W A L I K O T A B A N D U N G
P E R A T U R A N W A L I K O T A B A N D U N G
N O M O R 2 6 5 T A H U N 2 0 1 6
T E N T A N G
P E R U B A H A N K E D U A A T A S P E R A T U R A N W A L I K O T A B A N D U N G
N O M O R 4 9 5 T A H U N 2 0 1 5 T E N T A N G S T A N D A R O P E R A S I O N A ^ P R O S E D U R
P E L A Y A N A N P E R I Z I N A N T E R P A D U
W A L I K O T A B A N D U N G ,
M e n i m b a n g a . b a h w a S t a n d a r O p e r a s i o n a l P r o s e d u r P e l a y a n a n P e r i z i n a n
T e r p a d u t e l a h d i a t u r d e n g a n P e r a t u r a n W a l i k o t a B a n d u n g
N o m o r 4 9 5 T a h u n 2 0 1 5 t e n t a n g S t a n d a r O p e r a s i o n a l P r o s e d u r
P e l a y a n a n P e r i z i n a n T e r p a d u s e b a g a i m a n a t e l a h d i u b a h
d e n g a n P e r a t u r a n W a l i k o t a B a n d u n g N o m o r 8 5 5 T a h u n 2 0 1 5 ,
n a m u n d a l a m p e r k e m b a n g a n n y a s e s u a i d e n g a n U n d a n g -
U n d a n g N o m o r 2 0 T a h u n 2 0 0 8 t e n t a n g U s a h a M i k r o , K e c i l
d a n M e n e n g a h juncto P e r a t u r a n P e m e r i n t a h N o m o r 1 7
T a h u n 2 0 1 3 t e n t a n g P e l a k s a n a a n U n d a n g - U n d a n g
N o m o r 2 0 T a h u n 2 0 0 8 t e n t a n g U s a h a i j t f i k r o , K e c i l d a n
M e n e n g a h , P e m e r i n t a h D a e r a h a k a n m e m b e r i k a n
k e m u d a h a n p e l a y a n a n d a n p e r s y a r a t a n p e r i z i n a n b a g i
p e l a k u u s a h a m i k r o d a n u s a h a k e c i l ;
b . b a h w a d a l a m P e r a t u r a n W a l i k o t a B a n d u n g N o m o r 4 9 5
T a h u n 2 0 1 5 t e n t a n g S t a n d a r O p e r a s i o n a l P r o s e d u r P e l a y a n a n
P e r i z i n a n T e r p a d u s e b a g a i m a n a t e l a h d i u b a h d e n g a n
P e r a t u r a n W a l i k o t a B a n d u n g N o m o r 8 5 5 T a h u n 2 0 1 5 , m a s i h
d i a t u r m e n g e n a i I z i n J a s a T i t i p a n y a n g b u k a n m e r u p a k a n
w e w e n a n g P e m e r i n t a h D a e r a h , d a n d a l a m r a n g k a m e m b e r i k a n
k e m u d a h a n t e r h a d a p b e b e r a p a j e n i s i z i n p e r l u d i l a k u k a n
p e n y e d e r h a n a a n p e r s y a r a t a n ;
c . b a h w a ...
Jalan W a s t u k a n c a n a N o 2 B a n d u n g T e l e p o n ( 0 2 2 ) 4 2 3 2 3 3 8 •• 4 2 0 7 7 0 6 - 4 2 4 0 1 2 7 F a x . ( 0 2 2 ) 4 2 3 6 1 5 0 B a n d u n g - 4 0 2 1 1 7 P r o v i n s i J a w a B a r a t
2
c . b a h w a d a l a m r a n g k a m e n i n g k a t k a n k e t a a t a n m a s y a r a k a t
p e l a k u u s a h a a t a s k e w a j i b a n m e m e n u h i k e t e n t u a n P a j a k
D a e r a h , p e r l u d i l a k u k a n p e n g a t u r a n m e n g e n a i p e r s y a r a t a n
d a l a m p e r m o h o n a n p e r i z i n a n ;
d . b a h w a d a l a m r a n g k a l e b i h m e n i n g k a t k a n k u a l i t a s p e l a y a n a n
p e r i z i n a n k e p a d a m a s y a r a k a t , p e r l u d i l a k u k a n u p a y a u n t u k
m e n g e m b a n g k a n s i s t e m p e l a y a n a n p e r i z i n a n s e c a r a e l e k t r o n i k
s e s u a i d e n g a n p e r k e m b a n g a n t e k n o l o g i i n f o r m a s i ;
e . b a h w a b e r d a s a r k a n p e r t i m b a n g a n s e b a g a i m a n a d i m a k s u d
d a l a m h u r u f a , h u r u f b , h u r u f c , d a n h u r u f d p e r l u
m e n e t a p k a n P e r a t u r a n W a l i k o t a B a n d u n g t e n t a n g P e r u b a h a n
K e d u a A t a s P e r a t u r a n W a l i k o t a B a n d u n g N o m o r 4 9 5 T a h u n
2 0 1 5 t e n t a n g S t a n d a r O p e r a s i o n a l P r o s e d u r P e l a y a n a n
P e r i z i n a n T e r p a d u ;
2 0 1 4 t e n t a n g
M e n g i n g a t : 1 . U n d a n g - U n d a n g N o m o r 2 0 T a h u n 2 0 0 8 t e n t a n g U s a h a
M i k r o , K e c i l d a n M e n e n g a h ;
2 . U n d a n g - U n d a n g N o m o r 2 5 T a h u n 2 0 0 9 t e n t a n g P e l a y a n a n
P u b l i k ;
3 . U n d a n g - U n d a n g N o m o r 2 8 T a h u n 2 0 0 9 t e n t a n g P a j a k D a e r a h
d a n R e t r i b u s i D a e r a h ;
4 . U n d a n g - U n d a n g N o m o r 2 3 T a h u n
P e m e r i n t a h a n D a e r a h s e b a g a i m a n a t e l a h d i u b a h b e b e r a p a
k a l i t e r a k h i r d e n g a n U n d a n g - U n d a n g N o m o r 9
T a h u n 2 0 1 5 t e n t a n g P e r u b a h a n K e d u a A t a s U n d a n g -
U n d a n g N o m o r 2 3 T a h u n 2 0 1 4 t e n t a n g P e m e r i n t a h a n
D a e r a h ;
5 . P e r a t u r a n P e m e r i n t a h N o m o r 1 7 T a h u n 2 0 1 3 t e n t a n g
P e l a k s a n a a n U n d a n g - U n d a n g N o m o r 2 0 T a h u n 2 0 0 8
t e n t a n g U s a h a M i k r o , K e c i l d a n M e n e n g a h ;
6 . P e r a t u r a n P r e s i d e n N o m o r 2 7 T a h u n 2 0 0 9 t e n t a n g P e l a y a n a n
T e r p a d u S a t u P i n t u d i B i d a n g P e n a n a m a n M o d a l ;
7 . P e r a t u r a n P r e s i d e n N o m o r 9 7 T a h u n 2 0 1 4 t e n t a n g
P e n y e l e n g g a r a a n P e l a y a n a n T e r p a d u S a t u P i n t u ;
P e r a t u r a n D a e r a h K o t a B a n d u n g N o m o r 0 8 T a h u n 2 0 0 7
t e n t a n g U r u s a n P e m e r i n t a h a n D a e r a h K o t a B a n d u n g ;
P e r a t u r a n D a e r a h K o t a B a n d u n g N o m o r 2 2 T a h u n 2 0 0 9
t e n t a n g P e n y e l e n g g a r a a n P e r i z i n a n ;
8
9
1 0 . P e r a t u r a n
3
1 0 . P e r a t u r a n W a l i k o t a B a n d u n g N o m o r 4 9 5 T a h u n 2 0 1 5 t e n t a n g S t a n d a r O p e r a s i o n a l P r o s e d u r P e l a y a n a n P e r i z i n a n T e r p a d u s e b a g a i m a n a t e l a h d i u b a h d e n g a n P e r a t u r a n W a l i k o t a B a n d u n g N o m o r 8 5 5 T a h u n 2 0 1 5 t e n t a n g P e r u b a h a n A t a s P e r a t u r a n W a l i k o t a B a n d u n g N o m o r 4 9 5 T a h u n 2 0 1 5 t e n t a n g S t a n d a r O p e r a s i o n a l P r o s e d u r P e l a y a n a n P e r i z i n a n T e r p a d u ;
M E M U T U S K A N :
M e n e t a p k a n : P E R A T U R A N W A L I K O T A T E N T A N G P E R U B A H A N K E D U A A T A S
P E R A T U R A N W A L I K O T A B A N D U N G N O M O R 4 9 5 T A H U N 2 0 1 5
T E N T A N G S T A N D A R O P E R A S I O N A L P R O S E D U R P E L A Y A N A N
P E R I Z I N A N T E R P A D U .
P a s a l I
B e b e r a p a k e t e n t u a n d a l a m P e r a t u r a n W a l i k o t a B a n d u n g
N o m o r 4 9 5 T a h u n 2 0 1 5 t e n t a n g S t a n d a r O p e r a s i o n a l P r o s e d u r
P e l a y a n a n P e r i z i n a n T e r p a d u ( B e r i t a D a e r a h K o t a B a n d u n g
T a h u n 2 0 1 5 N o m o r 1 7 ) s e b a g a i m a n a t e l a h d i u b a h d e n g a n
P e r a t u r a n W a l i k o t a B a n d u n g N o m o r 8 5 5 T a h u n 2 0 1 5 t e n t a n g
P e r u b a h a n A t a s P e r a t u r a n W a l i k o t a B a n d u n g N o m o r 4 9 5
T a h u n 2 0 1 5 t e n t a n g S t a n d a r O p e r a s i o n a l P r o s e d u r P e l a y a n a n
P e r i z i n a n T e r p a d u ( B e r i t a D a e r a h K o t a B a n d u n g T a h u n 2 0 1 5
N o m o r 3 1 ) , d i u b a h s e b a g a i b e r i k u t :
1 . K e t e n t u a n P a s a l 1 a n g k a 2 1 , a n g k a 2 2 , a n g k a 3 0 , a n g k a 3 1 ,
a n g k a 3 3 , d a n a n g k a 3 5 d i u b a h , a n g k a 2 9 , a n g k a 3 2 , a n g k a
4 2 , d a n a n g k a 4 6 d i h a p u s , d a n d i a n t a r a a n g k a 8 d a n
a n g k a 9 d i s i s i p k a n 3 ( t i g a ) a n g k a y a k n i a n g k a 8 a , 8 b d a n
a n g k a 8 c , s e r t a d i a n t a r a a n g k a 1 0 d a n a n g k a 1 1 d i s i s i p k a n
2 ( d u a ) a n g k a y a i t u a n g k a 1 0 a d a n a n g k a 1 0 b , d i a n t a r a
a n g k a 2 0 d a n a n g k a 2 1 d i s i s i p k a n 1 ( s a t u ) a n g k a y a i t u
a n g k a 2 0 a d a n s e t e l a h a n g k a 4 7 d i t a m b a h 1 7 ( t u j u h b e l a s )
a n g k a y a i t u a n g k a 4 8 , a n g k a 4 9 , a n g k a 5 0 , a n g k a 5 1 , a n g k a
5 2 , a n g k a 5 3 , a n g k a 5 4 , a n g k a 5 5 , a n g k a 5 6 , a n g k a 5 7 ,
a n g k a 5 8 , a n g k a 5 9 , a n g k a 6 0 , a n g k a 6 1 d a n a n g k a 6 4 ,
s e h i n g g a P a s a l 1 b e r b u n y i s e b a g a i b e r i k u t :
P a s a l 1
1 . D a e r a h a d a l a h K o t a B a n d u n g .
2 . P e m e r i n t a h D a e r a h a d a l a h P e m e r i n t a h K o t a B a n d u n g .
3 . W a l i k o t a ...
4
K o t a
5.
6 .
7 .
8
W a l i k o t a a d a l a h W a l i k o t a B a n d u n g .
S e k r e t a r i s D a e r a h a d a l a h S e k r e t a r i s D a e r a h
B a n d u n g .
B a d a n K o o r d i n a s i P e n a t a a n R u a n g D a e r a h y a n g
s e l a n j u t n y a d i s i n g k a t B K P R D a d a l a h B a d a n K o o r d i n a s i
P e n a t a a n R u a n g / D a e r a h K o t a B a n d u n g .
S a t u a n K e r j a P e r a n g k a t D a e r a h y a n g s e l a n j u t n y a
d i s i n g k a t S K P D a d a l a h S a t u a n K e r j a P e r a n g k a t D a e r a h
d i l i n g k u n g a n P e m e r i n t a h D a e r a h .
B a d a n P e l a y a n a n P e r i z i n a n T e r p a d u y a n g s e l a n j u t n y a
d i s e b u t B a d a n a d a l a h B a d a n P e l a y a n a n P e r i z i n a n
T e r p a d u K o t a B a n d u n g .
K e p a l a B a d a n P e l a y a n a n P e r i z i n a n T e r p a d u y a n g
s e l a n j u t n y a d i s e b u t K e p a l a B a d a n a d a l a h K e p a l a B a d a n
P e l a y a n a n P e r i z i n a n T e r p a d u K o t a B a n d u n g .
8 a . D i n a s P e l a y a n a n P a j a k y a n g s e l a n j u t n y a d i s i n g k a t
D i s y a n j a k a d a l a h D i n a s P e l a y a n a n P a j a k K o t a
B a n d u n g .
K e p a l a D i n a s P e l a y a n a n P a j a k y a n g s e l a n j u t n y a
d i s i n g k a t K e p a l a D i s y a n j a k a d a l a h K e p a l a D i n a s
P e l a y a n a n P a j a k K o t a B a n d u n g .
K e p a l a D i n a s K o p e r a s i , U s a h a K e c i l M e n e n g a h d a n
P e r i n d u s t r i a n P e r d a g a n g a n y a n g s e l a n j u t n y a d i s i n g k a t
K e p a l a D i n a s K U K M P e r i n d a g a d a l a h K e p a l a D i n a s
K o p e r a s i , U s a h a K e c i l M e n e n g a h d a n P e r i n d u s t r i a n
P e r d a g a n g a n K o t a B a n d u n g .
T i m P e m b i n a a d a l a h T i m k e r j a y a n g t e r d i r i d a r i K e p a l a
8 b
8 c
9. m e l a k u k a n S K P D y a n g m e m p u n y a i w e w e n a n g
p e m b i n a a n t e r h a d a p T i m T e k n i s s e s u a i d e n g a n t u g a s
p o k o k d a n f u n g s i n y a m a s i n g - m a s i n g .
1 0 . K e p a l a B i d a n g a d a l a h K e p a l a B i d a n g p a d a B a d a n y a n g
m e m i l i k i w e w e n a n g s e s u a i d e n g a n t u g a s p o k o k d a n
f u n g s i n y a .
1 0 a . C a m a t a d a l a h C a m a t d i l i n g k u n g a n P e m e r i n t a h D a e r a h .
1 0 b . K e p a l a S e k s i E k o n o m i P e m b a n g u n a n d a n L i n g k u n g a n
H i d u p y a n g s e l a n j u t n y a d i s i n g k a t K a s i E k b a n g d a n L H
a d a l a h K e p a l a S e k s i E k o n o m i P e m b a n g u n a n d a n
L i n g k u n g a n H i d u p p a d a K e c a m a t a n d i l i n g k u n g a n
P e m e r i n t a h D a e r a h .
1 1 . T i m
5
1 1 . T i m T e k n i s a d a l a h T i m y a n g b e r w e n a n g m e m b e r i k a n
r e k o m e n d a s i m e n g e n a i d i s e t u j u i a t a u d i t o l a k n y a
p e r m o h o n a n p e r i z i n a n .
1 2 . P e l a y a n a n P e r i z i n a n T e r p a d u a d a l a h k e g i a t a n
p e n y e l e n g g a r a a n P e l a y a n a n P e r i z i n a n d a n N o n
P e r i z i n a n s e c a r a t e r i n t e g r a s i d a l a m s a t u k e s a t u a n
p r o s e s d i m u l a i d a r i t a h a p p e r m o h o n a n s a m p a i d e n g a n
t a h a p p e n y e l e s a i a n p r o d u k p e l a y a n a n s a t u p i n t u y a n g
d i l a k u k a n o l e h B a d a n .
1 3 . I z i n a d a l a h K e p u t u s a n T a t a U s a h a N e g a r a y a n g
d i b e r i k a n k e p a d a s e s e o r a n g a t a u B a d a n U s a h a u n t u k
m e m b e r i k a n d a s a r k e a b s a h a n d a l a m m e l a k u k a n
p e r b u a t a n t e r t e n t u .
1 4 . P e r i z i n a n a d a l a h s e g a l a b e n t u k p e r s e t u j u a n y a n g
d i b e r i k a n o l e h P e m e r i n t a h D a e r a h y a n g m e m i l i k i
k e w e n a n g a n s e s u a i d e n g a n k e t e n t u a n P e r a t u r a n
P e r u n d a n g - u n d a n g a n .
1 5 . S u r a t K e t e t a p a n R e t r i b u s i D a e r a h y a n g s e l a n j u t n y a
d i s i n g k a t S K R D a d a l a h s u r a t k e t e t a p a n y a n g
m e n e n t u k a n b e s a r n y a j u m l a h r e t r i b u s i y a n g t e r h u t a n g .
1 6 . S u r a t K e t e t a p a n P a j a k D a e r a h y a n g s e l a n j u t n y a d i s e b u t
S K P D a e r a h a d a l a h s u r a t k e t e t a p a n y a n g m e n e n t u k a n
b e s a r n y a j u m l a h p a j a k y a n g t e r h u t a n g .
1 7 . P e m b i n a a n a d a l a h u p a y a p e n g e m b a n g a n , p e m a n t a p a n ,
p e m a n t a u a n , e v a l u a s i , p e n i l a i a n , d a n p e m b e r i a n
p e n g h a r g a a n k e p a d a S K P D y a n g d i l a k u k a n W a l i k o t a .
1 8 . P e n g a d u a n M a s y a r a k a t a d a l a h l a p o r a n d a r i m a s y a r a k a t
m e n g e n a i a d a n y a k e l u h a n d a l a m r a n g k a
p e n y e l e n g g a r a a n p e l a y a n a n perizinan.
1 9 . I z i n L o k a s i a d a l a h i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h
D a e r a h k e p a d a p e r u s a h a a n u n t u k m e m p e r o l e h t a n a h
y a n g d i p e r l u k a n d a l a m r a n g k a p e n a n a m a n m o d a l y a n g
b e r l a k u p u l a s e b a g a i i z i n p e m i n d a h a n h a k d a n u n t u k
m e n g g u n a k a n t a n a h t e r s e b u t g u n a k e p e r l u a n u s a h a
p e n a n a m a n m o d a l n y a .
2 0 . I z i n M e n d i r i k a n B a n g u n a n y a n g s e l a n j u t n y a d i s i n g k a t
1 M B a d a l a h i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h D a e r a h
k e p a d a o r a n g a t a u B a d a n U s a h a u n t u k k e g i a t a n
m e n d i r i k a n s u a t u b a n g u n a n .
