HO

PERMOHONAN PENERBITAN IZIN GANGGUAN (HO)

  1. Izin Gangguan Baru
    1. Persyaratan :
      1. fotokopi KTP Pemohon.
      2. fotokopi akte pendirian, bagi pemohon yang berbentuk badan usaha/yayasan.
      3. fotokopi Izin Lokasi atau Izin Penggunaan Pemanfaatan Tanah bagi jenis usaha dan/atau kegiatan yang wajib dimiliki.
      4. fotokopi Izin Mendirikan Bangunan (IMB).
      5. fotokopi sertifikat tanah dan/atau bukti penguasaan tanah.
      6. fotokopi Izin Lingkungan atau SPPL bagi jenis usaha dan/atau kegiatan yang wajib dimiliki.
      7. denah tetangga yang berbatasan langsung.
      8. surat pernyataan tidak keberatan disertai fotokopi KTP dari tetangga yang berbatasan langsung yang diketahui Ketua RT, Ketua RW, Kepala Desa/Lurah dan Camat setempat.
      9. Berita Acara Sosialisasi di lingkungan tempat usaha yang dilengkapi dengan fotokopi KTP peserta sosialisasi bagi kegiatan/usaha yang wajib mempunyai izin lingkungan.
      10. surat pernyataan.
      11. bagan alur proses produksi untuk kegiatan industri.
      12. khusus untuk persyaratan menara telekomunikasi ditambahkan:
        • rekomendasi dari SKPD/instansi terkait;
        • jaminan asuransi;
        • denah warga sekitar di area rebahan menara;
        • surat pernyataan tidak keberatan warga yang tinggal di area rebahan menara yang diketahui Ketua RT, Ketua RW, Kepala Desa/Lurah dan Camat setempat;
        • Kajian dari dampak radiasi; dan
        • Surat keterangan atau pernyataan rencana penggunaan menara bersama.
    2. Waktu Penyelesaian : 14 hari.
  2. Daftar Ulang Izin Gangguan
    1. Persyaratan :
      1. Surat pengantar dari Kepala Desa/Lurah diketahui Camat.
      2. fotokopi KTP Pemohon.
      3. fotokopi sertifikat tanah dan/atau bukti penguasaan tanah.
      4. bukti pelunasan PBB tahun terakhir.
      5. surat pernyataan tidak ada perubahan.
      6. Izin Gangguan asli.
    2. Waktu Penyelesaian : 7 hari.
  3. Perubahan Izin Gangguan
    1. Persyaratan :
      1. fotokopi KTP Pemohon.
      2. surat keterangan atau bukti perubahan.
      3. foto kopi bukti pelunasan PBB tahun terakhir.
      4. Izin Gangguan asli.
    2. Waktu Penyelesaian : 14 hari.
  4. Penggantian Izin Gangguan Karena Rusak
    1. Persyaratan :
      1. fotokopi KTP Pemohon.
      2. asli dan fotokopi Izin Gangguan yang rusak.
      3. fotokopi bukti pelunasan PBB tahun terakhir.
    2. Waktu Penyelesaian : 7 hari.
  5. Penggantian Izin Gangguan Karena Hilang
    1. Persyaratan :
      1. fotokopi KTP Pemohon.
      2. fotokopi Izin Gangguan yang hilang.
      3. surat keterangan kehilangan dari kepolisian.
      4. fotokopi bukti pelunasan PBB tahun terakhir.
    2. Waktu Penyelesaian : 7 hari.

Retribusi:
Rumus Retribusi = [Luas Tempat Usaha] x [Indeks Gangguan] x [Indeks Modal] x [Tarif Dasar]

Keterangan:

  • Indeks Gangguan :
    • Kawasan Industri : 1
    • Kawasan Perdagangan : 2
    • Kawasan Pariwisata : 3
    • Kawasan Campuran : 4
    • Kawasan Pemukiman : 5
  • Indeks Modal Usaha :
    • Kecil 5 juta s/d 500 juta : 1,2
    • Sedang 500 juta s/d 10 milyar : 1,3
    • Besar di atas 10 milyar : 1,5
    • Tarif Dasar : Rp. 1.000,00

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