NEW PROCESS FOR LAND CLEARING

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NEW PROCESS FOR LAND CLEARING FOR LAND CLEARING CONDUCTED WITH BUILDING PERMITS Effective Immediately: Any land clearing associated with a building permit does not require a separate land clearing permit. A Land Clearing Plan will be reviewed in conjunction with the review of your building permit. PLEASE refer to the Land Clearing Procedures webpage form for more information on what s needed. The attached Land Clearing Permit application is only for agricultural land clearing or exotic vegetation removal. This application should be submitted to the Growth Management Department.

Land Clearing Permit Types (Check appropriate box below): Exotic Vegetation Clearing APPLICATION LAND CLEARING PERMIT Growth Management Department Environmental Division Agricultural Land Clearing PART 1: Applicant Information A. Property Owner (s) Name Title and Company (if applicable) Mailing Address City, State, Zip Telephone, Fax, or E-mail Address Building Permit Number B. Agent or Contractor Authorized by Property Owner to Perform Land Clearing Name, Title Name of Contact Person, if different Land Clearing Contractor Martin County Occupational License # Address City, State, Zip Telephone: Fax: Email Address: Permit Number: NLC- After-the-Fact Clearing NLCA- T:/gmd/div_environ/app_forms/app_Land Clearing Page 1 Revised 02/01/2018

PART 2: Site Information Street Address or driving directions: Parcel Control Number: Total Parcel sq. ft. / acreage Total sq. ft. / acreage to be cleared Gopher Tortoises The Pre-Clearing Inspection will include an evaluation of the presence of gopher tortoises. If the property appears to have gopher tortoise burrows on-site or within 10 feet of its boundaries, an Environmental Assessment will be required and no land clearing will be allowed until the status of gopher tortoises on the property has been determined. PART 3: Land Clearing Information Erosion and Sediment Control Methods Proposed (to be shown on site plan): Entrenched silt fence barricade Stabilized berm Other: Native Vegetation to be Preserved During Construction (to be shown on site plan): Perimeter vegetation Approved Preserve Area / Wetland No native vegetation exists on perimeter of property Debris Disposal Method: Chipped on site, off-site delivery Delivered to Landfill Open Burning* *Must obtain Burn Permit from local Fire Department Nonvegetative Debris Disposal: To be delivered to Landfill No debris, e.g., construction, demolition debris, or trash, on property Date(s) of proposed landclearing: T:/gmd/div_environ/app_forms/app_Land Clearing Page 2

PART 4: Application Checklist 1. Location map for the subject property, identifying the parcel, with driving directions or gate codes, as necessary 2. Land Clearing Plan Provide a plan view drawing indicating the following: Location and limits of areas to be cleared Location of on-site and adjacent preserve areas or wetlands, if applicable Location of perimeter native vegetation to be retained (not cleared) during construction Location of construction barricades (orange mesh safety fence) around all trees and vegetation not included in proposed clearing area Proposed type and location of erosion and sediment control structures (silt fence) Location of Permit Box 3. Non-refundable application processing fee. (Check payable to Martin County B.C.C) PART 5: Conditions of Approval After your application is complete, the following will be required prior to scheduling your Pre-Clearing Inspection: 1. Property corners shall be located by a licensed land surveyor and clearly marked in the field prior to inspection. 2. A permanent permit box shall be installed on site. Inspection results will be left on site. 3. Prior to the start of any proposed clearing activities, owner or contractor will contact the Environmental Division at (772) 288-5495 to schedule a Pre-Clearing Inspection. When the Pre-Clearing Inspection is approved, you must: 1. Obtain your approved Land Clearing Permit from the Environmental Division. 2. Post the approved Land Clearing Permit in a conspicuous place in the front of the premises before work is started. 3. Remove cleared vegetation from premises. No cleared vegetation will be allowed to accumulate on the premises, on neighboring properties, or in any streets or other right-of-ways. 4. Leave all construction barricades and silt fences in place during the clearing activities. 5. Remove barricades and silt fences only after the Environmental Division has conducted a final inspection of the site or has granted permission for removal. T:/gmd/div_environ/app_forms/app_Land Clearing Page 3

PART 6: Application Certification By signing this application form, I am applying, or I am applying on behalf of the property owner, for the authorization identified above, according to the supporting data and other incidental information filed with this application. I am familiar with the information contained in this application and represent that such information is true, complete and accurate. I understand this is an application and not a permit, and that commencement of clearing activities prior to approval is a violation of Martin County Code. I understand that this application, and any approval to clear vegetation issued pursuant thereto, does not relieve me of any obligation for obtaining any other required federal, state, water management district or local permit prior to commencement of clearing activities. I also certify that existing deed restrictions or covenants on this property will be adhered to and that, if this application is approved, all portions of the Martin County Code pertaining to the use of the above described property will be complied with. I further certify that I have read the instructions and fully understand the conditions set forth and will comply fully with them knowing that failure to comply or omission thereof may result in no action being taken on this application without refund of the application fee. Typed/Printed Name of Property Owner or Agent (If one is so authorized below) Signature of Property Owner or Agent (Date) AN AGENT MAY SIGN ABOVE ONLY IF THE PROPERTY OWNER COMPLETES THE FOLLOWING: I hereby designate and authorize the agent listed above to act on my behalf, or on behalf of my corporation, as the agent in the processing of this application for approval to conduct clearing of vegetation and to furnish, on request, supplemental information in support of this application. In addition, I authorize the above-listed agent to bind me, or my corporation, to perform any requirements that may be necessary to procure such approval. Typed/Printed Name of Property Owner Signature of Property Owner (Date) T:/gmd/div_environ/app_forms/app_Land Clearing Page 4