2 0 a . I z i n ..
6
2 0 a . I z i n M e n d i r i k a n B a n g u n a n M e n a r a T e l e k o m u n i k a s i y a n g s e l a n j u t n y a d i s i n g k a t 1 M B M e n a r a T e l e k o m u n i k a s i a d a l a h 1 M B y a n g d i t e r b i t k a n u n t u k m e n d i r i k a n b a n g u n a n m e n a r a t e l e k o m u n i k a s i .
2 1 . I z i n P e m a n c a n g a n T i a n g P a n c a n g a d a l a h i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h D a e r a h k e p a d a o r a n g d a n / a t a u B a d a n U s a h a u n t u k p e m a s a n g a n t i a n g p a n c a n g r e k l a m e , billboard, j e m b a t a n p e n y e b e r a n g a n , b a n d o , b a n g u n a n h a l t e b i s d a n s e j e n i s n y a .
2 2 . I z i n P e m b u a t a n J a l a n M a s u k P e k a r a n g a n a d a l a h i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h D a e r a h k e p a d a s e t i a p o r a n g d a n / a t a u B a d a n U s a h a y a n g a k a n m e m b u a t j a l a n m a s u k p e k a r a n g a n y a n g m e l a l u i R u a n g M i l i k J a l a n , t e r m a s u k j a l a n m a s u k d a l a m k o m p l e k p e r u m a h a n , p e r t o k o a n / k o m e r s i l .
2 3 . I z i n P e m b u a t a n J a l a n M a s u k d i d a l a m K o m p l e k P e r u m a h a n , P e r t o k o a n d a n y a n g s e j e n i s n y a a d a l a h i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h D a e r a h k e p a d a o r a n g d a n / a t a u B a d a n U s a h a y a n g m e m b u a t j a l a n d a l a m k o m p l e k , p e r u m a h a n , p e r t o k o a n / k o m e r s i l .
2 4 . I z i n P e n u t u p a n / P e n g g u n a a n T r o t o a r , B e r m d a n S a l u r a n a d a l a h i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h D a e r a h k e p a d a o r a n g d a n / a t a u B a d a n U s a h a y a n g m e n g g u n a k a n / m e m a n f a a t k a n d a n / a t a u m e n u t u p t r o t o a r , b e r m d a n s a l u r a n a i r m i l i k / d i k u a s a i o l e h P e m e r i n t a h D a e r a h .
2 5 . I z i n P e m a t a n g a n L a h a n / T a n a h a d a l a h d i b e r i k a n o l e h P e m e r i n t a h D a e r a h d a n / a t a u B a d a n U s a h a y a n g m e l a k s a n a k a n k e g i a t a n p e m a t a n g a n l a h a n / t a n a h u n t u k k a w a s a n p e r u m a h a n d a n u s a h a .
2 6 . I z i n P e n g g a l i a n R u a n g M i l i k J a l a n a d a l a h i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h D a e r a h k e p a d a o r a n g d a n / a t a u B a d a n U s a h a y a n g m e l a k s a n a k a n k e g i a t a n p e n g g a l i a n p e r k e r a s a n j a l a n , t r o t o a r , b e r m , d a n s a l u r a n u n t u k p e n a n a m a n i n s t a l a s i t e l e p o n , l i s t r i k , a i r b e r s i h , a i r k o t o r , g a s d a n l a i n - l a i n .
2 7 . I z i n P e m b u a n g a n A i r L i m b a h k e S u n g a i a d a l a h i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h D a e r a h t e r h a d a p p e m b u a n g a n s e t i a p b a h a n l a i n h a s i l s a m p i n g k e g i a t a n e k o n o m i y a n g d i l a k u k a n o l e h p e r o r a n g a n d a n / a t a u B a d a n U s a h a a t a u s e t e l a h m e l a l u i p r o s e s I n s t a l a s i P e n g o l a h a n A i r L i m b a h k e c u a l i y a n g b e r a s a l d a r i r u m a h t a n g g a
2 8 . I z i n ...
i z i n y a n g k e p a d a o r a n g
7
t e r h a d a p
a l u r y a n g
s a l u r a n / s u n g a i ,
t i a n g p a n c a n g
2 8 . I z i n P e l a k s a n a a n K o n s t r u k s i y a n g m e n g u b a h a l i r a n
d a n / a t a u A l u r S u n g a i / S a l u r a n a d a l a h i z i n y a n g
d i b e r i k a n o l e h P e m e r i n t a h D a e r a h
p e m i n d a h a n d a n / a t a u p e r u b a h a n
d i a k i b a t k a n k a r e n a a d a n y a p e m a n f a a t a n l i n g k u n g a n
y a n g m e m b u t u h k a n p e m i n d a h a n s a l u r a n / s u n g a i t a n p a
m e r u b a h f u n g s i h i d r o l i s d a n s a l u r a n / s u n g a i t e r s e b u t .
2 9 . D i h a p u s .
3 0 . I z i n P e l a k s a n a a n K o n s t r u k s i p a d a R u a n g S u n g a i a d a l a h
i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h D a e r a h u n t u k
m e m b a n g u n l i n t a s a n d i a t a s a t a u d i b a w a h
s a l u r a n / s u n g a i o l e h m a s y a r a k a t u n t u k
k e p e n t i n g a n / k e b u t u h a n p r i b a d i a t a u u m u m .
3 1 . I z i n P e m a n f a a t a n B a n t a r a n d a n S e m p a d a n S u n g a i
a d a l a h i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h D a e r a h
t e r h a d a p p e m a n f a a t a n b a n g u n a n p e n g a i r a n d a n / a t a u
l a h a n p a d a d a e r a h s e m p a d a n
d i p e r u n t u k a n u n t u k p e m a s a n g a n
r e k l a m e .
3 2 . D i h a p u s .
3 3 . I z i n G a n g g u a n y a n g s e l a n j u t n y a d i s i n g k a t I G a d a l a h
i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h D a e r a h b e r u p a i z i n
t e m p a t u s a h a / k e g i a t a n k e p a d a p e r o r a n g a n a t a u b a d a n
u s a h a d i l o k a s i t e r t e n t u y a n g t i d a k d a n / a t a u d a p a t
m e n i m b u l k a n b a h a y a , k e r u g i a n d a n g a n g g u a n , d a n
t e r c e m a r n y a l i n g k u n g a n , t i d a k t e r m a s u k t e m p a t
u s a h a / k e g i a t a n y a n g t e l a h d i t e n t u k a n o l e h P e m e r i n t a h
D a e r a h .
3 4 . T a n d a D a f t a r P e r u s a h a a n y a n g s e l a n j u t n y a d i s i n g k a t
T D P a d a l a h s u r a t t a n d a p e n g e s a h a n y a n g d i b e r i k a n
o l e h P e m e r i n t a h D a e r a h k e p a d a
p e r d a g a n g a n y a n g t e l a h m e l a k u k a n
p e r u s a h a a n .
3 5 . I z i n U s a h a P e r d a g a n g a n y a n g s e l a n j u t n y a d i s i n g k a t I U P a d a l a h i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h D a e r a h k e p a d a p e r u s a h a a n y a n g m e l a k u k a n k e g i a t a n u s a h a p e r d a g a n g a n .
3 6 . T a n d a D a f t a r G u d a n g y a n g d i s i n g k a t T D G a d a l a h s u r a t t a n d a d a f t a r y a n g d i b e r i k a n o l e h P e m e r i n t a h D a e r a h y a n g b e r l a k u s e b a g a i b u k t i b a h w a g u d a n g t e r s e b u t t e l a h d i d a f t a r u n t u k d a p a t m e l a k u k a n k e g i a t a n s a r a n a d i s t r i b u s i .
3 7 . T a n d a
p e r u s a h a a n
p e n d a f t a r a n
8
3 7 . T a n d a D a f t a r I n d u s t r i y a n g s e l a n j u t n y a d i s i n g k a t T D I
a d a l a h s u r a t t a n d a d a f t a r y a n g d i b e r i k a n o l e h
P e m e r i n t a h D a e r a h k e p a d a s e t i a p p e n d i r i a n
p e r u s a h a a n i n d u s t r i d e n g a n n i l a i i n v e s t a s i b e r p e d o m a n
p a d a k e t e n t u a n p e r a t u r a n p e r u n d a n g - u n d a n g a n .
3 8 . I z i n U s a h a I n d u s t r i y a n g s e l a n j u t n y a d i s i n g k a t I U I
a d a l a h i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h D a e r a h
k e p a d a P e r u s a h a a n I n d u s t r i u n t u k m e l a k s a n a k a n
k e g i a t a n e k o n o m i y a n g m e n g o l a h b a h a n m e n t a h , b a h a n
b a k u , b a r a n g s e t e n g a h j a d i , d a n / a t a u b a r a n g j a d i
m e n j a d i b a r a n g d e n g a n n i l a i y a n g l e b i h t i n g g i u n t u k
p e n g g u n a a n n y a , t e r m a s u k k e g i a t a n r a n c a n g b a n g u n
d a n p e r e k a y a s a a n i n d u s t r i , b e r u p a i z i n U s a h a I n d u s t r i ,
I z i n P e r l u a s a n d a n T a n d a D a f t a r I n d u s t r i d e n g a n n i l a i
i n v e s t a s i b e r p e d o m a n p a d a k e t e n t u a n p e r a t u r a n
p e r u n d a n g - u n d a n g a n .
3 9 . I z i n T r a y e k a d a l a h i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h
D a e r a h k e p a d a o r a n g p r i b a d i a t a u B a d a n u n t u k
m e n y e d i a k a n p e l a y a n a n a n g k u t a n p e n u m p a n g u m u m
p a d a s u a t u a t a u b e b e r a p a t r a y e k t e r t e n t u .
4 0 . I z i n U s a h a J a s a K o n s t r u k s i y a n g s e l a n j u t n y a d i s i n g k a t
I U J K a d a l a h i z i n y a n g d i b e r i k a n o l e h P e m e r i n t a h
D a e r a h k e p a d a B a d a n U s a h a u n t u k m e l a k s a n a k a n
k e g i a t a n u s a h a j a s a k o n s t r u k s i .
4 1 . I z i n P e n g e l o l a a n T e m p a t P a r k i r y a n g s e l a n j u t n y a
d i s i n g k a t I P T P a d a l a h i z i n y a n g d i b e r i k a n o l e h
P e m e r i n t a h D a e r a h k e p a d a o r a n g d a n / a t a u B a d a n
U s a h a y a n g m e n y e l e n g g a r a k a n p e n g e l o l a a n /
p e n y e l e n g g a r a a n f a s i l i t a s p a r k i r .
4 2 . D i h a p u s .
4 3 . I z i n P e n y e l e n g g a r a a n R e k l a m e y a n g s e l a n j u t n y a
d i s i n g k a t I P R a d a l a h i z i n y a n g d i b e r i k a n o l e h
P e m e r i n t a h D a e r a h k e p a d a o r a n g a t a u B a d a n U s a h a
y a n g m e n y e l e n g g a r a k a n k e g i a t a n p e m a s a n g a n r e k l a m e
u n t u k t u j u a n k o m e r s i l .
4 4 . I z i n U s a h a A n g k u t a n a d a l a h i z i n y a n g d i b e r i k a n o l e h
P e m e r i n t a h D a e r a h k e p a d a B a d a n U s a h a u n t u k
m e l a k u k a n u s a h a d i b i d a n g a n g k u t a n b a r a n g a t a u
o r a n g b a i k y a n g d i l a k s a n a k a n d a l a m t r a y e k m a u p u n
t i d a k d a l a m t r a y e k d a n b e r l a k u s e l a m a k e g i a t a n u s a h a
b e r l a n g s u n g .
4 5 . B a d a n
9
4 5 . B a d a n U s a h a a d a l a h s e k u m p u l a n o r a n g d a n / a t a u
m o d a l y a n g m e r u p a k a n k e s a t u a n d a n m e l a k u k a n
k e g i a t a n u s a h a .
4 6 . D i h a p u s
4 7 . I z i n L i n g k u n g a n a d a l a h i z i n y a n g d i b e r i k a n k e p a d a
s e t i a p o r a n g y a n g m e l a k u k a n u s a h a d a n / a t a u k e g i a t a n
y a n g w a j i b A m d a l a t a u U K L - U P L d a l a m r a n g k a
p e r l i n d u n g a n d a n p e n g e l o l a a n l i n g k u n g a n h i d u p
s e b a g a i p r a s y a r a t m e m p e r o l e h i z i n u s a h a d a n / a t a u
k e g i a t a n .
4 8 . U s a h a M i k r o a d a l a h u s a h a p r o d u k t i f m i l i k o r a n g
p e r o r a n g a n d a n / a t a u b a d a n u s a h a p e r o r a n g a n y a n g
m e m e n u h i k r i t e r i a U s a h a M i k r o s e b a g a i m a n a d i a t u r
d a l a m U n d a n g - U n d a n g N o m o r 2 0 T a h u n 2 0 0 8
t e n t a n g U s a h a M i k r o , K e c i l d a n M e n e n g a h .
4 9 . U s a h a K e c i l a d a l a h u s a h a e k o n o m i p r o d u k t i f y a n g
b e r d i r i s e n d i r i , y a n g d i l a k u k a n o l e h o r a n g p e r o r a n g a n
a t a u b a d a n u s a h a y a n g b u k a n m e r u p a k a n a n a k
p e r u s a h a a n a t a u b u k a n c a b a n g p e r u s a h a a n y a n g
d i m i l i k i , d i k u a s a i , a t a u m e n j a d i b a g i a n b a i k l a n g s u n g
m a u p u n t i d a k l a n g s u n g d a r i U s a h a M e n e n g a h a t a u
U s a h a B e s a r y a n g m e m e n u h i k r i t e r i a U s a h a K e c i l
s e b a g a i m a n a d i m a k s u d d a l a m U n d a n g - U n d a n g
N o m o r 2 0 T a h u n 2 0 0 8 t e n t a n g U s a h a M i k r o , K e c i l
d a n M e n e n g a h .
5 0 . U s a h a M e n e n g a h a d a l a h u s a h a e k o n o m i p r o d u k t i f y a n g
b e r d i r i s e n d i r i , y a n g d i l a k u k a n o l e h o r a n g p e r o r a n g a n
a t a u b a d a n u s a h a y a n g b u k a n m e r u p a k a n a n a k
p e r u s a h a a n a t a u c a b a n g p e r u s a h a a n y a n g d i m i l i k i ,
d i k u a s a i , a t a u m e n j a d i b a g i a n b a i k l a n g s u n g m a u p u n
t i d a k l a n g s u n g d e n g a n U s a h a K e c i l a t a u U s a h a B e s a r
d e n g a n j u m l a h k e k a y a a n b e r s i h a t a u h a s i l p e n j u a l a n
t a h u n a n s e b a g a i m a n a d i a t u r d a l a m U n d a n g - U n d a n g
N o m o r 2 0 T a h u n 2 0 0 8 t e n t a n g U s a h a M i k r o , K e c i l
d a n M e n e n g a h .
5 1 . T a n d a .
1 0
5 1 . T a n d a D a f t a r U s a h a K e c i l y a n g s e l a n j u t n y a
d i s i n g k a t T D U K a d a l a h t a n d a b u k t i p e n d a f t a r a n
s e b a g a i l e g a l i t a s u s a h a y a n g d i b e r i k a n o l e h
P e m e r i n t a h D a e r a h b a g i P e l a k u U s a h a K e c i l
P e r s e o r a n g a n y a n g m e n y a m p a i k a n p e m b e r i t a h u a n
s e c a r a e l e k t r o n i k k e p a d a P e m e r i n t a h D a e r a h .
5 2 . T a n d a D a t a U s a h a M i k r o y a n g s e l a n j u t n y a d i s i n g k a t
T D U M a d a l a h t a n d a b u k t i p e n d a t a a n s e b a g a i
l e g a l i t a s u s a h a y a n g d i b e r i k a n o l e h P e m e r i n t a h
D a e r a h b a g i P e l a k u U s a h a M i k r o y a n g
m e n y a m p a i k a n p e m b e r i t a h u a n s e c a r a e l e k t r o n i k
k e p a d a P e m e r i n t a h D a e r a h .
5 3 . P a j a k D a e r a h , y a n g s e l a n j u t n y a d i s e b u t P a j a k , a d a l a h
k o n t r i b u s i w a j i b k e p a d a D a e r a h y a n g t e r u t a n g o l e h
o r a n g p r i b a d i a t a u b a d a n y a n g b e r s i f a t m e m a k s a
b e r d a s a r k a n U n d a n g - U n d a n g , d e n g a n t i d a k
m e n d a p a t k a n i m b a l a n s e c a r a l a n g s u n g d a n d i g u n a k a n
u n t u k k e p e r l u a n D a e r a h b a g i s e b e s a r - b e s a r n y a
k e m a k m u r a n r a k y a t .
5 4 . P a j a k B u m i d a n B a n g u n a n y a n g s e l a n j u t n y a
d i s i n g k a t P B B a d a l a h p a j a k a t a s b u m i d a n / a t a u
b a n g u n a n y a n g d i m i l i k i , d i k u a s a i , d a n / a t a u
d i m a n f a a t k a n o l e h o r a n g p r i b a d i a t a u B a d a n , k e c u a l i
k a w a s a n y a n g d i g u n a k a n u n t u k k e g i a t a n u s a h a
p e r k e b u n a n , p e r h u t a n a n , d a n p e r t a m b a n g a n .
5 5 . P a j a k H o t e l a d a l a h p a j a k a t a s p e l a y a n a n y a n g
d i s e d i a k a n o l e h h o t e l .
5 6 . P a j a k R e s t o r a n a d a l a h p a j a k a t a s p e l a y a n a n
y a n g d i s e d i a k a n o l e h r e s t o r a n .
5 7 . P a j a k H i b u r a n a d a l a h p a j a k a t a s p e n y e l e n g g a r a a n
h i b u r a n .
5 8 . P a j a k R e k l a m e a d a l a h p a j a k a t a s p e n y e l e n g g a r a a n
r e k l a m e .
5 9 . Host to Host.
1 1
5 9 . Host to Host a d a l a h s e b u a h b e n t u k k o m u n i k a s i a t a u
h u b u n g a n d i d a l a m s e b u a h j a r i n g a n k o m p u t e r y a n g
t e r j a d i a n t a r host, y a i t u k o m p u t e r d e n g a n p e r a n g k a t
l a i n y a n g t e r h u b u n g s a t u s a m a l a i n d a n s a l i n g
b e r k o m u n i k a s i m e l a l u i a l a m a t j a r i n g a n .
6 0 . Host to client a d a l a h s u a t u b e n t u k a r s i t e k t u r j a r i n g a n
k o m p u t e r d i m a n a host m e r u p a k a n p e r a n g k a t y a n g
m e n y e d i a k a n d a n b e r t i n d a k s e b a g a i p e n g e l o l a a p l i k a s i ,
d a t a , d a n s i s t e m k e a m a n a n , s e d a n g k a n
d i e n t m e r u p a k a n p e r a n g k a t y a n g m e n e r i m a d a n a k a n
m e n a m p i l k a n a p l i k a s i (software computer).
