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APPLICATION FOR Stormwater Management
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SECTION 1 - SITE INFORMATION
No
Street Address / Owner
*
Street Name
*
Street Number
*
Map Block Lot
Zone
*
Street Name
*
Street Number
Map Block Lot
Zone
Unit No.
SECTION 2 - OWNER INFORMATION
*
Owner Name
*
Street Number
*
Street Name
*
City
*
State
*
Zip Code
Telephone
Email
SECTION 3 - APPLICANT INFORMATION
Same As Owner
*
Applicant Name
Street Number
Street Name
City
State
Zip Code
*
Telephone
*
Email
SECTION 4 - MAILING ADDRESS
Same As
--Select--
Site Information
Owner Information
Applicant Information
Street Number
Street Name
City
State
Zip
SECTION 6 - Stormwater System Manager
Same As
--Select--
Owner Information
Applicant Information
Name
Street Number
Street Name
City
State
Zip Code
Telephone
Email
SECTION 7 - DRAINLAYER INFORMATION
Name of person
Select
Street Number
Street Name
City
State
Zip Code
Contact Phone
Email
SECTION 8 - OTHER DETAILS
Dig Safe Number
Plan Title
Date of Plan
General description of property
Lot Area (sq. ft & acres)
Proposed Use
Amount of Land Disturbance (sf)
Accompaniments
DECLARATION
Please review the Milton Zoning Bylaws for additional supplemental materials that may be required.
To the Town of Milton I, the undersigned, wish to submit a Stormwater Management Permit Application as defined in Article IX of the Town of Milton Zoning Bylaws Section 240-54 and in Section 7 of the DPW Board Procedural Rules and request a review and determination by the DPW Board of the Erosion and Sedimentation Control Plan, Stormwater Management Plan, and Operations and Maintenance Plan submitted herewith.
I,
, as hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief.
By typing in your name and title below, and clicking on the certification box, you are submitting an electronic signature for this application.
Name
Title
*
I do hereby certify under the pains & penalties of perjury that the information provided above is true and correct and that the property owner is a party to this application.
Date
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