at this job until Building Inspections have been notified, in
writing, of any change.
SUBCONTRACTOR
COMPANY NAME: _________________________________________
PHONE: (__ _ )______________________
ADDRESS: _______________________________________________
____ FAX: (_____ )______________________
CITY: _______________________________________
STATE:______________ ZIP ________________________
OCCUPATION TAX # OR BUSINESS LICENSE #) ________________________________
EXPIRATION DATE: _____________________
ISSUING AUTHORITY: _________________________________
STATE LICENSE #: ______________________
EXPIRATION DATE: ___________________________________
SUBCONTRACTOR SIGNATURE: _____________________________________
PHONE: ( ___ )___________
PRINT NAME: ____________________________________________
DATE: __________________________
SUBCONTRACTORS MUST PROVIDE A CURRENT COP
Y
OF THEIR BUSINESS LICENSE
AND STATE CONSTRUCTION INDUSTRY LICENSE
FOR EACH AFFIDAVIT SUBMITTED
The City of Snellville
Department of Planning & Development
2342 Oak Road, 2
nd
Floor (770) 985-3513
Snellville, GA 30078 (770) 985-3514
www.snellville.org FAX (770) 985-3551
_________________________________________________________________________________________________________
CONTRACTOR REGISTRATION
PLEASE ATTACHED A COPY OF YOUR CURRENT OCCUPATIONAL
TAX CERTIFICATE (BUSINESS LICENSE) WITH THIS FORM
PLEASE MARK THE APPROPRIATE SPACE
GENERAL CONTRACTOR: _____ ELECTRICAL: ____
H/VAC: _____ PLUMBING: _____
COMPANY NAME: ________________________________________
PHONE: ______________
ADDRESS: _______________________________________________
FAX:_________________
CITY/STATE/ZIP: ________________________________________________________________
APPLICANT’S NAME: ______________________________________
PHONE: _____________
ADDRESS: _______________________________________________
CELL:________________
CITY/STATE/ZIP: ________________________________________________________________
STATE CARD NO:___________________________
CLASSIFICATION: ____________________
OCCUPATION TAX CERTIFICATE NO: _______________________
EXP.DATE:_____________
(Business License #)
In filing this application for registration, I hereby certify that I am experienced in the classification
above and am either familiar with, or will become familiar with all requirements and will abide by all
the rules and regulations set forth by the City of Snellville Planning & Development Department.
______________________________________
________________________________
Applicant’s Signature Print Name
Department of Planning & Development
City of Snellville
2342 Oak Road, 2
nd
Floor (770) 985-3513
Snellville, Georgia 30078 (770) 985-3514
www.snellville.org
FAX (770) 985-3551
__________________________________________________________________________________________________________________
For City Use Only
_______________________________________________________________ _________________ __________________________
Approved By (Public Works): Date Account No.
_______________________________________________________________ _________________
Approved By (Planning & Development): Date
SOLID WASTE AFFIDAVIT & DISCLOSURE FORM
IN ACCORDANCE WITH CHAPTER 46 OF THE SNELLVILLE CODE OF ORDINANCES, ALL
REFUSE, RECYCLABLES AND YARD TRIMMINGS SHALL ONLY BE COLLECTED,
CONVEYED AND DISPOSED OF BY THE FRANCHISEE.
THEREFORE, ALL APPLICANTS FOR A CITY OF SNELLVILLE BUSINESS LICENSE AND/OR
BUILDING PERMIT ARE REQUIRED TO CONTACT THE CITY OF SNELLVILLE PUBLIC
WORKS DEPARTMENT TO ARRANGE FOR SANITATION SERVICE FOR BUSINESS SOLID
WASTE AND/OR CONSTRUCTION DEBRIS. (DIRECTIONS ON BACK)
INSTRUCTIONS (applicants must also obtain approval from City of Snellville Public Works):
• Applicants for a City of Snellville Business License must complete BOX 1 and BOX 3.
