2023 01 13 SCD Certification

New Jersey Natural Resources Conservatian Pragram aoe APPLICATION FOR SOIL EROSION AND SED. The enclosed soil erosion and sediment control plan and supporting information are submitter RECA \|-2% For District Use Only B22 E-OCT Lttbhyed:? Sespes | KD 6 21E IMENT CONTROL PLAN CERTIFICATION d for certification pursuant to the Soil Erosion and Sediment Control Act, Chapter 251, PL 1975 as amended (NISA 4:24.39 et. seq.) -Ap.gpplicatin for psrtifietion ofa soi erosion and sediment control plan shall include the items listed on the revere side of tis form pACE Cratiey eocce's (neem Name of rie Proposed Popeye's & Fast Food Restaurant | Prieet Losation: Municipality Township of West Orange Project Steet Address 4 77) Eagle Rock Avenue (CR 611) Block 453 Lt 39 Project Owner(s) Email (900) 539-8021 Phone # Name MPB Realty, ELLE @d.baksh@pnrestaurants.com | P10"! (908) 360-0462 Project Owner(s) Street Address (No P.O. Box Numbers) City State Zip 201 Rowe TPNorh, Suto 802 ai Rutherford NJ 7079 Total Project Area__| Total Disturbed Area Total Sol Scemionises | 5 pciira ater Oni eas (Acres) (Acres) (Acres er Units F $ 1.05 AC 1.06 AC NIA Gt N/A 1,325.00 Daa pany? Email of plan preparer Phone #75 74-0198 Dynamic Engineering Consultants, PC - Matthew J. Bersch, PE| mbersch@dynamicec.com Fax# 732-974-3521 Street Address : Ciy State Zip 1904 Main Street Lake Como NJ 07719 *(Engineering rel rasion and Sediment Control Plan MUST be prepared by or under the direction of and be sealed by a Professional F oF Architect ‘ew Jersey. in accordance with NIAC 13:27-6.1 et. seq.) ‘gent Responsible Dring Consrition 7657 Brall Tap Steet Address TBD ciy TBD State TBD zip TBD Phone TBD. Fax #TBD The applicant hereby certifies that all soil erosion and sediment contro! measures are designed in accordance with current Standards for Soil Erosion and Sediment Control In New Jersey and will be installed in accordance with those Standards and the plan as approved by the Soil Conservation District and agrees as follows 1. ‘Yo notity the District in writing at least 48 hours in advance of any land disturbance activi lure to provide such notification may result in additional inspection fees f 2. ‘To notify the District upon completion of the Project (Note: No certificate ‘of occupancy can be granted until a report of compliance is issued by the District a 3. To maintain

pection fees f 2. ‘To notify the District upon completion of the Project (Note: No certificate ‘of occupancy can be granted until a report of compliance is issued by the District a 3. To maintain a copy of the certified plan on the project site during construction To allow District agents to go upon project lands for inspection ‘That any conveyance of this projeet or portion thereof prior to its completion will teanster full responsibility for compliance with the certified plan to any subsequent owners To comply with all terms and conditions of this application and certified plan including payment of all fees prescribed by the district fee schedule hereby incorporated by reference il Sediment Control |. Applicant Certification* BS > Signature Date {1/2223} Applicant Name (Prin) SACI Shay 3. Plan determined complete: usly approved by the Signature of Distriet AA \\\alao Date 2. Receipt of fee, plan and supporting documents is hereby acknowledged Signature of District Official Date = — an D y'i fied, denied or other actions noted above. Special Remarks wz *If other thi ie ae authorization of owner must be attached. A2-2 (} SSCC251 APIO4/Ny