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Application Number PW-CA-2021-___ Millcreek Engineering 3330 South 1300 East Millcreek, Utah 84106 (801) 214-2700 Note: Incomplete applications will not be accepted. STORMWATER UTILITY FEE CREDIT APPLICATION CONTACT INFORMATION APPLICANT OWNER (if different from applicant) ADDRESS and NAME OF BUSINESS/INSTITUTION/HOA/APARTMENT COMPLEX APPLICATION FEE - $40.00 Payment Options credit/debit card Check Exact cash (accepted over phone) CREDIT ELIGIBILITY CHECKLIST Class 3 customer (Institutions/Commercial) Other: HOA or Apartment Complex Manager applying on behalf of tenants (Provide list of addresses/apartment numbers) REQUIRED DOCUMENTATION Site Map showing property, buildings, and stormwater control facilities Plans showing detention basin designed to detain a 10 year storm event at a controlled release rate with drainage calculations stamped by a Professional Engineer (15% credit) OR Plans showing retention basin designed to retain 10yr 24 hr OR 100 yr 24 hr storm event with drainage calculations stamped by a Professional Engineer. (40% credit) Annual stormwater training has been/will be provided to maintenance/grounds crew (10% credit) (Owner/Applicant shall keep training records as City may request such records to verify.) Total Credit CERTIFICATION By signing below, I agree the information provided in this application is accurate to the best of my knowledge Regardless of property ownership transfer, I hereby understand that Millcreek may revoke the approved credit if the annual traning is not conducted and/or stormwater control facility is not properly maintained. Inspections by City Public Works may be conducted to verify. Signature Date Please contact Dan Drumiler, Millcreek Stormwater Engineer, at [PHONE REDACTED] for technical engineering questions and Kalie Boska, Millcreek Billing Specialist, at [PHONE REDACTED], for billing questions. Applicants should review Millcreek's Stormwater Policy Manual Storm-Water-Fee-Policy-Manual_Final_6-22-20 (millcreek.us) (Section 10) prior to submitting an application. The submission of an application does SIGN