• Applicants for a City of Snellville Building Permit must complete BOX 2 and BOX 3.
BOX 1
Name of Business: _______________________________________________________________________________
Business Location (Address): _______________________________________________________ Suite: _________
Is Business Location in a Shopping Center: No Yes (Name): _________________________________________
BOX 2
Construction Project Name: ______________________________________________________________________
Project Location (Address): ______________________________________________________ Suite: _________
Scope of Project (check all that apply): New Construction Interior Remodel/Finish Demolition Site Work
BOX 3
I hereby understand and acknowledge that the City of Snellville Code of Ordinances and Franchisee Agreement requires that all solid waste be
collected, conveyed and disposed of by the Franchisee and that an account for solid waste collection and disposal must be obtained and kept
current through the City of Snellville Public Works Department.
Acknowledged By: _________________________________________________________ Date: ______________
Print Name: __________________________________________________ Title: ___________________________
The City of Snellville
Department of Planning & Development (770) 985-3513
2342 Oak Road, 2
nd
Floor (770) 985-3514
Snellville, GA 30078
FAX (770) 985-3551
www.snellville.org
_________________________________________________________________________________________________________
Building Inspection Information Page 1 of 2
BUILDING INSPECTIONS
• Building Permit Cards must be placed on each lot or construction site visible from the street and
attached to a weatherproof structure a minimum of five (5) feet above ground.
• Erosion control measures must be in place and properly maintained before any inspections will
be made.
• Inspections require a 24-hour advance notice
before any inspections are conducted. The City’s
Building Inspector will conduct one visit (per day) per inspection request.
• Building setbacks will be verified during the footing inspection. All lot lines must be tightly strung
and clearly visible.
• Inspections are required before commencement of the next construction phase and are usually
requested in the following sequence:
1. Site Inspection
– Swimming pools only
2. Footing Inspection – Made after all trenches are excavated, forms erected and the
steel (if required) in place. Building setbacks will be verified at this time. All lot
lines must be tightly strung and clearly visible.
3. Swimming Pool Inspection
– Basket inspection, building, electrical, HVAC and
plumbing.
4. Monolithic Slabs
– Slab MEP inspections shall be signed off first; gravel (if specified)
and vapor barrier shall be installed before footing inspection is signed-off.
5. Basement Foundation Walls
– Walls over 8’ in height require design by PE with
reinforcing and wall thickness noted.
6. Basement Slabs
– Plumbing shall be signed-off first; gravel and vapor barrier shall be
installed before slab inspection is signed-off.
7. Garage/Carport Slab
– When fill exceeds 24”, it requires design by PE with
reinforcing noted. Floor must slope to vehicle entrance.
8. HVAC Rough Inspection
– Boot stackheads in; furnace vents roughed-in; thermostat
wire in place; pre-fab fireplaces and decorative appliances set; concealed gas lines
installed and pressure tested.
9. Plumbing Rough Inspection
– Waste lines and vent installed; waste line braced and
strapped every 5 feet; water test on waste lines; water piping installed; water piping
strapped every 5 feet.
10. Electrical Rough Inspection
– electrical panel set in place; all wiring installed and
terminated in approved boxes or fittings; service cable installed and meter can set;
all splices and taps made up and all wire fastened or stapled according to code.
11. Framing Inspection
– All framing complete; fireblocking and bracing in place; roof
complete; pre-fab fireplace must be set, vented through roof and capped; bath fans
vented. Insulation to be installed after
framing inspection is signed-off.
12. Firewall Inspection – All commercial and multi-family construction with firewalls and
fire-rated assemblies after gypsum board is installed on one side but before
mudding and taping has started.
13. Commercial Final Building Inspection
– Made after final electrical, plumbing and
HVAC inspections have been signed-off; interior and exterior is complete;
landscaping is completed; 100% fire marshal signature; sewer signature; health
signature; building to be complete and ready for occupancy, with all holds released.
