[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-305279-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-305279-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","permit-application-form-example","Permit Application Form - EXAMPLE","","Permit Application Form example collecting project, site, and applicant contact information for review by RCWD. It includes project purpose, land disturbance and impervious surface areas, permitting contact and authorized agent details, and electronic submittal requirements. The form specifies submission timelines based on wetland noticing and outlines applicable permit fee rules, including non-refundable fees and reimbursement of permit review costs once expenses exceed $9,000. Applicant signature acknowledgements address reimbursement, compliance responsibility, and restrictions on starting work before permit issuance.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/permit-application-form-example/305279/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/permit-application-form-example/305279.png","ImageObject",442,249,{"name":42,"@type":43},"Ivy","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-07","2026-09-19",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What information must be provided in the Project Information section?","Question",{"text":63,"@type":64},"The form requests project name, project location (address or parcel ID and city/township), project purpose, land disturbance area, and the area of new and/or reconstructed impervious surface.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How does the submittal timeline change for wetland noticing applications?",{"text":68,"@type":64},"Wetland noticing permit applications must be submitted at least 50 calendar days prior to a regular Board meeting. Applications not involving wetland noticing must be submitted at least 40 calendar days prior.",{"name":70,"@type":61,"acceptedAnswer":71},"What permit fees apply and when are review costs reimbursed?",{"text":72,"@type":64},"A non-refundable fee applies depending on which rules apply, including Rule C Stormwater Management fees of $3,000 or $5,400 based on impervious surface area thresholds. If review costs exceed $9,000, any additional cost must be reimbursed by the applicant before the permit can be issued.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},305279,1790222508,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":30,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":22},549758252649,"https://ap-avatar.wpscdn.com/avatar/8000253669c5317157?_k=1778319167496531819","EXAMPLE APPLICATION  \n*(\\#) = Please refer to page 3 for further notes.  \n4325 Pheasant Ridge Drive \\#611 | Blaine, MN 55449 Phone (763) 398-3070 | Fax (763) 398-3088 Permit Application Form  \nFor Office Use Only  \nPermit App. \\#:  \nDate Received:  \nAmount/Payer:  \nCheck Number:    \nProject Information  \nProject Name:  123 Main Street Pole Barn OR Watershed Estates Townhomes  Project Location:  Address or Parcel ID 123 Main Street OR (00-00-00-0000) or (00-00-00-000-0000)  City or Township:  Blaine  County:  Anoka  Project Purpose:  Please provide general description of the project.   Constructing a 35 x 25 pole barn addition OR   Housing development and subdivision with 20 townhomes including, parking, stormwater and utility improvements.   \nArea of Land Disturbance:  *1 acres  Area of New and/or Reconstructed Impervious Surface:  * 2 acres   \nContact Information  \nName:  (Check your County's Map Viewer or with RCWD for listed current owner(s) name Ex: Arne Carlson-Arne Carlson LLC  \nAddress:  Home address required for hard copy permit mailing  Phone:    \n  Fax:    \nCity:   Email:  Providing the landowner's email is required  \nState:   Zip:    \nOfficial Representative (do not complete if same as above):  \nName:    \nAddress:   Company:    \n  Phone:   City:   Fax:    \nState:   Zip:   Email:    \nPermitting Contact (developer, engineer, architect, wetland consultant, etc. ):  \nName:   Authorized Agent? Yes No  \nAddress:   Company:    \n  Phone:   City:   Fax:    \nState:   Zip:   Email:    \nPermitting Contact (developer, engineer, architect, wetland consultant, etc. ):  \nName:   Authorized Agent? Yes No  \nAddress:   Company:    \n  Phone:   City:   Fax:    \nState:   Zip:   Email:    \nSubmittal Requirements  \nApplications submitted to RCWD must be complete and contain all required materials for each applicable RCWD Rule. See the RCWD website for additional guidance and complete rules. RCWD will communicate an incomplete application status to the applicant, and no further action will be taken until additional submittals are received. Applicant must submit an electronic copy of all required information. Projects involving a Wetland Replacement Plan have special noticing requirements. Permit applications involving wetland noticing must be submitted a minimum 50 calendar days prior to a regular Board meeting; permit applications not involving wetland noticing must be submitted a minimum 40 calendar days prior to a regular Board meeting.  \n* 3 Please see the “Permit Information\" page on the RCWD website for additional detail regarding the review process and timelines. [https://www.ricecreek.org/permits/permitting-information/. Complete](https://www.ricecreek.org/permits/permitting-information/. Complete) rule sets can also be found  \nwithin the provided webpage.  \n (All contacts will receive permit status updates)   \n Applicant/Landowner (must be landowner or easement holder of record, and must sign application on reverse):  \nPermit Fee  \n(Check fee box-only one will apply)  \nNon-Rule C Fee:  \nA $300 non-refundable fee is due at the time of application for a project that is NOT subject to Rule C (Stormwater Management), but is subject to one or more of the following Rules:  \n• Rule D (Erosion and Sediment Control Plans)  \n• Rule E (Floodplain Alteration)  \n• Rule F (Wetland Alteration)  \n• Rule G (Regional Conveyance Systems)  \n• Rule I (Public Drainage Systems)  \n• Rule J (Appropriation of Public Waters)  \nRule C (Stormwater Management) Fee:  \nA $3,000 non-refundable fee is due at the time of application for Residential, Commercial, Industrial, Institutional development that proposes less than 5 acres of new and/or reconstructed impervious surface  \nA $5,400 non-refundable fee is due at the time of application for Residential, Commercial, Industrial, Institutional development that proposes 5 or more acres of new and/or reconstructed impervious surface  \nOnce application review costs (District Engineer and Legal Counsel) exceed $9,000*, a","cbCairsmCDlREzfm","https://ap.wps.com/l/cbCairsmCDlREzfm","pdf",371272,"English","# Permit Application Form\n## Project Information\n## Contact Information\n## Submittal Requirements\n## Permit Fee\n## Applicant Signature","[{\"question\":\"What information must be provided in the Project Information section?\",\"answer\":\"The form requests project name, project location (address or parcel ID and city/township), project purpose, land disturbance area, and the area of new and/or reconstructed impervious surface.\"},{\"question\":\"How does the submittal timeline change for wetland noticing applications?\",\"answer\":\"Wetland noticing permit applications must be submitted at least 50 calendar days prior to a regular Board meeting. Applications not involving wetland noticing must be submitted at least 40 calendar days prior.\"},{\"question\":\"What permit fees apply and when are review costs reimbursed?\",\"answer\":\"A non-refundable fee applies depending on which rules apply, including Rule C Stormwater Management fees of $3,000 or $5,400 based on impervious surface area thresholds. If review costs exceed $9,000, any additional cost must be reimbursed by the applicant before the permit can be issued.\"}]","Permit Application Form - EXAMPLE | PDF",1789823338]