Stormwater Management

Upper Southampton Municipal Authority
Stormwater Management Program Appeal Form

Online Form

View Online Stormwater Appeal Form

Mail-In Print Form

Appeals Instructions

1. This form is provided to customers who have reduced their Impervious Area coverage or who disagree with the Impervious Area determination by the Authority for their property.
2. Please fill out all sections on the form, except for the last section marked “For Authority Use Only”.
3. You may attach supporting documentation to the form. Please note that any submitted documentation will not be returned to the customer. Please mail completed form to:
   Upper Southampton Municipal Authority
   PO Box 481
   Southampton, PA 18966
   Attn: Stormwater Management Appeals
4. Or submit electronically to info@usauthorities.org. An Authority representative will confirm receipt of appeal and review and respond within 60 days of receipt of the completed form.