07 HEPSCD Certification 2025 09 30

For District Use Only New Jersey Natural Resources Conservation Program ,005 - -7632 APPLICATION FOR SOIL EROSION AND SEDIMENT CONTROL PLAN CERTIFICATION The enclosed soil erosion and sediment control plan and supporting information are submitted for certification pursuant to the Soil Erosion and Sediment Control Act, Chapter 251. P.L. 1975 as amended (NJSA 4:24-39 et. seq.) An application for certification of a soil erosion and sediment control plan shall include the items listed on the reverse side of this form. Name of Project 1 --v-6 1--)C 2-$ `'X' \-1k/t'S-t - (-) ----`"1 SX__.- 457 Mount Pleasant Ave Project Location: Municipality West Orange Project Street Address Block lot 457 Mount Pleasant Ave, West Orange, NJ 157 5 Project Owner(s) Name Trader Joe's East, Inc. Email atobias@traderjoes.com Phone 4 (857) 400-3512 Fax Project Owner(s) Street Address (No Y.U. Box Numbers) 160 Federal St., Floor 12 City - Boston State Zip MA 02111 Total Project Area Total Disturbed Area Total Soil Restoration Area (Acres) (Acres) (...) (Acres) No. Dwelling or other Units Fee 3.71 < 1 .) <1, --C,1s$925 Plans Prepared by* Email of plan preparer: Phone # (908) 668-8300 Bohler tlam@bohlereng.com Fax 4 (908) 754-4401 Street Address City State Zip 30 Independence Boulevard (Suite 200) Warren NJ 07059 (Engineering related items of the oi Erosion and e iment Control Plan MUST be prepared by or under the direction of and be sealed by a Professional Engineer or Architect licensed in the State of New Jersey, in accordance with NJAC 13:27-6.1 et. seq.) Agent Responsible During Construction Andy Tobias Street Address 160 Federal St., Floor 12 City Boston State MA Zip 02111 Email atobias@traderjoes.com Phone (857) 400-3512 Fax The applicant hereby certifies that all soil erosion and sediment control 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. To notify the District in writing at least 48 hours in advance of any land disturbance activity. Failure to provide such notification may result in additional inspection fees. 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. 3.

ult in additional inspection fees. 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. 3. To maintain a copy of the certified plan on the project site during construction. 4. To allow District agents to go upon project lands for inspection. 5. That any conveyance of this project or portion thereof prior to its completion will transfer full responsibility for compliance with the certified plan to any subsequent owners. 6. 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. The applicant hereby acknowledges that structural measures contained in the Soil Erosion and Sediment Control Plan arc reviewed for adequacy to reduce offsite soil erosion and sedimentation and not for adequacy of structural design. The applicant shall retain full responsibility for any damages which may result from any construction activity notwithstanding district certification of the subject soil erosion and sediment control plan. It is understood that approval of the plan submitted with this application shall be valid only for the duration of the initial project approval granted by the municipality. All municipal renewals of this project will require submission and approval by the district. In no case shall the approval extend beyond three- and one-half years at which time resubmission and certification will be required. Soil Erosion and Sediment Control Plan certification is limited to the controls specified in the plan. It is not authorization to engage in the proposed land use unless such use has been previously approved by the municipality or other controlling agency. It is further understood that all documents, site plans. design reports etc. submitted to the district shall be made available to the public (upon request) pursuant to the Open Public Records Act, N.J.S.A. 47:1A-1 et seq. • 1. Applicant Certification* Trader Jo 's East, Inc. Signature By: 1-2-6- vi Applicant Name (Print) Y NCIrCOV\ -- 3. Plan dct-' tined complete: t 72-(172-1 _ Signature of District Official / Date 2. Receipt of fee, plan and supporting documents is hereby acknowledged: Signature of Dis , M 1/2 -r 4. Plan certified, denied or other actions noted abov , Special

gnature of District Official / Date 2. Receipt of fee, plan and supporting documents is hereby acknowledged: Signature of Dis , M 1/2 -r 4. Plan certified, denied or other actions noted abov , Special Remarks: P t 4 4 .;_., "/Sia• : t. it If i 4, 6 Date . :,1' ' ' T g/3C:jac *If other than pr ect orynef, written authorization of owner must be attached. SSCC25f AP10 4/19