6 1 . P e r m o h o n a n P e r i z i n a n P a r a l e l a d a l a h p e r m o h o n a n
p e r i z i n a n s e c a r a e l e k t r o n i k l e b i h d a r i s a t u i z i n y a n g
d i l a k u k a n o l e h P e m o h o n k e p a d a B a d a n .
6 2 . P e l a y a n a n r e v i s i 1 M B a d a l a h p e l a y a n a n i z i n m e n d i r i k a n
b a n g u n a n y a n g h a n y a d i t u j u k a n u n t u k m e r u b a h n a m a
k e p e m i l i k a n a t a u m e m p e r b a i k i k e s a l a h a n p e n u l i s a n
p a d a n a s k a h i z i n d e n g a n k e t e n t u a n t i d a k t e r m a s u k
m e r u b a h b a n g u n a n , f u n g s i b a n g u n a n d a n / a t a u a l a m a t
p e r s i l .
2 . K e t e n t u a n P a s a l 6 d i t a m b a h k a n 1 ( s a t u ) h u r u f b a r u y a k n i
h u r u f i , s e h i n g g a P a s a l 6 b e r b u n y i s e b a g a i b e r i k u t :
P a s a l 6
R u a n g l i n g k u p p e l a y a n a n p e r i z i n a n t e r p a d u s a t u p i n t u ,
m e l i p u t i :
a . p e l a y a n a n p e r i z i n a n b a r u ;
b . p e l a y a n a n p e r u b a h a n p e r i z i n a n ;
c . p e l a y a n a n p e r p a n j a n g a n / d a f t a r u l a n g p e r i z i n a n ;
d . p e l a y a n a n p e m b e r i a n s a l i n a n ;
e . p e l a y a n a n r e v i s i 1 M B ;
f . p e l a y a n a n l e g a l i s a s i p e r i z i n a n ;
g . p e l a y a n a n p e n c a b u t a n p e r i z i n a n a t a s p e r m o h o n a n
s e n d i r i ;
h . p e m b i n a a n d a n p e n g a w a s a n ;
i . t a t a c a r a p e n g e n a a n s a n k s i a d m i n i s t r a s i t e r h a d a p
p e l a n g g a r p e r i z i n a n .
3 . K e t e n t u a n ...
1 2
3 . K e t e n t u a n P a s a l 7 d i u b a h s e h i n g g a b e r b u n y i s e b a g a i b e r i k u t :
P a s a l 7
J e n i s p e r i z i n a n y a n g d i s e l e n g g a r a k a n d e n g a n p o l a p e l a y a n a n
t e r p a d u s a t u p i n t u , m e l i p u t i :
a . I z i n L o k a s i ;
b . 1 M B ;
c . 1 M B M e n a r a T e l e k o m u n i k a s i ;
d . I z i n P e m a n c a n g a n T i a n g P a n c a n g ;
e . I z i n P e m b u a t a n J a l a n M a s u k P e k a r a n g a n ;
f . I z i n P e m b u a t a n J a l a n M a s u k d i d a l a m K o m p l e k
P e r u m a h a n , P e r t o k o a n , d a n s e j e n i s n y a ;
g . I z i n P e n u t u p a n / P e n g g u n a a n T r o t o a r , B e r m d a n S a l u r a n ;
h . I z i n P e m a t a n g a n L a h a n / T a n a h ;
i . I z i n P e n g g a l i a n R u a n g M i l i k J a l a n ;
j . I z i n P e m b u a n g a n A i r L i m b a h k e S u n g a i ;
k . I z i n P e l a k s a n a a n K o n s t r u k s i y a n g M e n g u b a h a l i r a n
d a n / a t a u a l u r s u n g a i / s a l u r a n ;
1. I z i n P e l a k s a n a a n K o n s t r u k s i p a d a R u a n g S u n g a i ;
m . I z i n P e m a n f a a t a n B a n t a r a n d a n S e m p a d a n S u n g a i ;
n . I G ;
o . T D P ;
p . I U P ;
q . T D G ;
r . T D I ;
s . I U I ;
t . I z i n T r a y e k ;
u . I U J K ;
v . I P T P ;
w . I z i n P e n y e l e n g g a r a a n R e k l a m e ;
x . I z i n U s a h a A n g k u t a n ;
y . I z i n L i n g k u n g a n ;
z . T D U K ; d a n
a a . T D U M .
4 . K e t e n t u a n a y a t ( 1 ) P a s a l 8 d i u b a h , s e h i n g g a P a s a l 8 b e r b u n y i
s e b a g a i b e r i k u t :
P a s a l 8
( 1 ) T e r h a d a p p e l a y a n a n j e n i s p e r i z i n a n s e b a g a i m a n a
d i m a k s u d d a l a m P a s a l 7 h u r u f b , h u r u f n , d a n h u r u f t ,
d i k e n a k a n r e t r i b u s i .
( 2 ) S e m u a
1 3
s e b a g a i m a n a
( 2 ) S e m u a j e n i s p e l a y a n a n p e r i z i n a n s e l a i n y a n g d i m a k s u d
p a d a a y a t ( 1 ) t i d a k d i p u n g u t r e t r i b u s i .
( 3 ) K e t e n t u a n l e b i h l a n j u t m e n g e n a i t a t a c a r a p e n g h i t u n g a n
r e t r i b u s i s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) , t e r c a n t u m
d a l a m L a m p i r a n I y a n g m e r u p a k a n b a g i a n t i d a k
t e r p i s a h k a n d a r i P e r a t u r a n W a l i k o t a i n i .
K e t e n t u a n a y a t ( 3 ) P a s a l 1 0 d i u b a h , s e h i n g g a P a s a l 1 0
b e r b u n y i s e b a g a i b e r i k u t :
P a s a l 1 0
( 1 ) P e l a y a n a n p e r i z i n a n t e r p a d u s a t u p i n t u d i s e l e n g g a r a k a n
o l e h B a d a n .
( 2 ) P e n a n d a t a n g a n a n d o k u m e n s e m u a j e n i s p e r i z i n a n
s e b a g a i m a n a d i m a k s u d d a l a m p a s a l 7 d i l a k u k a n o l e h
K e p a l a B a d a n .
( 3 ) P e n a n d a t a n g a n a n d o k u m e n p e r i z i n a n
d i m a k s u d p a d a a y a t ( 2 ) , m e l i p u t i :
a . p e n a n d a t a n g a n a n p e r i z i n a n b a r u ;
b . p e n a n d a t a n g a n a n p e r u b a h a n p e r i z i n a n ;
c . p e n a n d a t a n g a n a n p e r p a n j a n g a n / d q f t a r u l a n g
p e r i z i n a n ;
d . p e n a n d a t a n g a n a n p e m b e r i a n s a l i n a n p e r i z i n a n ;
e . p e n a n d a t a n g a n a n r e v i s i 1 M B ;
f . p e n a n d a t a n g a n a n p e n c a b u t a n p e r i z i n a n a t a s
p e r m o h o n a n s e n d i r i ;
g . p e n a n d a t a n g a n a n p e m b a t a l a n p e r i z i n a n ;
h . p e n a n d a t a n g a n a n p e m b e k u a n p e r i z i n a n ;
i . p e n a n d a t a n g a n a n p e n c a b u t a n p e r i z i n a n ;
j . p e n a n d a t a n g a n a n p e n u t u p a n
u s a h a / k e g i a t a n ;
k . p e n a n d a t a n g a n a n S u r a t K e t e t a p a n R e t r i b u s i D a e r a h
( S K R D ) ;
1. p e n a n d a t a n g a n a n N o t a P e n g a n t a r P a j a k ;
m . p e n a n d a t a n g a n a n T D U K ; d a n
n . p e n a n d a t a n g a n a n T D U M .
( 4 ) D a l a m m e n y e l e n g g a r a k a n p e l a y a n a n p e r i z i n a n t e r p a d u
s a t u p i n t u s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) , B a d a n
d i b a n t u o l e h T i m T e k n i s .
6 . K e t e n t u a n ...
s e m e n t a r a
1 4
6 . K e t e n t u a n P a s a l 1 3 d i t a m b a h k a n 1 ( s a t u ) a y a t b a r u y a k n i
a y a t ( 3 ) , s e h i n g g a P a s a l 1 3 b e r b u n y i s e b a g a i b e r i k u t :
P a s a l 1 3
( 1 ) P e n y e l e n g g a r a a n p e l a y a n a n p e r i z i n a n t e r p a d u u n t u k
s e m u a j e n i s i z i n s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 7
d i l a k u k a n s e c a r a e l e k t r o n i k (e-service).
( 2 ) P e l a y a n a n p e r i z i n a n t e r p a d u s e c a r a e l e k t r o n i k (e-service)
s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) h a r u s m e n g i k u t i
k e t e n t u a n d a l a m P e r a t u r a n W a l i k o t a i n i .
( 3 ) B a d a n d a p a t m e n g e m b a n g k a n s i s t e m p e l a y a n a n p e r i z i n a n
t e r p a d u s e c a r a e l e k t r o n i k ( e - s e r u i c e ) , s e s u a i d e n g a n
p e r k e m b a n g a n t e k n o l o g i i n f o r m a s i .
7 . K e t e n t u a n P a s a l 1 8 d i t a m b a h k a n 1 ( s a t u ) h u r u f b a r u y a k n i
h u r u f e , s e h i n g g a P a s a l 1 8 b e r b u n y i s e b a g a i b e r i k u t :
P a s a l 1 8
T a h a p v a l i d a s i s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 1 5 a y a t
( 1 ) h u r u f c , h a r u s m e m e n u h i k e t e n t u a n s e b a g a i b e r i k u t :
a . v a l i d a s i d i l a k u k a n o l e h K e p a l a B i d a n g ;
b . p a d a t a h a p v a l i d a s i K e p a l a B i d a n g d a p a t :
1 ) m e l i h a t k e m b a l i s e l u r u h b e r k a s d i g i t a l ;
2 ) m e n g e m b a l i k a n k e p a d a p e t u g a s v e r i f i k a s i u n t u k
d i v e r i f i k a s i u l a n g ;
3 ) m e l a k u k a n p e n o l a k a n ; a t a u
4 ) m e m b e r i k a n p e r s e t u j u a n a t a s p e r m o h o n a n b e s e r t a
k e l e n g k a p a n d o k u m e n n y a d a r i p e m o h o n .
c . u n t u k p e r m o h o n a n y a n g m e m e r l u k a n r e k o m e n d a s i
t e k n i s , d o k u m e n d i t e r u s k a n k e p a d a T i m T e k n i s ;
d . u n t u k p e r m o h o n a n y a n g t i d a k m e m e r l u k a n r e k o m e n d a s i
t e k n i s , d o k u m e n d i t e r u s k a n k e p a d a K e p a l a B a d a n ;
e . u n t u k l e b i h m e m p e r c e p a t p e l a y a n a n p e r i z i n a n p a d a
t a h a p v a l i d a s i , K e p a l a B a d a n d a p a t m e n u g a s k a n P e g a w a i
p a d a B i d a n g m a s i n g - m a s i n g u n t u k m e l a k u k a n v a l i d a s i .
8 . K e t e n t u a n a y a t ( 1 ) P a s a l 3 1 d i u b a h , s e h i n g g a P a s a l 3 1
b e r b u n y i s e b a g a i b e r i k u t :
P a s a l 3 1
( 1 ) P r o s e d u r p e l a y a n a n p e r p a n j a n g a n / d a f t a r u l a n g p e r i z i n a n
s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 1 5 s a m p a i d e n g a n
P a s a l 2 5 , d i t e t a p k a n p a l i n g l a m a 7 ( t u j u h ) h a r i k e r j a
t e r h i t u n g s e j a k d i t e r i m a n y a d o k u m e n P e r i z i n a n d a n N o n
P e r i z i n a n s e c a r a l e n g k a p d a n b e n a r .
( 2 ) K e t e n t u a n ...
( 2 ) K e t e n t u a n l e b i h l a n j u t m e n g e n a i p e r s y a r a t a n P e l a y a n a n
P e r p a n j a n g a n / D a f t a r U l a n g P e r i z i n a n u n t u k m a s i n g -
m a s i n g j e n i s p e r i z i n a n , t e r c a n t u m d a l a m L a m p i r a n I V
y a n g m e r u p a k a n b a g i a n t i d a k t e r p i s a h k a n d a r i
P e r a t u r a n W a l i k o t a i n i .
9 . D i a n t a r a P a s a l 3 7 d a n P a s a l 3 8 d i s i s i p k a n 1 ( s a t u ) p a s a l ,
y a k n i P a s a l 3 7 A s e h i n g g a b e r b u n y i s e b a g a i b e r i k u t :
P a s a l 3 7 A
K e t e n t u a n m e n g e n a i t a h a p a n r e v i s i 1 M B m e n g i k u t i k e t e n t u a n s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 1 5 s a m p a i d e n g a n P a s a l 2 5 .
1 0 . D i a n t a r a P a s a l 4 5 d i s i s i p k a n 1 ( s a t u ) b a g i a n , y a k n i B a g i a n
K e d e l a p a n , d a n d i a n t a r a P a s a l 4 5 d a n P a s a l 4 6 d i s i p k a n 1 3
( t i g a b e l a s ) p a s a l , y a k n i P a s a l 4 5 A , P a s a l 4 5 B , P a s a l 4 5 C ,
P a s a l 4 5 D , P a s a l 4 5 E , P a s a l 4 5 F , P a s a l 4 5 G , P a s a l 4 5 H ,
P a s a l 4 5 1 , P a s a l 4 5 J , P a s a l 4 5 K , P a s a l 4 5 L , d a n P a s a l 4 5 M
s e h i n g g a b e r b u n y i s e b a g a i b e r i k u t :
B a g i a n K e d e l a p a n
L e g a l i t a s U s a h a B a g i P e l a k u U s a h a M i k r o d a n U s a h a K e c i l
P a r a g r a f 1
L e g a l i t a s d a n T a t a C a r a P e m b e r i t a h u a n
P a s a l 4 5 A
( 1 ) S e t i a p k e g i a t a n U s a h a M i k r o d a n U s a h a K e c i l
P e r s e o r a n g a n d a l a m m e l a k u k a n u s a h a n y a w a j i b m e m i l i k i
b u k t i l e g a l i t a s u s a h a .
( 2 ) U n t u k m e m p e r o l e h b u k t i l e g a l i t a s u s a h a s e b a g a i m a n a
d i m a k s u d p a d a a y a t ( 1 ) , s e t i a p P e l a k u U s a h a M i k r o d a n
U s a h a K e c i l , w a j i b m e n y a m p a i k a n p e m b e r i t a h u a n s e c a r a
e l e k t r o n i k t e n t a n g k e g i a t a n u s a h a n y a k e p a d a W a l i k o t a
m e l a l u i K e p a l a B a d a n .
( 3 ) U n t u k m e n d a p a t k a n b u k t i l e g a l i t a s U s a h a M i k r o d a n
U s a h a K e c i l , s e t i a p P e l a k u U s a h a M i k r o d a n U s a h a K e c i l
w a j i b m e m i l i k i K a r t u T a n d a P e n d u d u k K o t a B a n d u n g .
( 4 ) B u k t i ...
1 6
( 4 ) B u k t i l e g a l i t a s u s a h a s e b a g a i m a n a d i m a k s u d p a d a
a y a t ( 1 ) , d i b e r i k a n d a l a m b e n t u k :
a . T D U K b a g i P e l a k u U s a h a K e c i l P e r s e o r a n g a n ;
b . T D U M b a g i P e l a k u U s a h a M i k r o .
( 5 ) B u k t i l e g a l i t a s u s a h a s e b a g a i m a n a d i m a k s u d p a d a
a y a t ( 4 ) , h a n y a d i b e r i k a n k e p a d a p e l a k u U s a h a M i k r o d a n
U s a h a K e c i l y a n g b a r u y a n g b e r d o m i s i l i d i D a e r a h .
( 6 ) D a l a m h a l p e l a k u U s a h a M i k r o d a n U s a h a K e c i l i n g i n
m e n d a p a t k a n l e g a l i t a s u s a h a d i l u a r k e t e n t u a n
s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 4 ) , d a p a t d i t e m p u h
m e l a l u i p e r m o h o n a n p e r i z i n a n u s a h a .
( 7 ) U n t u k p e l a k u U s a h a M i k r o d a n U s a h a K e c i l y a n g t e l a h
m e m i l i k i p e r i z i n a n u s a h a , y a n g a k a n m e l a k u k a n
p e r p a n j a n g a n a t a u p e r u b a h a n h a r u s t e t a p m e m e n u h i
t a h a p a n d a n p e r s y a r a t a n s e s u a i d e n g a n k e t e n t u a n
p e r a t u r a n p e r u n d a n g - u n d a n g a n .
P a s a l 4 5 B
( 1 ) B u k t i l e g a l i t a s u s a h a s e b a g a i m a n a d i m a k s u d d a l a m
P a s a l 4 5 A a y a t ( 4 ) , d i t u a n g k a n d a l a m b e n t u k n a s k a h
1 ( s a t u ) l e m b a r .
( 2 ) P e m b e r i t a h u a n s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 4 5 A
a y a t ( 2 ) d i l a k u k a n o l e h P e l a k u U s a h a M i k r o d a n U s a h a
K e c i l P e r s e o r a n g a n s e t i a p 1 ( s a t u ) t a h u n s e k a l i .
( 3 ) P e m b e r i a n B u k t i l e g a l i t a s u s a h a s e b a g a i m a n a d i m a k s u d
P a s a l 4 5 A a y a t ( 4 ) , h a n y a b e r l a k u b a g i P e l a k u U s a h a
M i k r o d a n U s a h a K e c i l P e r s e o r a n g a n y a n g b e l u m
m e m i l i k i p e r i z i n a n .
P a r a g r a f 2
T a h a p a n P e n e r b i t a n L e g a l i t a s
P a s a l 4 5 C
( 1 ) P e l a y a n a n p e n e r b i t a n T D U K d a n T D U M , d i l a k u k a n
d e n g a n t a h a p a n , s e b a g a i b e r i k u t :
a . p e m b e r i t a h u a n ;
b . v e r i f i k a s i a d m i n i s t r a s i / p e n g e c e k a n l a p a n g a n ;
c . p e r s e t u j u a n ;
d . p e n g i s i a n ...
1 7
d . p e n g i s i a n s u r v e y i n d e k s k e p u a s a n m a s y a r a k a t ;
e . p e n a n d a t a n g a n d o k u m e n ;
f . p e n c e t a k a n d o k u m e n ;
g . p e n y e r a h a n d o k u m e n .
T a h a p a n p e l a y a n a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 )
d i l a k u k a n a p a b i l a p e n a n d a t a n g a n a n s e c a r a e l e k t r o n i k .
