WRC Soil Erosion Unit Electronic Signature Agreement
By signing below, I acknowledge that my signature will be saved electronically on the WRC’s Soil Erosion Database.
This signature will be used to sign for Soil Erosion Permits only. In order to use this method of signing, I understand I
must send an e-mail from the e-mail address indicated in this agreement requesting the Soil Erosion Department to use my
signature. The e-mail must include the permit number or numbers to be signed for and a phone number to be contacted at
for payment.
Owner’s Initials ________
Name of Property Owner /Company Owner
First Name: ___________________________________________________________________
Last Name: ___________________________________________________________________
Company Name:_______________________________________________________________
Address:_______________________________________________________________________
E-mail Address(es)_______________________________________________________________
Designated agent:
First Name: ___________________________________________________________________
Last Name: ___________________________________________________________________
E-mail Address(es)_______________________________________________________________
Landowner/ Designated Agent Signature Date
_______________________________ ________________
________________________________ ________________
After signing above please sign twice more on page 2 of this document.
Disclaimer: WRC will not honor an electronic signature request if requestor / permittee is not paid up-to-date or is in
violation on any previous permits.
If requesting to use Electronic Signature please E-mail to soilerosion@oakgov.com
This Electronic Signature Agreement complies with the Michigan Uniform Electronic Transaction Act.
Information regarding this Act will be provided upon request to WRC Soil Erosion Unit.
