stormwaterpollutionpreventionplantemplate-rhodeisland（40页）.docVIP

Soil Erosion and Sediment Control Plan For: Project Name Project Site Location/Address City, State, Zip Code Assessor’s Plat and Lot Number Owner: Company Name Name Address City, State, Zip Code Telephone Number Email Address Operator: TO BE DETERMINED UPON CONTRACT AWARD Company Name Name Address City, State, Zip Code Telephone Number Email Address Estimated Project Dates: Start Date: Start Date Completion Date: End Date SESC Plan Prepared By: Company Name Name Address City, State, Zip Code Telephone Number Email Address List Qualifications Here Including License No. (PER RIDEM RIPDES CONSTRUCTION GENERAL PERMIT, RI SESC HANDBOOK, AND THE RI STORMWATER DESIGN AND INSTALLATION STANDARDS MANUAL. ONE OF THE FOLLOWING IS REQUIRED: RI REGISTERED LANDSCAPE ARCHITECT, RI REGISTERED PROFESSIONAL ENGINEER, CPESC, OR, CPSWQ. IF THE PROJECT INVOLVES SIGNIFICANT LAND GRADING OR REQUIRES AN ENGINEERED SITE DESIGN, THE SESC PLAN MUST BE PREPARED BY A RI REGISTERED PROFESSIONAL ENGINEER. ) SESC Plan Preparation Date: Date SESC Plan Revision Date: OWNER CERTIFICATION I certify under penalty of law that this document and all attachments were prepared under the direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. I am aware that it is the responsibility of the site owner and operator to implement and amend the Soil Erosion and Sediment Control Plan as appropriate in accordance with the requirements of the RIPDES Construction General Permit. __________________________