none, Plans only - Addition to SFR &, Applicationw
• •
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)
Address(es)
Phone No(s). —
Reason(s) for export/import soil. Has construction commenced?
Wis NV07-c92c.cti\1t-c�`�)c71
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ADDRESS t c-' ¶
Where soil is proposed to be moved FROM
ADDRESS 1 , L3) c)rs_t...Q-t Zc�
Where soil is to be moved TO
AMOUNT of soil to be moved (cu.yds.): '4t 0 S
DEPTH of cut/fill at site (feet)
AREA of cut/fill at site (square feet)
Y�P�IrC )
Cl-r—
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/desianee under certain conditions.
I understand and agree to abide by these requirements.
Date
Date
Owner/Applicant
Engineering Geologist/License No.
VD.-- `] --11 i c , cr.r,r,_ V t C. 6 fAS7 C_,
Date Contractor/Applliiccanntt_s�Ageenntt// License No.
Date
Phone No.
Grading Contractor/License No.
EXPORT/IMPORT OF SOIL DURING CONSTRUCTION
2011
•
•
APPROVED:
(1111
DATE
CONDITIONS:
riv,y
IT " MANAGER OR DIGNEE
EXPORT/IMPORT OF SOIL DURING CONSTRUCTION
2011
SEP-06-2011 16:07
COUNTY Oc LADPW 310 530 5482 P.01/09
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INSPECTOR'S SIGNATURE
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