D a l a m h a l p e n a n d a t a n g a n a n d o k u m e n d i l a k u k a n d e n g a n
t a n d a t a n g a n b a s a h , m a k a m e k a n i s m e t a h a p a n h a r u s
d i l a k u k a n , s e b a g a i b e r i k u t :
a . p e m b e r i t a h u a n ;
b . v e r i f i k a s i a d m i n i s t r a s i / p e n g e c e k a n l a p a n g a n ;
c . p e r s e t u j u a n ;
d . p e n g i s i a n s u r v e y i n d e k s k e p u a s a n m a s y a r a k a t ;
e . p e n c e t a k a n d o k u m e n I z i n ;
f . p e n a n d a t a n g a n d o k u m e n ;
g . p e n y e r a h a n d o k u m e n .
P a s a l 4 5 D
T a h a p P e m b e r i t a h u a n s e b a g a i m a n a d i m a k s u d d a l a m
P a s a l 4 5 C a y a t ( 1 ) h u r u f a d a n a y a t ( 3 ) h u r u f a , h a r u s
m e m e n u h i k e t e n t u a n , s e b a g a i b e r i k u t :
a . p e l a k u u s a h a m e m b u a t a k u n ;
b . s e t e l a h m e m b u a t a k u n p e l a k u u s a h a m e n d a p a t k a n
p e m b e r i t a h u a n s e c a r a e l e k t r o n i k ;
c . p e l a k u u s a h a m e l a k u k a n p e m b e r i t a h u a n d e n g a n c a r a
m e n g i s i f o r m u l i r d a l a m s i s t e m a p l i k a s i ;
d . p e m o h o n m e m b u b u h k a n t a n d a checklist p a d a m e n u
y a n g d i s e d i a k a n d a l a m s i s t e m a p l i k a s i s e b a g a i
p e r n y a t a a n b a h w a d o k u m e n y a n g d i k i r i m k a n a s l i
k e b e n a r a n n y a .
F o r m u l i r y a n g h a r u s d i i s i o l e h p e l a k u u s a h a s e b a g a i m a n a
d i m a k s u d p a d a a y a t ( 1 ) h u r u f c , p a l i n g k u r a n g :
a . n a m a p e l a k u u s a h a ;
b . a l a m a t p e l a k u u s a h a ;
c . N o m o r I n d u k K e p e n d u d u k a n ;
d . n o m o r t e l e p o n g e n g g a m ;
e . n a m a ...
1 8
e . n a m a k e g i a t a n u s a h a ;
f . a l a m a t k e g i a t a n u s a h a ;
g . j e n i s k e g i a t a n u s a h a ;
h . s a r a n a u s a h a y a n g d i g u n a k a n ; d a n
i . j u m l a h m o d a l u s a h a ( t i d a k t e r m a s u k t a n a h d a n
b a n g u n a n u s a h a ) .
P e l a k u u s a h a w a j i b m e n g - u p l o a d S u r a t P e m b e r i t a h u a n
y a n g d i k e t a h u i o l e h K e t u a R u k u n W a y g a d a n K e t u a
R u k u n T e t a n g g a d a l a m s i s t e m p e l a y a n a n p e r i z i n a n
s e c a r a e l e k t r o n i k , d e n g a n d i l e n g k a p i p e r s y a r a t a n s e b a g a i
b e r i k u t :
a . f o t o c o p y K a r t u T a n d a P e n d u d u k K o t a B a n d u n g m i l i k
P e l a k u U s a h a ;
b . f o t o c o p y K a r t u K e l u a r g a K o t a B a n d u n g m i l i k P e l a k u
U s a h a ;
c . p h o t o t e m p a t k e g i a t a n u s a h a .
S e t e l a h p e m o h o n m e l a l u i t a h a p a n s e b a g a i m a n a d i m a k s u d
p a d a a y a t ( 1 ) , p e m o h o n a k a n m e n d a p a t k a n r e s i s e c a r a
e l e k t r o n i k .
R e s i s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 4 ) b u k a n
m e r u p a k a n t a n d a l e g a l i t a s .
D a l a m h a l p e l a k u u s a h a t i d a k m e m i l i k i s a r a n a d a n
p r a s a r a n a u n t u k m e l a k u k a n p e m b e r i t a h u a n s e c a r a
e l e k t r o n i k m a k a B a d a n m e n y e d i a k a n s a r a n a d a n
p r a s a r a n a s e r t a p e t u g a s b a n t u a n l a y a n a n p e n d a f t a r a n .
P a s a l 4 5 E
T a h a p v e r i f i k a s i a d m i n i s t r a s i s e b a g a i m a n a d i m a k s u d
d a l a m P a s a l 4 5 C a y a t ( 1 ) h u r u f b d a n a y a t ( 3 ) h u r u f b ,
h a r u s m e m e n u h i k e t e n t u a n s e b a g a i b e r i k u t :
a . v e r i f i k a s i a d m i n i s t r a s i d i l a k u k a n o l e h K e c a m a t a n
m e l a l u i K a s i E k b a n g d a n L H ;
b . v e r i f i k a s i a d m i n i s t r a s i d i l a k u k a n t e r h a d a p p e r s y a r a t a n
y a n g t e l a h d i t e r i m a s e c a r a e l e k t r o n i k ;
c . v e r i f i k a s i a d m i n i s t r a s i s e b a g a i m a n a d i m a k s u d p a d a
h u r u f b , d i l a k u k a n u n t u k m e n g e c e k , m e n e l i t i
k e l e n g k a p a n d a n k e s e s u a i a n d o k u m e n d i g i t a l s e c a r a
f o r m a l ;
d . p e t u g a s v e r i f i k a s i m e m b e r i k a n c a t a t a n s e b a g a i b a h a n
p e r t i m b a n g a n u n t u k m e n d a p a t p e r s e t u j u a n d a r i
K e p a l a B i d a n g .
( 2 ) S e t e l a h ...
19
( 2 ) S e t e l a h p e t u g a s v e r i f i k a s i m e l a k u k a n t a h a p a n
s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) , s e l a n j u t n y a
d i t e r u s k a n k e p a d a K e p a l a B i d a n g .
P a s a l 4 5 F
( 1 ) T a h a p p e r s e t u j u a n s e b a g a i m a n a d i m a k s u d d h l a m P a s a l 4 5 C
a y a t ( 1 ) h u r u f c d a n a y a t ( 3 ) h u r u f c , h a r u s m e m e n u h i
k e t e n t u a n s e b a g a i b e r i k u t :
a . K e p a l a B i d a n g m e n i n d a k l a n j u t i h a s i l v e r i f i k a s i d e n g a n
m e m b e r i k a n p e r s e t u j u a n a t a u m e n o l a k b e r d a s a r k a n
c a t a t a n s e c a r a e l e k t r o n i k d a r i K a s i E k b a n g d a n L H
K e c a m a t a n ;
b . d a l a m m e m b e r i k a n p e r s e t u j u a n a t a u m e n o l a k , K e p a l a
B i d a n g d a p a t m e l i h a t k e m b a l i s e l u r u h b e r k a s d i g i t a l h a s i l
v e r i f i k a s i d a r i K a s i E k b a n g d a n L H K e c a m a t a n .
( 2 ) S e t e l a h m e l a k u k a n t a h a p a n s e b a g a i m a n a d i m a k s u d p a d a
a y a t ( 1 ) , s i s t e m a p l i k a s i m e n y a m p a i k a n p e m b e r i t a h u a n s e c a r a
e l e k t r o n i k k e p a d a P e l a k u U s a h a M i k r o d a n U s a h a K e c i l
p e r s e o r a n g a n m e n g e n a i d i s e t u j u i a t a p d i t o l a k n y a
p e m b e r i t a h u a n .
P a s a l 4 5 G
T a h a p p e n g i s i a n s u r v e y i n d e k s k e p u a s a n m a s y a r a k a t s e b a g a i m a n a
d i m a k s u d d a l a m P a s a l 4 5 C a y a t ( 1 ) h u r u f d d a n a y a t ( 3 ) h u r u f d ,
h a r u s m e m e n u h i k e t e n t u a n s e b a g a i b e r i k u t :
a . s e t i a p P e l a k u U s a h a M i k r o d a n U s a h a K e c i l p e r s e o r a n g a n y a n g
t e l a h d i s e t u j u i , h a r u s m e n g i s i s u r v e y i n d e k s k e p u a s a n
m a s y a r a k a t m e l a l u i a k u n y a n g b e r s a n g k u t a n s e t e l a h m e n e r i m a
p e m b e r i t a h u a n d a r i s i s t e m a p l i k a s i ;
b . a p a b i l a d a l a m j a n g k a w a k t u 7 ( t u j u h ) h a r i k a l e n d e r P e l a k u
U s a h a M i k r o d a n U s a h a K e c i l p e r s e o r a n g a n t i d a k m e n g i s i
s u r v e y i n d e k s k e p u a s a n m a s y a r a k a t , m a k a p r o s e s p e n e r b i t a n
d a n T D U K b a g i P e l a k u U s a h a K e c i l P e r s e o r a n g a n d a n T D U M
b a g i P e l a k u U s a h a M i k r o , d i p r o s e s l e b i h l a n j u t .
P a s a l 4 5 H
( 1 ) P e n a n d a t a n g a n a n T D U K b a g i P e l a k u U s a h a K e c i l P e r s e o r a n g a n
d a n T D U M b a g i P e l a k u U s a h a M i k r o s e b a g a i m a n a d i m a k s u d
d a l a m P a s a l 4 5 C a y a t ( 1 ) h u r u f e , a p a b i l a d i l a k u k a n d e n g a n
t a n d a t a n g a n b a s a h , s e t e l a h n a s k a h d i c e t a k .
( 2 ) D a l a m ...
2 0
( 2 ) D a l a m h a l P e n a n d a t a n g a n a n d i l a k u k a n s e c a r a e l e k t r o n i k
s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 4 5 C a y a t ( 3 ) h u r u f f , h a r u s
m e m e n u h i k e t e n t u a n s e b a g a i b e r i k u t :
a . K e p a l a B a d a n m e n e r i m a Personal Identification Number ( P I N )
u n t u k p e n a n d a t a n g a n a n d o k u m e n i z i n d a r i s i s t e m a p l i k a s i ;
b . K e p a l a B a d a n m e m a s u k k a n P I N p e n a n d a t a n g a n a n d o k u m e n
i z i n s e c a r a e l e k t r o n i k k e d a l a m s i s t e m a p l i k a s i .
P a s a l 4 5 1
( 1 ) T a h a p p e n c e t a k a n s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 4 5 C
a y a t ( 1 ) h u r u f e d a n a y a t ( 3 ) h u r u f f , d i l a k u k a n o l e h p e t u g a s
y a n g d i t u n j u k o l e h K e p a l a B a d a n u n t u k m e l a k u k a n
p e n c e t a k a n .
( 2 ) P e n c e t a k a n d o k u m e n d i l a k u k a n d e n g a n m e n g g u n a k a n k e r t a s
k h u s u s .
P a s a l 4 5 J
P e n y e r a h a n d o k u m e n d i l a k u k a n o l e h B a d a n d e n g a n b e r p e d o m a n
p a d a k e t e n t u a n P a s a l 2 5 .
P a s a l 4 5 K
( 1 ) P r o s e s p e l a y a n a n p e n e r b i t a n T D U K b a g i P e l a k u U s a h a K e c i l
P e r s e o r a n g a n d a n T D U M b a g i P e l a k u U s a h a M i k r o
s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 4 5 A s a m p a i d e n g a n
P a s a l 4 5 1 , d i t e t a p k a n p a l i n g l a m a 7 ( t u j u h ) h a r i k e r j a
t e r h i t u n g s e j a k d i t e r i m a n y a d o k u m e n p e m b e r i t a h u a n d a r i
p e l a k u u s a h a s e c a r a l e n g k a p d a n b e n a r .
( 2 ) K e t e n t u a n m e n g e n a i b e n t u k f o r m a t P e m b e r i t a h u a n d a r i
P e l a k u U s a h a y a n g d i k e t a h u i o l e h R u k u n T e t a n g g a d a n
R u k u n W a r g a , b e n t u k f o r m a t T D U K b a g i P e l a f c u U s a h a K e c i l
P e r s e o r a n g a n d a n T D U M b a g i P e l a k u U s a h a M i k r o t e r c a n t u m
d a l a m L a m p i r a n X I I y a n g m e r u p a k a n b a g i a n t i d a k
t e r p i s a h k a n d a r i P e r a t u r a n W a l i k o t a i n i .
( 3 ) D a l a m p r o s e s p e n e r b i t a n T D U K b a g i P e l a k u U s a h a K e c i l
P e r s e o r a n g a n d a n T D U M b a g i P e l a k u U s a h a M i k r o , t i d a k
d i p u n g u t b i a y a . P a r a g r a f
P a r a g r a f 3
P e n c a b u t a n
P a s a l 4 5 L
( 1 ) B a d a n d a p a t m e l a k u k a n p e n c a b u t a n T D U K b a g i P e l a k u
U s a h a K e c i l P e r s e o r a n g a n d a n T D U M b a g i P e l a k u U s a h a
M i k r o a p a b i l a :
a . P e l a k u U s a h a m e l a k u k a n t i n d a k a n :
1 ) m e l a n g g a r k e t e n t u a n p e r a t u r a n p e r u n d a n g - u n d a n g a n ;
2 ) m e n j a l a n k a n k e g i a t a n u s a h a y a n g t i d a k s e s u a i d e n g a n
T D U K b a g i P e l a k u U s a h a K e c i l P e r s e o r a n g a n d a n
T D U M b a g i P e l a k u U s a h a M i k r o ;
b . K l a s i f i k a s i p e r u s a h a a n t i d a k l a g i m e m e n u h i k r i t e r i a
s e b a g a i u s a h a m i k r o d a n u s a h a k e c i l p e r s e o r a n g a n .
( 2 ) P e n c a b u t a n T D U K b a g i P e l a k u U s a h a K e c i l P e r s e o r a n g a n
d a n T D U M b a g i P e l a k u U s a h a M i k r o d i l a k u k a n d e n g a n
K e p u t u s a n K e p a l a B a d a n .
( 3 ) K e p u t u s a n p e n c a b u t a n T D U K b a g i P e l a k u U s a h a K e c i l
P e r s e o r a n g a n d a n T D U M b a g i P e l a k u U s a h a M i k r o
s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) d i s a m p a i k a n k e p a d a
P e l a k u U s a h a d e n g a n t e m b u s a n k e p a d a K e p a l a D i n a s
K U K M P e r i n d a g d a n C a m a t .
P a r a g r a f 4
P e m b i n a a n d a n P e n g a w a s a n
P a s a l 4 5 M
( 1 ) K e p a l a D i n a s K U K M P e r i n d a g s e b a g a i m a n a d i m a k s u d
d a l a m P a s a l 4 5 L a y a t ( 3 ) , m e l a k u k a n p e m b i n a a n
p e n y e l e n g g a r a a n u s a h a m i k r o d a n u s a h a k e c i l , d e n g a n
m e l i b a t k a n C a m a t .
( 2 ) P e m b i n a a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i l a k u k a n
m e l a l u i :
a . p e m b e r i a n b i m b i n g a n t e k n i s ;
b . s o s i a l i s a s i ;
c . k o n s u l t a s i ; d a n
d . m o n i t o r i n g d a n e v a l u a s i .
( 3 ) P e m b i n a a n ..
2 2
( 3 ) P e m b i n a a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 )
d i l a k s a n a k a n s e c a r a b e r k a l a d a l a m r a n g k a p e n g e m b a n g a n
u s a h a m i k r o d a n u s a h a k e c i l .
( 4 ) K e p a l a D i n a s K U K M P e r i n d a g s e b a g a i m a n a d i m a k s u d p a d a
a y a t ( 1 ) , m e l a p o r k a n h a s i l p e m b i n a a n d a n p e n g a w a s a n
u s a h a m i k r o d a n u s a h a k e c i l k e p a d a W a l i k o t a m e l a l u i
S e k r e t a r i s D a e r a h .
1 1 . D i a n t a r a P a s a l 8 2 d a n P a s a l 8 3 d i s i s i p k a n 5 ( l i m a ) P a s a l , y a k n i
P a s a l 8 2 A , P a s a l 8 2 B , P a s a l 8 2 C d a n P a s a l 8 2 D s e h i n g g a
b e r b u n y i s e b a g a i b e r i k u t :
P a s a l 8 2 A
( 1 ) S e t i a p p e r m o h o n a n i z i n a t a s p e r i z i n a n t e r t e n t u d a n
p e r i z i n a n u s a h a , w a j i b m e l a m p i r k a n b u k t i p e l u n a s a n d i
b i d a n g p e r p a j a k a n D a e r a h s e s u a i d e n g a n k e t e n t u a n
p e r a t u r a n p e r u n d a n g - u n d a n g a n .
( 2 ) P e r i z i n a n t e r t e n t u d a n P e r i z i n a n U s a h a s e b a g a i m a n a
d i m a k s u d p a d a a y a t ( 1 ) , a d a l a h s e b a g a i b e r i k u t :
a . p e r m o h o n a n 1 M B d a n I G , w a j i b m e l a m p i r k a n b u k t i
p e m b a y a r a n / p e l u n a s a n P B B 3 ( t i g a ) t a h u n t e r a k h i r ;
b . p e r m o h o n a n I G , I U P , T D P , I U I , T D I , T D G d a n I U J K ,
p e r u b a h a n d a n / a t a u p e r p a n j a n g a n , I z i n T r a y e k d a n
I P T P p e r p a n j a n g a n w a j i b m e l a m p i r k a n b u k t i
p e m b a y a r a n / p e l u n a s a n P a j a k D a e r a h y a n g m e n j a d i
k e w a j i b a n n y a b u l a n d a n / a t a u t a h u n b e r j a l a n s e s u a i
d e n g a n b i d a n g u s a h a y a n g d i j a l a n k a n n y a ;
c . s e t i a p p e m o h o n I P R w a j i b m e l a k u k a n
p e m b a y a r a n / p e l u n a s a n p a j a k t e r l e b i h d a h u l u s e t e l a h
m e n d a p a t k a n p e r s e t u j u a n d a r i K e p a l a B i d a n g ;
d . p e r m o h o n a n I P R p e r p a n j a n g a n , w a j i b m e l a m p i r k a n b u k t i
p e m b a y a r a n / p e l u n a s a n P a j a k R e k l a m e t a h u n
s e b e l u m n y a .
( 3 ) D a l a m .
2 3
( 3 ) D a l a m m e m a s t i k a n k e t a a t a n p a r a p e m o h o n p e r i z i n a n d i
b i d a n g p e r p a j a k a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 )
d a n a y a t ( 2 ) , B a d a n d a n D i s y a n j a k b e k e r j a s a m a
m e n g e m b a n g a n t e k n o l o g i i n f o r m a s i s e c a r a e l e k t r o n i k .