14. Residential Final Building Inspection
– Made after electrical, plumbing and HVAC
inspections have been signed-off; framing inspection has been signed-off; all
subcontractor affidavits are on file; all holds released, if any; interior and exterior is
complete including driveway, sidewalks, sodded yards (where required) and trees
planted. Final inspection must be made on swimming pools (including fences and
alarms) before a Certificate of Occupancy is issued.
The City of Snellville
Department of Planning & Development (770) 985-3513
2342 Oak Road, 2
nd
Floor (770) 985-3514
Snellville, GA 30078
FAX (770) 985-3551
www.snellville.org
_________________________________________________________________________________________________________
Building Inspection Information Page 2 of 2
• Subcontractor Affidavits for Plumbing, Electrical, and HVAC must
be received in our office prior to
the scheduling of the appropriate inspections.
• Please call the Department of Planning & Development (770-985-3513) between the hours of
7:00 AM to 5:00 PM to schedule your building inspections. Inspections are performed Monday
through Wednesday and Friday.
• If you would like to discuss any inspection results or have general construction questions, the
City’s Building Inspector maintains office hours from 8:30 AM to 9:30 AM on Mondays and
Wednesdays.
• Requested inspections that are not ready for inspection when the Building Inspector arrives or
which do not successfully pass requiring a re-inspection are subject to re-inspect fees, which
must be paid-in-full prior to issuance of the Certificate of Occupancy. The following fee structure
applies to failed inspections:
1
st
re-inspection fee $ 50 4
th
re-inspection fee $125
2
rd
re-inspection fee $ 75 5
th
re-inspection fee $150
3
rd
re-inspection fee $100 subsequent re-inspections $150
Example: if a site has 3 re-inspections, the re-inspect fees are calculated as follows;
$50 (1
st
re-inspect) + $75 (2
nd
re-inspect) + $100 (3
rd
re-inspect) = $225 Total Fees
• Third party inspections must be pre-approved in writing by the Department of Planning &
Development in advance of the requested inspection. The Builder/Permit Holder shall be
responsible for all expenses associated with any third party inspection. Copies of all third party
inspection documentation shall be provided to the City’s Building Inspector for review and
permanent record keeping.
• Upon successfully passing the building Final for C.O. inspection, and any other additional
requirements, a Certificate of Occupancy shall be issued, provided all re-inspect fees have been
paid-in-full.
INSPECTION REQUEST TELEPHONE NUMBER
(770) 985-3513
Please call before 5:00 PM
SUPPLEMENT TO THE SNELLVILLE BUILDING PERMIT APPLICATION
ALL BUILDERS SHALL COMPLY WITH THE FOLLOWING SNELLVILLE ORDINANCES AND REGULATIONS.
FAILURE TO DO SO COULD DELAY FINAL INSPECTIONS OF A STRUCTURE AND/OR CAUSE OTHER
PENALTIES.
All building sites are subject to Chapter 26, Article VII, “Soil Erosion and Sedimentation Control", of the Snellville
Code of Ordinances (copy available upon request).
This ordinance in part, controls the movement of soil by whatever means on any type of development in the City,
including, but not limited to, commercial and residential, including single building sites.
Silt barriers shall be placed in the prescribed method at whatever locations required by the City Engineer or the City
Inspector. They shall be maintained in a functioning manner at all times.
All other parts of the Soil Erosion and Sediment Control Ordinance shall be observed where applicable.
THIS ORDINANCE WILL BE ENFORCED. It carries a prescribed fine and the violator must pay for any damages to
adjacent property caused by any violation such as allowing silt to flow off the property and block a drainage pipe. An
accumulation of silt on an adjacent property is considered damage.
