Department of Public Works TELEPHONE: (508) 841-8502
Engineering Division FAX: (508) 841-8497
Stormwater Management stormwater@shrewsburyma.gov
Revised February 25, 2019 Page 1 of 2
TOWN OF SHREWSBURY
100 MAPLE AVENUE
SHREWSBURY, MASSACHUSETTS 01545-5338
STORMWATER MANAGEMENT
CREDIT APPLICATION
Application must be completed in full in order to be considered.
Property Owner / Business Name: _______________________________________________________________
Property Address / Condo Association: ___________________________________________________________
Mailing Address (if different): __________________________________________________________________
Phone Number: ___________________________________ E-mail: ___________________________________
Utility Account Number: ___________________________ Parcel Number: _____________________________
Authorized Contact (if different from owner): ______________________________________________________
How do your stormwater management BMPs specifically exceed current stormwater management guidelines
(Zoning Bylaw, Subdivision Rules & Regulations, Stormwater Management Rules & Regulations, Wetlands
Protection Act)?
Please attach any supporting documents such as site plans, hydrologic calculations, and O&M plans. All
documents and plans must be stamped by a professional engineer.
I hereby request the Department of Public Works (“DPW”) to review this application. I certify that I have
reviewed the Stormwater Management Credit Policy
; that I have the authority to make such a request and grant
such authority for this property; and the information provided is true and correct to the best of my knowledge and
belief. I agree to provide updated or corrected information to the DPW should there be any change in the
information provided herein and should the DPW request more information.
Signature: ________________________________________ Date: _____________________________________
Name (Please Print): __________________________________________________________________________
Department of Public Works TELEPHONE: (508) 841-8502
Engineering Division FAX: (508) 841-8497
Stormwater Management stormwater@shrewsburyma.gov
Revised February 25, 2019 Page 2 of 2
This Side for Office Use Only
Credit Determination: Granted for _____ % Credit Denied
Current Annual Fee: __________________________________________________________________________
Adjustment: ________________________________________________________________________________
New Annual Fee: _____________________________________________________________________________
If denied, reason for denial: ____________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Signature: __________________________________________________________________________________
Name (Please Print): __________________________________________________________________________
Title: ___________________________________________ Date: _____________________________________
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