( 4 ) D a l a m h a l t e r d a p a t p e m o h o n i z i n y a n g m a s i h m e m i l i k i
u t a n g P a j a k D a e r a h d a n / a t a u b e l u m m a m p u m e l u n a s i
P a j a k D a e r a h , p e m o h o n i z i n d i p e r s y a r a t k a n u n t u k
m e l a m p i r k a n S u r a t P e r n y a t a a n k e s a n g g u p a n m e l u n a s i
P a j a k D a e r a h d a l a m j a n g k a w a k t u 2 1 ( d u a p u l u h s a t u ) h a r i
k a l e n d e r d a n d i k e t a h u i o l e h K e p a l a D i s y a n j a k .
( 5 ) A p a b i l a d a l a m j a n g k a w a k t u 2 1 ( d u a p u l u h s a t u ) h a r i
k a l e n d e r s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 4 ) t i d a k
d i p e n u h i o l e h p e m o h o n m a k a K e p a l a D i s y a n j a k
m e n y a m p a i k a n r e k o m e n d a s i k e p a d a K e p a l a B a d a n u n t u k
d i l a k u k a n p e n c a b u t a n i z i n n y a
P a s a l 8 2 B
( 1 ) W a l i k o t a d a p a t m e l a k u k a n p e n y e d e r h a n a a n p r o s e s
p e l a y a n a n p e r i z i n a n d a n p e r s y a r a t a n b a g i p e r m o h o n a n
p e r i z i n a n t e r t e n t u .
( 2 ) P e l a k s a n a a n p e n y e d e r h a n a a n p e r s y a r a t a n s e b a g a i m a n a
d i m a k s u d p a d a a y a t ( 1 ) , o l e h B a d a n
d i t u a n g k a n / d i m a s u k a n d a l a m s i s t e m a p l i k a s i p e r i z i n a n
s e c a r a e l e k t r o n i k .
P a s a l 8 2 C
( 1 ) B a d a n d a p a t m e n e r i m a d a n m e m p r o s e ^ P e r m o h o n a n
P e r i z i n a n P a r a l e l .
( 2 ) P e r m o h o n a n P e r i z i n a n P a r a l e l s e b a g a i m a n a d i m a k s u d p a d a
a y a t ( 1 ) , d a p a t d i l a k u k a n o l e h P e m o h o n u n t u k l a y a n a n
p e r u b a h a n m a u p u n p e r p a n j a n g a n I G , I U P d a n T D P .
( 3 ) U n t u k p e r m o h o n a n p e r i z i n a n b a r u y a n g d a p a t d i l a k u k a n
P e r m o h o n a n P e r i z i n a n P a r a l e l a d a l a h I U P d a n T D P , s e t e l a h
p e m o h o n m e m i l i k i I G .
( 4 ) T a h a p a n
2 4
( 4 ) T a h a p a n p e l a k s a n a a n p e m r o s e s a n P e r m o h o n a n P e r i z i n a n
P a r a l e l t e t a p b e r p e d o m a n p a d a k e t e n t u a n y a n g t e l a h d i a t u r
d a l a m P e r a t u r a n W a l i k o t a B a n d u n g N o m o r 4 9 5 T a h u n 2 0 1 5
t e n t a n g S t a n d a r O p e r a s i o n a l P r o s e d u r P e l a y a n a n P e r i z i n a n
T e r p a d u s e b a g a i m a n a t e l a h d i u b a h d e n g a n P e r a t u r a n
W a l i k o t a B a n d u n g N o m o r 8 5 5 T a h u n 2 0 1 5 t e n t a n g
P e r u b a h a n A t a s P e r a t u r a n W a l i k o t a B a n d u n g N o m o r 4 9 5
T a h u n 2 0 1 5 t e n t a n g S t a n d a r O p e r a s i o n a l P r o s e d u r
P e l a y a n a n P e r i z i n a n T e r p a d u , d a n P e r a t u r a n W a l i k o t a i n i .
( 5 ) S e t i a p p e l a k u u s a h a y a n g t e l a h m e m i l i k i I G b a i k B a r u ,
P e r u b a h a n a t a u P e r p a n j a n g a n y a n g t e l a h t e r c a n t u m d a l a m
a p l i k a s i s i s t e m p e r i z i n a n s e c a r a e l e k t r o n i k s e j a k t a n g g a l 2 8
M e i 2 0 1 5 , m a k a u n t u k p e r m o h o n a n B a r u , P e r u b a h a n , a t a u
P e r p a n j a n g a n I U P , T D P , I U I , I U J K , T D I d a n T D G t i d a k p e r l u
m e l a m p i r k a n I G .
P a s a l 8 2 D
( 1 ) D a l a m r a n g k a m e n i n g k a t k a n k u a l i t a s p e l a y a n a n p e r i z i n a n ,
B a d a n d a p a t m e l a k u k a n p e n g e m b a n g a n s i s t e m a p l i k a s i
p e r i z i n a n s e c a r a e l e k t r o n i k s e b a g a i m a n a d i m a k s u d d a l a m
P a s a l 1 3 m e l a l u i c a r a Host to Host a t a u Host to Client
d e n g a n S K P D d a n / a t a u I n s t a n s i t e r k a i t .
( 2 ) P e l a k s a n a a n Host to Host d e n g a n I n s t a n s i t e r k a i t ,
d i t u a n g k a n l e b i h l a n j u t d a l a m p e r j a n j i a n k e r j a s a m a a n t a r a
B a d a n d e n g a n I n s t a n s i t e r k a i t s e s u a i d e n g a n k e t e n t u a n
p e r a t u r a n p e r u n d a n g - u n d a n g a n .
1 2 . D i a n t a r a P a s a l 8 4 d a n P a s a l 8 5 d i s i s i p k a n 1 ( s a t u ) p a s a l ,
y a k n i P a s a l 8 4 A s e h i n g g a b e r b u n y i s e b a g a i b e r i k u t :
P a s a l 8 4 A
D a l a m h a l p e m o h o n m e l a k u k a n p e m b a y a r a n r e t r i b u s i
p e r i z i n a n k e b a n k y a n g d i t u n j u k m e l a l u i b a n k d a n / a t a u
l e m b a g a l a i n n y a , m a k a b e b a n d a n r e s i k o y a n g t i m b u l
k a r e n a n y a m e n j a d i t a n g g u n g j a w a b p e m o h o n .
1 3 . K e t e n t u a n L a m p i r a n I V d i u b a h .
P a s a l
2 5
P a s a l I I
P e r a t u r a n W a l i k o t a i n i m u l a i b e r l a k u
d i u n d a n g k a n .
p a d a t a n g g a l
A g a r s e t i a p o r a n g d a p a t m e n g e t a h u i n y a , m e m e r i n t a h k a n
p e n g u n d a n g a n P e r a t u r a n W a l i k o t a i n i d e n g a n p e n e m p a t a n n y a
d a l a m B e r i t a D a e r a h K o t a B a n d u n g .
D i t e t a p k a n d i B a n d u n g p a d a t a n g g a l 2 4 P e b r u a r i 2 0 1 6
W A L I K O T A B A N D U N G ,
t t d .
M O C H A M A D R I D W A N K A M I L
D i u n d a n g k a n d i B a n d u n g p a d a t a n g g a l 2 4 P e b r u a r i 2 0 1 6
S E K R E T A R I S D A E R A H K O T A B A N D U N G ,
t t d .
Y O S S I I R I A N T O
L E M B A R A N D A E R A H K O T A B A N D U N G T A H U N 2 0 1 6 N O M O R 0 6
S a l i n a n s e s u a i d e n g a n a s l i n y a L N H U K U M D A N H A M ,
A I F U D I N , S H . h a T i n g k a t I 1 1 1 1 9 9 6 0 3 1 0 0 2
L A M P I R A N I V : P E R A T U R A N W A L I K O T A B A N D U N G
N O M O R T A N G G A L
: 2 6 5 T A | I U N 2 0 1 6 : 2 4 P e b r u a r i 2 0 1 6
P E R S Y A R A T A N P E L A Y A N A N P E R I Z I N A N B A R U , P E R U B A H A N P E R I Z I N A N , P E R P A N J A N G A N / D A F T A R U L A N G P E R I Z I N A N D A N P E N C A B U T A N P E R I Z I N A N
A . P E R S Y A R A T A N P E L A Y A N A N P E R I Z I N A N
1 . I z i n L o k a s i
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) K T P P e m o h o n ;
2 ) N P W P ;
3 ) a k t a N o t a r i s p e n d i r i a n p e r u s a h a a n l e n g k a p ;
4 ) s u r a t I z i n U s a h a ( H O / S 1 U P / T D P ) ;
5 ) p e n g e s a h a n B a d a n H u k u m P e r s e r o a n d a r i M e n t e r i H u k u m d a n
H A M R e p u b l i k I n d o n e s i a ;
6 ) S u r a t K e p u t u s a n R e k o m e n d a s i d a n P e t a
R u a n g / S P P R ;
7 ) P e r t i m b a n g a n T e k n i s P e r t a n a h a n d a r i B a d a n
N a s i o n a l ;
8 ) l a m p i r a n p e t a p e r t i m b a n g a n t e k n i s p e r t a n a h a h d a r i B a d a n
P e r t a n a h a n N a s i o n a l ;
9 ) u r a i a n R e n c a n a P r o y e k y a n g a k a n d i b a n g u n ;
1 0 ) s u r a t p e r n y a t a a n m e n g e n a i l u a s t a n a h y a n g s u d a h
d i k u a s a i / d i m i l i k i o l e h p e r u s a h a a n ;
1 1 ) p e m o h o n d a n p e r u s a h a a n - p e r u s a h a a n l a i n y a n g m e r u p a k a n s a t u
g r o u p d e n g a n n y a ;
1 2 ) p e t a l o k a s i ;
1 3 ) f o t o l o k a s i ;
1 4 ) p e t a Site Plan/ B l o k P l a n / M a s t e r Plan l o k a s i y a n g d i m o h o n ;
1 5 ) b u k t i k e p e m i l i k a n t a n a h .
P e m a n f a a t a n
P e r t a n a h a n
b . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) K T P P e m o h o n ;
2 ) N P W P ;
3 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n l e n g k a p ;
4 ) h a s i l m o n i t o r i n g p e r o l e h a n , p e n g g u n a a n d a n p e m a n f a a t a n t a n a h
( d a r i B a d a n P e r t a n a h a n N a s i o n a l ) ;
5 ) t a b e l l a p o r a n p e l a k s a n a a n p e r o l e h a n , p e n g g u n a a n d a n
p e m a n f a a t a n t a n a h d a l a m r a n g k a p e l a k s a n a a n p e m b e r i a n i z i n
l o k a s i ( d a r i B a d a n P e r t a n a h a n N a s i o n a l ) ;
6 ) L a m p i r a n ...
2
6 ) l a m p i r a n p e t a l a p o r a n m o n i t o r i n g p e r o l e h a n , p e n g g u n a a n d a n
p e m a n f a a t a n t a n a h ( d a r i B a d a n P e r t a n a h a n N a s i o n a l ) ;
7 ) f o t o l o k a s i ;
8 ) i z i n l a m a .
^ ) S u r a t K e p u t u s a n
R u a n g / S P P R .
R e k o m e n d a s i d a n P e t a P e m a n f a a t a n
f o t o c o p y h a r u s
1 M B
A . P e r s y a r a t a n W a j i b :
1 ) K T P a s l i P e m o h o n ;
2 ) b u k t i p e l u n a s a n P B B T a h u n T e r a k h i r ;
3 ) s u r a t k e p e m i l i k a n t a n a h ( S e r t i f i k a t / l a i n n y a ) . J i k a
d i l e g a l i s i r a s l i ;
4 ) s u r a t p e m b e r i t a h u a n t e t a n g g a d i k e t a h u i o l e h R u k u n
T e t a n g g a / R u k u n W a r g a s e t e m p a t d a n d i t e m b u s k a n K e p a d a
L u r a h / C a m a t s e t e m p a t ;
5 ) K e t e r a n g a n R e n c a n a K o t a ( K R K ) ;
6 ) l a p o r a n h a s i l o r i e n t a s i p e n g u k u r a n l a h a n / t a n a h d a r i D i n a s T a t a
R u a n g d a n C i p t a K a i y a K o t a B a n d u n g ;
7 ) h a s i l p e n g u k u r a n l a p a n g a n y a n g d i s e t u j u i o l e h p e m o h o n d a n J u r u
U k u r ;
8 ) g a m b a r R e n c a n a / G a m b a r A r s i t e k S k a l a 1 : 1 0 0 a t a u 1 : 2 0 0 y a n g
d i s a h k a n o l e h D i n a s T a t a R u a n g d a n C i p t a K a r y a K o t a B a n d u n g ;
9 ) g a m b a r S i t u a s i b e s e r t a N i l a i I n d e k s F u n g s i B a n g u n a n G e d u n g
y a n g d i s a h k a n o l e h D i n a s T a t a R u a n g d a n C i p t a K a r y a K o t a
B a n d u n g .
B .
D .
e r s y a r a t a n T a m b a h a n ( A p a b i l a B a n g u n a n > 2 ( d u a ) L a n t a i ) :
1 ) g a m b a r K o n s t r u k s i B e t o n / B a j a ( a p a b i l a b a n g u n a n b e r t i n g k a t ) y a n g
d i s a h k a n o l e h D i n a s T a t a R u a n g d a n C i p t a K a r y a K p t a B a n d u n g ;
2 ) p e r h i t u n g a n K o n s t r u k s i B e t o n / B a j a ( a p a b i l a b a n g u n a n b e r t i n g k a t )
y a n g d i s a h k a n o l e h D i n a s T a t a R u a n g d a n C i p t a K a r y a K o t a
B a n d u n g .
e r s y a r a t a n T a m b a h a n ( A p a b i l a B a n g u n a n > 3 ( t i g a ) L a n t a i ) :
1 ) l a p o r a n p e n y e l i d i k a n t a n a h ( s o n d i r ) u n t u k b a n g u n a n t i g a l a n t a i
a t a u l e b i h y a n g d i s a h k a n o l e h D i n a s T a t a R u a n g d a n C i p t a K a r y a
K o t a B a n d u n g .
e r s y a r a t a n T a m b a h a n ( L u a s T a n a h > 1 0 0 0 M 2 ) :
1 ) g a m b a r Site Plan u n t u k l u a s t a n a h 1 0 0 0 m 2 a t a u l e b i h y a n g
d i s a h k a n o l e h D i n a s T a t a R u a n g d a n C i p t a K a r y a K o t a B a n d u n g . E . P e r s y a r a t a n
E . P e r s y a r a t a n T a m b a h a n ( u n t u k F u n g s i B a n g u p a n : W I S M A ,
R E S T O R A N , SHOW ROOM, K L I N I K , P O N D O K A N , QUEST HOUSE,
CAFE, P O L I K L I N I K , G A L E R I , B A N G U N A N P E M E R I N T A H , W O R K S H O P ,
A P A R T E M E N , R U S U N A M I , B E N G K E L , G U D A N G , P A B p K , S E K O L A H ,
H O T E L , G E D U N G S E R B A G U N A , G E D U N G O L A H R ^ G A , G E D U N G
P A R K I R , R U M A H S A K I T ) :
1 ) D o k u m e n L i n g k u n g a n ( S P P L , U P L / U K L , A M D A L ) .
P e r s y a r a t a n T a m b a h a n ( T E M P A T I B A D A H ) :
1 ) r e k o m e n d a s i t e r t u l i s d a r i K e p a l a K a n t o r D e p a r t e m ^ n A g a m a K o t a
B a n d u n g ;
2 ) r e k o m e n d a s i t e r t u l i s F o r u m K e r u k u n a n U m a t B e f a g a m a ( F K U B )
K o t a B a n d u n g ;
3 ) D a f t a r N a m a d a n Scan K T P P e n g g u n a R u m a h I b a d a t M i n i m a l 9 0
( s e m b i l a n p u l u h ) O r a n g D i s a h k a n P e j a b a t S e t e m p a t ;
4 ) d u k u n g a n M a s y a r a k a t S e t e m p a t M i n i m a l 6 0 ( e n a r p p u l u h ) O r a n g
D i s a h k a n o l e h L u r a h ;
5 ) r e k o m e n d a s i d a r i B a d a n K e s a t u a n B a n g s a d a n
M a s y a r a k a t ( B K B P M ) K o t a B a n d u n g .
G . p e r s y a r a t a n T a m b a h a n ( A t a s N a m a P e r u s a h a a n ) :
1 ) a k t a N o t a r i s p e n d i r i a n p e r u s a h a a n l e n g k a p .
H . P e r s y a r a t a n T a m b a h a n ( U n t u k K a w a s a n B a n d u n g U t a r a )
1 ) R e k o m e n d a s i K B U ( K a w a s a n B a n d u n g U t a r a ) u n t u k
k e t i n g g i a n l e b i h d a r i 7 5 0 m d p i ( t u j u h r a t u s l i m a p p l u h
p e r m u k a a n l a u t ) .
I . P e r s y a r a t a n T a m b a h a n ( P e n y e w a a n T a n a h ) :
1 ) S u r a t S e w a T a n a h / P e r s e t u j u a n P e m a n f a a t a n T a n a h d a r i I n s t a n s i /
P e r u s a h a a n d a n / a t a u P e r o r a n g a n ( l e g a l i s i r ) .
P e r s y a r a t a n T a m b a h a n ( A t a s N a m a O r a n g L a i n ) :
1 ) P e r j a n j i a n P e m a k a i n T a n a h d i b u k u k a n o l e h N o t a r i s \[Waarmerking);
2 ) K T P b e r w a r n a n a m a o r a n g l a i n .
P e m b e r d a y a a n
l o k a s i d e n g a n
m e t e r d a r i
K . P e r s y a r a t a n T a m b a h a n ( u n t u k b a n g u n a n > 4 ( e m p a t ) l a n t a i d a n / a t a u
l u a s t a n a h > 5 0 0 0 M 2 ) :
1 ) R e k o m e n d a s i ...