Drainage swales shall be constructed where so directed by the City Engineer or City Inspector. Open ditches shall have
side slopes constructed and grassed with a maximum slope of 2:1, or pipes shall be placed if deemed necessary by the
City Engineer of City Inspector due to difference of elevation in the yard and bottom of flow line or for the reason of
protecting the property owners by removal of a hazard.
All commercial building sites are also subject to Chapter 26 "Environment” of the Snellville Code of Ordinances. This
ordinance regulates grading, erosion control, sedimentation control, vegetation and drainage. It is a requirement of
this chapter that a hydrological study shall be performed for every commercial construction site. Drainage is taken
seriously and these requirements will be enforced. Four copies of the site plan and one copy of the hydrological study
are to be submitted to the Planning & Development Department for review and approval. This approval is required
prior to the issuance of a Site Development Permit.
A detention pond "as-built" drawing showing pond volume by contours and outlet structure details is required prior to
issuance of a Certificate of Occupancy.
The City of Snellville has ordinances and regulations controlling work done within the street right-of-way. Therefore,
the developer or builder should consult with the City Engineer before constructing any driveways or drainage facilities.
Any of the facilities that are not constructed to city requirements will have to be brought into compliance before final
building inspections are made. Detailed drawings are available in the Engineer's office.
When final grading is done on a lot or at the time of landscaping, the area within the street right-of-way shall be
provided with whatever cut or fill that might be necessary to form a typical street cross section with a shoulder from
the curb to the front property line. The City Engineer shall determine any allowable deviation from this requirement.
Snellville ordinance prohibits the movement of all steel tracked vehicles on paved streets. This includes tractors doing
landscaping. The operator of any vehicle violating this ordinance by damaging city property (pavement, curbing, catch
basins, headwalls, culverts, etc.) shall receive a citation to appear in Snellville City Court.
I have read and acquainted myself with the requirements of this supplement to the Snellville Building Permit
Application and have received a copy for my future reference.
Date: _____________________ Print Name: ____________________________________________
Building Permit No. ____________________ Signature :______________________________________________
INDEMNITY AGREEMENT
WHEREAS, ________________________________________________________________(the "Owner") is the owner of the
Property (the "Property") located in the City of Snellville on ___________________________________________________ and
desires to make certain improvements to the Property and to obtain a building permit from the City of Snellville for
such improvements; and
WHEREAS, the improvements which the owner wishes to make to the Property may alter drainage in, out, or across
the Property,
WHEREAS, the City of Snellville requires the indemnification set forth below as a condition precedent to the
Owner's making the improvements:
NOW, THEREFORE, in order to induce the City of Snellville to issue a building permit to the Owner, the Owner agrees for itself,
himself, or herself, its, his, or her officers, agents, assigns, and successors in title to the Property to indemnify and hold harmless the City
of Snellville, its officers, agents and employees from any damages or claims for damages arising out of (a) the construction, maintenance
or use of the improvements, or (b) the run-off or discharge of water from the Property. This is a covenant running with the Property.
IN WITNESS WHEREOF, the Owner has caused this Indemnity Agreement to be duly executed under seal this ______day of
________________________________, 20____.
Print
Name ____________________________________
Address ____________________________________________
Phone (_____)______________________________
_____________________________________________
Cell (_____)_________________________________
E-Mail ___________________________________________
Builder/Developer Signature________________________________________________
CITY of SNELLVILLE
EROSION CONTROL AND
SOLID WASTE MANAGEMENT AFFIDAVIT
www.snellville.org
This affidavit must be submitted at time of permit application; please type or use black ink
Building: [ } Development: [ ] Permit Number:
Subdivision or Project Name:
Phase/Unit: Lot: Block:
Job Site Address:
Company Name:
Company Address:
City: State: Zip:
Company Phone:
Other Phone:
EROSION CONTROL
My signature hereon signifies that I am the person responsible for compliance
with the Soil Erosion & Sediment Control Ordinance. I acknowledge that City
inspection staff may: refuse to make inspections, issue Stop Work Orders, and
issue summons's to appear in Recorder's Court for violations of erosion control
requirements; and that I must use Best Management Practices (BMP's) to control
soil erosion on my job site which includes at a minimum all of the following:
• Installation and regular maintenance of silt barriers (i.e silt fences, hay
bales, etc.) in those areas where water exits the job site;
• Installation and regular maintenance of a stone driveway entrance/exit pad
to minimize the tracking of mud into the street;
• Removal of mud from the street or adjacent property immediately following
any such occurrence;
• Maintenance and removal of mud from detention ponds and sediment basins
• Conduct no land disturbing activities within 25 feet of the banks of
streams, lakes, wetlands, etc. (i.e. "state waters"}
• Institute erosion control measures and practices as indicated on the
approved Soil Erosion and Sediment Control Plan. Provide temporary
vegetation and/or mulch in exposed critical disturbed areas.
