none, Plan only - Topograph survey, Application4
•
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M ,n 23 2012
City of Rolling Hills
By
EXPORT/IMPORT OF SOIL
UP TO 500 C.Y. OF DIRT MAY BE IMPORTED OR EXPORTED FROM A CONSTRUCTION SITE DUE TO SITE
CONDITIONS OR DUE TO UNFORSEEN CIRCUMSTANCES AND ONLY WITH CITY APPROVAL. (RHMC Sections
15.04.130 and 15.04.150)
Property Owner(s) ; ►1 l e- GtlVt i P RU1C
ka4A—_
Address(es) VI lV l,(LDS6v V
Phone No(s). 310 1 5 — ram" l (
Reason(s) for export/import soil. *as construction commenced?
Tn pwUi dio
i n 1>
ADDRESS
Where soil is proposed to 6e moved FROM
ADDRESS
U� �I 1414 s%v►J
Where soil is to bye moved TO
LJ
AMOUNT of soil to be moved (cu.yds.): 100 lip- L'M_ s
DEPTH of cut/fill at site (feet) r I
AREA of cut/fill at site (square feet) hi( .�
J) 'rid [(TA- o ry
,se
WORKING AT THE JOB SITE: The City Building Inspector/staff must verify the amount of soil to be moved, and after it
has been deposited, the amount of dirt deposited. You must notify City staff should there be deviations or corrections in
the field to modify the approved exportation or importation. The Rolling Hills Municipal Code requires that all grading be
balanced on site and prohibits the export or import of soil to or from any lot in the City or to and from outside the City
unless approved by the Citv Manaaer/designee under certain conditions.
I understand and agree to abi •2a• y these requirements.
�ZIZ ?—Z3-12 /,u e%—
Date L Owner/Ap • i.. nt Date g/ tractor/Applicant's Agent / License No.
Date Engineering Geologist/License No.
Date
Phone No.
Grading Contractor/License No.
EXPORT/IMPORT OF SOIL DURING CONSTRUCTION
2011
• •
APPROVED:
DATE l ;' WER OR DESIGNEE
CONDITIONS:
EXPORT/IMPORT OF SOIL DURING CONSTRUCTION
2011
1
L
• •
INSTRUCTIONS FOR REOUEST TO EXPORT/IMPORT OF DIRT AFTER
CONSTRUCTION COMMENCES
(RHMC SECTIONS 15.04.130 and 15.04.150)
• Submit the attached form
• Submit additional sheets if necessary to detail the project
• Submit revised site plan/grading plan/cross sections and any other information
necessary to clearly depict the resulting changes on both properties
• Staff and/or Building Inspector must verify the amount of dirt requested to be
moved
• Staff may determine that the request constitutes a major modification to the project
and therefore Planning Commission review may be necessary
• Staff may determine that the request exceeds staff's authority to approve the request
over-the-counter and therefore Planning Commission review may be necessary
(Planning Commission review is necessary when a cut or fill exceed 3 feet high or
when the activity covers more than 2,000 sq.ft. of surface area)
• Building and Safety Dept. review and permit may be required
EXPORT/IMPORT OF SOIL DURING CONSTRUCTION
2011