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Single-Family Residential Stormwater Credit Application

APPLICANT INFORMATION

Full Name

Full Address

CREDIT INFORMATION

Check One:

If #2 or #3, has impervious surface been added since the last application/renewal?

If #2 or #3, has the BMP been modified since the last application/renewal?

TYPE OF CREDIT

Select one (or more):

Additional information required for rain garden credit:
Additional information required for on-site stormwater storage credit:

Select all that apply:

Additional information required for pervious pavement credit:

Select all that apply:

Additional information required for vegetated filter strip credit:

You will need to attach a photo of the BMPs referred to in your application. In addition, we ask that you make a sketch of your property showing the location of the BMPs, take a photo of the sketch and then attach it. An attachment link is at the end of this form.

By signing below, I hereby certify that I own or live at the property and I further declare, under penalty of perjury, that the information provided by me in this application is the truth to the best of my knowledge and belief.

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