HomeMy WebLinkAboutGrubbing Permit Packet (Revised)Rev
GRUBBING PERMIT NO. Fee: $
Check only – payable to:
County Director of Finance
Owner: Address: Phone:
Civil Eng. / Surveyor: Address: Phone:
License No.:
Contractor: Address: Phone:
License No.:
Location: Tax Map Key: (3)
Parcel Area (acres): Area to be Grubbed (acres):
Start Date: Completion Date:
Remarks:
1.STATE DLNR – HISTORIC PRESERVATION DIVISION Approved:
Received By: Date: Date:
2.PLANNING DEPARTMENT Approved:
Received By:Date: Date:
3.DEPARTMENT OF PUBLIC WORKS Approved:
Received By:Date: Date:
I hereby certify that all work as requested above will conform to Chapter 10 of the Hawai‘i County Code.
Owner: Date:
Return to the Department of Public Works, Engineering Division, upon completion of work.
Certification
Accepted by: Date:
(DPW inspector / engineer)
County of Hawai‘i is an Equal Opportunity Provider and Employer
(minimum 2 working days after issuance date)
County of Hawai‘i
DEPARTMENT OF PUBLIC WORKS – ENGINEERING DIVISION
Rev. 06/17/11
County of Hawai‘i is an Equal Opportunity Provider and Employer
Grubbing Permit
INSTRUCTIONS TO THE APPLICANT
1.The applicant is responsible for obtaining all signatures (Approvals in numerical order) before the start
of work.
2.All work shall be in accordance with Chapter 10 – Erosion and Sedimentation Control, of the Hawai‘i
County Code, and as shown on the approved plans.
3.The Applicant shall provide three (3) sets of grubbing plans to the Department of Public Works. The
plans must include the limits of the proposed grubbing, erosion and sediment control measures, and the
location of any structures, easements, and drainage patterns.
4.The Applicant may call the Historic Preservation Division (933-7653) and the Planning Department
(961-8288) for a list of their requirements.
5.The issued permit will become null and void if authorized work does not commence within ninety (90)
days, or is not completed within one (1) year of the issuance date.
County of Hawai‘i
DEPARTMENT OF PUBLIC WORKS – ENGINEERING DIVISION
LINDA LINGLE
GOVERNOR OF HAWAII
CHIYOME L. FUKINO, M.D.
DIRECTOR OF HEALTH
STATE OF H AWAII
DEPARTMENT OF HEALTH
P.O. BOX 3378
HONOLULU, HAWAII 96801-3378
In reply, please refer to:
EMD / CWB
Subject: National Pollutant Discharge Elimination System (NPDES) Permit
Requirements for Your Construction Activity
An NPDES permit autho rizing discharges of storm water associated
with your construction activity to State waters is required before the commencement of the
construction activities.
LAURA H. THIELEN
CHAIRPERSON LINDA LINGLE BOARD OF LAND AND NATURAL RESOURCES
GOVERNOR OF HAWAII COMMISSION ON WATER RESOURCE MANAGEMENT
RUSSELL Y. TSUJI
FIRST DEPUTY
KEN C. KAWAHARA
DEPUTY DIRECTOR - WATER
AQUATIC RESOURCES
BOATING AND OCEAN RECREATION
BUREAU OF CONVEYANCES
COMMISSION ON WATER RESOURCE MANAGEMENT
CONSERVATION AND COASTAL LANDS
CONSERVATION AND RESOURCES ENFORCEMENT
ENGINEERING
FORESTRY AND WILDLIFE
STATE OF HAWAII
HISTORIC PRESERVATION
KAHOOLAWE ISLAND RESERVE COMMISSION
LAND
DEPARTMENT OF LAND AND NATURAL RESOURCES
STATE HISTORIC PRESERVATION DIVISION STATE PARKS
601 KAMOKILA BOULEVARD, ROOM 555
KAPOLEI, HAWAII 96707
Information for Review Submission of
Hawai`i County Grading, Grubbing & Stockpiling Permits
To improve and expedite the State Historic Preservation Division’s review of Department of Public
Works grubbing, grading and stockpiling permits, we request that the following information be submitted
with your permit application:
1.A site map showing the area of proposed land-altering within the affected TMK parcel(s)
2.Location map showing known historic sites and approved buffer zones in relation to the proposed
project area
3.Description of current vegetation cover and condition of the project area; description of any
structures, roads or other features within the project area (photographs are very helpful)
4.Copies of previously approved permits and/or and prior SHPD review and comment letters that
pertain to the property
5.Summary of land use history if known (i.e., former cane cultivation)
6.Construction dates of buildings within the project area, if known
7.Mailing address and phone number of the contact person to whom we will send our review letter
SHPD does not sign the permit; we will send you a review letter which you will attach to the permit
application. Do not send us your original permit application form; send us a copy so that we may keep it
on file at SHPD.
Pursuant to the Hawaii Revised Statutes, Chapter 6E-11(c) “It shall be unlawful for any person to take, appropriate, excavate,
injure, destroy or alter any historic property or burial site during the course of land development or land alteration activities to
which §6E-42 applies, without obtaining the required approval.”