This handout has been prepared to expedite the commercial permitting process. Please take the time necessary tofill out this checklist as completely as possible in order to avoid any unnecessary delays.

PRODECURE FOR COMMERCIAL PERMIT APPROVALStep 1 FILL OUT THIS CHECKLIST COMPLETELY. Applicants are responsible for providing all

of the information on this checklist.

Step 2 Submit a set of you plans to the Louisiana State Fire Marshal for review. A copy ofapproved plans and review letter must be submitted to St. John the Baptist Parish priorto the permit being issued.

Step 3 Submit the completed checklist and 5 full size sets and 1 reduced set of plans and to St. John the Baptist Parish Department of Planning and Zoning, 102 East Airline Highway,LaPlace, Louisiana. Once the application is reviewed and all information is received,applicant will be placed on the agenda for the Administration Meeting. Attendance ismandatory. These meetings are held every Wednesday morning at 10:00 a.m. To be puton the agenda application and all documents must be turned in to St. John the BaptistParish Planning & Zoning Office the Wednesday prior to the next Wednesday meetingyou want to attend.

Step 4 If additional approvals from the Utility Board, Planning Commission, etc., are required,applicant must attend these meetings as well.

Step 5 When all required approvals are obtained, the applicant will be contacted when thepermit is ready to be picked up. Any applicable fees must be paid before a permit is issued.

Step 6 Site inspections are required during the construction period. It is the owner’s/builder’sresponsibility to schedule these inspections with the appropriate department.

Required inspections are:

Zoning inspections - Planning/Zoning Department 985-651-5565

Culvert inspections - Roads and Bridges Department 985-652-4815

Utility inspections - Utilities Department 985-651-6800

Louisiana State Fire Marshall 225-925-4920

South Central Regional Construction Code Compliance 866-285-9053

ST. JOHN THE BAPTIST PARISHPlanning & Zoning Department102 East Airline Highway • LaPlace, LA 70068Phone: 985-651-5565 • www.sjbparish.com

COMMERCIAL PERMIT APPROVAL & CHECKLIST

GENERAL INFORMATION

Name of Owner / Developer: ____________________________________________________________

Address: ____________________________________________________________________________

Phone Number(s): _______________________________Cell:__________________________________If applicant is not the owner, a letter from the owner is required proving ownership and that the applicant is authorized to represent the owner. Copy of deed for the property is required.

Value: New Construction/Structure: _____________________ Lot: ______________________

Copy of contract required.If building value is $50,000 or more, state law requires a licensed contractor. (A copy of Contractor’s License required)

General Contractor_____________________________________________License #_________________

Contact person: __________________________________ Phone Number: _________________________

Name / Location of Project: ________________________________________________________________

Plan review is being done by: ______________________________________ _______________________

Plans submitted: _____site plan, _____electrical plan, _____plumbing plan, _____drainage plan,_____vicinity plan, ______survey, _____elevation certificate. If the site is in the Overlay District of St. Johnthe Baptist Parish a Landscape plan is required. Must be drawn to scale and stamped by a Louisianalicensed architect or engineer.

___________________________________________________________________________________

ADMINISTRATION

_____ Administration Meeting Wednesdays @ 10:00 a.m.

_____ Meeting date__________________________________

_____ Building plans submitted including site plan, electrical plan, plumbing plan, drainage plan,vicinity map, survey, and elevation certificate.

