HomeMy Public PortalAboutStormwater Management Permit ApplicationBrewster Stormwater Management Permit Application Form Approved 2/23/ 2022 Rev. 06/22/2022 Page 1 of 2
1. Project Location:
___________________________________________________________________________
Street Address
_________________________________________________ ______________________________________________________
Assessors Map and Parcel(s) Deed Reference
2. Applicant:
__________________________________________________________________________
Name
__________________________________________________________________________
Legal Mailing Address
_________________________________ ___________________________________
Phone Number Email Address
3. Property Owner (if different than Applicant):
__________________________________________________________________________
Name
__________________________________________________________________________
Legal Mailing Address
_________________________________ ___________________________________
Phone Number Email Address
4. Professional Representative:
__________________________________________________________________________
Name
__________________________________________________________________________
Legal Mailing Address
_________________________________ ___________________________________
Phone Number Email Address
Town of Brewster
Code Chapter 272
Stormwater Management Permit
Application Form
FOR TOWN OFFICIAL USE ONLY
TOWN CLERK RECEIVED:
SWM PERMIT NUMBER ASSIGNED:
Brewster Stormwater Management Permit Application Form Approved 2/23/ 2022 Rev. 06/22/2022 Page 2 of 2
5. Type of Application (Check as applicable):
_____ Minor Stormwater Permit- Any combination or series of construction or land
disturbance activities that, over a two-year period, will result in a net increase in
impervious area of 500 sq.ft. to 2,500 sq.ft. and/or will result in land disturbances of
10,000 sq.ft. to 20,000 sq.ft.
_____
______
______
Major Stormwater Permit- Any alteration, disturbance, development, or
redevelopment that does not meet the eligibility criteria for a Minor Stormwater
Permit.
SWM Permit Amendment-
List existing Stormwater Management permit number/ type ____________________.
Stormwater Management Certificate of Compliance (SMCC) Request-
List relevant Stormwater Management permit number ________________________.
6. Brief Project Description, including any waiver requests:
7. Signatures:
__________________________________________________________________________________________
Applicant Date
___________________________________________________________________________
Property Owner (if different than Applicant) Date
___________________________________________________________________________
Professional Representative (as applicable) Date
NOTES:
Please refer to Appendix B of the Stormwater Management Regulations for detailed application submittal
and supporting material requirements for Minor and Major Stormwater Management Permits,
respectively.
The application fee schedule is contained in Appendix C of the Regulations.
Certain activities are exempt from review and permitting (See §272-6 of the Stormwater Management
Bylaw).
If the project is located, in whole or part, within an area subject to state or local wetlands protection law,
the review and permitting authority is the Brewster Conservation Commission/ Conservation Department.
No permit review shall occur nor shall review periods commence until the application is deemed complete.