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ATTACHMENT D
NOTICE OF GROUND DISTURBANCE Formative of Ground Disturbance / Area Tally Form
Please complete this form and submit to the Town of Dryden Stormwater Management Officer, David
Sprout.
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How to fill out notice of ground disturbance

How to fill out notice of ground disturbance
01
Step 1: Start by providing your contact information such as name, address, and phone number.
02
Step 2: Identify the date and location of the ground disturbance.
03
Step 3: Specify the reason for the ground disturbance and provide detailed information about the work that will be performed.
04
Step 4: List any utilities or underground infrastructure that may be affected by the ground disturbance.
05
Step 5: Include a description of the safety measures that will be taken to mitigate potential risks.
06
Step 6: Provide any additional information or special instructions that may be relevant.
07
Step 7: Sign and date the notice of ground disturbance before submitting it to the appropriate authority.
Who needs notice of ground disturbance?
01
Anyone planning to perform excavations, construction, or any activity that involves disturbing the ground needs to fill out a notice of ground disturbance.
02
This applies to individuals, contractors, or organizations who will be working in areas where underground utilities or infrastructure may be present.
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What is notice of ground disturbance?
Notice of ground disturbance is a formal notification submitted to relevant authorities before any excavation or ground-breaking activities to ensure safety and prevent damage to underground utilities.
Who is required to file notice of ground disturbance?
Any individual or company planning to excavate or disturb the ground is required to file a notice of ground disturbance.
How to fill out notice of ground disturbance?
Notice of ground disturbance can be filled out online or in person by providing details such as location, date, purpose of excavation, and contact information.
What is the purpose of notice of ground disturbance?
The purpose of notice of ground disturbance is to prevent accidental damage to underground utilities, ensure safety of workers and the public, and comply with regulations.
What information must be reported on notice of ground disturbance?
Information such as the location of excavation, date and time of work, purpose of excavation, contact information of the person responsible, and any special instructions or requirements must be reported on notice of ground disturbance.
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