4
U d a r a H u s e i n
R e k o m e n d a s i K e b a k a r a n d a r i D i n a s P e n c e g a h a n d a n
P e n a n g g u l a n g a n B a h a y a K e b a k a r a n K o t a B a n d u n g ;
A m d a l L a l u L i n t a s ( D i n a s P e r h u b u n g a n K o t a B a n d u n g d a n
K e p o l i s i a n ) ;
r e k o m e n d a s i K e t i n g g i a n G e d u n g d a r i L a n d a s a n
S a s t r a n e g a r a d a n D i n a s P e r h u b u n g a n P r o v i n s i J a w p B a r a t ;
r e k o m e n d a s i P e i l B a n j i r d a r i D i n a s B i n a M a r g a d a n P e n g a i r a n
K o t a B a n d u n g ;
r e k o m e n d a s i I z i n J a l a n M a s u k d a r i D i n a s B i p a M a r g a d a n
P e n g a i r a n K o t a B a n d u n g ;
r e k o m e n d a s i P e m a t a n g a n L a h a n d a r i D i n a s B i n a M a r g a d a n
P e n g a i r a n K o t a B a n d u n g ;
P e r s e t u j u a n p e m a n f a a t a n r u a n g d a r i B a d a n P e r e n c a n a a n
P e m b a n g u n a n D a e r a h K o t a B a n d u n g ;
8 ) I z i n L o k a s i ;
9 ) r e k o m e n d a s i T i m A h l i B a n g u n a n G e d u n g d a r i D i n a s T a t a R u a n g
d a n C i p t a K a r y a K o t a B a n d u n g ;
1 0 ) r e k o m e n d a s i C a g a r B u d a y a d a r i D i n a s P a r i w i s a t a K o t a B a n d u n g ;
1 1 ) S u r a t I z i n P e n g a m b i l a n A i r ( S I P A ) d a r i P r o v i n s i ;
1 2 ) r e k o m e n d a s i t a t a l e t a k j e n i s t a m a n d a r i D i n a s P ^ m a k a m a n d a n
P e r t a m a n a n K o t a B a n d u n g ;
1 3 ) r e k o m e n d a s i p e n g e l o l a a n p e r s a m p a h a n d a r i P D . K e b e r s i h a n ;
1 4 ) k a j i a n G e o l o g i d a n H i d r o p o n i k L i n g k u n g a n d a r i P S D A P r o v i n s i
J a w a B a r a t ;
1 5 ) I z i n L i n g k u n g a n .
D o k u m e n P e r s y a r a t a n 1 M B P e r u b a h a n :
1 ) 1 M B L a m a ( P e r s y a r a t a n T a m b a h a n D o k u m e n P e r s y a r a t a n 1 M B B a r u ) ;
I z i n M e n d i r i k a n B a n g u n a n M e n a r a T e l e k o m u n i k a s i :
a . B a r u :
1 ) K T P p e m o h o n ;
2 ) b u k t i k e p e m i l i k a n t a n a h a t a u P e r j a n j i a n S e w a M e p y e w a ;
3 ) b u k t i l u n a s P B B ;
4 ) S u r a t K u a s a a p a b i l a d i k u a s a k a n ;
5 ) a k t a p e r u s a h a a n p e m i l i k M e n a r a ;
6 ) K R K ;
7 ) s a l i n a n N o t a K e s e p a k a t a n / P e r j a n j i a n t e r t u l i s a n t a r a p e m i l i k
d e n g a n p e n g g u n a y a n g l a i n ( u n t u k m e n a r a b e r s a m a ) ;
8 ) g a m b a r s i t e p l a n d a n r e n c a n a d e s a i n m e n a r a y a n g b e r s k a l a ;
9 ) R e n c a n a ...
5
9 ) R e n c a n a A n g g a r a n B i a y a ( R A B ) y a n g d i t a n d a t a n g a n i d a n d i
s t e m p e l p e r u s a h a a n ( a p a b i l a b e r b a d a n h u k u m ) ;
1 0 ) g a m b a r r a d i u s p r e d i k s i j a t u h a n m e n a r a b e r i k u t k e t e r a n g a n l a h a n
a t a u b a n g u n a n y a n g b e r a d a d i r a d i u s d i m a k s u d ( b e r s k a l a ) ;
1 ) G a m b a r k o n s t r u k s i l e n g k a p y a n g t e l a h d i s e t u j u i d a n
d i t a n d a t a n g a n i ( b e r s k a l a ) ;
1 2 ) p e r h i t u n g a n k o n s t r u k s i m e n a r a d a n p o n d a s i y a n g d i l e n g k a p i
h a s i l p e n y e l i d i k a n t a n a h y a n g d i t a n d a t a n g a n i o l e h p e r e n c a n a
d e n g a n i d e n t i t a s y a n g j e l a s ( m e n a r a g r e e n f i e l d ) ;
1 3 ) 1 M B b a n g u n a n g e d u n g d a n p e r h i t u n g a n p e n g u a t a n k o n s t r u k s i
a p a b i l a m e n a r a t e l e k o m u n i k a s i y a n g d i m o h o n d i d i r i k a n d i a t a s
b a n g u n a n g e d u n g ;
1 4 ) s u r a t r e k o m e n d a s i k e t i n g g i a n M e n a r a d a r i I n s t a n s i y a n g
b e r w e n a n g ;
]|5) b u k t i p e m b e r i t a h u a n / s o s i a l i s a s i k e p a d a t e t a n g g a d i s e k i t a r l o k a s i
m e n a r a t e l e k o m u n i k a s i d a l a m r a d i u s t i n g g i m e n a r a a r a h
h o r i z o n t a l y a n g d i k e t a h u i o l e h R T / R W , L u r a h d a n C a m a t
s e t e m p a t a p a b i l a r a d i u s t i n g g i d i m a k s u d k e l u a r d a r i b a t a s p e r s i l .
b . P e r p a n j a n g a n :
1 ) 1 M B M e n a r a T e l e k o m u n i k a s i l a m a ;
2 ) K T P p e m o h o n ;
3 ) b u k t i k e p e m i l i k a n t a n a h a t a u P e r j a n j i a n S e w a M e n y e w a ;
4 ) b u k t i l u n a s P a j a k B u m i d a n B a n g u n a n ;
5 ) S u r a t K u a s a a p a b i l a d i k u a s a k a n ;
6 ) a k t a p e r u s a h a a n p e m i l i k M e n a r a ;
7 ) N o t a K e s e p a k a t a n / P e r j a n j i a n t e r t u l i s a n t a r a p e m i l i k d e n g a n
p e n g g u n a y a n g l a i n ( u n t u k m e n a r a b e r s a m a ) ;
8 ) g a m b a r s i t e p l a n d a n r e n c a n a d e s a i n m e n a r a y a n g b e r s k a l a ;
9 ) g a m b a r r a d i u s p r e d i k s i j a t u h a n m e n a r a b e r i k u t k e t e r a n g a n l a h a n
a t a u b a n g u n a n y a n g b e r a d a d i r a d i u s d i m a k s u d ( b e r s k a l a ) ;
1 0 ) g a m b a r k o n s t r u k s i l e n g k a p y a n g t e l a h d i s e t u j u i d a n
d i t a n d a t a n g a n i ( b e r s k a l a ) ;
1 ) p e r h i t u n g a n k o n s t r u k s i m e n a r a d a n p o n d a s i y a n g d i l e n g k a p i
h a s i l p e n y e l i d i k a n t a n a h y a n g d i t a n d a t a n g a n i o l e h p e r e n c a n a
d e n g a n i d e n t i t a s y a n g j e l a s ( m e n a r a g r e e n f i e l d ) ;
. 2 ) 1 M B b a n g u n a n g e d u n g d a n p e r h i t u n g a n p e n g u a t a n k o n s t r u k s i
a p a b i l a m e n a r a t e l e k o m u n i k a s i y a n g d i m o h o n d i d i r i k a n d i a t a s
b a n g u n a n g e d u n g ;
1 3 ) S u r a t ...
6
L 3 ) s u r a t r e k o m e n d a s i k e t i n g g i a n M e n a r a d a r i I n s t a n s i y a n g
b e r w e n a n g ;
1 4 ) b u k t i p e m b e r i t a h u a n / s o s i a l i s a s i k e p a d a t e t a n g g a d i s e k i t a r l o k a s i
m e n a r a t e l e k o m u n i k a s i d a l a m r a d i u s t i n g g i m e n a r a a r a h
h o r i z o n t a l y a n g d i k e t a h u i o l e h R u k u n T e t a n g g a / R u k u n W a r g a ,
L u r a h d a n C a m a t s e t e m p a t a p a b i l a r a d i u s t i n g g i d i m a k s u d k e l u a r
d a r i b a t a s p e r s i l .
I z i n P e m a n c a n g a n T i t i k T i a n g P a n c a n g R e k l a m e , J e m b a t a n
P e n y e b e r a n g a n O r a n g , d a n s e j e n i s n y a .
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) K T P a s l i P e m o h o n ;
2 ) I G , S I U P , T D P ;
3 ) g a m b a r s i t u a s i / g a m b a r R e n c a n a K o n s t r u k s i ;
4 ) p e r h i t u n g a n S t r u k t u r K o n s t r u k s i ( u n t u k B a n d o d a n J P O ) .
b . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) K T P A s l i P e m o h o n ;
2 ) i z i n l a m a .
c . D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n :
1 ) K T P a s l i P e m o h o n ;
2 ) I G , S I U P , T D P ;
3 ) g a m b a r s i t u a s i / g a m b a r R e n c a n a K o n s t r u k s i ;
4 ) i z i n l a m a .
I z i n J a l a n M a s u k P e k a r a n g a n , K o m p l e k , P e r t o k o a n d a n S e j e n i s n y a
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) K T P a s l i P e m o h o n ;
2 ) I G / I U P / T D P ( u n t u k y a n g b e r b a d a n h u k u m ) ;
3 ) s u r a t k e p e m i l i k a n t a n a h ( S e r t i f i k a t / l a i n n y a ) ;
4 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) t a h u n t e r a k h i r ;
5 ) KRK/Site Plan/1MB.
b . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) K T P a s l i P e m o h o n ;
2 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) t a h u n t e r a k h i r ;
3 ) p e m b u a t a n j a l a n m a s u k p e r k a r a n g a n s e b e l u m n y a .
c . D o k u m e n ...
7
c . D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n :
1 ) K T P a s l i P e m o h o n ;
2 ) I G / I U P / T D P ( u n t u k y a n g b e r b a d a n h u k u m ) ;
3 ) s u r a t k e p e m i l i k a n t a n a h ( S e r t i f i k a t / l a i n n y a ) ;
4 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) t a h u n t e r a k h i r ;
5 ) K R K / Site Plan/IMB;
6 ) p e m b u a t a n j a l a n m a s u k p e r k a r a n g a n s e b e l u m n y a ;
6 . I z i n P e n u t u p a n / P e n g g u n a a n T r o t o a r , B e r m d a n S a l u r a n
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) K T P A s l i p e m o h o n ;
2 ) I G / I U P / T D P ( u n t u k y a n g b e r b a d a n h u k u m ) ;
3 ) s u r a t k e p e m i l i k a n t a n a h ( S e r t i f i k a t / l a i n n y a ) ;
4 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) t a h u n t e r a k h i r ;
5 ) K R K / Site Plan/1MB.
b. D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) scan K T P a s l i P e m o h o n ;
2 ) b u k t i P e l u n a s a n P B B 3 ( t i g a ) t a h u n t e r a k h i r ;
3 ) p e m b u a t a n j a l a n m a s u k p e r k a r a n g a n s e b e l u m n y a .
c . D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n :
1 ) K T P a s l i P e m o h o n ;
2 ) I G / I U P / T D P ( u n t u k y a n g b e r b a d a n h u k u m ) ;
3 ) s u r a t k e p e m i l i k a n t a n a h ( S e r t i f i k a t / l a i n n y a ) ;
4 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) t a h u n t e r a k h i r .
7 . I z i n P e m a t a n g a n L a h a n / T a n a h
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) K T P a s l i P e m o h o n ;
2 ) I G / I U P / T D P ( j i k a b e r b a d a n h u k u m ) ;
3 ) K R K / Site Plan/ S P P R ;
4 ) g a m b a r s i t u a s i t a n a h y a n g d i m a k s u d ;
5 ) s u r a t k e p e m i l i k a n t a n a h ( S e r t i f i k a t / l a i n n y a ) ;
6 ) b u k t i l u n a s P B B t a h u n t e r a k h i r .
8 . I z i n P e n g g a l i a n R u a n g M i l i k J a l a n
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) K T P a s l i P e m o h o n ;
2 ) I G / I U P / T D P ( u n t u k y a n g b e r b a d a n h u k u m ) ;
3 ) g a m b a r R e n c a n a K e r j a ( r u t e / a l u r g a l i a n ) ;
4 ) g a m b a r K o n s t r u k s i G a l i a n .
b . D o k u m e n
8
b . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) K T P a s l i P e m o h o n ;
2 ) p e n g g a l i a n R u a n g M i l i k J a l a n s e b e l u m n y a .
c . D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n :
1 ) K T P a s l i P e m o h o n ;
2 ) I G / I U P / T D P ( u n t u k y a n g b e r b a d a n h u k u m ) ;
3 ) g a m b a r R e n c a n a K e r j a ( r u t e / a l u r g a l i a n ) ;
4 ) g a m b a r K o n s t r u k s i G a l i a n .
I z i n P e m b u a n g a n A i r L i m b a h k e S u n g a i
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) K T P a s l i P e m o h o n ;
2 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) t a h u n t e r a k h i r ;
3 ) I G ;
4 ) s u r a t p e m b e r i t a h u a n T e t a n g g a , R T , R W d i t e m b u s k a n k e p a d a
L u r a h s e t e m p a t ;
5 ) g a m b a r k o n s t r u k s i I P A L ( d e n a h p e m b a n g u n a n ) ;
6 ) c o p y d o k u m e n U P L / U K L ( A M D A L ) ;
7 ) c o p y h a s i l L a b o r a t o r i u m A i r B u a n g a n 3 ( t i g a ) b u l a n t e r a k h i r .
b . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) K T P A s l i P e m o h o n ;
2 ) B u k t i P e l u n a s a n P B B 3 ( t i g a ) T a h u n T e r a k h i r ;
3 ) I z i n A s l i d a n G a m b a r K o n s t r u k s i I P A L ;
4 ) C o p y H a s i l L a b o r a t o r i u m A i r B u a n g a n 3 ( t i g a ) B u l a n T e r a k h i r .
c . D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n :
1 ) K T P A s l i P e m o h o n ;
2 ) p e r u b a h a n A k t a N o t a r i s p e r u s a h a a n l e n g k a p / S u r a t K e t e r a n g a n
p e r u b a h a n n a m a ;
3 ) G a m b a r I P A L ;
4 ) I z i n a s l i d a n g a m b a r n y a ;
5 ) h a s i l L a b o r a t o r i u m A i r B u a n g a n 3 ( t i g a ) b u l a n t e r a k h i r .
I z i n P e l a k s a n a a n K o n s t r u k s i y a n g M e n g u b a h a l i r a n
s u n g a i / s a l u r a n
d a n / a t a u a ]
a . D o k u m e n
9
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) K T P A s l i P e m o h o n ;
2 ) a k t a N o t a r i s p e n d i r i a n p e r u s a h a a n l e n g k a p ;
3 ) I M B / K R K ;
4 ) g a m b a r s i t u a s i t a n a h y a n g d i m a k s u d ;
5 ) s u r a t p e m b e r i t a h u a n t e t a n g g a d i t e m b u s k a n k e p a d a L u r a h / C a m a t
S e t e m p a t ;
6 ) B e r i t a A c a r a s e r a h t e r i m a l a h a n s a l u r a n l a m a d a n b a r u ;
7 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) t a h u n t e r a k h i r .
D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) K T P A s l i P e m o h o n ;
2 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) t a h u n t e r a k h i r ;
3 ) I G ;
4 ) g a m b a r s i t u a s i t a n a h y a n g d i m a k s u d ;
5 ) B e r i t a A c a r a s e r a h t e r i m a l a h a n s a l u r a n l a m a d a n b a r u ;
6 ) I z i n l a m a .
] D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n :
1 ) K T P a s l i P e m o h o n ;
2 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) t a h u n t e r a k h i r ;
3 ) a k t a N o t a r i s p e n d i r i a n / p e r u b a h a n P e r u s a h a a n l e n g k a p ;
4 ) g a m b a r s i t u a s i t a n a h y a n g d i m a k s u d ;
5 ) B e r i t a A c a r a s e r a h t e r i m a l a h a n s a l u r a n l a m a d a n b a r u ;
6 ) I z i n l a m a .
1 1 . I z i n P e l a k s a n a a n K o n s t r u k s i p a d a R u a n g S u n g a i
a . ] D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) K T P A s l i P e m o h o n ;
2 ) R K / I M B d a n l a m p i r a n g a m b a r n y a ;
3 ) g a m b a r r e n c a n a j e m b a t a n ;
4 ) s u r a t p e m b e r i t a h u a n T e t a n g g a , R u k u n T e t a n g g a , R u k u n W a r g a
d i t e m b u s k a n K e p a d a L u r a h s e t e m p a t ;
5 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) T a h u n T e r a k h i r .
b . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) K T P A s l i P e m o h o n ;
2 ) I z i n a s l i d a n g a m b a r n y a ;
3 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) T a h u n T e r a k h i r .
c . D o k u m e n ...
1 0
c . D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n :
1 ) K T P A s l i P e m o h o n ;
2 ) a k t a N o t a r i s P e n d i r i a n / P e r u b a h a n P e r u s a h a a n L e n g k a p ;
3 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) T a h u n T e r a k h i r ;
4 ) I z i n l a m a .
1 2 . I z i n P e m a n f a a t a n B a n t a r a n d a n S e m p a d a n S u n g a i
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) K T P A s l i P e m o h o n ;
2 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) T a h u n T e r a k h i r ;
3 ) g a m b a r s i t u a s i l o k a s i y a n g d i m a k s u d ;
4 ) S u r a t P e m b e r i t a h u a n T e t a n g g a d i t e m b u s k a n k e p a d a L u r a h / C a m a t s e t e m p a t .
b . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) K T P A s l i P e m o h o n ;
2 ) B u k t i P e l u n a s a n P B B 3 ( t i g a ) T a h u n T e r a k h i r ;
3 ) G a m b a r L o k a s i T a n a h y a n g d i m a k s u d ;
4 ) I z i n l a m a d a n g a m b a r n y a .
c . D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n :
1 ) K T P A s l i P e m o h o n ;
b ) b u k t i P e l u n a s a n P B B 3 ( t i g a ) T a h u n T e r a k h i r ;
3 ) g a m b a r s i t u a s i t a n a h y a n g d i m a k s u d ;
4 ) S u r a t P e m b e r i t a h u a n T e t a n g g a d i t e m b u s k a n k e p a d a L u r a h / C a m a t
s e t e m p a t ;
5 ) I z i n l a m a .