_____ Vicinity map and survey of property with easements, servitudes and rights-of-ways shown.

_____ Project may require approval from other boards, and commissions.

Approved:_____________________________________Date:______________________________

ZONING______ Zoning District__________ (Zoning regulations available from Planning & Zoning

@ 985-651-5565 or on our web site www.sjbparish.com )

______ Overlay District Yes / No

______ If site is in one of the specified corridors in the Overlay District, architectural,

surface material specified and in accordance with requirements of district Yes / No

______ If site is in Overlay District, landscape plan is included and in accordance

with requirements of district Yes / No

______ Intended Use_____________________________________________________

Permitted use in the district? Yes / No

Setback: (Check Zoning Classification)

Required Proposed Building Material

Front_____________ _____________ Interior Walls _______________

Rear _____________ _____________ Exterior Walls ______________

Sides ____________ _____________ Foundation Type ____________

Roof Type _________________

• Is this a corner lot: Yes / No

• Does site abut a school, church, or residential use or district: Yes / No

• Site-obscuring fence shown on plans: Yes / No

______ Other buffer requirements_________________________________________

______ Signage shown on plans along with size and location requirements Yes / No

______ Total area of building____________________________ square feet

______ Parking classification ____________________________________

______ Number Parking: Required _____________________, Proposed____________________(9’ x 19’ space required)

______ Proposed parking spaces and aisled meet size regulations: Yes / No

______ Width of driveways_______________________

______ Total area of paving____________________________________ square feet.

______ What is the flood zone / elevation requirements? ________________________________

(A flood elevation certificate is required if property is in a Flood Zone)

TELECOMMUNICATIONS TOWER______ New Location ______ Plan review paid ______ Notification fee paid

______ Co-location ______ Request of Change filled out

UTILITIES (Applicant should contact the Utilities Department at 985-651-6800 orRoads & Bridges Department at 985-652-4815 for this information.)

WATER______ Available water service. Size of service line________________________________ Sprinkler system. Yes / No______ Irrigation meter needed? Yes / No Size of service line________________________ Back flow preventor shown on waterlines Yes / No

SEWERAGE______ Available sewer service. Size of service line________________________________ Where will sewerage be treated?__________________________________________ Non-domestic sewerage permit application filled out (attached) Yes / No______ Fee paid ($150.00) ______ Grease Trap (auto/truck repair, food service, etc.)

Assessment District? Yes / No ______ Floor Drains (yes/No)______ Number of employees______ Public Works Director has determined fees for water & sewer taps, if applicable Yes / No______ Back-flow preventor is shown on sewer lines.

DRAINAGE______ On-site drainage plan is provided (Required)______ Culvert permit required?

OTHER PERMITS______ DOTD permit required?______ Health Department permit -- Approval 985-536-2128______ Other State or Federal permits required (Note: DEQ permit may be required for

some commercial or industrial uses.) If applicable, please explain:

Other information necessary to fully describe project:

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I hereby certify that all information provided is true, accurate, and complete to the best of myknowledge and that I intend to comply with all applicable regulations of St. John the Baptist Parish, theState of Louisiana, and the Federal Government.

________________________________________ ______________________________________Owner Signature Date

St. John the Baptist Parish Business Waste Water Use

Permitting Procedure.

____ For commercial, industrial or renewal applicants contact Planning and Zoning for Permit

Application Package.

____ Package contains application for Potential Non-Domestic (ND) Service. Contact CES, Inc. if

assistance is required at 985-653-0000.

____ Complete Non-Domestic (ND) application and other Planning and Zoning required forms.

____ Submit Non-Domestic (ND) application to Utility Department on Elm Street with $100 non-

refundable application fee. Contact 985-651-6800 if assistance is required.

____ Utility Department will stamp ND application “Paid” and provide a copy for the potential customer to return to Planning and Zoning. Planning and Zoning will continue their process. The Environmental Committee** will meet to review and classify the potential waste water use customer on “Date”.

____ Final classification should be rendered within two (2) weeks and the application stamped and

sent to the Billing Department. Commercial customers will follow normal approval steps while

ND customers will be provided special details and rates by the Utility Department.

____ The Utility Department will issue a Non-Domestic Permit to all ND customers. Permits are not

considered valid or final until the completed is signed by both the customers and the Utility

Director. Also, the non-Domestic Permit classification (annual-Major and bi-annual-Minor)

must be assigned to each Permit. Billing will be issued a copy of the final Permit with

“Completed” stamped at the top of the document.