• Submittals of form EC-l on a weekly basis every Friday before 5:00 p.m.
SOLID WASTE MANAGEMENT
1. Construction and Demolition (C&D) Waste Disposal Information: (Please complete
both paragraphs "a" and "b" below)
Note: on-site burial/disposal of Construction and Demolition (C&D) Waste is
prohibited by Georgia law and the Gwinnett County Solid Waste Disposal
Services Ordinance. Construction and Demolition (C&D) Waste means building
materials from construction and demolition operations which include, but are
not limited to: asbestos-containing waste, wood, bricks, metal, concrete,
wall board, paper, and cardboard.
Page 1 of 2
a. State how often C&D Waste will be collected and hauled (note: hauler have
a Permit by Rule
from Georgia EPD):
_________________________________________________________________________
b. State the type of container or enclosure to be used to temporarily store
waste before hauling (e.g. dumpsters provided every other lot, etc.):
_________________________________________________________________________
2. Inert Waste Disposal Information: (Please complete either paragraph "a" or "b"
below)
Note: on site disposal of Inert Waste is authorized by Georgia law and the
Gwinnett County Solid Waste Disposal Services Ordinance ONLY if Georgia EPD
Permit by Rule regulations are followed. Inert Waste is limited to: earth,
earth-like products, concrete, cured asphalt, rock, bricks, yard trimmings,
stumps, limbs and leaves.
a. Off-Site Disposal (including residue from burning):
(1) State if Inert Waste is to be burned (approval from Gwinnett
Marshal's Office is required):
Yes No; and,
(2) State how often Inert Waste and/or burning residue will be collected
and hauled (note: hauler must have a Permit by Rule
from Georgia
EPD}:
b. On-Site Disposal (including residue from burning):
(1) Please attach a copy of completed Georgia EPD Notification of Permit
by Rule Operations Form; and,
(2) Please attach a copy of "sketch plan" indicating the proposed
location and boundaries of the disposal site; and,
(3) Please state if inert waste is to be burned (approval from Gwinnett
Fire Marshal's Office is required) and applied as a soil amendment:
Yes No;
My signature hereon signifies acknowledgement of all of the following
• On-site disposal of Construction and Demolition (C&D) Waste is prohibited;
• City inspection staff may: refuse to make inspections, issue Stop Work
Orders, issue summons's to Recorder's Court for violations of Stop Work
Orders, and refuse to approve Final Plats and Certificates of Occupancy or
Completion for failure to comply with solid waste disposal laws;
• If on-site disposal of Inert Waste is proposed, proof shall be provided
that property/deed records have been revised or recorded indicating the
boundaries of the disposal site prior to approval of a Final Plat,
Certificate of Occupancy or Completion.
• All on site sanitation services (Open top dumpsters and front load
containers) must be secured through the City of Snellville Sanitation
Department. A citation (fine not in excess of $1000.00) will be issued in
the event service is not acquired through the City of Snellville.
Signature:
Date Signed:
Printed Name:
Title:
Page 2 of 2
November 3, 2004