Stormwater Appeal Form

Appeal 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. An Authority representative will confirm receipt of appeal and review and respond within 60 days of receipt of the completed form.

Appeal Information

Impervious Area Estimate

Customer Information

Owner's Name
Phone
Alt Phone
Email
Property Address
Mailing Address

Description

Please provide a brief description as to why this change is necessary:

Signature & Date

Please type your name in the signature box.

Signature
Date

Send Appeal