City of Tahlequah, OK 111 S Cherokee
Tahlequah, OK 74464
Phone: (918) 456-0651
Fax: (918) 458-9589
Mayor Jason Nichols Mayor Jason Nichols
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    Land Disturbing Permits On-Line Forms
> Home > Government > Permits

Land Disturbing Permit Application

(For Sites Under One(1) Acre)




Type of Land Disturbance:

Berming Boring Dike
Excavation Grading Land Filling
New Development Re-Development Re-Grading
Other*

* If Other, Please Explain:


Name of Project:
Construction Address:
(Or) Legal Description
of Construction Property:
Lot:
Block:
Addition:
Type of Work:
Square Footage:
Lot Size:

Check all types of erosion control measures that will be utilized to revent sediment from washing off site.
Check Dams Vegetative Swales Berms
Silt Fences (frequently checked and adjusted) On-site Truck Tire Wash Sediment Traps
Flow Diversion Structures Temporary Ground Cover Detention\Retention Pond
Other*

* If Other, Please Describe:


Name of Applicant:
Applicant Address:
City:
State:
Zip:
Applicant Phone Number:
Applicant E-mail:
 
Name of Contractor:
Contractor Address:
City:
State:
Zip:
Contractor Phone Number:
Contractor E-mail:
 
Name of Owner:
Owner Address:
City:
State:
Zip:
Applicant Phone Number:
Applicant E-mail:
 
Estimated Area to be Disturbed (square feet):
 
Detention\Floodplain Issues:
 
Are there any wetlands
or tributaries on the property?:
Yes (If Yes, please submit site plan or sketch showing the locations of these waters.)
No

Additional permits that may be required:

  • 404 Permit from Army Corp of Engineers for any disruption of any dry or wet tributary or creek.


By clicking "Submit form" below, I am effectively providing my electronic signature authorizing the City of Tahlequah to begin the process(es) for the submitted application.