____ The Billing Department will add a monthly non-domestic Permit fee and non-domestic usage

fee to the monthly utility bill.

Note:

** The Environmental Committee is composed of the following positions; Utility Director, Plant

Manager, Collection Manager, Building Code Administrator, Executive Secretary and CES, Inc.

WASTEWATER USER APPLICATION

(Industrial, Commercial and Renewal Applicants)

1. a) NAME OF BUSINESS _______________________________________________

b) MAILING ADDRESS ________________________________________________

c) ADDRESS OF PREMISES ___________________________________________

d) TYPE OF BUSINESS (Check)

(Industrial ( ) Commercial ( ) Professional ( ) Other ( )

e) DESCRIPTION OF BUSINESS ________________________________________

________________________________________________________

f) PERSON TO CONTACT ABOUT THIS APPLICATION ______________________

PHONE _____________________

2. a) METHOD OF WASTE DISPOSAL (Check)

City Sewer ( ) Septic Tank and Leaching ( ) Haul ( )

b) TYPE OF WASTE DISCHARGE: Domestic only ( ) Industrial & Domestic ( )

3. a) DAYS OF OPERATION PER WEEK M T W TH F SA SU (Circle)

b) NUMBER OF EMPLOYEES Full-time _______ Part-time _______

c) RAW MATERIALS USED (including average rate of usage) __________________

__________________________________________________________________

__________________________________________________________________

d) PRODUCTS PRODUCED (type and rate of production) _____________________

__________________________________________________________________

e) PROCESS DESCRIPTION ___________________________________________

_________________________________________________________________

f) GALLONS OF WATER USED PER MONTH _____________________________

g) GALLONS OF WATER USED IN PRODUCT _____________________________

h) GALLONS OF WATER DISCHARGED IN SEWER SYSTEM _________________

i) N.P.D.E.S. PERMIT NUMBER Yes ( ) No ( )

If Yes, NUMBER _______________

j) NAME OF SERVICING WATER COMPANY ______________________________

K) WATER COMPANY ACCOUNT NUMBER (S) ____________________________

4. a) WASTEWATER PRODUCING OPERATIONS (full description) _______________

_________________________________________________________________

_________________________________________________________________

b) DURATION OF DISCHARGE (HRS/DAY) _______________________________

c) HOURLY PEAK ___________________ (gpm)

d) ESTIMATED FLOW RATES (AVERAGE)

(1) Sanitary sewer ___________________ (gpm)

(2) Boiler _________________(gpm)

(3) Cooling water ______________ (gpm)

(4) Total discharge flow _______________ (gpm)

5. a) ATTACH SITE AND/OR FLOOR PLAN OF FACILITY SHOWING DETAILS OF PROCESS PLUMBING, SEWER LINES, CONNECTIONS AND APURTENANCES. ALL SAMPLING POINTS MUST BE INDICATED ON THE DIAGRAMS.

b) IF BATCH PROCESS USED, DESCRIBE PROCEDURES USED TO DISPOSE OF WASTE MATERIAL:

c) DESCRIBE ANY PRETREATMENT, WASTE STORAGE, SPILL CONTROL, OR HOUSEKEEPING PRACTICES USED OR PLANNED:

6. POLLUTANT CHARACTERISTICS

a) IS YOUR INDUSTRY/BUSINESS COVERED BY FEDERAL CATEGORICAL STANDARDS?

Yes ( ) No ( )

b) DOES YOUR COMPANY HAVE A STANDARD INDUSTRIAL CLASSIFICATION (SIC) NUMBER(S)? IF SO, LIST:

____________________ ____________________ ____________________

____________________ ____________________ ____________________

c) TEST PARAMETERS

ANALYZE THE PARAMETERS INDICATED BY A CHECK MARK ( ) AND RECORD THE ANALYTICAL RESULTS IN THE BLANK PROVIDED BY THE TEST NAME.

