Stormwater Management Permit Application Form
Applicant Information
Name
Company/Organization
Address
City
State
ZIP Code
Phone
Email
Project Information
Project Name
Project Location
Parcel Number
Land Area (sq. ft.)
Type of Project
New Construction
Redevelopment
Addition
Repair
Other
Proposed Impervious Area (sq. ft.)
Stormwater Management Details
Description of Stormwater Controls
Area Draining to Control (sq. ft.)
Type of Controls
Maintenance Plan
Certification
Name of Person Certifying
Date