Storm Water Approval Application

City of Mt. Pleasant Stormwater Permit Application
1. APPLICANT INFORMATION
DATE*

MonthDayYear
Date
NAME*

First NameLast Name
ADDRESS*

Street Address

Street Address Line 2

CityState

Zip Code
PHONE NUMBER*

Area CodePhone Number
Email
example@example.com
2. PROJECT LOCATION
Address or Lot Info*

Street Address or Lot Location

Street Address Line 2

CityState / Province

Postal / Zip Code
3. PROPOSED PROJECT
Project Type*
Choose One
Describe Project*
SIZE OF DEVELOPMENT AREAAcres SQ. FT.* Type size here*
SIZE OF DEVELOPMENT LENGTHAcres SQ. FT.* Type size here*
Name of and Distance (feed) to Drainage Outlet*
Start Date of Project*

MonthDayYear
Date
Date Project Completed

MonthDayYear
Date
4. STORMWATER CONTROL PLAN

One complete set of plans and calculations must be submitted with this application.
Plan Preparer's Name *

First NameLast Name
Plan Preparer's Phone Number*

Area CodePhone Number
Upload Plans and Calculations*

Browse Files

Cancelof
5. PARTIES RESPONSIBLE FOR PROJECT
A. Name of Landowner (if not provided in section 1 above)

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState

Zip Code
B. Name of Individual On Site Responsible for Project*

First NameLast Name
Phone Number*

Area CodePhone Number
Company Name*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
I (we) affirm that the above information is accurate and that I (we) will conduct the above project in accordance with the Natural Resources and Environment Protection Act, 1994 PA 451, as amended, applicable State and Local ordinances, and the documents accompanying this application. I hereby authorize the reviewing agency to inspect this project site for conformance. I understand that payment of the fee does not guarantee an approval will be issued.
Landowner or Designated Agent Signature*

Clear
Date*

MonthDayYear
Date
*** STOP ***

Please read the following before proceeding. Payment instructions have changed.

1. To pay online with a credit/debit card or checking account, click the "Pay Now" button below. It will take you to the online payment portal.

2. On the payment screen, click on "Make a One-Time Payment", even if you already have an account (do not login to your account).

3. Once you have paid online, you will be issued a confirmation number. Write down this number!

3. Bill Type - Select "Other" from the drop down menu

4. Account Number - Enter "Stormwater" and the address (ex. Stormwater320WBroadway)

5. Fill out your payment information. You will be given a confirmation number. Write down this number!

6. Return to this application screen, input the confirmation number from the payment page, and click on the "SUBMIT" button below.

IF YOU DO NOT FOLLOW THESE STEPS, WE WILL NOT RECEIVE YOUR STORMWATER APPLICATION!
CONFIRMATION NUMBER*
Should be Empty:

City of Mt. Pleasant Stormwater Permit Application

1. APPLICANT INFORMATION

2. PROJECT LOCATION

3. PROPOSED PROJECT

4. STORMWATER CONTROL PLAN

5. PARTIES RESPONSIBLE FOR PROJECT