1 3 . I G
a . D o k u m e n P e r s y a r a t a n I G B a r u :
1 ) A k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
2 ) K T P A s l i D i r e k t u r / P e m i l i k ;
3 ) P e r n y a t a a n T i d a k K e b e r a t a n d a r i T e t a n g g a a s l i ;
4 ) K e t e r a n g a n D o m i s i l i P e r u s a h a a n A s l i ;
5 ) p e r n y a t a a n k e s a n g g u p a n m e m e n u h i / m e n t a q t i k e t e n t u a n
p e l e s t a r i a n l i n g k u n g a n ;
6 ) s u r a t K e p e m i l i k a n T a n a h ( S e r t i f i k a t / l a i n n y a ) . J i k a f o t o c o p y h a r u s
d i l e g a l i s i r a s l i ;
7 ) s u r a t I z i n M e n d i r i k a n B a n g u n a n ( 1 M B ) b e r i k u t g a m b a r
d e n a h / s i t u a s i ;
8 ) S u r a t
1 1
8 ) s u r a t S e w a T a n a h / P e r s e t u j u a n P e m a n f a a t a n T a n a h b e r m a t e r a i
c u k u p ;
<j)) I z i n L i n g k u n g a n a t a u S P P L ;
0 ) c o p y p e n g e s a h a n A n g g a r a n D a s a r P T ( d a r i K e m e n t e r i a n H u k u m
d a n H A M ) ;
1 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) T a h u n T e r a k h i r ;
2 ) b u k t i l u n a s r e t r i b u s i p e m e r i k s a a n a l a t p e m a d a m k e b a k a r a n .
b . D o k u m e n P e r s y a r a t a n I G P e r p a n j a n g a n :
)
2 )
3 )
4 )
5 )
6 )
a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n l e n g k a p ;
K T P A s l i D i r e k t u r / P e m i l i k ;
b u k t i p e l u n a s a n P B B 3 ( t i g a ) T a h u n T e r a k h i r ;
b u k t i p e l u n a s a n P a j a k D a e r a h b u l a n d a n / a t a u t a h u n b e r j a l a n
s e s u a i d e n g a n k e g i a t a n u s a h a n y a ;
I z i n l a m a ;
K a r t u H e r e g i s t r a s i T e r a k h i r .
c . D o k u m e n P e r s y a r a t a n I G P e r u b a h a n :
1 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n l e n g k a p ;
2 ) K T P A s l i D i r e k t u r / P e m i l i k ;
3 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) T a h u n T e r a k h i r ;
4 ) b u k t i p e l u n a s a n P a j a k D a e r a h b u l a n d a n / a t a u t a h u n b e r j a l a n
s e s u a i d e n g a n k e g i a t a n u s a h a n y a ;
5 ) I z i n l a m a .
T D P
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1) K T P A s l i D i r e k t u r / P e m i l i k ;
2 ) N P W P ;
3 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
4 ) I z i n t e k n i s ;
5 ) I G ;
6 ) p e n g e s a h a n a k t a N o t a r i s ( d a r i K e m e n t e r i a n H u k u m d a n H A M ) .
b . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) K T P A s l i D i r e k t u r / P e m i l i k ;
2 ) N P W P ;
3 ) b u k t i p e l u n a s a n P a j a k D a e r a h b u l a n d a n / a t a u t a h u n b e r j a l a n
s e s u a i d e n g a n k e g i a t a n u s a h a n y a ;
4 ) a k t a
1 2
4 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n l e n g k a p ;
5 ) c o p y p e n g e s a h a n a k t a N o t a r i s ( d a r i K e m e n t e r i a n H u k u m d a n
H A M ) ;
6 ) c o p y I z i n T e k n i s ;
7 ) I z i n l a m a ;
8 ) c o p y I G d a n H e r e g r i s t r a s i .
c . D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n :
1 ) K T P A s l i D i r e k t u r / P e m i l i k ;
2 ) N P W P ;
3 ) b u k t i p e l u n a s a n P a j a k D a e r a h b u l a n d a n / a t a u t a h u n b e r j a l a n
s e s u a i d e n g a n k e g i a t a n u s a h a n y a ;
4 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
5 ) c o p y p e n g e s a h a n A k t a N o t a r i s ( d a r i K e m e n t e r i a n H u k u m d a n
H A M ) ;
6 ) I z i n T e k n i s ;
7 ) I G ;
8 ) I z i n l a m a ;
9 ) c o p y S u r a t K e p u t u s a n P e n g e s a h a n B a d a n H u k u m .
I U P
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) K T P A s l i D i r e k t u r / P e m i l i k ;
2 ) N P W P ;
3 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
4 ) c o p y A k t a K e t e r a n g a n P e r u b a h a n P e r u s a h a a n ;
5 ) c o p y P e n g e s a h a n A k t a N o t a r i s ( d a r i K e m e n t e r i a n H u k u m d a n
H A M ) ;
6 ) c o p y l G ;
7 ) n e r a c a P e r u s a h a a n ;
8 ) p a s f o t o P e n g u s a h a ( u k u r a n 3 x 4 ) .
b . ( D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) K T P A s l i D i r e k t u r / P e m i l i k ;
2 ) N P W P ;
3 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
4 ) c o p y p e n g e s a h a n A k t a N o t a r i s ( d a r i K e m e n t e r i a n H u k u m d a n
H A M ) ;
5 ) n e r a c a P e r u s a h a a n ;
6 ) p a s f o t o P e n g u s a h a ( u k u r a n 3 x 4 ) ;
7 ) c o p y I z i n U s a h a P e r d a g a n g a n S e b e l u m n y a ;
8 ) k a r t u h e r e g i s t r a s i t e r a k h i r ;
9 ) b u k t i
1 3
9 ) b u k t i p e l u n a s a n P B B 3 ( t i g a ) t a h u n t e r a k h i r ;
1 0 ) b u k t i p e l u n a s a n P a j a k D a e r a h b u l a n d a n / a t a u
s e s u a i d e n g a n k e g i a t a n u s a h a n y a .
a h u n b e r j a l a n
D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n :
1 ) K T P A s l i D i r e k t u r / P e m i l i k ;
2 ) N P W P ;
3 ) b u k t i p e l u n a s a n P a j a k D a e r a h b u l a n d a n / a t a u t a h u n b e r j a l a n
s e s u a i d e n g a n k e g i a t a n u s a h a n y a ;
4 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
5 ) c o p y A k t a K e t e r a n g a n P e r u b a h a n P e r u s a h a a n ;
6 ) c o p y P e n g e s a h a n A k t a N o t a r i s ( d a r i K e m e n t e r i a n H u k u m d a n
H A M ) ;
7 ) n e r a c a P e r u s a h a a n ;
8 ) p a s f o t o P e n g u s a h a ( u k u r a n 3 x 4 ) ;
9 ) c o p y I z i n U s a h a P e r d a g a n g a n s e b e l u m n y a .
T D G
a . ] D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1) K T P A s l i P e m o h o n ;
2 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
3 ) N P W P ;
4 ) c o p y I G / H O ;
5 ) c o p y S u r a t I j i n U s a h a P e r d a g a n g a n ( S I U P ) ;
6 ) c o p y T a n d a D a f t a r P e r u s a h a a n ( T D P ) ;
7 ) g a m b a r L o k a s i G u d a n g .
D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1) K T P A s l i P e m o h o n ;
2 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
3 ) N P W P ;
4 ) c o p y S u r a t I z i n U s a h a P e r d a g a n g a n ( S I U P ) ;
5 ) c o p y T a n d a D a f t a r P e r u s a h a a n ( T D P ) ;
6 ) c o p y T a n d a D a f t a r G u d a n g S e b e l u m n y a .
c . D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n :
1 ) K T P A s l i P e m o h o n ;
2 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
3 ) N P W P ;
4 ) c o p y .
1 4
4 ) c o p y S u r a t I z i n U s a h a P e r d a g a n g a n ( S I U P ) ;
5 ) c o p y T a n d a D a f t a r P e r u s a h a a n ( T D P ) ;
6 ) g a m b a r L o k a s i G u d a n g ;
7 ) c o p y T a n d a D a f t a r G u d a n g S e b e l u m n y a .
T D I ;
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) c o p y K T P P e n a n g g u n g J a w a b / P e m i l i k ;
2 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
3 ) N P W P ;
4 ) d a f t a r M e s i n d a n P e r a l a t a n d i t a n d a t a n g a n i P i m p i n a n P e r u s a h a a n ;
5 ) d a f t a r B a h a n B a k u P e n o l o n g d i t a n d a t a n g a n i P i m p i n a n
P e r u s a h a a n ;
6 ) a s l i I G I n d u s t r i .
b . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) c o p y K T P P e n a n g g u n g J a w a b / P e m i l i k ;
2 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
3 ) N P W P ;
4 ) b u k t i p e l u n a s a n P a j a k D a e r a h b u l a n d a n / a t a u t a h u n b e r j a l a n
s e s u a i d e n g a n k e g i a t a n u s a h a n y a ;
5 ) d a f t a r M e s i n d a n P e r a l a t a n d i t a n d a t a n g a n i P i m p i n a n P e r u s a h a a n ;
6 ) d a f t a r B a h a n B a k u P e n o l o n g d i t a n d a t a n g a n i P i m p i n a n
P e r u s a h a a n ;
7 ) I z i n l a m a ;
8 ) scan A s l i I G I n d u s t r i .
c . D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n :
1 ) c o p y K T P P e n a n g g u n g J a w a b / P e m i l i k ;
2 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
3 ) N P W P ;
4 ) b u k t i p e l u n a s a n P a j a k D a e r a h b u l a n d a n / a t a u s e s u a i d e n g a n k e g i a t a n u s a h a n y a ;
5 ) d a f t a r M e s i n d a n P e r a l a t a n d i t a n d a t a n g a n i P i m p i n a n P e r u s a h a a n ; 6 ) d a f t a r B a h a n B a k u P e n o l o n g d i t a n d a t a n g a n i P i m p i n a n
P e r u s a h a a n ;
7 ) i z i n L a m a ; 8 ) a s l i I G I n d u s t r i .
1 8 . I U I
t a h u n b e r j a l a n
1 5
1 8 . I U I a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
7 8
9 )
c o p y K T P P e n a n g g u n g J a w a b / P e m i l i k ; N P W P ;
a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ; a s l i I G I n d u s t r i ; c o p y 1 M B ; k e t e r a n g a n d a r i P e n g e l o l a K a w a s a n I n d u s t r i / B e r i k a t ; d a f t a r M e s i n d a n P e r a l a t a n d i t a n d a t a n g a n i P i m p i n a n P e r u s a h a a n ; d a f t a r B a h a n B a k u P e n o l o n g d i t a n d a t a n g a n i P i m p i n a n P e r u s a h a a n ; d o k u m e n l i n g k u n g a n P e r u s a h a a n ( S P P L , U K L / U P L , A M D A L , D P L H ) - S u r a t p e r m o h o n a n d a n l e m b a r y a n g d i s a h k a n B a d a n P e n g e l o l a L i n g k u n g a n H i d u p K o t a B a n d u n g .
b . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n : 1 ) c o p y K T P P e n a n g g u n g J a w a b / P e m i l i k ; 2 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ; 3 ) N P W P ; 4 ) b u k t i p e l u n a s a n P a j a k D a e r a h b u l a n d a n / a t a u t a h u n b e r j a l a n
s e s u a i d e n g a n k e g i a t a n u s a h a n y a ; 5 ) D a f t a r M e s i n d a n P e r a l a t a n d i t a n d a t a n g a n i P i m p i n a n P e r u s a h a a n ; 6 ) d a f t a r B a h a n B a k u P e n o l o n g d i t a n d a t a n g a n i P i m p i n a n
P e r u s a h a a n ;
7 ) I z i n U s a h a I n d u s t r i S e b e l u m n y a ; 8 ) a s l i I G / H O I n d u s t r i .
D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n : 1 ) c o p y K T P P e n a n g g u n g J a w a b / P e m i l i k ;
2 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
3 ) N P W P ;
4 ) b u k t i p e l u n a s a n P a j a k D a e r a h b u l a n d a n / a t a u t a h u n
b e r j a l a n s e s u a i d e n g a n k e g i a t a n u s a h a n y a ;
5 ) d a f t a r M e s i n d a n P e r a l a t a n d i t a n d a t a n g a n i P i m p i n a n P e r u s a h a a n ;
6 ) d a f t a r B a h a n B a k u P e n o l o n g d i t a n d a t a n g a n i P i m p i n a n
P e r u s a h a a n ;
7 ) I z i n U s a h a I n d u s t r i S e b e l u m n y a ;
8 ) c o p y I G / H O ;
9 ) c o p y 1 M B ;
1 0 ) k e t e r a n g a n d a r i P e n g e l o l a K a w a s a n I n d u s t r i / B e r i k a t .
1 9 . I z i n
1 6
1 9 . I z i n T r a y e k
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) K T P p e m o h o n / P e m i l i k K e n d a r a a n ;
I) l e g a l i t a s P e r u s a h a a n ( B a d a n H u k u m P T / K o p e r a s i ) ;
5) S T N K d a n S u r a t K e t e t a p a n P a j a k D a e r a h P K B / B B N K B y a n g m a s i h
b e r l a k u ;
4 ) B u k u U j i ;
5 ) I z i n P r i n s i p d a r i W a l i k o t a ;
6 ) r e k o m e n d a s i d a r i T i m T e k n i s p e r i h a l T r a y e k d a n J a l p r ;
b . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) K T P p e m o h o n ;
2 ) l e g a l i t a s P e r u s a h a a n ( B a d a n H u k u m P T / K o p e r a s i ) ;
3 ) S T N K d a n S u r a t K e t e t a p a n P a j a k D a e r a h P K B / B B N K B y a n g m a s i h
b e r l a k u ;
4 ) B u k u U j i ;
5 ) K a r t u P e n g a w a s a n ;
6 ) I z i n T r a y e k S e b e l u m n y a ;
7 ) S u r a t K u a s a B e r m a t e r a i R p 6 . 0 0 0 , 0 0 ( j i k a n a m a p e m o h o n d a n
p e m i l i k t r a y e k b e r b e d a ) .
2 0 . I U J K
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) A k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
2 ) p a s f o t o P e n g u s a h a ( u k u r a n 3 x 4 ) ;
3 ) c o p y S e r t i f i k a t B a d a n U s a h a ( S B U ) y a n g t e l a h D i r e g i s t r a s i o l e h
A s o s i a s i / L e m b a g a ;
4 ) N P W P ;
5 ) K T P A s l i D i r e k t u r / P e m i l i k ;
6 ) c o p y I G / H O ; 7 ) c o p y I j a s a h P e n a n g g u n g J a w a b B i d a n g T e k n i k ; 8 ) c o p y K T P P e n a n g g u n g J a w a b B i d a n g T e k n i k ;
9 ) s e r t i f i k a t K e t e r a m p i l a n K e r j a d a r i A s o s i a s i .
b . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n : 1 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ; 2 ) p a s f o t o P e n g u s a h a ( u k u r a n 3 x 4 ) ; 3 ) c o p y S e r t i f i k a t B a d a n U s a h a ( S B U ) y a n g t e l a h d i r e g i s t r a s i o l e h
A s o s i a s i / L e m b a g a ; 4 ) N P W P ...
1 7
4 ) N P W P ; 5 ) b u k t i p e l u n a s a n p a j a k D a e r a h b u l a n d a n / a t a u t a h u n b e r j a l a n
s e s u a i d e n g a n k e g i a t a n u s a h a n y a ; 6 ) K T P a s l i D i r e k t u r / P e m i l i k ; 7 ) c o p y I j a s a h P e n a n g g u n g J a w a b B i d a n g T e k n i k ; 8 ) c o p y K T P P e n a n g g u n g J a w a b B i d a n g T e k n i k ; 9 ) I z i n L a m a ; 1 0 ) c o p y I G d a n H e r e g i s t r a s i ; 1 1 ) s e r t i f i k a t k e t e r a m p i l a n k e r j a d a r i A s o s i a s i .
c . D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n : 1 ) a k t a N o t a r i s P e n d i r i a n P e r u s a h a a n L e n g k a p ;
2 ) p a s F o t o P e n g u s a h a ( 3 x 4 ) ; ) c o p y S e r t i f i k a t B a d a n U s a h a ( S B U ) y a n g T e l a h D i r e g i s t r a s i o l e h
A s o s i a s i / L e m b a g a ; 4 ) N P W P ; 5 ) b u k t i p e l u n a s a n p a j a k d a e r a h b u l a n d a n / a t a u t a h u n b e r j a l a n
s e s u a i d e n g a n k e g i a t a n u s a h a n y a ; 6 ) K T P A s l i D i r e k t u r / P e m i l i k ; 7 ) c o p y I G / H O ; 8 ) c o p y I j a s a h P e n a n g g u n g J a w a b B i d a n g T e k n i k ; 9 ) c o p y K T P P e n a n g g u n g J a w a b B i d a n g T e k n i k ; 1 0 ) scan Izin L a m a ;
1 1 ) s e r t i f i k a t k e t e r a m p i l a n k e r j a d a r i A s o s i a s i .
I P T P
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u : 1 ) K T P P e m o h o n ; 2 ) s u r a t I z i n P e r u s a h a a n ( I G / I U P / T D P ) ; 3 ) s e r t i f i k a t k e p e m i l i k a n l a h a n / P e r j a n j i a n S e w a / M o U ; 4 ) r e k o m e n d a s i d a n B e r i t a A c a r a P e m e r i k s a a n L a p a n g a n T i m T e k n i s
d a r i D i n a s P e r h u b u n g a n ( A s l i ) ; 5 ) s u r a t p e r n y a t a a n b e l u m m e m i l i k i I z i n / m e n g a j u k a n I z i n
P e n g e l o l a a n T e m p a t P a r k i r . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n :
1 ) K T P P e m o h o n ; 2 ) S u r a t I z i n P e r u s a h a a n ( I G / I U P / T D P ) ; 3 ) r e k o m e n d a s i d a n B e r i t a A c a r a P e m e r i k s a a n L a p a n g a n T i m T e k n i s
d a r i D i n a s P e r h u b u n g a n ( A s l i ) ; 4 ) b u k t i p e m b a y a r a n P a j a k P a r k i r D a e r a h 3 ( t i g a ) b u l a n t e r a k h i r ; 5 ) I z i n P e n g e l o l a a n T e m p a t P a r k i r s e b e l u m n y a .
2 2 . I z i n
1 8
2 3 .
2 2 . I z i n P e n y e l e n g g a r a a n R e k l a m e a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u :
1 ) scan K T P P e m o h o n a t a u K T P P e m i l i k A d v e r t i s i n g ; 2 ) D e s a i n G a m b a r P e m a s a n g a n R e k l a m e p a d a t i t i k l o k a s i ; 3 ) scan S T N K d a n S u r a t K e t e t a p a n P a j a k D a e r a h P K B / B B N K B y a n g
m a s i h b e r l a k u ( R e k l a m e K e n d a r a a n ) ; 4 ) s c a n G a m b a r K o n s t r u k s i R e k l a m e u n t u k p e r h a s n g a n y a n g
m e n g g u n a k a n t i a n g p a n c a n g ; 5 ) scan P e t a L o k a s i y a n g D i m o h o n ; 6 ) scan S u r a t I j i n P e r u s a h a a n ( I G / I U P / T D P / I U M K ) d a n T a n d a B u k t i
P e m b e r i t a h u a n / P e n d a f t a r a n / P e n d a t a a n U s a h a M i k r o d a n K e c i l ; 7 ) scan S u r a t P e r n y a t a a n k e s a n g g u p a n d a n b e r t a n g g u n g j a w a b
t e r h a d a p s e g a l a r e s i k o p e n y e l e n g g a r a a n r e k l a m e y a n g d i m o h o n ; 8 ) scan S e w a t a n a h / l a h a n / b a n g u n a n d a r i P e m i l i k a t a u P e r n y a t a a n
t i d a k k e b e r a t a n d a r i p e m i l i k t a n a h / L a h a n / b a n g u n a n , d e n g a n d i l a m p i r i b u k t i L u n a s P B B T a h u n T e r a k h i r .
