State of Wisconsin Water Resources Application for Project Permits
Department of Natural Resources Form 3500-053 (R 8/14) Page 1 of 2
orm Water Construction Site Notice of Intent Instructions
These instructions are for completing the Water Resources Application for Project Permits (WRAPP) form to serve as the Notice of
Intent (NOI) application for state coverage under the WPDES Construction Site Storm Water Runoff General Permit (Permit No. WI-
S067831) for land disturbing construction activities or for the renewal of permit coverage for a construction site project where permit
coverage has expired after 3 years and the applicant must reapply. For a renewal, the original Facility Identification Number (FIN) must
Answers all questions and provide all information requested. An incomplete NOI application will be returned for completion. A
complete NOI application for a new project includes the WRAPP form (Form 3500-053), the WPDES Construction Site Storm Water
Runoff General Permit Notice of Intent Application Checklist (Form 3500-053C), and all required attachments and the appropriate
application fee. A complete NOI application for a renewal includes the WRAPP form (Form 3500-053) and the appropriate application
fee. Please follow the mailing and fee directions at the end of these instructions. Note that the WRAPP form is also used by the DNR’s
waterway and wetland program as the application for various permits. Information on applying for these other permits is available from
the DNR’s “Water permit applications” webpage at dnr.wi.gov/permits/water/. If multiple types of permits are required for the project,
the WRAPP form and fees will need to be mailed separately as identified by each permit program.
Section 1: Landowner Information
Provide the legal name of the individual, owner, operator, corporation, partnership, association, municipality, interstate agency, state
agency or federal agency that holds fee title, an easement or other interest in property that allows the person to undertake land
disturbing construction activity on the property. If the landowner is a corporation or unit of government, a duly authorized representative
and related contact information may be provided in Section 1. The NOI application shall be signed as follows:
1. For a corporation, by a principal executive officer of at least the level of vice president or by the officer's authorized
representative having overall responsibility for the operation covered by this permit.
2. For a limited liability company, by a member or manager.
3. For a partnership, by a general partner.
4. For a sole proprietorship, by the proprietor.
5. For a unit of government, by a principle executive officer, ranking elected official, or other duly authorized representative.
Section 2: Applicant Information
For a storm water construction site NOI application, the applicant must be the same and the landowner. This section may be used to
provide information on an additional contact person associated with the landowner other than the authorized representative indicated in
Section 3: Primary Project Contact
If different from the landowner, provide the contact information of the person that will be the primary project contact. The contact person
should be the person completely familiar with the construction project activity and/or charged with implementation of the permit
Section 4: Project or Site Location
Enter the official or legal name of the construction site and its complete address or location description. Enter the county, type of
municipality, and municipality name.
Enter the township, range, section, quarter, and quarter-quarter information for the project. If the project is not wholly contained in the
quarter-quarter, provide more description. Enter the latitude and longitude in decimal degrees for the center of the area of land
Section 5: Pre-Application Resource Screening
Waterways: Provide the name(s) of the closest waterbodies to the project location. Identify the waterbodies that are on-site, nearby,
and downstream of the project site, including the first waterbody off-site if storm water runoff from the project site will enter a storm
sewer system that drains to that waterbody. The DNR’s surface water data viewer is available at
Wetlands: Indicate whether the project site has been assessed for the presence of wetlands. Indicate the sources of the information
used to assess for the presence of wetlands and attach the supporting report or documentation. The DNR’s wetland locating
information is available at dnr.wi.gov/topic/wetlands/locating.html
. Information on the DNR’s wetland identification program is available
at dnr.wi.gov/topic/wetlands/identification.html. Indicate whether the wetlands will be filled, excavated, or disturbed during construction
or as part of the project.
Endangered or Threatened Resources: All projects are required to comply with endangered and threatened resources laws. An
evaluation may be done prior to the submittal of the NOI application using the protocols developed by the DNR Bureau of Natural
Heritage Conservation at dnr.wi.gov/topic/ErReview/. If a review is completed prior to submittal of the NOI application, attach the
supporting report or documentation. Please note that an evaluation prior to the submittal of the NOI application may shorten the DNR’s
application review time.
The presence of wetlands, endangered/threatened resources, or historical/archaeological resources can delay projects, and
may require design changes to reduce impacts. Evaluation of potential impacts prior to NOI application submittal may reduce
or eliminate project delays or design changes.
Section 6: Project Information
Duration: Provide the anticipated start and end dates for the project. Land disturbing construction activities cannot begin until permit
coverage has been granted by the DNR. The anticipated project start date may not be less that 14-working days prior to the date that
the DNR receives a complete NOI application.
Photos: Provide clear ground level photos of the project site in its existing condition. Enter the date the photos were taken. Be aware
that snow cover or vegetation may obscure important details. The photos should show the area of proposed land disturbance sufficient