IF APPLICABLE

GROUP I

( ) Ammonia ____________ ( ) Solids, Total Suspended _________

( ) BODS ________________ ( ) Solids, Total Dissolved ____________

( ) COD ________________ ( ) Solids, Settleable _________________

( ) Chloride ___________ ( ) Sulfate __________________________

( ) Color ______________ ( ) Sulfide __________________________

( ) Coliform, Fecal ________ ( ) Surfactant _______________________

( ) Coliform, Total ________ ( ) Nitrogen _______________________

( ) Fluoride _______________ ( ) TKN _______________

( ) Oil and Grease _________ ( ) Nitrate _____________

( ) pH___________________ ( ) Nitrite ______________

( ) Phenol, Total _________ ( ) Temperature _______________

( ) Phosphate _____________ Other:

GROUP II

METALS OTHER PARAMETERS

( ) Antimony (mg/kb Sb) _________ ( ) Acidity, Total__________________

( ) Arsenic (mg/kg As) __________ ( ) Alkalinity, Total________________

( ) Beryllium (mg/kg Be)_________ ( ) Flammables___________________

( ) Cadmium (mg/kg Cd)___________ ( ) Explosives____________________

( ) Chromium (mg/kg Cr)__________ ( ) Dyes_________________________

( ) Copper (mg/kg Cu)____________ ( ) Radioactive____________________

( ) Lead (mg/kg Pb)_____________ ( ) Gross Alpha____________________

METALS OTHER PARAMETERS

( ) Mercury (mg/kg Hg)___________ ( ) Cross Beta_______________________

( ) Nickel (mg/kg Ni)____________ ( ) TOC____________________________

( ) Selenium (mg/Kg Se)__________ ( ) TOD____________________________

( ) Silver (mg/kg Ag)____________ ( ) TC______________________________

( ) Thallium (mg/kg tl)__________

( ) Zinc (mg/kg Zn)______________

( ) Other Metals:

( ) Sodium (mg/kg Na)______________

( ) __________ (mg/kg )__________

( )___________(mg/kg )__________

( )___________(mg/kg )__________

( )___________(mg/kg )__________

( ) PESTICIDES ( PCB’S)

Aldrin a-BHC B-BHC Y- BHC O-BHC

Chlordane 4,4’-DDT 4,4’-DDE 4,4’DDD

Dieldrin a- Endosulfan b- B-Endosulfan Endrin Endrin Aldehyde Heptachlor Heptachlor Epoxide Toxahene

PCB – 1016 PCB – 1221 PCB – 1232 PCB – 1242 PCB – 1248 PCB – 1260

GROUP III

( ) VOLATILES ( ) BASE NEUTRALS

Benzone

Bromoform

Carbon tetrachloride

Chlorobenzene

Chlorodibromomethane

Chloroethane

2-Chloroethyvinyl ether

Chloroform

1,2-Dichlorobenzene

1,4-Dichlorobenzene

Accnaphthene

Acenaphthylene

Anthracene

Benzidine

Beuzo (a) Anthracene

Benzo (a) Pyrene

3-4 Benzo Fluoranthene

Benzo (ghi) {Perylene

Benzo (k) Fluranthene

Bis (2-Chlorethoxy) Methane

7. LIST ANY OTHER TOXICANTS NOT COVERED IN THE PREVIOUS GROUPS, KNOWN OR ANTICIPATED TO BE PRESENT IN YOUR DISCHARGE: ________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

8. THE INFORMATION CONTAINED IN THIS APPLICATION IS FAMILIAR TO ME AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IS TRUE.

(Signature of Official)

(Date)

(Position)

(Notary)

_____________________________________ (Date)

Corporate Seal Required if Corporation.

MAIL TO:

St. John the Baptist Parish

1801 W. AIRLINE HWY.

LAPLACE, LA 70068

Attn: Non-Domestic Administrator