9 ) e n i s r e k l a m e d i S P P R d a n P e r j a n j i a n K e r j a s a m a b a g i p e r m o h o n a n ; J P O ;
1 0 ) S P P R b a g i p e r m o h o n a n j e n i s r e k l a m e d i B a n d o J a l a n
b . D o k u m e n P e r s y a r a t a n P e r p a n j a n g a n P e r i z i n a n : 1 ) scan K T P P e m o h o n a t a u K T P P e m i l i k Advertising;
2 ) scan F o t o d a n N a s k a h R e k l a m e ; 3 ) scan S T N K d a n S u r a t K e t e t a p a n P a j a k D a e r a h P K B / B B N K B y a n g
m a s i h b e r l a k u ( R e k l a m e K e n d a r a a n ) ;
4 ) scan B u k t i P e l u n a s a n P a j a k R e k l a m e t a h u n s e b e l u m n y a ; 5 ) scan Izin P e n y e l e n g g a r a a n R e k l a m e T a h u n S e b e l u m n y a . 6 ) scan S u r a t P e r n y a t a a n k e s a n g g u p a n d a n b e r t a n g g u n g j a w a b
t e r h a d a p s e g a l a r e s i k o p e n y e l e n g g a r a a n r e k l a m e y a n g d i m o h o n ;
7 ) scan S e w a t a n a h / l a h a n / b a n g u n a n d a r i P e m i l i k a t a u P e r n y a t a a n t i d a k k e b e r a t a n d a r i p e m i l i k t a n a h / L a h a n / b a n g u n a n , d e n g a n d i l a m p i r i b u k t i L u n a s P B B T a h u n T e r a k h i r ;
8 ) S P P R d a n P e r j a n j i a n K e r j a s a m a b a g i p e r m o h o n a n j e n i s r e k l a m e d i J P O ;
9 ) S P P R b a g i p e r m o h o n a n j e n i s r e k l a m e d i B a n d o J a l a n .
I z i n U s a h a A n g k u t a n
a . D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u : j l ) K T P p e m o h o n ; 2 ) S u r a t I z i n P e r u s a h a a n ( H O / S I U P / T D P ) ; 3 ) r e k o m e n d a s i d a n B e r i t a A c a r a P e m e r i k s a a n L a p a n g a n T i m T e k n i s
d a r i D i n a s P e r h u b u n g a n K o t a B a n d u n g ( a s l i ) ; 4 ) f o t o ..
1 9
4 ) f o t o G a r a s i / T e m p a t P e n y i m p a n a n K e n d a r a a n ( d a r i b e r b a g a i s u d u t p a n d a n g ) ;
5 ) S u r a t P e r n y a t a a n K e p e m i l i k a n P o o l / G a r a s i b e r m a t e r a i R p . 6 0 0 0 , 0 0 ( e n a m r i b u r u p i a h ) d e n g a n m e l a m p i r k a n B u k t i K e p e m i l i k a n L a h a n / S e w a / K o n t r a k ;
6 ) s u r a t p e r n y a t a a n k e n d a r a a n d i r u a s j a l a n d a l a n f w i l a y a h K o t a B a n d u n g , s e r t a m e n g o p e r a s i k a n k e n d a r a a n s e s u a i d e n g a n i z i n y a n g d i m i l i k i ;
7 ) s u r a t p e r n y a t a a n b e r m a t e r a i R p 6 . 0 0 0 . 0 0 ( e n a m r i b u r u p i a h ) y a n g m e n e r a n g k a n b a h w a k e n d a r a a n d i s e w a k a n u n t u k u m u m .
D o k u m e n P e r s y a r a t a n P e r u b a h a n P e r i z i n a n :
1 ) K T P p e m o h o n ; 2 ) S u r a t I z i n P e r u s a h a a n ( I G / I U P / T D P ) ;
3 ) r e k o m e n d a s i d a n B e r i t a A c a r a P e m e r i k s a a n L a p a n g a n T i m T e k n i s d a r i D i n a s P e r h u b u n g a n ( a s l i ) ;
4 ) I z i n U s a h a A n g k u t a n y a n g t e l a h d i m i l i k i ; 5 ) f o t o G a r a s i / T e m p a t P e n y i m p a n a n K e n d a r a a n ( d a r i b e r b a g a i s u d u t
p a n d a n g ) ; 6 ) s u r a t P e r n y a t a a n K e p e m i l i k a n P o o l / G a r a s i b e r m a t e r a i R p . 6 0 0 0 . -
( e n a m r i b u r u p i a h ) d e n g a n m e l a m p i r k a n B u k t i K e p e m i l i k a n L a h a n / S e w a / K o n t r a k ;
7 ) s u r a t p e r n y a t a a n k e n d a r a a n d i r u a s j a l a n d a l a m w i l a y a h K o t a B a n d u n g , s e r t a m e n g o p e r a s i k a n k e n d a r a a n s e s u a i d e n g a n i z i n y a n g d i m i l i k i ;
8 ) s u r a t p e r n y a t a a n b e r m a t e r a i R p 6 . 0 0 0 . 0 0 ( e n a m r i b u r u p i a h ) y a n g m e n e r a n g k a n b a h w a k e n d a r a a n d i s e w a k a n u n t u k u m u m .
2 4 . I z i n L i n g k u n g a n D o k u m e n P e r s y a r a t a n P e r i z i n a n B a r u : 1 ) K T P A s l i P e m o h o n ; 2 ) I z i n T e r k a i t ( P e r i z i n a n Y a n g S u d a h T e r b i t ) ; 3 ) S e r t i f i k a t / P e r j a n j i a n S e w a / M O U ; 4 ) b u k t i P e l u n a s a n P B B 3 ( t i g a ) T a h u n T e r a k h i r ; 5 ) b u k t i S o s i a l i s a s i / P e m b e r i t a h u a n K e p a d a W a r g a ; 6 ) S u r a t P e r s e t u j u a n P e m a n f a a t a n r u a n g ( S P P R ) / B K P R D ; 7 ) r e k o m e n d a s i K B U ( K h u s u s K a w a s a n B a n d u n g U t a r a ) ; 8 ) p e t a S i t e P l a n / B l o k Plan/Master Plan l o k a s i y a n g d i m o h o n ;
9 ) f o t o L o k a s i ; 1 0 ) a s l i P e n g e s a h a n D o k u m e n U P L / U K L ( A M D A L ) .
B . P E R S Y A R A T A N P E N C A B U T A N P E R I Z I N A N A T A S P E R M O H O N A N 1 . s u r a t P e r m o h o n a n P e n c a b u t a n d a r i P i m p i n a n P e r u s a h a a n ; 2 . f o t o c o p y K T P P i m p i n a n P e r u s a h a a n ; 3 . d o k u m e n a s l i P e r i z i n a n y a n g a k a n d i c a b u t .
C . K E T E N T U A N
2 0
K E T E N T U A N W A K T U L A Y A N A N L A I N N Y A .
NO J E N I S LAYANAN X T T A T / T T T T A V A A T A A T
WAKTU LAYANAN (HARI KERJA )
KETERANGAN
1 r e i a y a n a n o a i i n a n i z i n 4 L a y a n a n s e l e s a i
2 P e l a y a n a n L e g a l i s a s i I z i n 4 L a y a n a n s e l e s a i
3 P e n a n g g u h a n P e l a y a n a n I z i n 7 L a y a n a n s e l e s a i
4 P e l a y a n a n P e m b e k u a n I z i n 7 L a y a n a n s e l e s a i
5 P e l a y a n a n P e m b a t a l a n I z i n 7 L a y a n a n s e l e s a i
6 P e l a y a n a n P e n c a b u t a n I z i n 7 L a y a n a n s e l e s a i
7 P e l a y a n a n P e n g a d u a n 3 T i n d a k l a n j u t P e n g a d u a n
W A L I K O T A B A N D U N G ,
t t d .
M O C H A M A D R I D W A N K A M I L
2 0
K E T E N T U A N W A K T U L A Y A N A N L A I N N Y A .
NO JENIS LAYANAN WAKTU LAYANAN
(HARI KERJA ) 1 A A A A A V A A AA^AAAJ A AW
I CETERANGAN
1 P e l a y a n a n S a l i n a n I z i n 4 T 1 *
L a y a n a n s e l e s a i 2 P e l a y a n a n L e g a l i s a s i I z i n 4 L a y a n a n s e l e s a i
3 P e n a n g g u h a n P e l a y a n a n I z i n 7 L a y a n a n s e l e s a i
4 P e l a y a n a n P e m b e k u a n I z i n 7 L a y a n a n s e l e s a i
5 P e l a y a n a n P e m b a t a l a n I z i n 7 L a y a n a n s e l e s a i
6 P e l a y a n a n P e n c a b u t a n I z i n 7 L a y a n a n s e l e s a i
7 P e l a y a n a n P e n g a d u a n 3 T i n d a k l a n j u t P e n g a d u a n
d e n g a n a s l i n y a U K U M D A N H A M ,
I F U D I N , S H . T i n g k a t I
1 1 1 1 9 9 6 0 3 1 0 0 2
W A L I K O T A B A N D U N G ,
t t d
M O C H A M A D R I D W A N K A M I L
L A M P I R A N X I I : P E R A T U R A N W A L I K O T A B A N D U N G
N O M O R : 2 6 5 T ^ H U N 2 0 1 6 T A N G G A L : 2 4 P e b r u a r i 2 0 1 6
B E N T U K F O R M A T T D U K ( T A N D A D A F T A R U S A H A K E C I L ) D A N T D U M ( T A N D A D A F T A R U S A H A M I K R O )
A . B E N T U K F O R M A T S U R A T P E M B E R I T A H U A N
P e r i h a l P E M B E R I T A H U A N K E G I A T A N U S A H A M I K R O D A N U S A H A K E C I L
K e p a d a :
Y t h . B a p a k W a l i k o t a B a n d u n g M e l a l u i : Y t h . B a p a k K e p a l a B P P T K o t a B a n d u n g
d i B a n d u n g
D e n g a n h o r m a t ,
S a y a y a n g b e r t a n d a t a n g a n d i b a w a h i n i : a . N a m a b . A l a m a t c . N o m o r K T P d . N o m o r T e l e p o n G e n g g a m
m i l i k s e n d i r i / s e w a / k o n t t a k
D e n g a n i n i m e n y a m p a i k a n Pemberitahuan b a h w a s a y a m e m i l i k i k e g i a t a n u s a h a , d e n g a n d a t a s e b a g a i b e r i k u t : a . N a m a K e g i a t a n U s a h a b . A l a m a t K e g i a t a n U s a h a c . J e n i s K e g i a t a n U s a h a d . P e r a l a t a n u s a h a y a n g
D i g u n a k a n e . T e m p a t U s a h a y a n g
D i g u n a k a n f . J u m l a h M o d a l
U s a h a ( t i d a k t e r m a s u k T a n a h d a n b a n g u n a n )
D e m i k i a n P e m b e r i t a h u a n i n i s a y a s a m p a i k a n d e n g a n s e b e n a r n y a u n t u k m e n d a p a t T a n d a B u k t i L e g a l i t a s d a r i P e m e r i n t a h K o t a B a r i d u n g , d a n a p a b i l a d i k e m u d i a n h a r i t e r b u k t i P e m b e r i t a h u a n i n i t i d a k b e n a r , m a k a s a y a b e r s e d i a d i k e n a k a n s a n k s i s e s u a i d e n g a n k e t e n t u a n p e r a t u r a n p e r u n d a n g - u n d a n g a n .
A t a s p e r h a t i a n d a n p e r k e n a n n y a , s a y a s a m p a i k a n t e r i m a k a s i h .
B a n d u n g ,
Y a n g M e m b u a t P e m b e r i t a h u a n ,
T a n d a t a n g a n M a t e r a i R p 6 . 0 0 0
M e n g e t a h u i :
K e t u a R u k u n W a r g a , K e t u a R u k u n T e t a n g g a ,
B . B E N T U K F O R M A T T D U K ( T A N D A D A F T A R U S A H A K E C I L P E R S E O R A N G A N )
PEMERINTAH KOTA BANDUNG BADAN PELAYANAN PERIZINAN TERPADU
s ^ . = s p : J a l a n C i a n j u r N o . 3 4 B a n d u n g T e l p . 0 2 2 - 7 2 1 7 6 0 8 / 7 2 1 7 6 6 3 F a x 0 2 2 - 7 2 1 7 6 6 3
TANDA DAFTAR USAHA K E C I L
B E R D A S A R K A N U N D A N G - U N D A N G N O M O R 2 0 T A H U N 2 0 0 8 T E N T A N G U S A H A M I K R O K E C I L D A N M E N E N G A H JUNCTO P E R A T U R A N P E M E R I N T A H N O M O R 1 7 T A H U N 2 0 1 3 T E N T A N G
P E L A K S A N A A N U N D A N G - U N D A N G N O M O R 2 0 T A H U N 2 0 0 8 T E N T A N G U ^ A H A M I K R O K E C I L D A N M E N E N G A H
NOMOR BERLAKU S/D TANGGAL
A G E N D ,
N O M O R
\ P E N D A F T A R A N T A N G G A L :
N A M A K E G I A T A N U S A H A
A L A M A T K E G I A T A N U S A H A
N O M O R T E L E P O N
J U M L A H M O D A L
N A M A P E L A K U U S A H A
J E N I S K E G I A T A N U S A H A
K B L I
B a n d u n g , 2 0 ....
K E P A L A B A D A N P E L A Y A N A N P E R I Z I N A N T E R P A D U ,
N I P .
T e m b u s a n : 1 . K e p a l a D i n a s K o p e r a s i , U s a h a K e c i l M e n e n g a h d a n P e r i n d u s t r i a n P e r d a g a n g a n
K o t a B a n d u n g ; 2 . C a m a t .
3
C . B E N T U K F O R M A T T D U M ( T A N D A D A T A U S A H A M I K R O )
PEMERINTAH KOTA BANDUNG BADAN PELAYANAN PERIZINAN TERPADU
J a l a n C i a n j u r N o . 3 4 B a n d u n g T e l p . 0 2 2 - 7 2 1 7 6 0 8 / 7 2 1 7 6 6 3 F a x 0 2 2 - 7 2 1 7 6 6
TANDA DATA USAHA MIKRO
B E R D A S A R K A N U N D A N G - U N D A N G N O M O R 2 0 T A H U N 2 0 0 8 T E N T A N G U S A H A M I K R O K E C I L D A N M E N E N G A H JUNCTO P E R A T U R A N P E M E R I N T A H N O M O R 1 7 T A H U N 2 0 1 3 T E N T A N G
P E L A K S A N A A N U N D A N G - U N D A N G N O M O R 2 0 T A H U N 2 0 0 8 T E N T A N G U S A H A M I K R O K E C I L D A N M E N E N G A H
NOMOR BERLAKU S/D TANGGAL
A G E N D A P E N D A F T A R A N
N O M O R
T A N G G A L :
N A M A K E G I A T A N U S A H A
A L A M A T K E G I A T A N U S A H A
N O M O R T E L E P O N :
J U M L A H M O D A L :
N A M A P E L A K U U S A H A
J E N I S K E G I A T A N U S A H A
K B L I
B a n d u n g , 2 0 ...
K E P A L A B A D A N P E L A Y A N A N P E k l Z I N A N T E R P A D U ,
N I P .
T e m b u s a n : 1 . K e p a l a D i n a s K o p e r a s i , U s a h a K e c i l M e n e n g a h d a n P e r i n d u s t r i a n
K o t a B a n d u n g ; 2 . C a m a t .
P e r d a g a n g a n
4
D . B A G A N A L U R P E N E R B I T A N T D U K B A G I U S A H A K E C I L P E R S E O R A N G A N
N o Kegiatan
Pe laksana
Pe laku Usaha Keci l
Kecamatan mela lu i Kasi
Ekbang dan LH
Kepala
Bidang Petugas Ce takan Kepala B P P T
Mutu Baku
Ke leng-kapan W a k t u Ke luaran
Mengajukan Pember i tahuanKegiatan Usaha Kecil Perseorangan
( y Form/Dok u m e n , S i s t e m apl ikasi
Informasi Persyara tan, dan wak tu layanan
Melakukan verif ikasi Berkas dan Melakukan Pengecheckan Lapangan.
S i s tem apl ikasi ,
D o k u m e n
2 hari Informasi , Formul i r Ter is i
Melaporkan hasil pengecheckan lapangan
Tidak S e s u a i S is tem
apl ikasi 1 hari Dokumen Pengecheckan Lapangan
Membuat Persetu juan atas hasi l lapangan atau penolakan terhadap hasil laporan
V -co S is tem apl ikasi
2 har i
Persyara tan terveri f ikasi/
Notif ikasi Peno lakan
Pemohon Melakukan Survey Indek Kepuasan
M e n c e t a k T D U K zo S is tem apl ikasi ,
D o k u m e n
1 hari Dokumen T D U K
M e n a n d a t a n g i T D U K V
D o k u m e n 1 hari Dokumen T D U K
Menyampaikan TDUK/not i f ikas i
S i s tem apl ikasi
Dokumen T D U K
5
E . B A G A N A L U R P E N E R B I T A N T D U M B A G I U S A H A M I K R O
N o Kegiatan
Pe laksana
Pe laku Usaha Keci l
Kecamatan mela lu i Kasi
Ekbang dan LH
Kepala
Bidang Petugas Cetakan Kepala B P P T
Mutu Baku
Ke leng-kapan iWak tu Keluaran
Keterangan
Mengajukan Pember i tahuanKegiatan Usaha Kecil Perseorangan
Fo rm/Dok u m e n , S is tem apl ikasi
Informasi Persyara tan , dan waktu layanan
Melakukan veri f ikasi Berkas dan Me lakukan Pengecheckan Lapangan.
S i s tem apl ikasi,
D o k u m e n
2 hari Informasi , Formul i r Ter is i
Melaporkan hasi l pengecheckan lapangan
Tidak Sesuai S i s tem apl ikasi 1 har i
Dokumen Pengecheckan Lapangan
Jika persyaratan lengkap dan benar
Membuat Persetu juan atas hasil lapangan atau penolakan terhadap hasi l laporan
CO S is tem apl ikasi 2 hari
Persyara tan terveri f ikasi/
Notif ikasi Peno lakan
P e m o h o n Melakukan Survey Indek Kepuasan
COD
Mencetak T D U M
S is tem apl ikasi ,
D o k u m e n
1 hari Dokumen T D U M
M e n a n d a t a n g i T D U M D o k u m e n 1 hari Dokumen T D U M
Menyampaikan T D U M / notif ikasi
S i s t e m apl ikasi
Dokumen T D U M
Petugas P O S
W A L I K O T A B A N D U N G ,
t t d .
M O C H A M A D R I D W A N K A M I L
i d e n g a n a s l i n y a U K U M D A N H A M ,
A I F U D I N , S H . a T i n g k a t I
N I P . 1 9 6 9 0 1 1 1 1 9 9 6 0 3 1 0 0 2