Section 2 - Forms

Engineering Director

James R. Hagerman, P.E.
jhagerman@knoxvilletn.gov
(865) 215-2148

400 Main St., Suite 475
P.O. Box 1631
Knoxville, TN 37901

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Section 2 - Forms

File name Revised Title
LD App A [PDF] 04/18 Index sheet for Appendix A
LD Form A [PDF] 11/18 Permit Application
Form B
Property Owner Acknowledgement
Withdrawn April 2018
LD Form C [PDF] 04/18 Fee Computation Worksheet
Form D
Information Worksheet for CPMSF (Covenants)
Withdrawn April 2018
LD Form E1 [PDF] 01/10 Site Development Review Checklist
LD Form E2 [PDF] 04/08 Site Development Submittal Checklist
​Form F
12/13 Plat Review Checklist
Withdrawn April 2018
LD Form G [PDF] 03/10 Site Inspection Checklist
LD Form H [PDF] 01/17 Development Certification Checklist
Form I
Construction Right-Of-Way Permit
Withdrawn April 2018
Form J
Floodplain Development Permit
Withdrawn April 2018
Form K
Site Development Permit
Withdrawn April 2018
Form L
Notice of Violation (NOV) Form
Withdrawn April 2018
LD Form M1 [PDF] 01/18 Special Pollution Abatement Permit
LD Form M2 [PDF] 01/18 SPAP - Food Handling & Processing Facilities
LD Form M3 [PDF] 01/18 SPAP - Vehicle & Equipment Facilities
LD Form M4 [PDF] 01/18 SPAP - Vehicle Wash Facilities
LD Form M5 [PDF] 01/18 SPAP - Large Parking Lot Facilities
LD Form N [PDF] 04/18 FEMA Elevation Certificate and Instructions (U.S. Government Form OMB No. 1660-0008)
LD Form O [PDF] 01/18 Notice of Intent (NOI) Form
LD Form P [PDF] 03/13 Notice of Termination (NOT) Form
LD Form Q [PDF] 01/18 NOI/SWPPP Review Checklist
LD Form R [PDF] 03/19 Stormwater Monitoring Report Form
 LD Form S [PDF] 04/18 Erosion Prevention and Sediment Control (EPSC) Plan for Small-Single Family Lots