PERMITTEE (OWNER) AS COGNIZANT OFFICIAL:
** If Permittee (i.e. Owner) Designates another as the ‘Cognizant Official’, move to next paragraph **
As the permittee of this site, I understand and acknowledge that I am the authorized ‘cognizant official.’ I
acknowledge that I am the representative who has operational control of the regulated activity on the site
as per the issuance of this Stormwater Permit (SWP). Further, I understand that It is my responsibility to
have full working knowledge of the required Best Management Practices (BMP’s), whether found within
any required Stormwater Pollution Prevention Plan (SWPPP) or not, to be implemented as part of any SWP
that may be issued.
Printed Permittee Name: _________________________________________________________________
Permittee Signature as ‘Cognizant Official’:___________________________________________________
PERMITTEE (OWNER) DESIGNATED COGNIZANT OFFICIAL (CONTRACTOR):
As the permittee designated ‘cognizant official’ (i.e. contractor), I understand and am aware that I have
been authorized by the ‘permittee’ (owner) listed above, to have operational control of the regulated
activity on the site as per the issuance of this Stormwater Permit (SWP). Further, I understand that it is my
responsibility to have full working knowledge of the required Best Management Practices (BMP’s),
whether found within any required Stormwater Pollution Prevention Plan (SWPP) or not, to be
implemented as part of any SWP that may be issued.
Printed Name of Permittee (Owner):
________________________________________________________________
Printed Name of Permittee (Owner) Designated ‘Cognizant Official’ :
_______________________________________
Designated Cognizant Official (Contractor) Signature:__________________________________________________
APPLICATION FEE
Total Project Area………………………………………………………………………. Fee
1 acre or less …………………………………………………………………………. $50.00
Greater than 1 acre………………………………………………………………$100.00
STORMWATER MANAGEMENT TRAINING
• Watch video available at https://www.youtube.com/watch?v=VQKSCzav4y4
• Contact Planning Staff to complete the Stormwater Management Training Quiz
o Application must answer 8/10 questions correctly
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