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Agreement in Lieu of a Plan

  1. Agreement in Lieu Header

  2. Description:

  3. Applicant Information:

  4. This individual will be responsible for signing the approved permit.

  5. Site Information:

  6. Total Area of the property:

  7. Area to be disturbed (including total landscaping):

  8. IS PROJECT PART OF A COMMON PLAN OF DEVELOPMENT PLATTED SINCE 2004?*

  9. If YES, a SWPPP is required on site.

    SWPPP document can be downloaded from Applications/Forms Page and posted on site to be accessible by Stormwater Staff.

  10. If YES, the Potential Sources of Pollution and Prevention Practices application is required.

    Potential Sources of Pollution and Prevention Practices application can be downloaded from the Applications/Forms Page and attached as a separate file below.

  11. ALL APPLICATIONS MUST HAVE A COPY OF THE PLAT SUBMITTED.

    For complete submittal, you will need to attach a copy of the plat depicting locations of E&S Measures. (Silt fence, construction entrance, concrete washout, etc.) See Potential Sources of Pollution and Prevention Practices Application for more information.

  12. Potential Sources of Pollution and Prevention Practices Upload

    Please attach the form here. (Can be downloaded from the Applications Page.)

  13. Leave This Blank:

  14. This field is not part of the form submission.