2. 
4. Stormwater Small Project Application
6. Project Street Address*
8. Project Name*
10. Owner's Name*
12. Owner's Address*
14. Owner's Phone #*
15. Owner's Email Address
16. Owner's Fax #
18. Proposed Activity
20. Removal of ground cover, grading, filling or excavation of an area less than 5,000 square feet?*

    1. Yes
    2. No
22. Total area of land disturbance (in square feet)
24. Type of Regulated Activity (check all that apply)

    1. Excavation
    2. Filling
    3. Grading
    4. Removal of ground cover
    5. Other
26. If other please describe
30. Check all items below that will be impacted by the project

    1. Alternate septic drainfields
    2. Creeks, streams,wetlands, or ponds
    3. Easements
    4. Existing stormwater management facility

    1. Mature trees
    2. Septic drainfields
    3. Sinkholes
    4. Water wells
32. Total runoff volume to be permanently removed/managed on site (in gallons or cubic feet)
33. To open a Small Project Application Calculation Worksheet, click below
    Open Worksheet
35. Proposed Stormwater Management Controls

    1. Cistern
    2. Infiltration Trench
    3. Rain Barrel
    4. Rain Garden
    5. Other
37. If other please describe
39. Provide a sketch of the proposed additional impervious area or land disturbance
    Include the following on the sketch. 1. Property boundary 2. Location and approximate footprint of existing structures (buildings, patios, driveways, etc.) 3. Approximate location of any of the following features which will be impacted by the project: Mature trees, Sinkholes, Water wells, Septic drainfields, Alternate septic drainfields, Creeks, streams, wetlands, ponds, Existing stormwater management facilities (basins, swales, etc.) 4. Location and approximate footprint of proposed impervious area or land disturbance. 5. Approximate footprint and location of all structures on adjacent properties if located within fifty feet (50’) of the proposed impervious area or land disturbance 6. Location and description of proposed stormwater management facilities (e.g. rain gardens, swales, rain barrels, etc.) 7. Direction of proposed stormwater discharge (e.g. with arrows) 8. Scale and north arrow
41. Person/Firm to be completing work
43. Person/Firm to be completing work Phone #
44. Person/Firm to be completing work Email Address
46. Name of person submitting this application*
48. Name*
    By entering your name and date above, you are signing this form and agreeing to alll terms and conditions of this application.
49. Date*
    Date
Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit Submit and Print

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