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2. Please fill out this form, print a copy, and submit with the SWPPP, along with $150 filing fee and a copy of the IDEM Rule 5 NOI Form
4. Project Name*
5. Project Location*
7. Estimated Construction Start Date*
   Estimated Construction Start Date
8. Estimated Construction End Date*
   Estimated Construction End Date
10. Owner Contact Information
12. Name*
13. Company*
15. Address*
17. City*
18. State*
19. Zip Code*
21. Email Address*
22. Phone Number*
24. Plan Preparer Contact Information
26. Name*
27. Company*
29. Address*
31. City*
32. State*
33. Zip Code*
35. Email Address*
36. Phone Number*
38. Plans*
    Upload the plans and drawings
40. Contractor Contact Information
42. Name
43. Company
45. Address
47. City
48. State
49. Zip Code
51. Email Address
52. Phone Number
54. Online Payment Fees:
    Online payments are processed by Forte. A fee of 2.5% or $1.50 (whichever is greater) will be assessed for all credit card payments. Electronic Checks are also accepted, and will be assessed a flat $1.25 for any payment under $50,000. The appropriate fee will be added to the total cost of your payment.
56. Name
    SWPPP Application Fee
57. Price
58. Quantity
59. Shipping Cost
61. Taxable
Leave This Blank:


62. Calculate Totals Proceed to Checkout

* indicates a required field